Inspection on 16/01/07 for Tanglewood Sandpiper

This inspection was carried out on 16th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Sandpiper 23/08/05

Tanglewood Sandpiper 19/05/05

Tanglewood Sandpiper 04/11/04

Tanglewood Sandpiper 27/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Tanglewood Sandpiper South Street Alford Lincs LN13 9AQ Lead Inspector Kima Sutherland-Dee Key Unannounced Inspection 16th January 2007 09:55 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 Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tanglewood Sandpiper Address South Street Alford Lincs LN13 9AQ 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) 01507 462112 01507 462480 www.tanglewoodcarehomes.co.uk Tanglewood (Lincolnshire) Limited Ms Sonia Little Care Home 30 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (30), Physical disability (1) Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provider personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) 30. Dementia, over the age of 65 years (DE(E)) 18 Mental Disorder over 65 years of age (MD(E)), one named person who is named in the pre-registration letter dated 17th February 2006. Physical disability (PD), one named person who is named in the preregistration letter dated 16 December 2005. 23rd August 2005 Date of last inspection Brief Description of the Service: Tanglewood Sandpiper is owned by Tanglewood Lincolnshire Ltd, and is a twostorey purpose built home situated in the market town of Alford. The home has gardens to the side and rear of the building, a limited number of car parking spaces to the front and is conveniently placed for access to local facilities and shops. The home offers care for service users who require personal care; a total of 30 beds. The home has a Statement of Purpose that outlines it’s aims and objectives for the home and gives full details of the services provided; the document has been revised. Accommodation is provided in single rooms. The fees range from £336.00 to £445.00 per week. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key inspection used all of the information about Sandpiper that had been supplied to the commission. This included a pre inspection questionnaire, ‘Have Your Say’ comment cards and any notifications that had been sent to the commission since the last inspection. Evidence was also sought through this site visit. This included the inspector ‘case tracking’ or following through, the care of a sample of the residents, speaking to the residents, the staff and the manager and sampling documents. What the service does well: What has improved since the last inspection? The requirements that were made in August 2005 have been met. All cleaning products and some medicated creams are now stored safely. Staff are all trained to safely administer medication and the manager monitors their competence. The manager has supplied a foot pressure pad, which now enables a resident to use the call bell. The corridors are now safer for the residents and staff since items were moved to other areas. Tanglewood Sandpiper DS0000002567.V323975.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 Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are assured that their needs can be met. They also have the information they need to decide if this is the right home for them. EVIDENCE: The manager assesses prospective residents to ensure the service can meet their needs. The relative of a resident who was admitted recently confirmed this. This person also said they had received a copy of the ‘Statement of Purpose’, and signed a contract. This information has been updated and is very informative. The assessment is used as the basis of the initial care plan, which instructs the staff until they get to know the resident. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from a staff team who fully understand their needs and preferences. EVIDENCE: The care plans are detailed and comprehensive. They are based on the staffs and relatives knowledge about each individual and regularly reviewed. The staff demonstrated that they know how to deliver care, according to the preferences of the residents. Key workers are responsible for ensuring that changes to care are passed on to other staff. The staff involve health professionals and they follow their advice, one resident said they could see the doctor anytime. The resident’s health needs are recorded in the care plans along with any appointments or treatments. The care plans are detailed and comprehensive. They are based on the staffs and relatives knowledge about each individual and regularly reviewed. The staff demonstrated that they know how to deliver care, according to the Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 10 preferences of the residents. Key workers are responsible for ensuring that changes to care are passed on to other staff. The staff involve health professionals and they follow their advice, one resident said they could see the doctor anytime. The resident’s health needs are recorded in the care plans along with any appointments or treatments. All the residents and relatives said the staff were kind and caring. Comments included ‘The people are nice’ ‘There is attention to detail’ and ‘ All the girls are good to us’. The staff were observed caring for people with patience and kindness. The staff were respectful and they demonstrated their knowledge about each resident as an individual. One relative said that the resident had settled in well and that the staff were doing a good job. The staff are trained to safely administer medication and the manager then monitors them until they are deemed to be competent. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff supports the resident’s choices and they experience a lifestyle that suits each individual. EVIDENCE: Residents were involved in making cards, with the assistance of the activities co-ordinator. Future activities were displayed on a notice board and the activities co-ordinator helps people to remember what is on offer. The activities included individual time, group activity and entertainment. The manager clearly understood the needs of people who have dementia and the staff are also being trained. The residents said they like the activities although they do not always choose to participate. The staff demonstrated that they care for people whilst helping them to maintain as much independence as possible. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 12 One relative said that the manager had been so helpful and they had made sure that the staff member caring for the resident had matched the resident’s expectations, for both same gender care and through their skills. The manager sated that the residents with dementia have generally been more settled at night due to their routines and activity during the day. The staff demonstrated their patience and kindness, and their skill in managing challenging situations. Several family members were visiting the residents and one said the home had a warm, friendly atmosphere. One relative said they had helped to increase resident’s abilities so they could return to their own home. Arrangements for family contacts are in the ‘Statement of Purpose’. The residents are consulted daily about their food choices and the chef will prepare individual meals, as well as the daily menu. 2 residents said they always like the food and the kitchen staff know what they prefer. The food is home cooked and served hot. The menus identify the type of food each person needs, including specialist diets or consistency. One relative said that when they had mentioned what their relative liked the manager had immediately ordered and served it. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected by the open approach of the manager and the policies and staff training in the home. EVIDENCE: The complaints procedure is included in the ‘Statement of Purpose’ and a relative confirmed they had received a copy. The manager has a procedure for dealing with complaints and the staff would raise any issues. Staff are trained to deal with suspicions of abuse and they are confident to bring anything to the managers attention. The latest guidance from Lincolnshire County Council is available on the staff room notice board, and the staff trainer is bringing this to the staff’s attention. Staff who are participating in N.V.Q training also cover aspects of abuse awareness. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit form a clean and well-maintained home, which suits their needs. EVIDENCE: The home is furnished, decorated, maintained and cleaned to a high standard. The staff follow procedures for dealing with spillages or odours and the home is odour free. The residents or their relatives completed questionnaires and all of these stated that the home is always clean and fresh. The residents have the equipment they need and they said they like their rooms. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 15 The manager has ensured that cleaning products and medicated creams are stored safely, since the last inspection. Since the last inspection the manager has found a solution for a resident by providing a pressure pad that they can control to activate the call bell and this works well. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. A skilled and trained staff team cares for the residents. EVIDENCE: The manager explained that they always have their allocated number of staff, although sometimes when staff are off sick others have to cover extra shifts. The residents said that the staff have enough time to care for them and chat, although the staff said that they could offer a better level of care for the residents with dementia if there were more staff on duty. The manager aims to offer continuity of care, by ensuring all the staff know all the residents. The manager stated how important this is, especially for those residents with dementia. The staff are trained to a high standard and the training co-ordinator is responsible, with the manager for arranging internal courses and evaluating how the staff use their skills. Staff files are complete with all the relevant information, and the manager follows the organisations own recruitment procedures. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 17 The staff said that the manager has made improvements and they now work more as a team. One relative commented that the staff seem generally happy and very caring. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can be assured that the manager is effectively and safely managing the home. EVIDENCE: The registered manager is running the home effectively and the staff said they feel supported. The manager is qualified and competent and has a very good understanding of the needs of the residents and staff. The home has residents who require personal care and those with varying needs associated with dementia. The home is effectively split into two areas, Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 19 with those people with dementia upstairs. The manager explained that the people with dementia require a much higher staff input to offer the same level of care. Although evidence was available that their needs were being met, several staff commented that additional staff would have a beneficial effect on the care and stimulation for those residents. The manager has set up meetings for the residents and their relatives. Yearly surveys are sent out and the manager said they always happy to speak to the residents or their relatives. One relative confirmed how helpful the manager was. The home is maintained safely and the pre inspection questionnaire recorded that checks are carried out regularly. Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tanglewood Sandpiper DS0000002567.V323975.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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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