Inspection on 20/12/05 for Tamar House

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Tamar House 21/01/08

Tamar House 16/06/06

Tamar House 29/06/05

Tamar House 24/11/04

Tamar House 18/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Tamar House 5 Riseholme Road Lincoln Lincs LN1 3SU Lead Inspector Mr Ken Hague Unannounced Inspection 20th December 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Tamar House Address 5 Riseholme Road Lincoln Lincs LN1 3SU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01522 524093 Prime Life Limited Mr Shane Haines Care Home 13 Category(ies) of Learning disability (13), Learning disability over registration, with number 65 years of age (2) of places Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: The Care Home is an adapted detached two-storey Victorian property situated on the edge of a residential area, in the northern part of the City of Lincoln. A small-secluded garden is situated at the back of the home with an enclosed garden at the front and both can be used by residents. A large extension to the property has provided eight single bedrooms bringing the total provision to twelve. The home offers care services to 13 residents with a learning disability. They are provided with opportunities to access a number of day care facilities within the local area and Prime Life Ltd provides transport. . Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place between 8am & 12am. A tour of the building took place and care records were inspected. The main method of inspection used is called ‘case-tracking’; this involved selecting two residents and tracking the care they received through the checking of their records, discussion with the residents, care staff and observation of practices. A sample of care records and policies and procedures were examined. The Registered Manager of Tamar House was present throughout the inspection. What the service does well: What has improved since the last inspection? The recruitment records have been improved since the last inspection. They now exceed the National Minimum Standards. The home has increased its links with the local community. An additional security lock had been fitted to the side door of the home. The registered manager has reviewed the risk assessments since last inspection, the quality of the risk assessments has improved and they are now cross reference to care plans. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 & 6 The home provides all new residents with information which enables them to make an informed choice whether the home can meet their individual needs. The individual aspirations and needs of residents are recorded on their care plans. The home encourages all new residents to visit the home prior to making long-term decisions. All residents are given a copy of the contract or statement of the terms and conditions for their stay at the care home. EVIDENCE: The home has a common service user guide and statement of purpose, which meets the National Minimum Standards and is used throughout all Prime Life homes. The registered manager stated that all new residents are shown these documents to enable them to understand the resources of the care home. The individual resident’s files seen at this inspection All contained statements of the terms and conditions for the residents stay at the care home. The registered manager stated that all residents are given a full comprehensive assessment prior to them being admitted to the care home. The inspection of care records Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 9 confirmed this statement to be correct. The home does not offer intermediate care. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 Care plans identify all areas of need and provide detailed care instructions for staff; this enables staff to provide appropriate care. Residents’ health needs were being met. EVIDENCE: The registered manager stated that care plans are active documents used daily to assure residents are given appropriate care. The individual resident’s files sampled during this visit all contained a document, which was signed and dated by all staff stating that they had read the care plan for this resident. The care plans recorded the goals of individual resident and how these were to be achieved. There was evidence of the care plans being reviewed in accordance with the National Minimum Standards. The care plans had been updated as the needs of the residents had changed. Risk assessments have been completed for all residents, which are cross-reference to their individual, care plan. There was evidence of resident’s wishes and choices being balanced against identified risk. An example being, a resident who likes to go out in the community but has poor road sense. Staff enable him to go into a community Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 11 by providing support and encourage him to develop a greater understanding of the dangers of crossing roads. The home has a medication policy, which meets the National Minimum Standards. Staff confirmed that they have received training in the administration and management of medication. The registered manager stated that a pharmacy inspection had been carried out on the 19th of December 2005. There were no recommendations made at this inspection. A copy of this report was supplied to the Inspector. The pharmacist report states that the “records are well maintained”. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 Residents are encouraged to take part in activities of their choice many activities are taken within the local community. The home makes all friends and family welcome. Residents are actively involved in the decision making process of the home. EVIDENCE: Activities are provided within the care home and residents enabled to take part in local community events. The home holds social event where relatives and friends are invited to participate an example of this would be a summer barbecue. Staff were observed to be taking part in activities with residents on a one-to-one basis. A resident showed the Inspector how she played solitaire on the homes computer. The registered manager had arranged for a personal safety group to be held in the home between November and December 2005. This is run by an independent organisation and aims to increase residents understanding of personal safety. The program will be followed up by further session in August 2006. The residents spoken to during this inspection confirmed that their family and friends are made very welcome when they visit the care home. The staff informal interviews demonstrated their knowledge of the extended family of Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 13 the residents staying at the home. They were able to name relatives and friends and state how frequently they visited individual residents. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 & 18 There are policy and procedures in place to ensure that all residents are protected from any possible abuse situation. Residents are confident that they are able to raise any issues with the management team. Staff have been provided with training in the recognition and prevention of abuse. EVIDENCE: There is a complaints procedure and adult abuse procedure in the home’s policy and procedure manual. The home has a copy of the Lincolnshire County Council vulnerable abuse procedures. The Staff were able to discuss in detail the Prime Life Ltd abuse policy and explained how any suspicion of abuse should be reported. A resident stated that they would feel able to raise any concerns with any member of staff at the home. The registered manager said that all staff have received training in the recognition and management of abuse. The inspection of training records confirmed this statement to be correct. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The home provides a welcoming, comfortable, clean and homely environment and has an on going maintenance programme. There were no a health and safety issues identified at the care home. All areas of the home smelt fresh. EVIDENCE: A tour was made of the care home with the registered manager. The home was cleaned to a high standard throughout and was odour free. All rooms were viewed other than one-bedroom where a resident was asleep. Bedrooms were found to be furnished in accordance with the National Minimum Standards and contained the personal possessions of individual residents. Residents spoken to confirmed their satisfaction with their own individual bedroom. The home has a planned maintenance programme. Evidence of maintenance being carried out was seen during this visit. A new security lock has been fitted to the side door of the property. The kitchen area was particularly well maintained all cupboards were clean, tidy and well organised. The cutlery and crockery were of a good standard. There were no health and safety issues Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 16 identified. The registered manager stated staff are following the companie’s infection control policy. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 The registered manager is following the recruitment policy of Prime Life Ltd, which meets the Care Home Regulations. All staff have received appraisals and supervision in accordance with the National Minimum Standards. EVIDENCE: The individual files for members of staff recruited since the last inspection was seen. The Care Home Regulations sets out a list of information, which must be obtained before the new members staff, are offered employment. All of the files seen contained this information. The dates and signatures on the documentation provided evidence that employment had only been offered after the appropriate checks are being carried out. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,36 & 38 The care home has an experienced and supported registered manager who has worked in the provision of residential care for many years. Staff are provided with appraisals and supervision as required by the National Minimum Standards. All service users financial interests are safeguarded by the policies and procedures of the care home. The home is a safe home in which to live and a safe working environment. EVIDENCE: The registered manager was awarded an NVQ4 in care management during 2005. Staff stated he is very supportive and encourages them to obtain NVQ qualifications. Observations made during this inspection provided evidence that he provides positive leadership to staff. Discussions provided evidence that the registered manager has acted on suggestions and recommendations made by the inspector. He was able to discuss the Care Home Regulations Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 19 when looking at specific areas during this inspection. Staff confirmed that they are been provided with supervision and appraisals in accordance with the National Minimum Standards. There were no health and safety issues identified at this inspection. Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 4 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 x x x 3 x 3 Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Tamar House DS0000002433.V274566.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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