Inspection on 16/02/06 for Tanglewood

This inspection was carried out on 16th February 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

Tanglewood 08/01/07

Tanglewood 04/11/05

Tanglewood 11/01/05

Tanglewood 13/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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 Tanglewood 252 Canterbury Road Hawkinge Folkestone Kent CT18 7AY Lead Inspector Mrs Sue Gaskell Announced Inspection 16th February 2006 14:00 Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 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 Tanglewood DS0000023272.V273923.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 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. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Tanglewood Address 252 Canterbury Road Hawkinge Folkestone Kent CT18 7AY 01303 891616 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) Mrs Kay Hull Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th November 2005 Brief Description of the Service: Tanglewood is a detached, well-maintained house with gardens at the front and rear, on the outskirts of Hawkinge, near Folkestone. Staff comprise Mr and Mrs Hull, two care/support workers who work between 20 and 32 hours a week, a part time carer and a part time cleaner. Residents have their own bedrooms and bathroom/toilet on the ground floor and share the family’s living room and kitchen. Accommodation used by Mr and Mrs Hull and staff is on the first floor, including an office where care documentation is kept. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over approximately 2 hours. The home submitted a questionnaire prior to the inspection. The inspector spoke with the registered person and her husband and daughter. She also viewed the premises, discussed records and policies and met the residents. The residents indicated that they were happy for the inspector to be shown their bedrooms. 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. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 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 Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed as there have been no new residents for several years.. EVIDENCE: Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 The health, general care and social needs of residents are well met and residents are consulted and encouraged to contribute to any decisions that affect their lives. Residents are supported in taking risks in the daily domestic and social activities that are part of an independent lifestyle. EVIDENCE: Both of the residents’ care plans include details on their physical, social and emotional needs and how the home will assist residents in achieving their goals. The care plans have been reviewed regularly and there was evidence to show that their needs are closely monitored. The registered person referred to ways in which residents are consulted over issues that affect them. Risk assessments are prepared and include specific guidelines but lacked detail on the justification for the risks, and how they are monitored and reviewed. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15,16 & 17 Residents have the opportunity to participate in a range of activities appropriate to their age and peer group. Residents are assisted in maintaining contact with their families. Meals in the home are good, offering a healthy, nutritious diet with choice and variety. EVIDENCE: Residents have access to a range of activities during the day and during the evenings. The home arranges transport home for one resident on a regular basis. The menus were seen to be varied and appropriate for a balanced diet. The registered person said that residents are encouraged to make suggestions about the menus. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Residents healthcare and social and emotional needs are constantly monitored and met. The medication management systems are generally sound but storage may need reviewing at some stage. EVIDENCE: The care plans include evidence of monitoring of residents’ health care needs and there was reference to pro-active actions undertaken by the registered person. Staff have received appropriate training in the administering or medication and the records were clear and current. The storage of medication is secure and appropriate to a homely environment but is not in a purpose built cupboard and may need reviewing at some stage. The registered person and her husband referred to the importance of offering personal support in such a way as to preserve residents’ rights and maintain their dignity. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has a satisfactory complaints process and residents are protected from harm or neglect. The home makes every effort to seek residents’ views. EVIDENCE: The registered person said that every effort is made to ensure that residents can communicate their feelings if they are not happy with something and the inspector saw examples of how the residents managed his. The home has adult abuse procedures in place and staff regularly receive training on adult protection awareness. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The standard of the environment within the home is good, providing residents with a homely, comfortable and safe place to live. The home is clean and hygienic. EVIDENCE: The residents have well-furnished bedrooms and share a purpose built bathroom. It was clear from the residents’ relaxed behaviour that they make use of the general living areas. All parts of the home were clean, well maintained and well furnished and decorated. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, & 36 The deployment, training and supervision of staff at the time of the inspection was sufficient to ensure good quality care. EVIDENCE: Whilst there is always one member of staff on duty, the registered person and her husband are also often on the premises. There are sound systems to ensure that important information is passed to all staff and there are regular staff meetings. Staff files contained evidence of sound recruitment and selection procedures such as application forms, references and CRB checks. Formal and informal supervision is held in addition to an annual appraisal. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 The residents’ benefit from a well run home. There are clear and comprehensive systems in place to ensure that the health, safety and welfare of residents is protected and promoted. EVIDENCE: Mrs Hull has many years experience in caring for people with a learning disability and she acknowledged that she had benefited from recently undertaking the Registered Manager’s award. All records, policies and procedures were clearly presented and easily accessible. All records relating to health and safety were seen to be order and there were no obvious hazards. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 15 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 X 2 X 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 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 Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 16 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. 1. Refer to Standard YA12 Good Practice Recommendations Home to continue looking at ways a resident’s participation in the local day centre can be expanded. Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Tanglewood DS0000023272.V273923.R01.S.doc Version 5.1 Page 18 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!