This inspection took place on 6 February 2018 and was unannounced. The last inspection took place in December 2017 and the service was rated good. At this inspection we found the service remained good.

Tapton Edge is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service can provide care and accommodation for up to 25 older people. At the time of our inspection 24 people were living at the service.

Tapton Edge is a converted Victorian house situated in the Fulwood area of Sheffield, close to shops, churches and bus routes. The home has a communal lounge, dining rooms and bathing facilities. Accommodation is provided over two floors, which can be accessed by a lift. To the rear of the home is a large landscaped garden and a car park is available.

At the time of our inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There was an extremely strong person centred and caring culture in the home. (Person centred means that care is tailored to meet the needs and aspirations of each person, as an individual.) The management team and staff shared the vision of the service.

Staff told us they worked as part of a team, that Tapton Edge was a good place to work and staff were very committed to providing care that was centred on people's individual needs so that people were supported to achieve everything they wanted to.

There were systems in place to protect people from harm, including how medicines were managed. Staff were trained in how to recognise and respond to abuse and understood their responsibility to report any concerns to the management team.

Safe recruitment processes were followed and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people.

People were supported in a kind caring way that took account of their individual needs and preferences. People and their families were supported to express their views and be involved in decisions about their care.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems supported this practice.

Staff were supported to provide appropriate care to people because they were trained, supervised and appraised. There was an induction and training and development programme, which supported staff to gain relevant knowledge and skills.

People received regular and ongoing health checks and support to attend appointments. They were supported to eat and drink enough to meet their needs and to make informed choices about what they ate.

The service was responsive to people’s needs and staff listened to what people said. People could be confident that any concerns or complaints would be listened to and dealt with.

Systems were in place that continuously assessed and monitored the quality of the service.

This inspection took place on 21 December 2016 and was unannounced. This meant the registered provider and staff did not know we would be visiting. At the last inspection on July 2016 we asked the provider to take action to make improvements for example supervisions and appraisal were not fully recorded. Quality audits were ineffective and did not identify areas where action was needed. Action was not taken to address feedback to improve the service. The provider sent a report of the actions they would take to meet the legal requirements of these regulations. The action plan received from the provider showed all actions would be completed by December 2016.

This inspection was a focused inspection to look at the ratings for safe, effective and well led and to see what progress the provider had made since the last inspection.

Tapton Edge is a converted Victorian house situated in the Fulwood area of Sheffield, close to shops, churches and bus routes. The service can provide care and accommodation for up to 25 older people. At the time of our inspection 24 people were living at the service. The home has a communal lounge, dining rooms and bathing facilities are available. Accommodation is provided over two floors, which can be accessed by a lift. To the rear of the home is a large landscaped garden and a car park is available.

There was a manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service told us they felt safe.

Medicines were managed safely

Risks to people using the service were assessed and plans put in place to reduce the risk of them occurring. Risks to people from premises and equipment were also assessed and reviewed.

Accidents and incidents were recorded and investigated to see if improvements were needed to keep people safe.

Plans were in place to ensure people received the support they needed in emergency situations. Policies and procedures were in place to help protect people from abuse. Staff had access to a safeguarding policy. The registered manager monitored staffing levels to ensure they were sufficient to keep people safe. Recruitment procedures minimised the risk of unsuitable staff being employed.

This inspection took place on 13 July 2016 and was unannounced which meant the registered provider and staff did not know we would be visiting.

Tapton Edge is a converted Victorian house situated in the Fulwood area of Sheffield, close to shops, churches and bus routes. The service can provide care and accommodation for up to 25 older people. At the time of our inspection 24 people were living at the service. The home has a communal lounge, dining rooms and bathing facilities are available. Accommodation is provided over two floors, which can be accessed by a lift. To the rear of the home is a large landscaped garden and a car park is available.

The home had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Safeguarding alerts had been made when needed. Staff understood the procedure they needed to follow if they suspected abuse might be taking place.

Risk assessments were in place for people who needed them. They were specific to people’s needs. However, risk assessments were not always reviewed effectively on a monthly basis. Foot-notes were used to detail any changes but his made the risk assessment difficult to navigate and understand the persons current needs.

Emergency procedures were in place for staff to follow and personal emergency evacuation plans were in place for everyone. A robust procedure for recording fire drills was in place.

There were sufficient staff on duty. People told us there was enough staff on duty day and night to meet their needs. A dependency tool was not used but this did not have a negative impact on people's care.

Medicines were managed appropriately. The service had policies and procedures in place to ensure that medicines were handled safely. Medication administration records were completed to show when medicines had been administered. Staff confirmed that medication storage room temperatures were read daily, however this was not recorded.

Certificates were in place to ensure the safety of the service and equipment used. Maintenance and fire checks had been carried out regularly by the service.

Robust safe recruitment processes were not in place. References had not always been received before new staff started employment. Disclosure and Barring service checks had not been obtained.

Staff performance was monitored through a system of supervision and appraisal. However, these meetings were not recorded fully and no evidence was available to confirm what had been discussed and any actions as a result of these meetings.

Staff had completed an induction process with the provider. Of the eleven training records we looked at, all had up to date training. People told us they felt staff had the knowledge and skills needed to care for them.

People were supported to maintain their health. People spoke positively about the nutrition and hydration provided at the service. Staff understood the procedure they needed to follow if people became at risk of malnutrition or dehydration. However, some people's weights were monitored using visual checks which did not determine an accurate weight.

Staff demonstrated good knowledge and understanding of the requirement of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguard and knew what action they would take if they suspected a person lacked capacity.

Each person was involved with a range of health professionals and we saw records to confirm this. From speaking with staff we could see that they had a good relationship with the health professionals involved in people’s care.

The lounge area was big enough to accommodate people who wished to use it. People had spacious bedrooms which included their personal possessions

We visited the service on 26 November 2013 as part of our scheduled inspection programme. We spoke with six people who used the service, five staff, one professional and the registered manager.

People who used the service told us they were happy living at the home. Their comments included, “It's really good here, I can't find anything to grumble about,” “Everything is really good, I have no problems" and “The staff are very kind, caring and considerate."

We spoke with a visiting healthcare professional. They said, "When we are here treating people, we are thoroughly supported and appreciated by the staff. We can see that this is one of the best homes in the area. We have never had any concerns about the care provided at this home."

Information that we received from Sheffield Local Authority, Contracting and Commissioning confirmed to us that they did not have any current concerns about the home.

We found people were provided with a choice of nutritious food and people’s dietary needs were met.

During our visit we found the ambience in the home was friendly and homely. People were cared for and supported in a clean, safe and well maintained environment.

We found there was an effective recruitment procedure in place and relevant checks were carried out when staff were employed.

We found that records were held securely and retained for an appropriate period of time.

People who we were able to communicate with told us that they were happy living at the

home and that they were satisfied with the care they received. People said, "it's a wonderful home," "I am very settled," "it's superb here" and "I couldn't wish for anything better."

We spoke with two people that were at the home carrying out an activity. They spoke very highly about the home and told us "We have no worries or concerns about the home and think its good in every aspect. We are very pleased that we are invited here to show people antique objects. It really gets people talking and thinking about the past, which they really enjoy."

We spoke with Sheffield Local Authority, Contracting, Commissioning and Safeguarding

and they told us that they had not identified any concerns at the home.

People that were able told us that overall they were happy living at the home.

People who we were able to communicate with told us that they were happy living at the home and that they were satisfied with the care they received. People said,

"I am very happy here, I couldn’t be happier." "It's a wonderful home." "It's great; we’re all very well cared for." "We're all like family."

We spoke with three relatives. One was visiting their relative and the other two had come to the home to carry out an activity. The two relatives carrying out an activity both had relatives that had lived in the home. When their relatives had passed away, they continued to visit the home each week, arranging and organising games. All three relatives spoke very highly about the home and the care that was provided. One told us “I have no worries or concerns about the home and think its good in every aspect." Another said "We could not have wished or hoped for anything better for our relative. Unfortunately it wasn’t possible for them to stay at home, but this is as near to being like home as anywhere could be"

We spoke with Sheffield Local Authority, Contracting, Commissioning and Safeguarding and they told us that they had not identified any concerns at the home.