Inspection on 19/05/05 for Tanglewood Sandpiper

This inspection was carried out on 19th May 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

Tanglewood Sandpiper 16/01/07

Tanglewood Sandpiper 23/08/05

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 Lincolnshire LN13 9AQ Lead Inspector Jean Cope Unannounced 19 May 2005 09.30 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 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 C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Tanglewood Sandpiper Address South Street Alford Lincolnshire LN13 9AQ 01507 462112 01507 462480 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tanglewood (Lincolnshire) Ltd Care Home 30 Category(ies) of Older Person (OP) - 30 registration, with number of places Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04.11.04 Brief Description of the Service: Tanglewood “Sandpiper” is owned by Tanglewood Lincolnshire Ltd., and is a two-storey 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. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place with the assistance of the group matron in the absence of a manager in the home. One inspector undertook the inspection spending five hours in the home. The inspector toured the building, spoke with one member of staff and spoke with seven residents. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care that they receive and checking of their records. Five service user comment cards were received by the Commission, all confirming that their privacy and dignity was respected, three saying that they like the food, two saying that they liked it sometimes. What the service does well: What has improved since the last inspection? Since the last inspection the home has organised with their pharmacist to have residents’ medicines individually pre packed before it arrives at the home. This has made it easier for staff to administer medicines to the residents. The corridors in the home have been decorated. A new care team leader has been appointed as well as a new acting manager. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 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. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4, and 5 The home provides good written information, which enables new residents to be able to make a choice about the home. Needs of residents are being met with residents commenting on the excellent staff working in the home. EVIDENCE: A resident told the inspector that he had received written information about the home which was sent to him before he moved into the home. He also said he had been able to visit for a day before coming for a trial stay. The administrator, responding to an enquiry about a room invited the new relative and their relatives to come and look around the home at any time. It was evident that residents’ needs were considered by staff to be important. One new resident said, ‘I get all the assistance I need, there is nothing else that I need or want’. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 , 10, and 11 Residents can be sure that their health care needs will be responded to. Privacy and dignity offered to residents was seen to be important by staff who gave a sensitive account of how they cared for residents at the end of their lives. EVIDENCE: A visiting GP said that staff in the home were good and offered him assistance when necessary and that they respected residents’ privacy and dignity. Each resident has a care plan which included a lot of detail and was reviewed regularly. A visiting community nurse said that staff also incorporated her plan of care into their own which benefited residents. There are safekeeping arrangements for medications in the home, with any resident who wished to look after their own medication being provided with lockable storage to keep it safe. A member of staff said that he treated residents nearing the end of their life, ‘as I would like to be treated’. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12, 14 and 15 More activities could be made available to occupy residents during the day. The home provides nourishing food, with a changing menu with residents saying that they were given plenty of choice. EVIDENCE: The home is currently without an entertainments officer, but the group matron was interviewing a candidate on the day of the inspection. One resident was playing cards at a table with large print playing cards and a jigsaw was partially completed. Large print books were also available. One resident said that they ‘would like activities in the afternoon’. Church visitors regularly attend the home with some residents preferring to take communion in the privacy of their own rooms. One resident expressed his gratitude to the group matron for her support, saying that she ‘was wonderful’ and had assisted him to retain control over his life. Residents said they had enjoyed their food and fresh fruit and snacks were provided at coffee time. One resident said he had had a cooked breakfast, going on to say, ‘you can have as much as you want and have what you want with plenty of choice’. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 16, 17 and 18 Complaints and adult protection issues are treated seriously by the home and steps are taken to ensure that residents know how to complain and that staff know how to respond effectively to protect residents from abuse. EVIDENCE: The home has a complaints procedure, but has received no complaints since the last inspection, nor did the inspector receive any complaints. The complaints procedure is given to all residents. A member of staff confirmed that they had received training on how to prevent adult abuse and how to report it. Residents were taken to the Polling Station to vote at the recent inspection. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19, 20, 22, 24, 25 and 26 Residents’ benefit from a well maintained home, which is cleaned to a high standard and is comfortable and welcoming. EVIDENCE: The home was found to be well maintained, cleaned to a high standard and was odour free throughout. Residents are able to bring their own possessions into their rooms to make them more personal, and both communal and individual’s rooms were comfortable and pleasant. During the summer months residents are able to sit in the garden which is well maintained. There are arrangements in place to prevent the spread of infection in the home. A member of staff confirmed that there is enough equipment in the home and on the day of the inspection, the hoists were being serviced to ensure they were safe following an alert on particular hoists. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28, 29 and 30 There is a good staff team in the home, many of them having worked in the home for many years which provides consistency of care for residents living in the home. Staff are well trained and recruited safely ensuring a more confident and competent workforce. EVIDENCE: There is a stable workforce in the home who were seen to work together as part of a team. One member of staff said that they ‘enjoy working as part of a team’. Staff recruitment files were checked and showed that staff had been recruited safely. A list of training was posted on the wall for the forthcoming year which was comprehensive and included manual handling, health and safety and first aid. 50 of the care staff in the home have achieved National Vocational Training Awards at level 2. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35 and 38 Staff and residents work and live in a safe environment. EVIDENCE: The group matron, who has changed some work practices in the home, is currently running the home in the absence of a manager. The pre-inspection information provided by the home shows that safety checks have been undertaken on equipment in the home and that fire drills are undertaken regularly and fire bells checked on a weekly basis. There are safe arrangements regarding service users’ financial interests. Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 x x x 3 x x 3 Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 16 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 OP12 Regulation 16(2)(n) Requirement More activities must be made available for residents to choose from during the day. Timescale for action 30.08.05 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 Good Practice Recommendations Tanglewood Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Unity House, The Point Weaver Road Lincoln LN6 3QN 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 Sandpiper C53 C04 S2567 Tanglewood Sandpiper V227434 190505 Stage 4.doc Version 1.30 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. 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