Random inspection report
Care homes for older people
Name: Address: Tunstall Hall Tunstall Hall Market Drayton Shropshire TF9 4AA two star good service 18/08/2009 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: Michael Moloney Date: 2 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Tunstall Hall Tunstall Hall Market Drayton Shropshire TF9 4AA 01630652774 01630658270 Telephone number: Fax number: Email address: Provider web address: www.guardiancaregroup.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Marita Mary Rose Williams Type of registration: Number of places registered: Conditions of registration: Category(ies) : Guardian Care Homes (UK) Ltd care home 31 Number of places (if applicable): Under 65 Over 65 0 31 dementia old age, not falling within any other category Conditions of registration: 31 0 The maximum number of service users who can be accommodated is: 31 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 31, Old age, not falling within any other category (OP) 31 Date of last inspection Brief description of the care home Tunstall Hall is owned by Guardian Care Homes (UK) Ltd and provides accommodation and personal care for up to 31 people.
Care Homes for Older People Page 2 of 8 1 8 0 8 2 0 0 9 Brief description of the care home A Georgian house, located on the outskirts of the pretty Shropshire Town of Market Drayton, it is set in three and a half acres of grounds, surrounded by mature parkland, and benefits from access to a wide range of local amenities. There are good road links to the larger towns of Shrewsbury and Telford. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have been revised and are readily available. The homes fees range from £357 to £600 per week. Care Homes for Older People Page 3 of 8 What we found:
All residents have an individual plan of care. A sample of care plans was looked at, and there were some very well written plans in place. Plans were developed around the needs of the individual and promoted independence, with goals and outcomes identified. Regular review and update of the plans and risk assessments was seen. Where close observation and monitoring was needed this was evidenced as taking place. All care plans reviewed reflected regular involvement of health professionals, such as the GP and community mental health nursing teams. The care plans were in the process of being transferred to new documentation at the time of the inspection. This included the development of a This is me profile to summarise the needs and preferences of individuals, which can then be used as a handover document when transferring care such as when admission to hospital is required. We looked at the medication records of a number of the people who live in the home and these all appeared to be accurate and complete, showing that the right person was getting the right medication at the right time. One resident had elected not to take medication prescribed. Staff were recording this refusal on a daily basis. The home had not yet reflected the medication refusal into the best interests statement from the resident. The registered manager agreed to attend to this. We talked to the staff on duty. They told us that access to training was really good and helped them in their role and in meeting the needs of the people who lived at the home. Staff felt access to supervision and appraisal had greatly improved. The registered manager has access to peer support through the providers regular registered manager meetings. Staff were happy there was enough staff on duty and felt supported by the registered manager and deputy manager. We looked at staffing rotas. Staff to resident ratios were good and additional recruitment was taking place. The risk assessment of younger people employed at the home had been completed but an assessment for a pregnant member of staff remained outstanding. The registered manager agreed to ensure this was completed. We looked at the recruitment records for two recent staff appointments. Their records showed that full background checks had been carried out before they were allowed to work with the people in the home, to make sure, as far as possible, that those people were fit to work with vulnerable people. What the care home does well:
The home has a clear and ongoing programme of audit in place, covering a range of activity. This includes a monthly audit of care plans and a fortnightly check of medication records. This is supported by regular audit visits being completed by the provider. The coverage and quality of these visits has significantly improved since the beginning of the year and support the registered manager to continue to improve systems and processes where needed. The home supports admissions of couples. There was one couple already in the home
Care Homes for Older People Page 4 of 8 when we visited and a further couple were due to come to the home shortly. The home puts a lot of thought into the where and how couples are placed in the home and are developing the activity programme to promote continued sharing of activities and interests. 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 5 of 8 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 6 of 8 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 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 7 It is recommended that the registered manager ensures that the involvement of individuals and representatives in their care is checked as part of the mointhly audit of care plans. This is to ensure that residents are involved in the decisions around their care. 2 7 It is recommended that the registered manager ensures that the involvement of individuals and representatives in recording wishes and the completion of the best interests form is checked as part of the mointhly audit of care plans. This is to ensure that residents are involved in the decisions around their care. 3 22 It is recommended that the registered manager has local access to ordering equipment to meet identified needs and risks. This is to ensure that residents are kept safe Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
