Inspection on 09/01/06 for Tanners

This inspection was carried out on 9th January 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

Tanners 10/04/07

Tanners 18/01/05

Tanners 22/07/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Tanners Stewart Close Abbotts Langley Hertfordshire WD5 OHT Lead Inspector Mrs Sheila Knopp Unannounced Inspection 3:00 9 January 2006 th Tanners DS0000019560.V263258.R01.S.doc Version 5.0 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 Tanners DS0000019560.V263258.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 Adults 18-65. 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. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tanners Address Stewart Close Abbotts Langley Hertfordshire WD5 OHT 01923 681154 01923 681154 Telephone number Fax number Email address Provider Web address tanners@lifeopportunitiestrust.co.uk www.lifeopportunitiestrust.co.uk Life Opportunities Trust Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Catherine Cadoo Care Home 7 Category(ies) of Dementia - over 65 years of age (7), Learning registration, with number disability (7), Learning disability over 65 years of places of age (7), Physical disability (7), Physical disability over 65 years of age (7) Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate service users aged 50 years and over only 30th July 2005 Date of last inspection Brief Description of the Service: Tanners is a purpose built bungalow that was constructed to meet the needs of seven service users who have learning disabilities and associated physical disabilities. The home which is operated by Life Opportunities Trust has seven single-occupancy bedrooms, a large communual lounge that adjoins the dining room, a kitchen, laundry room, two bathrooms with toilets and a separate toilet. One of the bathrooms has a separate shower. Bath hoists are provided. The bungalow is detached and is surrounded by gardens that are mainly laid to lawn with surrounding shrubs and a patio area. Off road parking for visitors and the homes mini-bus is provided. Tanners is loacted on a private housing development and is situated at the end of a cul-de-sac. It blends in well with the neighbouring properties. There is a parade of shops nearby as well as a country park and pub. The village of Abbotts Langley is relatively close and there is a local bus stop from which connections to Watford and the local neighbourhood can be made. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second planned unannounced inspection for the year April 2005 – March 2006. There have been no major changes in the home since the last inspection when the majority of key standards were inspected. At this time a high level of satisfaction was expressed by relatives and professionals in contact with service users. Details of key standards not inspected on this occasion can be found in the inspection report dated 30 July 2005. The inspector met all 6 service users living at Tanners and interviewed the two staff and manager on duty. All the residents looked relaxed and comfortable within the home and their interaction with staff. No requirements have been made as a result of the last two inspections and no complaints have been received by the Commission about this service. What the service does well: What has improved since the last inspection? The manager and management team continue to respond to the changing needs of service users as they get older and ensure that high standards are maintained in their home. The recommendations made in the last inspection report regarding medication storage and provision of a pressure relieving cushion have been responded to. Tanners DS0000019560.V263258.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. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: Arrangements were being made to introduce a new service user to the home. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 The risk to residents in relation to their daily activities, home environment and community contact are well understood, recorded and regularly reviewed. EVIDENCE: Individual risk assessments and management strategies are recorded for each resident according to the events and activities they are involved with. The records seen had been regularly reviewed and reflected individual circumstances. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected. EVIDENCE: In response to a recommendation made following the last inspection an additional cupboard has been ordered so that external medication such as creams and lotions can be stored separately to prevent infection. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The policies and practices of the organisation and staff within the home raise awareness about the issues which may confront service users and the systems in place to protect them from harm. EVIDENCE: The staff training records and staff interviews confirm that staff are aware of the organisations whistle blowing policy and adult protection procedures. The training records showed that staff are receiving Protection of Vulnerable Adult training on a regular basis. Staff felt there was a very open and supportive culture within the home in which they could raise concerns should the need arise arise. The policies and procedures in place in relation to staff involvement with resident finances and pre-employment checks on staff before they start work minimise the risk of harm to service users. Service users and staff have access to external advocacy services as required and individual annual reviews are carried out by the responsible placing authority. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected. EVIDENCE: Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35 Service users are supported by a well trained and consistent team of staff who demonstrate enthusiasm and commitment to their roles. EVIDENCE: The last two years has seen the development and maintenance of a stable staff and management team which has provided continuity of care and support to the service users. As reported at the last inspection an increase in staff numbers during the day, to respond to the changing needs of service users, continues to support their individual needs and social interests. Sixty six percent of staff have achieved qualifications at NVQ level 2 or above which is above the requirement for care homes to achieve a 50 ratio by the end of 2005. Staff have individual training programmes and confirm their on-going development and training needs are supported. No new staff have been recruited since the last inspection. The records of the newest member of staff demonstrated that the required checks to protect service users are carried out before they start work Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 The quality of the service provided is regularly reviewed. It has been recommended for future development that a report, in a suitable format, is provided to service users, relatives and other interested parties, on the outcome of the review process in relation to the specific service provided at Tanners and a copy provided to the Commission. EVIDENCE: The views of service users on the running of the home are heard and promoted through service user group meetings, the key working role and individual reviews. There are systems in place to monitor the quality of the service and put in place development and action plans where required. While the quality of the services provided by Life Opportunities Trust are regularly reviewed as part of their continued ISO and Investors in People Accreditation there is currently no report available to service users, relatives Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 16 and other interested parties about the outcome of those reviews in relation to the service provided at Tanners. The service, training and health and safety records seen demonstrated that the service users and staff are provided with a safe environment in which to live and work. Tanners DS0000019560.V263258.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tanners Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000019560.V263258.R01.S.doc Version 5.0 Page 18 NO 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. 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. 1 Refer to Standard YA39 Good Practice Recommendations Develop a system for provide service users, relatives, stakeholders and the Commission with a report on the outcome of the quality assurance reviews on the service provided at Tanners. Identify a date when this could be made available. Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Tanners DS0000019560.V263258.R01.S.doc Version 5.0 Page 20 - 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. 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