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Inspection on 08/06/10 for Tramways Corner

Also see our care home review for Tramways Corner for more information

This is the latest available inspection report for this service, carried out on 8th June 2010.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Each resident has a plan of care. The care documentation shows the involvement of other health care professionals. The staff described practices that include consultation with other professionals and enable some residents to take responsible risks. Care plans are in place for each resident, and these are currenlty under review by a member of senior staff. Care plans will be rewritten completely. This process has started with each resident now having a new `Essential Information` form in their file. The staff were knowledgeable of individuals` capabilities, and liaise effectively with the local community and other health professionals. The home maintains good links with the day care services used. There are risk assessments, and a good example was given at the time of inspection of the process followed to enable a resident to access the local community alone. At the time of the inspection all but one resident was planning to go out for the day to a variety of placements and activities. Weekends are `free-time` and residents relax with each other or with friends and family. Relationships with family and friends are encouraged. Daily records evidence when the residents have had visitors. Some of the residents go home at the weekend. Some people go out unaccompanied, although it is expected that they inform staff where they are going and when they will return. Residents are free to decide if they want to be sociable or if they would prefer to spend time alone in their room. Residents assist with household tasks to varying degrees. The staff are aware of possible diversity issues presented by differing age groups. The staff were seen to interact appropriately with residents. Residents have unrestricted access to the home and small rear garden. There is a weekly menu, and residents are asked what they would like to eat in the forthcoming week. The food order is delivered weekly. Some meals are provided at the day/work placements during the week. There are no current needs for specialised diets. The record of food provided shows where people have opted for an alternative meal. The staff said they ensure that appropriate personal support, care and encouragement are provided in such a way as to respect resident`s privacy and dignity. The care records, observation, and discussion with the staff show that the residents` waking day is flexible.The residents are receiving access to the health care facilities they are entitled to (e.g. dental checks, eye tests). Guidance and support regarding personal hygiene is provided, and residents are assisted to choose their own clothes and appearance. Residents` money is paid into the home`s bank account and then redistributed to the individual. A senior staff member has arranged a `best interests` meeting with other professionals and sought the views of the existing residents and/or their representatives. There are signed documents on file stating that the current arrangement is acceptable to DACS and the resident or their representative. The senior staff member is aware that whilst this is acceptable for the existing residents alternative arrangements need to be made for any new admissions to the home. Tramway provides a homely environment with comfortable communal accommodation. The home is not suitable for wheelchairs as bedrooms are accessed by stairs with no stair lift or shaft lift facility, but the registered providers are aware of this and take this into account when assessing prospective residents. Rachel Elvin is a senior staff member, and the inspector was advised that it is the home`s intention to make application for Rachel to be the registered manager. Staff personnel files now include relevant training certificates. A senior staff member has started to put together a training matrix so that staff training needs can be monitored and assessed. The senior staff member is aware of the need for new members of staff to be undertaking a National Training Organisation compliant induction programme (www.skillsforcare.org.uk). The staff member was also advised of the General Social Care Council (www.gscc.org.uk) and the need for all staff to be provided with a handbook. There is only one member of staff on duty at any time. There is an additional cover rota to allow for when extra staff are needed or for when staff sickness/absence means a replacement is needed. There has not been any new staff employed since the last inspection. The senior staff member is fully aware of the need for the home to adhere to a robust recruitment procedure. Either one of the registered providers has day-to-day involvement in the home. Many of the care staff have worked at the home for a considerable time. Staff were seen to interact well with residents and spend time talking with them. The management of the home is improving with the assistance of a member of senior staff. Quality assurance questionnaires have been sent to families, and a senior staff member will be summarising the findings, including any action taken as a result. All the staff have received fire training, and there are regular checks on fire equipment and fire drills. There are appropriate safety and maintenance records on file (e.g. gas safety certificate).

What the care home could do better:

Bedrooms are not lockable, though the senior staff member has asked two residents if they would like a key to their rooms. The staff member is aware that capacity and risk assessments and the views of the resident need to be documented to inform any decisions made in this regard. Staff supervision has commenced, though is not yet established.

Random inspection report Care homes for adults (18-65 years) Name: Address: Tramways Corner Tramways Corner 39 Trebarwith Crescent Newquay Cornwall TR7 1DX one star adequate service 15/09/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Alan Pitts Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Tramways Corner Tramways Corner 39 Trebarwith Crescent Newquay Cornwall TR7 1DX 01637874418 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Catherine Fogarty,Mrs Mary V Musselwhite Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 Service users to include up to 8 adults with a learning disability (LD) of whom 1 may also have a physical disability. Total number of service users not to exceed a maximum of 8 Date of last inspection Brief description of the care home Tramways Corner is an end terrace property very close to the town centre of Newquay. Behind the property there is parking for two cars. Additional car parking is available in a near by pay at the metre car park. There is a courtyard to the back of the house accessed through the kitchen. In the courtyard there is seating, pots of plants and a Care Homes for Adults (18-65 years) Page 2 of 9 1 5 0 9 2 0 0 9 Brief description of the care home barbecue. Accommodation is provided on three floors (there is no stair lift facility) to upstairs bedrooms. On the ground floor there is a large lounge/diner and a kitchen that also has dining space. The laundry is domestic in type but is separate to the kitchen. The home provides accommodation and personal care for up to 8 residents with a learning disability. Fees range from 335 to 450 pounds per week. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This inspection took place on the 8th June 2010. The inspection included: discussion with staff, examination of relevant documentation, and the inspector met with 3 of the people that live there. The inspection focused on the requirements and recommendations identified at the last inspection. The residents have lived at Tramways for a number of years and the registered provider and staff have a good understanding of their care needs. What the care home does well: Each resident has a plan of care. The care documentation shows the involvement of other health care professionals. The staff described practices that include consultation with other professionals and enable some residents to take responsible risks. Care plans are in place for each resident, and these are currenlty under review by a member of senior staff. Care plans will be rewritten completely. This process has started with each resident now having a new Essential Information form in their file. The staff were knowledgeable of individuals capabilities, and liaise effectively with the local community and other health professionals. The home maintains good links with the day care services used. There are risk assessments, and a good example was given at the time of inspection of the process followed to enable a resident to access the local community alone. At the time of the inspection all but one resident was planning to go out for the day to a variety of placements and activities. Weekends are free-time and residents relax with each other or with friends and family. Relationships with family and friends are encouraged. Daily records evidence when the residents have had visitors. Some of the residents go home at the weekend. Some people go out unaccompanied, although it is expected that they inform staff where they are going and when they will return. Residents are free to decide if they want to be sociable or if they would prefer to spend time alone in their room. Residents assist with household tasks to varying degrees. The staff are aware of possible diversity issues presented by differing age groups. The staff were seen to interact appropriately with residents. Residents have unrestricted access to the home and small rear garden. There is a weekly menu, and residents are asked what they would like to eat in the forthcoming week. The food order is delivered weekly. Some meals are provided at the day/work placements during the week. There are no current needs for specialised diets. The record of food provided shows where people have opted for an alternative meal. The staff said they ensure that appropriate personal support, care and encouragement are provided in such a way as to respect residents privacy and dignity. The care records, observation, and discussion with the staff show that the residents waking day is flexible. Care Homes for Adults (18-65 years) Page 4 of 9 The residents are receiving access to the health care facilities they are entitled to (e.g. dental checks, eye tests). Guidance and support regarding personal hygiene is provided, and residents are assisted to choose their own clothes and appearance. Residents money is paid into the homes bank account and then redistributed to the individual. A senior staff member has arranged a best interests meeting with other professionals and sought the views of the existing residents and/or their representatives. There are signed documents on file stating that the current arrangement is acceptable to DACS and the resident or their representative. The senior staff member is aware that whilst this is acceptable for the existing residents alternative arrangements need to be made for any new admissions to the home. Tramway provides a homely environment with comfortable communal accommodation. The home is not suitable for wheelchairs as bedrooms are accessed by stairs with no stair lift or shaft lift facility, but the registered providers are aware of this and take this into account when assessing prospective residents. Rachel Elvin is a senior staff member, and the inspector was advised that it is the homes intention to make application for Rachel to be the registered manager. Staff personnel files now include relevant training certificates. A senior staff member has started to put together a training matrix so that staff training needs can be monitored and assessed. The senior staff member is aware of the need for new members of staff to be undertaking a National Training Organisation compliant induction programme (www.skillsforcare.org.uk). The staff member was also advised of the General Social Care Council (www.gscc.org.uk) and the need for all staff to be provided with a handbook. There is only one member of staff on duty at any time. There is an additional cover rota to allow for when extra staff are needed or for when staff sickness/absence means a replacement is needed. There has not been any new staff employed since the last inspection. The senior staff member is fully aware of the need for the home to adhere to a robust recruitment procedure. Either one of the registered providers has day-to-day involvement in the home. Many of the care staff have worked at the home for a considerable time. Staff were seen to interact well with residents and spend time talking with them. The management of the home is improving with the assistance of a member of senior staff. Quality assurance questionnaires have been sent to families, and a senior staff member will be summarising the findings, including any action taken as a result. All the staff have received fire training, and there are regular checks on fire equipment and fire drills. There are appropriate safety and maintenance records on file (e.g. gas safety certificate). What they could do better: Care Homes for Adults (18-65 years) Page 5 of 9 Bedrooms are not lockable, though the senior staff member has asked two residents if they would like a key to their rooms. The staff member is aware that capacity and risk assessments and the views of the resident need to be documented to inform any decisions made in this regard. Staff supervision has commenced, though is not yet established. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 36 18 The registered provider should arrange for staff to receive regular and frequent supervision with an appropriate record kept. This is to ensure consistency in care provision and to protect residents. 30/10/2009 Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 36 18 The registered provider should arrange for staff to receive regular and frequent supervision with an appropriate record kept. This is to help ensure that people receive a consistent quality of care. 01/10/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 6 32 The registered provider should continue care plan reviews to ensure they give clear direction to staff. The registered provider should continue to determine current staff training achievements and training needs, and record staff training (including certificates). Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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