Inspection on 24/01/06 for Tanners Wood Close

This inspection was carried out on 24th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tanners Wood Close 13/02/09

Tanners Wood Close 14/03/07

Tanners Wood Close 19/09/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Tanners Wood Close 5 & 5a Tanners Wood Close Tanners Wood Lane Abbots Langley Hertfordshire WD5 0HR Lead Inspector Pat House Unannounced Inspection 24th January 2006 10:00 Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 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 Wood Close DS0000064254.V280555.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 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 Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Tanners Wood Close Address 5 & 5a Tanners Wood Close Tanners Wood Lane Abbots Langley Hertfordshire WD5 0HR 01923 270270 01923 270095 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) Hertfordshire County Council Mrs Brenda Chance Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: Tanners Wood Close Respite Unit Care Unit is a facility operated by Hertfordshire County Council and provides short term care for 8 service users who are aged 18 years and over. The home provides services to those with mild to severe Learning Difficulties, who may also have additional associated needs. The home provides flexible cover throughout the year and the accommodation is mostly used on a pre-arranged basis for over 100 service users. The home is jointly managed with other adjacent residential accommodation, which provides supported housing. The Respite Unit comprises two wheelchair accessible bungalows and has its’ own dedicated staff team. Tanners Wood is situated in a residential area of Abbots Langley village and there are shops, pubs and restaurants nearby. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day with one inspector. The manager was present during the visit and some service users and staff members were spoken with. Records were examined in the main office and medication records were seen in the unit itself. What the service does well: What has improved since the last inspection? 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 Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 6 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 Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 7 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): 1, 4 and 5. Standards 2 and 3 were assessed and met at the last inspection. Written information and frequent visits to the home prior to admittance enable service users to be sure the home will be able to meet their needs and to make an informed choice about becoming a resident. EVIDENCE: A new Statement of Purpose/Service User’s Guide is available, which clearly sets out all appropriate information about the Respite Unit. A copy was provided for the CSCI. There are clear procedures in place for introducing the home to potential residents and lists of planned initial service user visits were seen in the office. Staff have regular contact with the local Social Work Team and with a “feeder” school and are therefore aware of potential service users and any specialist needs. Once a referral is made, a care worker from the home is allocated and family members are contacted. It is usual for at least six visits to be made to the home before a place is taken up by a service user. All residents are given an information sheet about respite services and sign a licence agreement, which is also signed by relatives and the unit manager. Copies of these agreements were seen during the inspection. The home can accommodate appropriate emergency admissions and one service user had recently taken up an emergency place on the death of a relative. Evidence was seen of care staff working with this service user and other agencies to ensure the right long-term placement was found and to support the individual at this difficult time. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 8 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): 8, 9 and 10. Standards 6 and 7 were assessed and met at the last inspection. Service users can be sure their views about life in the home are listened to and can be confident that they will be supported to take appropriate risks, which may enhance their lives. Service users can be sure that all information about them is handled appropriately. EVIDENCE: Service users in the respite unit all have their own named key worker and are able to communicate their views through this link worker. Meetings are also held with service users and staff and questionnaires are sent to those who have used the service, twice each year. Risk assessments have been updated on all service user records. All records and information about service users are kept securely in the home and dealt with in line with the Data Protection Act, the Local Authority’s Access to Records Policy and the home’s policy on confidentiality. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 9 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): 11,12,13,15,16 and 17. Standard 14 was assessed and met at the last visit. Service users and their families can be confident that regular activities and therapies will be supported by staff while residents are in the unit and that their rights will be respected during their stay. Additional activities and appropriate meals are also provided for service users in the unit which add to the individual’s well being. EVIDENCE: Staff endeavour to support service users to continue with the regular activities and commitments they take part in, when they are not in the respite unit. Visits to religious services or to regular therapy sessions would be supported by staff in the home whenever possible. The Manager said that currently, staff at the home are working with the Social Work Team to identify a regular transport arrangement for service users to use in the community. Similarly, service users are able to take part in any appropriate local events, with staff support, while in the unit. Appropriate relationships are supported by staff and relatives of service users are involved in all aspects of daily life in the home. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 10 The manager said that, as most service users are regular visitors and therefore known by staff, the staff endeavour to place residents in a bungalow with other compatible people. Evidence was seen of on-going work taking place between families and care staff from the unit. The home has written guidelines on promoting individual choice and staff clearly promote this policy. The parameters of the daily routines in the unit are also set out in the information given to service users and their families. A monthly list of activities is prepared by the care staff and residents are able to take part in these events if they wish. Meals are prepared by staff who usually know in advance if there are any special dietary needs to be catered for. Service users are involved with meal planning and their views are incorporated in the meal planning and provision. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 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): 18,20 and 21. Standard 19 was assessed and met at the last visit. Procedures are in place to ensure that service users are supported in a way they choose and are protected by the procedures for dealing with medication. EVIDENCE: Care plans detailed the individual needs of service users and daily records, completed by staff, show how these needs were met. Reviews were recorded and plans for service user support where confirmed or changed, as necessary. There are male and female care staff on each staff team and the home is therefore able to fulfil any gender preference an individual might have for staff providing personal care. The home has appropriate aids and adaptations in place to promote service user independence and staff work closely with other health professionals where additional support is required. There is always a member of staff with a First Aid qualification on duty. The procedures for the administration of medication were checked and were thorough. Photographs of service users and details of all medication taken are recorded on entry and relatives sign for the administration of any non- prescribed medication. A new record sheet is produced for each service user, every time they enter the home and documents and risk assessments are completed for residents who selfmedicate. It was recommended, however, that a thermometer is purchased for the medication store and that temperatures are monitored to ensure the safety of medication storage. The home has written policies on Death and Dying, which staff were aware of. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 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): These standards were both assessed and met at the last visit. EVIDENCE: These Standards were not assessed on this occasion. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 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): Standards 24 and 30 were assessed and met at the last visit. EVIDENCE: These Standards were not assessed on this occasion. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 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 and 36. Standard 33 was assessed and met at the last visit. Service users are supported and protected by procedures in the home which ensure that appropriate staff are recruited and that all staff are provided with adequate basic and specialist training. EVIDENCE: Service users spoken with indicated that they were satisfied with the staff in the home and the care they provided. The details on individual records demonstrate an understanding of each individual’s needs and how these needs are all met. Where an individual service user has a specialist need, there was evidence that staff training is provided for the particular condition. In general staff training is given a high priority in the unit and the care workers on the respite unit have been booked on a new course “Working with Carers”. All staff working on the unit have had training on the prevention of Adult Abuse. The numbers of care staff in the home who have completed, or are undertaking, NVQ training are especially good. Currently, almost 70 of care staff have completed NVQ training in levels 2 or 3, and most of the remaining staff members are completing this training. This high level of qualified staff is reflected in the professional attitude of care staff and in the way care is provided for a wide range of service users. However, staff currently need training in Infection Control, one of the mandatory training course for care staff, and a requirement has been made for this to take place. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 15 Staff spoken with confirmed that they all have regular, formal supervision, which is planned and recorded. Recruitment records were checked and evidence of all appropriate checks were in place. The procedures for recruiting staff to the home are very thorough. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 16 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): 37,39,40,41 and 42. Service users have their views listened to and benefit from a well run home, with a supportive staff team and are protected by the Health and Safety procedures in place. EVIDENCE: The manager of the home is registered with the CSCI and has completed NVQ level 5 training. The manager has successfully managed the whole of Tanners Wood Close for a number of years and has enabled the smooth separation of service provision into the respite care unit and the remaining supported Housing provision. The manager currently manages both areas and is responsible for providing domiciliary care to the service users in supported housing. A new deputy manager has been appointed and was present during some of the inspection. There is clearly a very good working relationship between these senior staff members, which benefits the whole staff team and therefore the service users. The home has a Quality Assurance system, linked to that of the Local Authority. Leaflets asking for comments on the services provided are sent out to service users twice each year. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 17 An annual meeting is also held to which service users and relatives are invited and where views are noted. Policies and Procedures are kept securely in the main office and are available to staff and service users. Since the separation of the respite unit, some general policies have been altered to reflect the changes and the manager said that more will be reviewed as becomes necessary. Servicing records were up to date and staff confirmed that regular fire drills take place. A weekly Health and Safety report is produced and three weekly meetings take place to monitor Health and Safety issues. Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 3 2 x 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 3 3 x 3 3 3 3 x Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 19 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. 1 Standard YA35 Regulation Requirement Timescale for action 01/09/06 18(1)(c)(i) The Registered Provider must provide training in Infection Control for all staff working in the home. 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 Tanners Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 20 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 Wood Close DS0000064254.V280555.R01.S.doc Version 5.1 Page 21 - 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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