This inspection was carried out on 19th March 2010.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Annual service review
Name of Service: Tanglewood, St Austell The quality rating for this care home is: The rating was made on: two star good service 1 7 0 2 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Ian Wright Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Coombe Road Lanjeth, High Street St Austell Cornwall PL26 7TL 0172671088 Telephone number: Fax number: Email address: Provider web address:
mail@dcact.org Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Spectrum Number of places (if applicable): Under 65 Over 65 3 0 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Registered manager application for Ms M Pearce withdrawn June 2009. Registered manager application for Ms H Griffin withdrawn November 2009. Registered manager post currently vacant. 1 7 0 2 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Tanglewood is a detached bungalow in the village of Lanjeth, near St Austell. The home provides accommodation and care for up to three people with autism or Aspergers Syndrome. The registered provider is Spectrum, an organisation which provides specialist services for people with autism or Aspergers Syndrome. The registered managers post is vacant The accommodation consists of three single bedrooms, a large lounge, separate dining room, kitchen, bathroom and an activity room. The front access has two sets of two steps. There is a rear access with one step. The lounge is accessed via two fairly deep steps. There is a large garden with a patio, lawn and fishpond at the back and car parking space at the front. The office provides the staff sleeping-in room. The home has vehicles to assist transportation in the
Annual Service Review Page 2 of 6 community. The fees as given at the time of the last key inspection on 17th February 2009 were from £908.74 per week. Fees are based on an assessment of individual needs. A copy of the last inspection report is available via the registered provider. A copy of the report is also available free of charge via the CQC website at www.cqc.org.uk, or as a hard copy via our customer contact centre. CQC contact details are outlined at the back of this report. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The home was last inspected on 17/2/2009. For this Annual Service Review we looked at all the information that we have received, or asked for, since the last key inspection. This included: *The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. * Surveys returned to us by people using the service and from other people with an interest in the service. * Information we have about how the service has managed any complaints. *What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. *The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. * Relevant information from other organisations. * What other people have told us about the service. What has this told us about the service? The registered provider sent us their annual quality assurance assessment (AQAA). It was clear and gave us all the information we asked for. However, since the AQAA was completed the manager who was the author of the report has withdrawn her application to manage the home, and the post is vacant. We received a satisfactory response to our postal survey i.e. responses from staff members and responses from external professionals that work with the service: In the survey response, staff members were positive about the service. Respondents said recruitment, induction and staff training are all good , management are supportive and suitable information is available about people who use the service. People said the service was homely, care and support is individualised and there is a good range of activities available to people who use the service. We received some comments that at times there could be more staff to help people using the service manage their behaviour, which at times can be challenging. We also received a comment that the building needs to be renovated. The AQAA does state there are plans to complete some decoration and structural work at the home. We had responses from professionals who work with the service. People said support was either always or usually good in regard to assessment, monitoring and review, staff competence at providing support, and assisting people living in the home to live a lifestyle they chose. We have not received any concerns or complaints regarding this service since the last inspection. Since the last key inspection we have received some notifications regarding unexpected incidents such as injuries to people living in the home. We do not have any concerns regarding how these matters were managed. Annual Service Review Page 4 of 6 There has been no contact from the social services departments or other authorities regarding any concerns they may have about the operation of the service, or which cause us any concerns about how people are supported by the service. We are concerned that there has not been a registered manager at the home since before the last key inspection. We are also concerned that the two manager applications received by CQC were both withdrawn. We understand however that there is a temporary acting manager, and the organisation is currently recruiting for a permanent manager for the home. As soon as the post is filled, we do need to receive full information about the person who will be applying to be registered with the commission as the manager. We also require an application to be submitted for the persons registration within 3 months of their appointment. What are we going to do as a result of this annual service review? We may carry out a random inspection of this service due to the significant number of management changes since the last key inspection. We currently plan to complete a key inspection within 3 years of the last key inspection. However, we are currently reviewing our assessment /inspection methodology and these changes will be announced soon. We have the power to inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
