Inspection on 17/01/09 for Taptonholme

This inspection was carried out on 17th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Taptonholme 30/10/07

Taptonholme 06/09/06

Taptonholme 02/03/06

Taptonholme 20/07/05

Taptonholme 22/03/05

Taptonholme 23/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Taptonholme 14 Taptonville Crescent Sheffield South Yorkshire S10 5BP The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sue Turner Date: 1 7 0 1 2 0 0 9 Information about the care home Name of care home: Address: Taptonholme 14 Taptonville Crescent Sheffield South Yorkshire S10 5BP 01142663440 01142663440 info@taptonholme.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Taptonholme Limited care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 19 Conditions of registration: Date of last inspection Brief description of the care home Taptonholme provides residential and personal care for up to 19 older people. The home is located in the Broomhill area of Sheffield close to local shops and public transport. Taptonholme is a large extended older property with accommodation over four floors. All bedrooms are single and two have ensuite facilities. The home is situated in its own grounds and has a large mature garden with seating areas. There is a small car park. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The range of monthly fees can be obtained by contacting the service. Care Homes for Older People Page 2 of 9 What we found: This inspection was carried out on a purely random basis to check out peoples well being. Sue Turner, regulation inspector carried out the visit. The site visit started at 9:00 am and finished at 1:00pm. Karen Walker is the manager and she was present for part of the visit. The manager and assistant manager were given feedback during and at the end of the visit. Time was spent observing and interacting with staff and people. Four staff, five relatives and seven people living in the home were spoken to. Choice of Home The homes Statement of Purpose (SOP) and Service User Guide (SUG) were available and on display in the entrance hall. The SOP and SUG had been updated recently. The manager said that she carried out a pre assessment so that they could be assured that they could meet the persons needs. People were invited to visit the home and spend time meeting the staff and seeing the services available. Health and Personal Care One persons care plan was checked. Peoples health, personal and social care needs were recorded. Care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. Individual risk assessments were completed. Two relatives said they had been involved in reviewing their loved ones care plan and evidence of this was seen on the care plan checked. People said, The care here is just what the doctor ordered. If I need to see the doctor, optician or dentist, they either come here or I go to them, whichever I prefer. When I need to see the doctor I just ask and the staff sort it out for me. Relatives said, My fathers care is very good. The staff are very good at getting the health professionals in when its necessary. My mother always looks really well cared for. The pharmacist, who supplied the medication carried out checks to ensure that medications were being administered, stored and disposed of correctly.Senior carers administered medications in the home. Medicines were stored in locked trolleys within treatment rooms. Medicine Administration Records (MAR) checked were completed with staffs signatures. When we arrived at the home the senior carer was administering the morning medications. She left the trolley unlocked whilst she went to get the assistant manager. This was only for a short time but was poor practice and could have put people at risk. During the site visit we observed that people were cared for in a friendly way. Staff were very skillful in ensuring that people maintained their privacy and dignity. People said, I feel very comfortable with the staff. Staff are lovely. Staff make sure I dont feel embarrassed when theyre helping me. Daily Life and Social Activities People were seen to get up when they chose and walked freely around the home, if able. We observed that people looked comfortable and relaxed. Some people chose to stay in their rooms, others preferred sitting in the lounge. Staff respected peoples wishes. Relatives said they were able to visit at any time and were made to feel very welcome. Staff took time to make sure friends and family were made to feel comfortable whilst visiting their loved one. People said that they enjoyed taking part in Care Homes for Older People Page 3 of 9 social activities within the home. Carers arranged games and quizzes. A person came to do exercises and entertainment and church services were also available. People and relatives said it would be better if there was more social activities and outings. The manager said there was no activities worker in post although she had tried to recruit one. Staff said they did try and get people to join in with sing songs etc, but this depended greatly on their own workload. We observed lunch being served in the dining room. People were offered choices to suit their preferences. Dining room tables were set nicely with tablecloths, cutlery and matching crockery. When describing the food people said, its good, cant grumble, very nice and there should be bigger portions. Relatives said, The food is very good. The food always looks and smells appetizing. My father enjoys his meals and is a healthy weight, no problems. Complaints and Protection People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. Relatives said, I have never had any reason whatsoever to complain. If I needed to speak to someone I would see the manager. I havent used the complaints procedure but I am aware of it. I did complain to the manager. She sorted out the problem and there has been no recurrence. We have not received any complaints about the service since the last inspection. The homes complaints log was up to date. It had the details of the three complaints made to them since the last inspection. The complaints had all been resolved by the manager. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. In conversation with staff, we noted that they had a good understanding of safeguarding adults and whistle blowing policies, procedures and practices. The manager said that updated and refresher training in adult safeguarding was arranged each year. There had been two safe guarding referrals since the last inspection. These were appropriately reported and action taken. One safe guarding referral was still being investigated. The home was fully co operating with the safeguarding investigation. People said they felt safe living at the home. Environment The home was clean and tidy. Lounge and dining areas were domestically furnished. Bedrooms were spacious and personalised. Since the last inspection refurbishment of the home had continued. Some carpets and furniture had been replaced and some bedrooms had been redecorated. The toilets and bathrooms had been refurbished and made more homely. The home smelt fresh and clean throughout the day. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Staff had undertaken training in infection control. Relatives said, There are excellent standards of hygiene throughout the home. Bedrooms and communal areas always appear to be well kept. Staffing On the day of the site visit staffing numbers were at an acceptable level. Staff said there were sufficient staff to ensure that peoples individual care needs were met. Mandatory training had been booked and further training in specialized topics for example, end of life care, was being delivered. Staff said that when they started work Care Homes for Older People Page 4 of 9 they received induction training in the first three months of their employment. Three staff files checked identified that the member of staff had received or were undertaking induction training. Staff were able to talk about the various training courses that they had attended, which included mandatory training, for example, Moving and Handling, Food Hygiene, First Aid and Fire. Staff said they were encouraged to attend training on various care topics and the frequency of training had increased in recent months. A number of care staff had completed NVQ Level 2 in care and others had commenced the training. Two records of employment were checked. These included, interview assessment, verification of identity, references, certificates of training, health checks and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. One application form didnt fully record the persons previous employment. The importance of obtaining a full employment history from people was discussed with the manager. Management and Administration The manager was clearly committed to ensuring that people living in the home were consistently well cared for, safe and happy. The manager said that the home was visited each month by the person nominated to carry out Regulation 26 visits. Each month he spent time speaking to people, staff and relatives. A report about the quality of the service provided was completed. These were seen. Staff said that staff meetings took place, although these were poorly attended. Relative meetings also took place. There were no minutes taken following the last relatives meeting. People, staff and relatives said they were happy to approach the manager at any time for advice, guidance or to look at any issues. They all said that they were confident that she would respond to any concerns they may have. There was a system in place to ensure that people, relatives and professionals were given the opportunity to give their views of the home and make suggestions for improvements. Questionnaires were sent out on a rotating basis. The manager then collated the information and wrote a report informing people of any actions that had been taken following comments made. We saw a selection of questionnaires returned and they were very positive. Staff said that they had received fire training and fire drills. A fire risk assessment had been completed and updated. Issues of concern identified by this had been actioned. At the site visit we observed the domestic staff leaving their trolley unattended and out of site. Substances that could be hazardous to peoples health were on the trolley. This was pointed out to the staff who acknowledged that this was unsafe practice. What the care home does well: What they could do better: Care Homes for Older People Page 5 of 9 The service provided at Taptonholme is good and everyone involved should be proud of this. We acknowledge that the provider and manager continue to evaluate and monitor the service and make any changes necessary to ensure that the home continues to improve. So that peoples health, safety and welfare is maintained, staff should make sure that the medicine trolley is always kept locked, when out of their sight. Domestics should keep the trolley that holds hazardous substances within their sight or locked away. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The medicine trolley must not be left unlocked when out of the sight of staff. So that peoples health, safety and welfare is protected. 23/01/2009 2 38 12 Substances that could be hazardous to peoples health must not be left unattended and out of sight of the staff. So that peoples health, safety and welfare is protected. 23/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 29 33 During the recruitment process, peoples full employment record should be obtained. Minutes should be taken of any relatives meetings that are held. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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