Random inspection report
Care homes for older people
Name: Address: Tudor House Nursing Home 12 Leeds Road Selby North Yorkshire YO8 4HX one star adequate service 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: Jean Dobbin Date: 1 1 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Tudor House Nursing Home 12 Leeds Road Selby North Yorkshire YO8 4HX 01757701922 01757701922 tudor@rochehealthcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Newsome Type of registration: Number of places registered: Conditions of registration: Category(ies) : Roche Healthcare Limited care home 34 Number of places (if applicable): Under 65 Over 65 0 34 0 dementia old age, not falling within any other category physical disability Conditions of registration: 34 0 34 The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories:Old age, not falling within any other category - Code OP, Dementia - Code DE, Physical disability Code PD. Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Tudor House, which is owned by Roche Healthcare Limited, is a care home providing personal and nursing care for up to 34 older people, some of whom may have dementia. The home is situated on a main road, and within walking distance of the centre of the market town of Selby, which has a variety of local amenities. Tudor House is an old detached house, built on two floors. Incorporated into the house is a small separate dementia care unit, which has a keypad access and its own safe garden. The house has a well-tended garden and a small car park at the back of the house. The first floor is accessed by passenger lift. Twenty-six of the bedrooms are single, and four are shared. The Statement of Purpose and most report, written by the Care Quality Commission, are displayed in the reception area for people to look at. The manager of the home should be contacted to provide details of the weekly fees and any items which are charged extra to these fees. Care Homes for Older People Page 3 of 10 What we found:
The last key inspection for Tudor House took place on 28th July 2009. This is a report on the findings of a random unannounced inspection, which took place on 11th May 2010. For part of this inspection we used our regulatory powers to seize documents that we may need to use as evidence. This is in case we need to take any further action because the home has not done what we ask of them. For this inspection we considered the following evidence. Information received about the home since the last inspection. Previous reviews completed by the commission. Completed surveys returned by eight people who live at Tudor House and by six staff who work there. The Annual Quality Assurance Assessment (AQAA). This is a self assessment , completed by the manager of the home and gives information about how the home thinks outcomes are being met for people living there, and the improvements they are planning to make, to improve the service still further. During our visit to the home we Talked to three people living there and to two family members, to get their perspective of what its like to live at Tudor House. Looked around some of the communal areas there, such as the lounges and dining room. Talked to three staff and observed the general activity in the home, including how staff interacted with people living and visiting there. We looked at some of the records the home has to keep to show it is being well run. An assessment was also undertaken on the dementia unit, where some people were observed for two hours to assess both their well-being and how the staff interact with them. A senior manager from the organisation was available throughout our visit, which lasted from 09:30 to 14:30. We returned to the home the following day to provide feedback about our visit to the registered manager and her line manager, as neither had been able to be present the previous day. The inspection showed that peoples health and personal care needs are generally well met, though some records underpinning that care need more detail. Staff respond to people in a sensitive and respectful manner and peoples views are listened and
Care Homes for Older People Page 4 of 10 responded to. The way bedrails at the home are managed is generally much better and people assessed as needing this equipment are less at risk of harm. What the care home does well:
The survey responses and people that we spoke with confirmed that people are generally contented with their lives at Tudor House. Comments include the staff are kind, and there seem to be enough of them. And they keep me clean, comfortable and warm. They care for me well. I like my home. All the surveys respond always or usually to questions like Do you receive the care and support you need? Do the staff listen to you and act on what you say? Does the home make sure you get the medical support you need? All the surveys report that there is someone they can speak with if they are concerned about something. One person spoken with said they would definitely tell someone if another person, including staff, had been unkind or mistreated them. Visitors spoken with were also very satisfied with the care at Tudor House. Comments include the people here are lovely. Ive never been concerned about the care here. Another person said they were very happy with the home and had absolutely no regrets about supporting their relative to move to there. One person wrote in their survey that Tudor House is always clean, tidy and fresh. Another commented my relatives medical welfare is always a priority and I am kept informed as to any changes. Some people are starting to have more interesting lives, where one day is different to another. One person told us they were looking after some seeds that had been planted in the garden and were watering them regularly. We also observed people doing some painting on the day of the visit. The activities person though only works ten hours a week. More hours would enable peoples social needs to be better met, particularly those who stay in their room, perhaps because of their frailty. We looked at all the beds at Tudor House where bed rails have been assessed as needed to keep people safe, because at the last two inspections we have made requirements around bedrail management. Checking the beds showed that there are now much better systems in place to ensure these rails are fitted and stay correctly positioned. However despite these improved systems we did see one bed where care staff had failed to reposition the bedhead correctly. We were told that the bedhead had been removed five days earlier, so that the individual could get their hair washed. The bedhead had not been re-attached to the bed in the correct fittings, but nobody had noticed this. We were told that the home is starting to consult with people about how the home runs, and making changes accordingly. One person spoken with confirmed that they had filled in a questionnaire for the home but said they hadnt yet received any feedback from their comments. People need to receive feedback so that they know they have been listened to. Staff surveys talk positively about the standard of care they provide. Comments include
Care Homes for Older People Page 5 of 10 it provides a friendly and caring environment for all service users and staff. And management is approachable. They tell us that they get enough support from the management and receive training appropriate for the work they carry out. One carer said that communication within the home has improved in the last year and they thought staff know more about whats going on They added that they now receive supervision, where their work and training needs can be discussed. Another care worker was asked about reporting an incident where someone told them theyd been mistreated. They were very clear that this had to be reported immediately, even if the person asked them not to tell anyone. This is good practice as it shows that staff recognise that they cant keep those sorts of secrets. What they could do better: 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 Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 7 of 10 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 7 15 Care records and risk 30/06/2010 assessments relating to bedrail management must be more individualised. This is so that the plans record when the home is providing care according to peoples needs and not necessarily following best practice guidelines. 2 7 15 Care planning records must 30/06/2010 be written in a format that is easy to read. This is so that people living at the home, their representatives and staff are able to read the information kept there. 3 38 13 The home must have a more 11/06/2010 robust system of ensuring bedrails stay correctly positioned, in relation to the bedhead. This is so that people are not put at risk of harm. Care Homes for Older People Page 8 of 10 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 12 People living in the dementia care unit should be provided with small choices and social activities so that one day is different to another. People should be provided with feedback after they have completed surveys about their views of the service, or be advised when they will receive that feedback. This is so that they know their comments have been listened to. 2 33 Care Homes for Older People Page 9 of 10 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 Older People 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. Care Homes for Older People Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
