Inspection on 06/12/05 for Tanfield Care Centre

This inspection was carried out on 6th 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

Tanfield Care Centre 30/05/07

Tanfield Care Centre 21/06/05

Tanfield Care Centre 21/07/04

Tanfield Care Centre 20/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Tanfield Care Centre 2 Hexham Road Whitley Wood Reading Berks RG2 7UG Lead Inspector Robert Dawes Unannounced Inspection 6th December 2005 10:50 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 Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tanfield Care Centre Address 2 Hexham Road Whitley Wood Reading Berks RG2 7UG 0118 9015355 0118 901 5356 jogarland/purser@reading.gov.uk 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) Reading Borough Council Care Home 31 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (23), of places Physical disability (12) Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service user to be admitted under the age of 60 years of age. Date of last inspection 21st June 2005 Brief Description of the Service: Tanfield Care Centre is a Reading Borough Council care home. It is purpose built and situated in Whitley, a suburb of Reading. The home is registered to provide personal care and accommodation for thirty one service users, (twelve in the Intermediate Care unit, eight in the E.M.I. unit, and eleven in the Assessment and Intervention unit). The home currently accommodates three long stay residential service users, twelve in the Intermediate Care unit, 8 in the EMI unit and seven in the Assessment and Intervention unit. The home is equipped with a passenger lift and aids and equipment to assist the more dependent service users. Thirteen of the bedrooms have en-suite facilities. The aim of the home is to provide a homely and comfortable atmosphere; a lifestyle that satisfies their social, cultural, religious and recreational interests and needs; promote and maintain service users’ health; and to ensure the independence and individuality of the service users is respected. An occupational therapist, physiotherapist and a rehabilitation manager have been employed by the Health Authority to work in the Intermediate Care unit alongside local authority care workers. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which was carried out between 11.15am and 4.05pm on Tuesday 21st June 2005. The Inspector spoke with three service users, the manager, deputy manager and a member of staff. The Inspector also looked at records and observed the interaction between staff and service users. Eight standards were assessed of which five were met, one nearly met and two exceeded. No requirements or recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: The manager wants ‘tired’ areas of the home to be redecorated and new carpets where needed. The manager will ensure all staff complete the medication records correctly. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 6 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. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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 Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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): This section was assessed at the previous inspection. EVIDENCE: Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Numbers 8, 9 and 10. 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. EVIDENCE: Service users looked personally well cared for. They said staff respond well to any health issues. An agency member of staff considers the personal and health care of the service users is excellent. Service users can keep their own GP. Records showed service users have access to specialist medical, nursing, dental, chiropody and therapeutic services. Service users are encouraged to keep mobile. The service users in the dementia unit have regular ‘exercise to music’ sessions and a physiotherapist provides individual therapy for the service users in the rehabilitation unit. Service users are able to self medicate after a risk assessment is undertaken. A pharmacist visits the home at regular intervals to assess the standard of recording, storage, handling, administration and disposal of medicines. She Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 10 visited on the day of the inspection and noted there were a several gaps in the recording of medication and the downstairs trolley required a means of fixing it to the wall when not in use. The manager said she would address these issues. Service users said staff were considerate, approachable, respectful and kind. The inspector observed staff being patient, thoughtful and respectful to service users. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Numbers 12, 13, 14 and 15. Service users find the lifestyle experienced in the home matches their expectations and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/friends 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. EVIDENCE: When service users are admitted to the home they are asked what their interests are and what is their routine of daily living, i.e. what time they like to get up and go to bed, whether they prefer breakfast in their own rooms, etc. The home employs two activity coordinators. One coordinator works ten hours a week on the dementia unit and the other coordinator works twenty-eight hours a week with the other service users. A wide range of activities is organised such as bingo, sing songs, raffles and seasonal socials. As well as the activities provided on their unit, service users who suffer from dementia are invited to all suitable activities and socials taking place in the home. Local clergymen visit the home to give communion. Service users can have visitors at any reasonable time. Relatives and friends are invited to social events. Service users are taken out to community Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 12 activities such as concerts, trips to the seaside and the zoo. Several service users belong to day centres and are taken to local shops and to lunch at local pubs. Community groups are encouraged to visit the home. Service users are entitled to bring personal possessions. Service users have access to their records through the Reading B.C. ‘access to records’ procedure. Service users can smoke and consume alcohol in their rooms unless it has been risked assessed as being too great a risk to themselves or other service users. Service users can handle their own financial affairs. Service users said they enjoy the meals very much. There is choice, plenty to eat and if they are vegetarian or do not like the main meal an alternative meal is provided. The inspector was informed fresh vegetables are used as much as possible and processed food is used as little as possible. Two part time cooks and a part time assistant cook prepare the meals. All units have their own kitchen areas so snacks, biscuits and drinks are always available. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed at the previous inspection. EVIDENCE: Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed at the previous inspection. EVIDENCE: Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 15 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): Number 29. Service users are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The staff files seen showed the organisation undertakes thorough recruitment procedures. Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 16 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): This section was assessed at the previous inspection. EVIDENCE: Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 18 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 Tanfield Care Centre DS0000039942.V264109.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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. 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