Inspection on 27/11/06 for Tamarisk

This inspection was carried out on 27th November 2006.

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

Tamarisk 30/10/08

Tamarisk 09/11/05

Tamarisk 19/08/05

Tamarisk 05/01/05

Tamarisk 08/07/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Tamarisk 48 Leonard Road Greatstone New Romney Kent TN28 8RX Lead Inspector Paul Stibbons Key Unannounced Inspection 27th November 2006 11:30 Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 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 Tamarisk DS0000023250.V320383.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 Adults 18-65. 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. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tamarisk Address 48 Leonard Road Greatstone New Romney Kent TN28 8RX 01797 364562 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) lauramartin09@aol.com Miss Laura Ann Martin Miss Laura Ann Martin Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: Tamarisk is registered to provide accommodation for up to 3 adults with a learning disability. Ms Laura Martin is the registered provider/manager. The home provides spacious, wheelchair-accessible accommodation. The property is a detached bungalow with 3 single bedrooms. There is and additional room used for staff sleep-in duties and a small therapy room with equipment to help posture and to provide sensory stimulation. There is a bathroom with shower, kitchen, lounge and conservatory. The laundry is situated in the garage. Currently there are two permanent clients and two respite clients. Tamarisk has a garden at the rear of the property with shrubs, lawn, patio area and a swing. The front and side areas are laid to concrete for parking. The Home is situated in a quiet residential area of Greatstone; within a short walk are the beach, pub, newsagents, hairdressers and convenience stores. Tamarisk has a minibus with tail lift and also another vehicle to transport residents. There is a local bus service to the nearby towns of Lydd and New Romney, which are approximately 3 miles away. The fees for this service range between £1000 and £1700 with additional charges for hairdressing, aromatherapy and transport costs. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a 2 hour period and a completed pre-inspection questionnaire was returned to the CSCI prior to the visit. A tour of the building was conducted and a variety of records examined. Staff members were spoken with and Care managers contacted by telephone for feedback on the service. Due to communication difficulties some direct observations inform some judgements. What the service does well: 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. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives have sufficient information on which to make an informed decision as to whether the home will meet their needs. EVIDENCE: The home has a clear statement of purpose and a service users guide. Comprehensive assessments in place ensure that the home can meet the needs of prospective service users who will each have a written contract of terms and conditions. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed and changing needs are reflected in their individual plans and they are supported in making decisions about their care. Their right to confidentiality is upheld. EVIDENCE: Individual care plans that were viewed are comprehensive in their detail and are frequently reviewed to meet the changing needs of service users. Due to the profound disabilities of individuals they are unable to participate in the running of the home but there is evidence of involving families and other healthcare professionals in their welfare. Risk assessments are in place and understood by staff to enable individuals to safely maximise their potential. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 9 The home has a clear policy on confidentiality and records are securely stored within a locked office. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a range of activities that meet their social and leisure needs within the local community. They enjoy a varied and healthy diet and their special requirements are catered for. EVIDENCE: The home provides opportunities for activities and stimulation both within the home and the local community. Within the home there is a sensory room and equipment for postural correction, ball games, adapted garden swing and the home provides an accessible minibus for community activities. The service users are able to use day-care facilities and records confirm the use of these. Menus viewed were balanced and healthy and staff were observed in assisting individuals to eat. There are special requirements in respect of feeding and Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 11 nutrition for some individuals and training records evidence that staff have received the appropriate training to accommodate this. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional health needs are met and they are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Care plans evidence the input from other relevant healthcare professionals and referrals by the home where appropriate. Individual plans are explicit in detailing the personal support required and staff spoken with demonstrated a good understanding of personal needs. As recommended in the last inspection the medication cabinet has been moved enabling better temperature control of medicines. Staff records evidence that all staff required to administer medication have received appropriate training in dealing with medication. Medication policies and procedures comply with current legislation and guidance. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear procedures for raising concerns and service users are protected from abuse and neglect. EVIDENCE: There is a clear complaints procedure in place for service users/representatives to raise concerns and evidence of training around adult protection issues for staff. The home has robust procedures in place for dealing with service users’ monies to protect them from financial abuse Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a homely, comfortable and safe environment and they have adequate personal and communal space to meet their needs. EVIDENCE: The home is furnished to a good standard and well maintained. Bedrooms are of a good size to meet the needs of the occupants. Specialist equipment is provided and service checks are up to date on all equipment. There are ample communal areas with a large lounge and conservatory. The garden is large and well maintained with a specially adapted swing for the enjoyment of service users. On the day of inspection the home was clean and tidy with no obvious health and safety hazards. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual and joint needs of service users,’ are met by a competent and qualified staff team. They are protected by the homes recruitment policy and practice. EVIDENCE: There is an established staff team who have a very good understanding of service user needs. An inspection of staff personal files demonstrated a robust recruitment procedure and training records evidence there is an effective and competent staff team in situ. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home where their health, safety and welfare is promoted and protected. EVIDENCE: The management of the home have a wealth of experience and this is evident in the standard of care provided. The service users are not all able to express their views but there is frequent contact and consultation with families and significant others. Other healthcare professionals spoken with confirmed the home provides a good standard of care and the health, safety and welfare of service users is promoted. A tour of the building revealed no obvious health Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 17 and safety hazards and all relevant documentation to comply with current legislation is in place. Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 19 No Are there any outstanding requirements from the last inspection? 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 Tamarisk DS0000023250.V320383.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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