Inspection on 23/08/05 for Tanglewood Sandpiper

This inspection was carried out on 23rd August 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 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 Jean Cope with Carolyn Merry 23rd August 2005 11:30 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.V254392.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 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 Tanglewood (Lincolnshire) Limited Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2005 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 DS0000002567.V254392.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place with the assistance of the acting manager. Two inspectors undertook the inspection spending four and a half hours in the home. The inspectors toured the building, spoke with members of staff, the acting manager and residents living in the home. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care that they receive through the checking of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? Since the last inspection the proprietor has employed a new acting manager and a deputy manager. An activities co-ordinator has also been employed and is providing a range of activities The reception area and staff stations have been refurbished and improved. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 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 DS0000002567.V254392.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. The acting manager only admits new residents if she is sure that the home is able to meet their needs. EVIDENCE: The acting manager visits prospective residents before they are admitted to the home to ensure that their needs can be met. The visit can take place in the person’s own home or in a health setting. A visiting relative confirmed that they received an updated contract of terms and conditions each year. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Residents can be sure that they have a care plan which staff can follow in order to provide them with the care that they need. Medication practices and training in the home must be reviewed to ensure that all staff are following medication policies to ensure that residents are protected from medication errors. EVIDENCE: Each resident has a plan of care which includes their health and personal care needs. There was evidence that specialist health professionals were involved in residents’ care when necessary. A visiting community nurse said that ‘residents were well care for and their care is tailored to the individual’s needs’. The community nurse also said that when she visited she believed that staff respected residents’ privacy and dignity. Staff administer medication to residents, but have not received up dated medication training and staff must ensure that they follow the home’s policies and procedures in relation to administering medication. Some prescribed lotions were found in bathrooms, rather than in individual residents’ rooms. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15 Residents’ choice, confidence and independence are promoted by staff working in the home and by the range of activities provided for them. EVIDENCE: Residents having a game of Beetle in one of the lounges with the activities coordinator, said that the activities provided helped keep their minds active and pass away the time. Activities provided include quizzes, bingo, videos and DVD’S, hymn singing and old fashioned wives tales and old fashioned cures. There is a regular communion service in the home and a hairdresser visits the home on a weekly basis. Activities provided in the home are advertised in the reception area, but the activities co-ordinator speaks individually to residents to remind them what’s available. Residents and relatives were seen to come and go as they wished and visitors were seen to be seeing residents in the privacy of their own rooms. Visitors can also have a meal with residents if they wish. There is always a choice of food available and alternatives are provided. Food was well presented and hot and residents said that the food was ‘first class’. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 11 One resident said how much her confidence and independence had improved since moving into the home with the support of staff working in the home. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a complaints procedure, which is made available to residents and their relatives. EVIDENCE: The complaints procedure is available in the welcome pack, which is available in each of the residents’ rooms. A relative said that they were aware of the complaints procedure, which was sent to them along with the home’s terms and conditions each year. When the residents were asked if they would like to change anything in the home, they responded, ‘No, I’ve no complaints’, ‘it’s excellent’ and ‘I am very happy with the way things are’. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24, 25 and 26 Residents live in a homely, comfortable and well maintained environment and are able to bring in their own belongings if they wish. EVIDENCE: The home is furnished, decorated, maintained and cleaned to a high standard. There are several lounges, including a smoking lounge, where residents can sit. The garden was tidy, well maintained with seating and shelter provided for residents in the better weather. Residents had been able to bring in their own small items of furniture and belongings. One resident was unable to call for assistance because they were unable to use the call bell system provided. The manager was asked to look at a different call bell system for the resident, which was easier for her to use. Some items of equipment were stored on one of the corridors, which was discussed with the manager. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 14 Arrangements are made in the home to prevent the spread of infection, but all cleaning chemicals must be clearly labelled for health and safety reasons. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Residents are offered care, which is provided in a caring and gentle way by staff who are aware of their needs. EVIDENCE: Four staff are on duty during the day time with one person always in charge of the shift. One of the residents said ‘I can’t fault the staff, they’re excellent’, a visitor said that ‘the staff treat residents nicely and swap floors so that they know all the residents well’. Residents were seen laughing and joking with the staff and staff were treating residents kindly and with respect. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Staff said that the acting manager was fair and supportive and had brought about some good changes in the running of the home. The acting manager is planning a residents and relatives meeting where people will be able to make comments on the service provided by the home and also make a decision about how the money raised from the Summer Fete will be spent. Staff are now supervised by the acting manager on a regular basis. Residents confirmed that fire bells were tested on a regular basis. Hoists in the home were serviced in July 05 and Fire Extinguishers in September 04. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 4 4 X 2 X 3 3 2 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X 3 x 2 Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement Timescale for action 30/09/05 2 OP9 13(2) 3 OP22 17(2)(e) 4 OP26 13(4)c The registered person must ensure that there is a safe system for the recording, handling, safekeeping, safe administration and disposal of medicines. Staff administering medication must receive training and follow the home’s policies and procedures. Lotions and creams prescribed for individual residents must be 30/10/05 stored safely and not in communal bathrooms. A system must be put into place 30/10/05 to ensure that each service user is able to use the call bell system. A design solution must be found for the resident who is unable to press the current call bell system. Cleaning chemicals used in the 30/09/05 home must be clearly labelled for health and safety reasons. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 19 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 19 Good Practice Recommendations It is recommended that items being stored on the corridors be removed wherever possible. Tanglewood Sandpiper DS0000002567.V254392.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby 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. 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