Inspection on 24/04/07 for Tanglewood

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tanglewood 29/05/08

Tanglewood 07/12/06

Tanglewood 22/09/05

Tanglewood 18/04/05

Tanglewood 22/11/04

Tanglewood 18/08/04

Tanglewood 10/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Tanglewood Larch Avenue Holbury Southampton Hampshire SO45 2PB Lead Inspector Ms Sue Kinch Key Unannounced Inspection 24th April 2007 11:00 Tanglewood DS0000012373.V331813.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 Tanglewood DS0000012373.V331813.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. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tanglewood Address Larch Avenue Holbury Southampton Hampshire SO45 2PB 023 8024 3091 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) www.new-support.org.uk New Support Options Limited Post Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07/12/06 Brief Description of the Service: Tanglewood is a care home registered to provide care and accommodation for five adults with learning disabilities between the ages of 18 and 65. The home is managed by New Support Options and is owned by Swaythling Housing Association. The home is situated in a residential area of Holbury in Southampton, close to local amenities such as shops, pubs and transport services. The home has a family-sized car to enhance access to this. The house has five bedrooms, four on the first floor and one on the ground floor. There are two lounge rooms, a dining room, kitchen, a bathroom and a shower room. The home has a large enclosed garden to the rear. Weekly charges were reported by the manager to be £1,100 per week. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and all key standards were assessed. The site visit followed a review of the file, consideration of a pre inspection questionnaire completed by the manager, and several responses to a request for feedback about the home from residents, relatives and professionals. The site visit was completed during one day. It took one inspector a total of 6.5 hours. All residents were spoken with but more detailed individual conversations were held with two. Discussion also took place with four staff members at various points of the visit. The manager assisted and explained action taken since the last inspection. Some of the records were also observed and discussed. The service manager also attended part of the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the manager has assessed the action needed in the home to improve standards. All the requirements made about the environment in the last inspection report of 7/12/07 have been carried out. Staff levels are improving and the use of more permanent staff means that more activities can be planned out of the home. Training that staff have received training needs have been recorded and some training has taken place. External agencies have been increasingly involved in the assessment of needs of residents. Work has taken place to re assess residents and new care plans are being developed. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 7 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 DS0000012373.V331813.R01.S.doc Version 5.2 Page 8 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the needs and aspirations of potential residents are assessed before a place in the home is offered. EVIDENCE: There had been no new admissions to the home during the last year. However as stated at the last inspection the manager confirmed that the admission process has not changed and can take two to three months and is a gradual process, giving the prospective resident time to get used to the idea of moving. The manager requires a care management assessment for the prospective service user and a full history, to ensure that they meet the homes admission criteria. The home will send out a house profile, service users guide and statement of purpose and the manager will visit them. This is followed by a series of visits to the home and suitability is assessed. The manager completes an assessment that includes their individual needs and aspirations, likes and dislikes, medical history, communication needs, and any leisure and educational activities that would be needed. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although work is taking place to review assessments, care plans and risk assessments involving some residents, their needs are not fully reflected in care plans and the home cannot demonstrate that their needs are fully met. EVIDENCE: During the inspection three care plans were viewed and samples read and discussed separately with the manager and individual staff who are involved. One care plan was discussed with a resident and it was noted that while some information was relevant, other information was missing such as how that person was to be supported with money, aspects of health, and how to support with emotional issues. There was not enough verbal or written evidence to show that the activity timetable is followed or that exercises are routinely supported. The key worker said that the new care plan is being written and is more comprehensive. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 10 The manager said that another care plan had been updated and it was noted to be recorded in more detail the but was not dated and was not comprehensive and excluded areas such as communication and support in dealing with all aspects of personal care affected by restrictions in the home. The third care plan viewed is also under review and the resident’s needs are being assessed with the assistance of external professionals as required in the last inspection report. Some of the risk assessments had been reviewed but old ones need to be removed and others updated. The manager said that it would take approximately three months to fully update and complete care plans, risk assessments and personal centred plans with goals. He also agreed that work is still needed to bring all the relevant information about each resident together so that it is easily accessible. The manager and some staff spoken with commented that they were increasingly able to do more with the service users now that there was a more stable staff group. However, not all staff feel confident in meeting all residents’ needs and few staff have received recent training in autism and challenging behaviour (this is addressed in the staffing section). Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16,17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements in place to support residents to undertake educational and leisure opportunities are improving and will be enhanced by decisions based on up to date care planning, person centred plans and monitoring. The residents’ rights and responsibilities are recognised but more work is must be done to ensure that they are fully supported. Residents enjoy the food provided, involvement in decisions about menus and are supported with individual dietary needs. EVIDENCE: Residents gave examples of the activities that they are involved in at home and in the local community. A house car is available to support this and 7 of the 10 staff are able to drive it. Activities supported by staff vary and are social, recreational and educational. They include: attending day services or Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 12 college, walking in the new forest, bowling, shopping, hair appointments and pub lunches. Some activities are planned and others are more spontaneous. However, some comments have been received about residents not having enough to do and being bored. This included comments about whether the staff level was sufficient at weekends to meet needs. One resident spoke of new activities beginning in the week after the inspection. Staff asked said that since the staff levels have improved they have been able to provide more support in this area to people who use the service. The manager agreed and said that permanent staff members are developing a greater awareness of the residents’ needs and they are more able to provide the support that is needed. He also said that weekend staffing would be reviewed. Activities are not based on up to date care plans and person centred plans and more evidence is needed to demonstrate that the support required and wished for is given. As found at the inspection in 7/12/06 contact with families is encouraged. During the site visit one resident and a member of staff discussed the support needed to make a phone call to a family member and help was to be provided that evening. One relative spoke of support given with transport for trips home. Another relative spoke of regular communication with the home. Various comments were received about food but as found in the inspection report of 7/12/06 findings were good. Residents spoken with at lunchtime during the site visit were positive about the food they were provided with. They were eating a range of foods based on choice made on the day and on individual needs. Most people were eating sandwiches for lunch but they spoke of other hot snacks also eaten at lunchtime sometimes. They said that they were involved in the choosing of food, shopping and some preparation. Staff said that they recorded food intake and records were available. One person spoke of having a special diet, which was being followed. The residents and staff knew where the details were and that they had been provided by a dietician. Problems with eating is an issue for another resident from time to time and the manager confirmed that guidance for staff was in the care plan and associated risks were to be assessed. In respect of rights and responsibilities some restrictions and routines are in place in the home. As reported in the last inspection report locks are used some of the time on shower room doors to restrict access to a resident for their own safety and residents have to keep toilet rolls and hand- washing equipment in bedrooms for when using the separate toilets. This continues to be a concern to some residents, relatives and staff. The manager reported on action being taken to re assess the situation and take action to improve it. However, support to all residents must be recorded in their care plans and followed. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 13 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 adequate. This judgement has been made using available evidence including a visit to this service. Not all residents’ health and personal care needs are fully supported and staff guidance needs to be consistently followed and based on completion of reviews of assessments and care plans. EVIDENCE: Residents are supported to receive health care services including those from the general practitioner, opticians, speech therapists, dentists and other community services. Verbal and written evidence was received to support this during the inspection process. Following the last inspection the manager has ensured that health professionals have been involved in the assessment of the resident discussed at the last inspection and this is still in progress. All of these care needs however are not yet fully reflected in the care plans and the manager said that they were being prepared in more detail. He also said that some staff practices also needed to change in order to provide the support needed. The ability of the service to meet all health and emotional needs has also been questioned in some of the verbal feedback received in this inspection process. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 14 At times a significant level of one to one support is needed for one person and questions have been raised about whether this leaves sufficient staff to meet the needs of others. (This is discussed further in the staffing section.) Personal care is addressed in the care plans though these are not all up to date and do not cover all aspects of support needed with personal care for all situations. Medication was found to be satisfactory on 7/12/06 as at this inspection. The medication administration records sampled were fully completed and medication was appropriately stored in a locked cupboard. Staff have received training in the administration of medication, which included an assessment of their knowledge and practice. The assessments are repeated every six months. This was last completed on 16/4/07. The manager has yet to obtain a homely remedies list from the general practitioner, which covers the occasional use of non-prescription over the counter medicines. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 15 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 adequate. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents know how to use, and they feel able to raise concerns. Arrangements are in place to promote the safeguarding of residents but staff training autism and challenging behaviour will enhance this. EVIDENCE: The home has not had any complaints since the last inspection in 7/12/06 although some concerns continue regarding the ability of the home to meet all residents needs. Some residents expressed their concerns at the inspection. The manager is aware of concerns and taking action to address them. This has been addressed in the sections throughout this report. Residents asked say that they feel able to talk to the staff and have help from them. Locally agreed adult protection procedures are in the home. As found at the previous inspection staff asked were able to describe the action they would take if they had concerns or suspected that abuse had occurred. One member of staff referred to specific issue that is currently being dealt with under local adult protection procedures. CSCI had not been informed and this is advised even when the issue is historical and not concerning current practices in the home. Adult protection was reported by the manager to be included in induction of staff. Training records show that only three staff had had other training. Regular updates are needed and is included in the training planned over the next year. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 16 Staff are working with some challenging behaviours although no staff are reported to have had training since 2004. In addition staff have not had training in understanding autism or in using restrictive practices and only one in effective communication. Financial support to residents is available in the home and in the sampled checked personal records reflected practices in the home. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 17 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): 24,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have benefited from improvements to the physical environment and inclusion in the decision-making process regarding this but more work must take place to ensure that the standard of cleanliness and repair is maintained and the risk of infection controlled. EVIDENCE: The improvement plan submitted by manager after the last inspection detailed the plans to improve the physical environment and meet the requirements made in the report. At this inspection is was noted that: broken furniture had been repaired or replaced, the radiator that had been hanging off the wall in the first floor corridor had been removed, the hallway and dining room walls had been repaired and redecorated, carpets in the shared areas had been replaced, mould in the ground floor bathroom and bedroom had been treated and removed with more worked planned to prevent further problems and toilet floor coverings had been replaced. Therefore all of the six requirements about the physical environment had been met. No unpleasant smells were noted. At Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 18 the site visit areas of the home were mostly in a state of repair. However, the shower in the first floor bathroom still needed to be fixed so that residents do not have to go to the ground floor for a shower. The manager said that staff are required to record things that need to be fixed on the handover sheet available to them and that these will be followed up. At the time of the site visit the areas of the home viewed were clean. Staff are required to carry out the cleaning and residents help. A staff member confirmed that disposable aprons and gloves are available. Concerns have been expressed about the cleanliness of the home and of the homes ability to maintain an acceptable standard. The manager has reviewed the cleaning schedule and this is included on the staff handover sheets used daily. However, at the time of the inspection there was no working vax machine needed for the staff to be able to adequately maintain infection control at all times. The manager said that a new machine was being purchased. Toilet rolls, soap and towels not being kept in bathrooms also increase the risk of infection. The manager planned to provide liquid disinfectant hand washes for these areas but staff need clear guidance in care plans for each resident. In the training record there is no record of staff having received infection control training. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 19 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): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff levels have improved by all posts being filled but to ensure that residents needs are consistently met staff deployment and levels must be reviewed and revised based on assessment of needs and whilst meeting required standards in the home. Residents would benefit from staff receiving training in specific areas of learning disability such as challenging behaviour and restrictive practices, effective communication and autism. EVIDENCE: The staffing level has improved since the last inspection with less reliance on agency staff. This is providing an opportunity for more relationship building between staff and residents. The manager said that it has also meant that more staff are able to support residents out of the home socially and recreationally. Staff and residents spoken with agreed. Following the last inspection a requirement was made to ensure that there are sufficient staff available to provide care and support for all residents in the home and this is still needed. The manager stated that he is reviewing the deployment of staff and especially at the weekends when currently the staff Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 20 level is reduced from three to two staff a shift. This is a time when generally more of the residents are at the home. Two members of staff said that this has affected their ability to take residents out at weekends and to meet individual needs. Staff recruitment had been found to be satisfactory on 7/12/06 was discussed with the manager. Samples taken at this inspection indicated that practices in line with national guidance were continuing. In the last inspection report a requirement was made to ensure that a list of completed staff training is available in the home for inspection and that it should indicate what training is planned, to ensure that the needs of the residents will be met. Records of staff training are available and a plan is in place to ensure that that all staff will receive training or updates in areas the company deems as mandatory such as fire, first aid, manual handling, health and safety and medication. However, few staff have received training in other areas relevant to meeting the residents needs such as autism, challenging behaviour and restrictive practices, communication and mental health and no specific dates had been set for such training. Some support is in place for staff and they said that they are having regular staff meetings .The manager acknowledged that staff supervision has not been established in the home said that he would have this in place within a month of the date of the inspection. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 21 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents are benefiting from more consistent management arrangements, which includes consultation with them and attention to health and safety but this is not yet fully established. EVIDENCE: The manager new to the home at the last inspection has now been in post full time since January 2007. He has previous experience, was registered as a manager with CSCI in respect of another home and intends to submit an application to register for this home. He said he recently registered to complete the Registered Managers award and NVQ level 4 in care. He has also assessed other training needed and was advised to include fire training as he provides this training for staff in the home. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 22 At the last inspection it was noted that the manager was aware that a lot of work was needed to return the home to its previous standard. Some progress has been made as detailed in other sections of this report. Most staff members spoken to were confident in the manager who they find approachable but other comments received from some relatives indicated that such confidence would only come with an increased improvement in consistently meeting all residents needs. In the improvement plan following the last inspection the manager stated that residents views were being sought to ensure that the current plan for the home reflected their hopes and objectives. At this inspection the manager said that this had taken place and he had a draft service plan although this had not yet been made available to residents. During the visit residents provided examples of things that they had been involved in such as reviews of care and decisions about the environment. The manger is improving and developing systems to enhance and monitor practices in the home. Elements of health and safety were assessed action had been taken although some further action was found to be needed. The general household risk assessment noted to be out of date at the last inspection had been updated. Staff had received in–house fire training on 16/4/07 although steps need to be taken to ensure that those providing the training have refreshers. Checks of the fire system are regular and recorded. Hazardous substances are locked away. Staff are being entered into a rolling programme of training, which includes aspects of health and safety. Some have already completed elements of it. The manager reported that the servicing of equipment is completed regularly and that the last gas check was completed on 18/4/07. A trampoline no longer used but available for use in the garden was advised to be taken down, as the safety nets were not in place. Infection control is referred to in the environment section. Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 23 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 3 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 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 1 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 1 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 x 12 2 13 3 14 x 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 x 2 x 2 x x 2 x Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 24 yes 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. 1. Standard YA6 Regulation 15 Requirement Timescale for action 27/07/07 2. YA18 18 3. YA30 13(3) 4 YA35 18 The registered person must ensure all care plans and riskassessments are up to date and include staff guidance detailed enough to ensure that all residents health, personal care, social recreational and emotional needs are met on a regular basis. The registered person must 27/05/07 ensure that there are sufficient numbers of staff deployed to provide care and support to meet the needs of residents at all times including evenings and weekends, and to maintain the required standards. The registered person must 27/06/07 ensure that staff are trained in infection control and that practice in the home minimise the risk of infection to residents. The registered person must 31/07/07 ensure staff are provided with training to meet specific needs of individual residents in areas such as autism, challenging behaviour and restrictive practices, and effective communication to ensure that the needs of the DS0000012373.V331813.R01.S.doc Version 5.2 Tanglewood Page 25 residents will be met. 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 Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Tanglewood DS0000012373.V331813.R01.S.doc Version 5.2 Page 27 - 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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