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Inspection on 07/03/07 for Tamar House Residential Home

Also see our care home review for Tamar House Residential Home for more information

This inspection was carried out on 7th March 2007.

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.

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

The management of the home is excellent and service users are very satisfied with the care provided. The ethos of the home promotes service users` wellbeing by recognising their rights to independence and autonomy, for example, to retain their own medication. Service users described the staff as being very kind, caring, attentive and respectful. They said that living in Tamar House is "very good"; "a lovely place to be"; "the staff are bright, willing and cheerful" and "we are very fortunate to be here." A relative commented that "all members of staff are very caring and we have no problems at all." The standard of personal accommodation is excellent as each service user has a large bedroom with either an en suite toilet or a toilet very close to the bedroom that is specifically for that person`s use. Service users said that the meals are very good. They are informed about menus in advance but have the opportunity to change their minds at short notice if they decide they would prefer something else. Staff retention is excellent and there is a very low turnover of staff. This provides the service users with consistency of care and a sense of security because they know all the staff members. Over the last five years the management of the home has demonstrated a commitment to continuous improvement and has a sustained track record of providing good quality care to the service users.

What has improved since the last inspection?

The home continues to provide an excellent quality of care to the service users and the management and staff team are always looking for ways to improve the service offered. Since the last inspection one of the bathrooms on the ground floor has been converted into a large level access shower room that is easily accessible by people who use wheelchairs. A new office has been built on the front of the house for the Registered Manager, thereby allowing the previous office to be used by the staff to store and access medication and information relating to the service users. For security reasons, the home has improved the closed circuit television system by increasing the number of cameras on the outside of the building. Redecoration is ongoing, the home has two new boilers, and the laundry room is in the process of being refurbished.

What the care home could do better:

The home should recruit a staff member whose specific role is to organise and coordinate activities, as service users said there was not enough to do and staff do not always have time to talk to them. The quality assurance system should be developed to include an annual internal audit of all the services and facilities in the home to confirm that everything is in good working order, documentation is up to date and the home is run in the best interests of service users.

CARE HOMES FOR OLDER PEOPLE Tamar House Residential Home 11 Brest Road Derriford Plymouth Devon PL6 5XN Lead Inspector Antonia Reynolds Unannounced Inspection 7th March 2007 11:15 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 Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 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 Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tamar House Residential Home Address 11 Brest Road Derriford Plymouth Devon PL6 5XN 01752 510810 01752 202545 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) The Abbeyfield Tamar Extra Care Society Limited Mrs Anita Mandy Vella Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability over 65 years of age of places (28) Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Tamar House is a care home providing personal care and accommodation for twenty eight older people over the age of 65 who may also have a physical disability. The home does not provide intermediate care. The home is owned by The Abbeyfield Extra Care Society Ltd, which is a registered charity, affiliated to The National Abbeyfield Society. The fee levels are between £280 and £352 per week. Information about the home and copies of inspection reports can be obtained from the Registered Manager, Mandy Vella. The home is purpose built and opened in 1987. It is located in Derriford Business Park, on the outskirts of Plymouth, close to the hospital, transport routes and other amenities. It consists of a two-storey building, which is fully accessible by service users with physical disabilities: it has wide doorways and corridors, level access throughout, automatic doors at the front and a shaft lift. All the home’s bedrooms are single: thirteen on the ground floor and fifteen on the first floor, twenty six of which have en suite toilet facilities, whilst the other two rooms have toilets immediately outside. One of the bedrooms on the ground floor is kept for short-term respite care or for visitors who require an overnight stay. Bathing, showering and toilet facilities are available on each floor, close to bedrooms and communal rooms. There are lounge and dining rooms on the ground floor, a smaller lounge room on the 1st floor and a room for the specific use of a visiting hairdresser. There is a call bell system installed throughout the home. The home has a large garden, with flower beds, patios and lawn, which is accessible by all the service users. There is plenty of parking space at the front of the home. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection consisted of an unannounced visit between 11.15am and 5.10pm on Wednesday, 7th March 2007. The Registered Manager, Mandy Vella, was present for most of the visit and the Deputy Manager, Gillian Poad, was present for the entire visit. A tour of the premises took place and records/documents relating to the care of the service users, staff and the home were inspected. A pre-inspection questionnaire had been completed by the Registered Manager, which contained information relevant to the inspection. Twenty three of the service users were observed during the visit, thirteen of whom were spoken with at length. Survey forms were completed by six service users and one relative. Seven staff members were spoken with during the visits and others were observed in the course of their normal duties. Survey forms were sent to eight staff members and four were returned. What the service does well: The management of the home is excellent and service users are very satisfied with the care provided. The ethos of the home promotes service users’ wellbeing by recognising their rights to independence and autonomy, for example, to retain their own medication. Service users described the staff as being very kind, caring, attentive and respectful. They said that living in Tamar House is “very good”; “a lovely place to be”; “the staff are bright, willing and cheerful” and “we are very fortunate to be here.” A relative commented that “all members of staff are very caring and we have no problems at all.” The standard of personal accommodation is excellent as each service user has a large bedroom with either an en suite toilet or a toilet very close to the bedroom that is specifically for that person’s use. Service users said that the meals are very good. They are informed about menus in advance but have the opportunity to change their minds at short notice if they decide they would prefer something else. Staff retention is excellent and there is a very low turnover of staff. This provides the service users with consistency of care and a sense of security because they know all the staff members. Over the last five years the management of the home has demonstrated a commitment to continuous improvement and has a sustained track record of providing good quality care to the service users. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 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 Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3, 4 and 5 Quality in this outcome area is good. Thorough and comprehensive procedures prior to admission ensure that service users and their relatives can be confident that their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre-admission assessment process ensures that the needs of prospective service users are identified. Service users and their relatives are welcome to visit the home prior to admission to meet other service users, staff and have a look around the home. Discussions with service users, staff and the management team, as well as observation, show that staff are aware of the needs of the service users. The home is designed to be fully accessible to people who use wheelchairs and there is an excellent level of adaptation for service users with physical disabilities, as well as specialist equipment. The home does not provide intermediate care. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good. Service users can be confident that they will be treated with respect and that personal and health care needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users’ files contained care plans and risk assessments relating to health and personal care needs that are regularly reviewed. Discussion with service users, staff and the management team, as well as observation, confirmed that personal care is maintained, service users can bathe/shower when they choose to and are encouraged to be as independent as possible. Information contained in care plans and discussion with the Registered Manager showed that service users have access to health care services such as doctors, district nurses, opticians, chiropodists, dentists, and dieticians, as well as any other relevant professionals when required. A copy of each service user’s daily care plan is kept in their bedrooms so that staff know what Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 10 assistance is needed and service users and their relatives know what care should be provided. Service users said that they are treated with respect and their right to privacy is upheld. Discussions with staff members confirmed that they are fully aware of the need to treat service users with respect and ensure that privacy and dignity is maintained. Staff were observed always knocking on doors before entering private rooms. The home has a portable telephone that service users may use for private ‘phone calls and service users may also have a private telephone installed in bedrooms at their own expense. Service users said that they are very well looked after by staff who are kind, caring and helpful. Staff were observed treating all the service users with kindness, consideration and respect. A comment card from a relative also expressed satisfaction with the care being provided. With regard to medication, the home’s policy encourages service users to be self-medicating and keep their own medication in their rooms, subject to risk assessment. Service users confirmed that they can keep their own medication if they wish to and are provided with lockable space in their rooms to keep it. Where medication is administered by staff, it is stored securely, a monitored dosage system is used for the majority of medicines and the home has a refrigerator specifically for storing medicines that need to be kept at low temperatures. Medication practices were demonstrated by a member of staff and these were satisfactory. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is good. The routines in the home are relaxed, relatives and friends can be confident that they are welcomed and social activities are arranged. Dietary needs of service users are well catered for with a balanced and varied selection of food that meets service users’ tastes and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are very positive about the lifestyle at Tamar House. They said that they choose where they spend their day, the times they get up and go to bed and when they want to have a bath/shower. They confirmed that visitors are welcome at any time and they particularly enjoy the interaction and conversation with staff although commented that staff do not have much time to talk. Service users said they enjoyed the activities when they occur however some service users also commented that there is not much to do. The home does not have a designated activities co-ordinator and relies on the care staff to arrange activities. There is a list of forthcoming events on the notice board. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 12 Trips out are arranged occasionally to local places of interest and for sightseeing, afternoon tea or to play cards, as well as to the theatre or coffee mornings held at Abbeyfield supportive houses. Various events take place in the home, such as movement to music, slide shows, choirs and group singers, videos, coffee mornings, fetes and service users said they thoroughly enjoyed a quiz evening that had been held recently. Service users also commented that a special lunch is being held soon to which they can invite relatives and friends. The home employs catering staff and the chef, who has worked at the home for many years, is clearly enthusiastic about his work and provides varied and popular dishes. All the service users spoken with said that they like the food, the menu is varied and the quality is very high. Service users are informed about menus in advance and choose what they would like to have for each meal, but they also have the opportunity to change their minds at short notice if they decide they would prefer something else. Service users said that breakfast is served in their rooms and discussions with several people confirmed that they may have whatever they like for breakfast, cooked or otherwise. Service users confirmed that special diets are catered for, such as vegetarian or diabetic diets and, where required, nutritional plans are in place that follow advice given by doctors and dieticians. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. Service users can be confident that any concerns or complaints are treated seriously and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a written complaints procedure and service users know how, and to whom, to make a complaint should they need to. Service users said that they had confidence in the management and staff team to resolve any issues as soon as they arise. One service user commented that “we can approach them with confidence if we need help or advice.” However, service users also said they have no complaints about the home or the care they receive. All staff have attended, or are expected to attend, training related to the protection of vulnerable adults and staff are clear about the procedure to follow if necessary. There is a visitors book in the front hallway to record dates, times and names of all visitors to the home. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. The service users live in a pleasant, well-maintained home that is large, comfortable, warm and clean with a high level of adaptation to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built, well maintained, clean, and spacious with an excellent level of adaptation to accommodate people with physical disabilities. The front door to the home is automatic and there is level access to all communal areas and private rooms with a shaft lift to the 1st floor. Grab rails, raised toilet seats and rails, hoists and any other aids are provided in all areas where they are required. The four bath/shower rooms are all adapted differently to meet the diverse needs of the service users. There is a call bell system in all rooms and, if required, service users are provided with a pendant Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 15 that they can hang around their necks so that they are easily able to call for assistance should they need to. The home has recently upgraded the closed circuit television system to install additional cameras on the outside of the building for security purposes. All private and communal rooms are attractively decorated and the furnishings are of a high quality. Service users confirmed that the home is comfortable, always warm and “kept beautifully fresh and clean.” The home has two sitting rooms, one on each floor. The dining room can be separated from the lounge room on the ground floor with a curtain. There is a separate hairdressing room on the ground floor, that is occasionally used as a treatment room. All the bedrooms are single and twenty-six have an en suite toilet. The two without en suite facilities have a toilet immediately opposite each room for that service user’s exclusive use. The bedrooms are spacious with twenty-seven exceeding twelve square meters. One room is slightly smaller and this is designated as a short stay/visitors room. All the bedrooms are well decorated and maintained and lockable storage facilities are provided in every room. If required there are photographs of service users on bedroom doors and signs and symbols to assist those people with short term memory loss to find their way around more easily. There are toilets close to the lounges and dining room, three assisted bathrooms and a walk-in shower room. There is a separate sluice room on each floor should this be needed. Service users said they are satisfied with the laundry arrangements and none of the service users spoken with had experienced any items going missing or being damaged. The garden is large, with flower beds, lawn and patios and provides a pleasant, safe environment for service users. The garden is accessible from the lounge and dining rooms, as well as from the front of the building, with the use of gently sloping paths. There is a wooden summer house in the garden and a gazebo on the patio. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is good. Service users are cared for by motivated, caring and well trained staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment practices protect vulnerable service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation and discussion with service users and staff confirmed that the staff team are respectful, polite, attentive and responsive to service users’ needs. Service users described the staff as very kind and caring and confirmed they responded promptly to requests for assistance indicating that there are sufficient staff to meet the needs of those currently living in the home. However, some service users commented that there are not enough activities and staff do not always have time to talk to them for any length of time. Whilst care staff are supported by catering, domestic and maintenance staff, as well as the management team, they are also expected to do the laundry and facilitate activities as well as provide care to the service users. The management and staff team confirmed that staffing is flexible depending on the needs of the service users. Staff turnover is extremely low and many staff members have worked at the home for several years, thereby providing consistency for the service users. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 17 New staff members complete induction training and there is ongoing training for all staff members including health and safety, first aid, medication, manual handling, fire safety, food hygiene, hazardous substances, infection control, foot care and dementia awareness. A course on optical awareness has been booked in the near future. Care staff are also expected to undertake National Vocational Qualifications (NVQs) and over half of the care staff have achieved a level 2 NVQ or above. Recruitment processes are robust in that two written references are obtained as well as a Criminal Records Bureau (CRB) check. The Registered Manager confirmed that new staff are not left unsupervised until satisfactory references and checks are obtained. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35, 36 and 38 Quality in this outcome area is excellent. Service users live in a very well managed home and benefit from an open and inclusive ethos. The management and staff team strive to provide a stimulating, safe environment where service users are respected and rights are upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has many years experience of working in a care home and has been managing the home for approximately six years. She is appropriately qualified as she has achieved a level 4 National Vocational Qualification in Care and the Registered Manager’s Award and undertakes training to update her knowledge and skills. In addition, she is also an Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 19 Assessor for National Vocational Qualifications (NVQs), therefore can assist staff with their NVQ work. Mrs Vella is well liked and respected by both service users and staff. She is very well supported by a Deputy Manager and they tend to be on duty at different times, so that the management responsibility is shared. The home has an Executive Committee which makes many decisions regarding the running of the home and there are clear lines of accountability between the management, staff and the Executive Committee. Staff confirmed that they are well supported by the management team on a day-to-day basis, through regular staff meetings and supervision sessions. Service users said that the home is very well managed and confirmed that the ethos of the home is excellent because it is run in the best interests of the service users and they feel safe and secure. This is also demonstrated by the home’s excellent record of retaining staff for many years, therefore providing continuity and consistency of care for service users. The service users or their families/representatives manage their financial affairs, although the home does manage small amounts of spending money on behalf of service users. The spending money of three service users was checked and found to be correct, with up to date records kept. Health and safety practices are satisfactory in that equipment is maintained in good working order and staff receive training in health and safety, fire safety, first aid, food hygiene, infection control, hazardous substances and manual handling. Inspection of the fire logbook indicated that regular tests/checks of the fire alarm system/equipment are carried out. Staff confirmed that the fire alarm system is tested weekly, although this had not been documented since 11th February 2007. The Registered Manager gave assurances that the fire logbook would be kept up to date. The Chef keeps records of fridge/freezer and cooked meat temperatures recorded and there was a cleaning rota available in the kitchen. The Registered Manager confirmed that window restrictors are fitted to all windows, the radiators have low temperature surfaces and all hot water outlets accessible by the service users are regulated, to reduce the risk of burns and scalds. A quality assurance system is in place and service users’ views are sought through meetings or individually. The outcome of the most recent quality assessment is documented and pinned on a notice board for everyone to read. This quality assurance system should be developed to include an annual internal audit of all the services and facilities in the home to confirm that everything is in good working order, documentation is up to date and the home is run in the best interests of service users. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 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 X X 3 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 4 4 3 3 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 X 3 Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 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. 1. 2. Refer to Standard OP27 OP33 Good Practice Recommendations The Registered Provider should recruit a staff member specifically to organise and coordinate activities. The Registered Manager should expand the quality assurance system to include an annual internal audit. Tamar House Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Residential Home DS0000003520.V327635.R01.S.doc Version 5.2 Page 23 - 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. 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