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CQC report explained · a nursing home, run by The Children's Trust

Tadworth

Tadworth Court, Tadworth Street, Tadworth, KT20 5RU

Not yet rated

Not yet rated: the CQC has not published a rated inspection for this service, which is usual for a new registration.

The latest report, explained

What inspectors found, April 2024

Inspected but not rated; inspectors found kind, skilled care, with several records and medicines processes needing improvement.

Inspectors visited on 20 and 21 February 2024. They spoke with children, relatives and 31 staff, and reviewed 18 care and medicines records. The inspection was prompted partly by concerns about overnight monitoring.

Inspectors found that children and young people were protected from abuse, supported by trained staff and cared for in clean houses. Staff were described as compassionate and highly skilled, especially in rehabilitation. Children and families were involved in care and supported to communicate, build relationships and take part in activities.

The report identified several areas for improvement. Overnight checks were not described clearly enough in all care plans. Water temperature checks were not always recorded. Some medicines were not stored securely, some medicines records were out of date or lacked instructions, and prescription forms were not tracked adequately. Daily records did not always include the child's voice, feelings and wishes.

The service was inspected but not rated. CQC does not currently rate services that are children's homes and are also registered with Ofsted. The previous overall rating was Outstanding, published in March 2020, but that rating does not represent a new rating from this inspection.

What inspectors praised
  • Kind and respectful care

    Inspectors saw compassionate care that respected privacy, dignity and individual needs. Families were involved and supported.

    Staff treated children, young people and their families with the upmost compassion and kindness, respected their privacy and dignity, and took account of their individual needs.from the report
  • Strong rehabilitation support

    Inspectors saw skilled staff helping children and young people make clear progress, including improvements in eating, communication and independence.

    The progress children and young people made was evident.from the report
  • Skilled team working

    Health professionals worked together around each child. Assessments and care plans were detailed and based on evidence.

    All professionals worked collaboratively and efficiently to meet the holistic needs of the children and young people.from the report
  • Children's voices and activities

    Children and young people were supported to communicate in different ways, join activities and maintain family relationships.

    This gave children and young people new experiences and prevented their disabilities from being a barrier.from the report
  • Open leadership

    Leaders were visible and staff said they felt supported. The service had an open approach to concerns, incidents and learning.

    There was an open culture where staff, children, young people, and their families could raise concerns without fear.from the report
What inspectors were concerned about
  • Medicine records and storage

    serious

    Some medicines were stored outside locked medicine cabinets. Some 'as required' medicines lacked instructions, and some care plans did not match current prescriptions.

    Sometimes the care plans did not match the current medicines prescribed as the care plans had not been updated when medicines had changed.from the report
  • Prescription tracking

    needs fixing

    The medical team did not track emergency prescription forms adequately, so missing forms might not be identified.

    The medical team did not track FP10 prescriptions adequately, therefore the service would not be able to identify if any were missing.from the report
  • Daily care evaluations

    needs fixing

    Daily records did not always capture the child's voice, feelings and wishes. Inspectors recommended that these evaluations be strengthened.

    The daily evaluations did not consistently reflect the child's voice and what their feelings or wishes may have been over the day.from the report
Questions to ask them, based on this report
  1. 01How are overnight visual checks now described in each child's care plan, and how do you check that staff carry them out consistently?
  2. 02How do you now record water temperatures for every bath and shower?
  3. 03What has changed to make sure medicines are stored securely in every house?
  4. 04How do you check that 'as required' medicines have clear instructions and that care plans match current prescriptions?
  5. 05How are children's voices, feelings and wishes included in daily care evaluations?

This was a comprehensive inspection of the regulated treatment activity and the premises, but no new ratings were given because CQC does not currently rate children's homes also registered with Ofsted. This explanation was written from the published report of 17 April 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Tadworth

Each visit the CQC has published, newest first, back to the day the service was registered.

  1. April 2024Inspected but not ratedcurrent rating
    Safe: Inspected but not ratedEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read what inspectors found at Tadworth

  2. July 2021Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. April 2020Inspected but not rated
    Safe: Inspected but not ratedEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  4. January 2018Inspected but not rated
    Safe: Inspected but not ratedEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  5. November 2016Inspected but not rated
    Safe: Inspected but not ratedEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  6. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 25 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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