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Inspection on 27/08/09 for Tusker House

Also see our care home review for Tusker House for more information

This is the latest available inspection report for this service, carried out on 27th August 2009.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Annual service review Name of Service: Tusker House The quality rating for this care home is: The rating was made on: two star good service 2 9 0 8 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Deborah Calveley Date of this annual service review: 2 4 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 57 Pine Avenue Hastings East Sussex TN34 3PP 01424421573 01424427578 paulawoolgar@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Mrs Paula Woolgar,Mr Michael Goonane Number of places (if applicable): Under 65 Over 65 72 0 The maximum number of service users who can be accommodated is: 72 The registered person may provide the following category/ies of service only: Care home only - 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 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The restrictions to service users age have been lifted in this home as it is a care home for people who have dementia. 2 9 0 8 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Tusker House is a large detached care home situated in a quiet residential area of Hastings, East Sussex. The property provides two-storey accommodation for older people with dementia with level access and passenger lifts. It has enclosed garden areas for service users and plans to increase the accessible garden space and create level access. Most double bedrooms are used as single use only. The home is close to the local shops and services of Ore village and Hastings town centre is close by. The home has a large amount of internal Communal space. The home currently has its own Annual Service Review Page 2 of 7 dedicated training officer and is a certified NVQ training centre. There are charges highlighted in the contract, for extras including, newspapers, toiletries, chiropody, and hairdressing. Where necessary families are encouraged to purchase personal toiletries, as these are not routinely provided within the fee. Basic items for personal care are provided by the home in exceptional circumstances. Inspection reports are not routinely sent out to families and advocates after each publication although a copy is kept in the office area of the home and can be obtained via the manager. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? The last key inspection for this service was undertaken on the 29 July 2008 where the quality rating was judged as good- 2 star. We looked at all the information that we have received or asked for since the last key inspection or annual service review. This included: The annual quality assurance assessment AQAA that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Telephone contact was made with the home on the day of the Annual Service Review, so as to clarify any changes to the service. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The AQAA was received and contains clear relevant information that is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA is accurately and in the main fully completed. The home have comprehensive written information which is provided to all prospective people who may use the service The homes inspection reports, the Service User Guide and Statement of Purpose are available in the home. There is also a brochure which is bright and colourful and contains photographs of the home and grounds. The AQAA states that the home strive to provide a lifestyle that satisfies the social, cultural, religious and as far as possible recreational interests and needs of the service user. The home do not discriminate against peoples personal identity. The Philosophy of Care and Statement of Purpose clearly set out goals for equality and diversity. Admissions are not made to the home until a full needs assessment has been undertaken. This includes offering an invitation to view the home to prospective resident and relatives. Trial visits are available. The home ensure that all the people who use the service have a plan of care for all aspects of daily living and long term outcomes based on the care management assessment and the homes own assessment of needs. The home review each care plan regularly and more frequently if it is required due to changes in general condition of the people who use the service or if the staff have identified any risk. Each care plan includes risk assessments, which are also reviewed regularly. The service respects the human rights of people using the service with fairness, equality, dignity, respect and Annual Service Review Page 4 of 7 autonomy, underpinning the care and support being provided. The AQAA states that the home have become part of the Gold Standard Framework for Palliative Care. They respect individual choices and as people approach the end of their life help them feel comfortable and secure. Their death is handled with sensitivity, dignity and respect and in accordance with their wishes. The End of Life booklet is sent to all relatives/ NOK to read and return. Appendix B which becomes part of the care plan giving full information on their choices before and after death. The home are very flexible regarding visitors staying with their family member at the end of their life and staff give the emotional support where needed. The home provide a range of activities and have introduced an activity folder in which each person has an activity sheet and when they do a particular activity this is entered onto the sheet. The home invite the family to take part on birthdays and other festive celebrations. The home are currently researching environmental colour coding signage in order to see if it would be suitable for people who use the service and promote independence. The activities organiser has started to personalise bedroom doors to help people identify their bedroom and have also started to personalise their rooms by letting them choose what they would like to make to hang in their room. e.g wind chimes and pictures. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Unless there are exceptional circumstances the service always responds within the agreed timescale. The homes folder now contains concerns as well as complaints as a lot of grumbles occur that are not noted down. The AQAA states that there have been two complaints received and there have been no safeguarding alerts raised. All staff receive training to protect the people who use the service and a more robust recruitment process now also promotes the safety of the people who use the service. Staff members are trained and competent in health and social care matters. The home arranges training on health care topics that relate to the health care needs of the people who live in the home. Induction training is in line with the Skills for Care requirements. Staffing levels are reviewed regularly against the needs of the people who use the service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. There is a continual programme of redecoration in place. The registered manager is also the registered provider has a clear understanding of the key principles and focus of the service based on clear values and priorities. Mrs Woolgar is aware of current developments both nationally and by Care Quality Commission and plans the service accordingly. The previous report was positive and the AQAA reflects that the requirements made at that time have been implemented. The home continues to let us know about things that have happened since our last key inspection through notifications to us and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? There will be no change to the inspection plan and will do a key inspection by 28/08/2010 However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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