Inspection on 05/04/06 for Tangneffydd

This inspection was carried out on 5th April 2006.

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

Tangneffydd 17/02/06

Tangneffydd 12/12/05

Tangneffydd 16/03/05

Tangneffydd 05/01/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Tangneffydd 82 Lincoln Road Metheringham Lincoln Lincs LN4 3EE Lead Inspector Vanessa Gent Unannounced Inspection 5th April 2006 12:15 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 Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Tangneffydd Address 82 Lincoln Road Metheringham Lincoln Lincs LN4 3EE 01526 322098 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) Mrs Dorothy Rae Mr Derek Andrew Rae Mrs Dorothy Rae Care Home 1 Category(ies) of Learning disability over 65 years of age (1) registration, with number of places Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One bed in the category LD(E) is registered for a service user as named in the Notice of Proposal to Register dated 5 May 2005. Date of last inspection Brief Description of the Service: Tangneffydd is a four-bedroom bungalow with a large garden to the front and rear of the property, with a pond and patio area. This is a small family run home which is situated on the outskirts of the village of Metheringham, 8 miles north of the town of Sleaford and 7 miles South of the city of Lincoln. Metheringham has a variety of shops and services including a post office as well as a bus service and railway station. The home is registered for one person who has needs associated with learning disabilities and is over sixty-five years of age. The proprietors have confirmed in writing that that they intend to only offer a home for life for the one person who currently lives at the home and who has done so for a number of years. The providers confirmed that they do not employ any other staff to work in the home. The service user lives as part of the family. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first required by law to be undertaken for April 2006 to March 2007. It was undertaken by one inspector and took place over three hours. The main method of inspection used is called case-tracking which involves tracking the care that residents receive through the checking of records, discussion with them, the care staff and observation of care practices. The resident’s care plans were examined. A tour of the home was made. The resident and the providers were spoken with. What the service does well: What has improved since the last inspection? Medications are now stored in a locked cupboard. The providers have opened a bank account in the name of the resident which he will be able to access freely. The dogs have been provided with outside kennel accommodation but are allowed in as and when the resident wishes and it is suitable. Risk assessments are now in place that cover any risks the resident might encounter, to ensure the resident is adequately protected from any potential safety hazards or situations. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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 Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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): The standards in this section are not applicable as the only resident lives as part of the family and the providers do not intend to take any other residents in to the home. EVIDENCE: The registered persons have confirmed in writing that it is not their intention to provide a service to any person other than the one who currently lives at the home. Standard 3 was seen to be met at a previous inspection of the home. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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, 9 The care plans detail the care provided to the resident and contain all the information necessary to safeguard the resident at all times. EVIDENCE: The manager has produced a computer-led review of care, with risk assessments having been completed for all aspects of risk to the resident. The resident’s care records and daily records, although cursory, now describe in sufficient detail the risk assessments, activities and events pertinent to the resident to demonstrate how the resident’s needs are met. A review by Social Services has been requested which the Social Worker will undertake and complete. Medication is now stored in a locked cupboard kept in the conservatory. It was advised that the temperature of the room is recorded daily. This was put into effect by the end of the inspection. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 10 The residents privacy and dignity is respected. Although supervision and support is given as and when necessary, the residents wishes are put into effect in most aspects of the routines of the home. Evidence was seen at previous inspections that confirms that standards 8 and 10 were met. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 The requirements are exceeded in the way the residents wishes and needs are met. EVIDENCE: Evidence was seen at previous inspections that confirms that standards 12 and 15 were adequately met. The resident is happy with the autonomy and choice that he has in the home. The providers accommodate his wishes and routines and these mostly dictate the way the home is managed and run. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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, 18 The providers keep the resident safe from harm and make enough provisions for the resident to make any concerns or complaints known. EVIDENCE: The care plans contain a Complaints Policy which clearly describes the way in which the resident can make any concerns known. The providers have asked Social Services to visit to review the residents care and be his advocate should he wish it. The resident has not expressed concerns about his care and is indeed happy with his care and lifestyle. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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, 24, 26 The environment of the home ensures that the resident is cared for in an environment appropriate for his needs and wishes. EVIDENCE: The resident is provided with a comfortable and generally well-maintained environment. The resident keeps his own room clean and tidy. It is attractively furnished and some of the pictures are the residents own art work. The dogs were outside, two in the garden, one in a purpose-built kennel. The garden was clean and tidy. The communal areas of the home, including the kitchen, lounge, bathroom and conservatory, were clean and appeared hygienic. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 14 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, 30 The providers meet the resident’s needs. The resident is cared for by people who are well-trained, and are authoritative in maintaining a safe and comfortable environment. EVIDENCE: Standards 28 and 29 are not applicable to this home as no staff are employed. The provider was trained as a nurse in mental health, although he has not maintained his registration. Both providers have had many years experience in caring for people with mental health issues and diagnoses. The manager has undertaken many training courses for the care they give to foster children but which are also applicable to the care of older people. The providers said, and the resident confirmed, that the resident is not left on his own for long periods of time. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 15 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): 31, 33, 35, 37, 38 The experience of the providers and the health and safety procedures in the home ensure that the resident is cared for in a safe, hygienic and comfortable environment. EVIDENCE: Both provider and manager demonstrated a good knowledge of care for people with a mental health diagnosis. The residents views are made known verbally and seen to be taken seriously by the providers. The routines of the home have been created around the residents wishes, preferences and needs. The providers monitor the need to upgrade the home’s facilities and decorations on an ongoing basis. The residents finances are safely administered with the resident now having a personal bank acount. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 16 The two larger dogs are the residents own pets and are housed appropriately and hygienically. Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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 N/A N/A N/A N/A N/A N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 17 18 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 N/A 29 N/A 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X 3 3 3 X 3 Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 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. 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 Tangneffydd DS0000002669.V288344.R01.S.doc Version 5.1 Page 19 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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