Inspection on 15/12/05 for Tara

This inspection was carried out on 15th December 2005.

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

Tara 28/07/08

Tara 31/07/06

Tara 14/12/04

Tara 18/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Tara 5 Avenue Road Brentwood Essex CM14 5EL Lead Inspector Mr Ron Reeves Unannounced Inspection 15th December 2005 11:00 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 Tara DS0000018045.V268491.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 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. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tara Address 5 Avenue Road Brentwood Essex CM14 5EL 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) 01277 233679 01277 233679 Mr Mohendas Karachand Sookarry Mrs Chandanee Sookarry Mrs Chandanee Sookarry Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: Tara Care Home is a traditional semi-detached large house positioned near the corner of a busy main road leading to Brentwood railway station and town centre. The home has a small front entrance. There is no passenger lift. The rear garden is compact but suitable for the needs of the service users who reside in the home. There is a strong family presence in the home with a number of experienced staff related to the registered provider and manager. This works well and the service users spoke positively of the care and support they receive. Service users on admission are still able to access the local community with staff support. Most service users have resided at Tara for a number of years. Given the age group of the service users, the registered provider and manager recognise that their care needs and dependency levels will increase. Leisure interests are encouraged and communal meals out are a common feature of life in the home. There are shops, a pub and doctors surgery nearby. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which was carried out on the 15th December and lasted for four hours. The inspection included discussions with the manager/proprietor and the second proprietor, a tour of the premises, observing and speaking to residents and staff, and inspection of a sample of policies and records. 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. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 6 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 Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 7 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): 1,4,5 The home operates a thorough pre-admission assessment process and care and attention is given to ensuring that the home can meet individual needs. Further development of the home’s service users guide is needed to ensure residents and their families are given comprehensive details of the home and the service provided. EVIDENCE: The home has an appropriate Statement of Purpose. The Service Users’ Guide needs further development to meet this standard. Each residents is provided with a contract, which includes the terms and conditions of residence. Residents’ files evidenced that the manager carries out pre-admission assessments and invites prospective residents and their families to visit the home as many times as they like before making any decisions. All residents are admitted on a four week trial basis during which the manager continually assess the residents to ensure the home can meet their needs. Tara does not admit people for intermediate care. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 8 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): 7,8,9-11 Residents’ personal and health care needs are consistently being met by the home. EVIDENCE: Care plans seen covered all residents assessed needs and include clear instructions to staff to meet residents’ needs. Care plans are reviewed on a regular basis; however, the manager was informed that care plans should be reviewed on a monthly basis. Care plans evidenced that residents’ health care needs were being addressed with the home enabling residents to access their GP and all other local health services, including, regular visit by opticians, dentists and chiropodists. All residents, except for latest person admitted, have been assessed as unable to manage their medication. Medication records were appropriately maintained and medication stored securely. The home maintains a good relationship with the local pharmacist who regularly visits the home and provides training for staff. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 9 The home has a comprehensive policy dealing with death and dying which all staff are aware. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 10 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): 12-15 Daily routine were generally flexible. Residents are encouraged to take part in a wide range of activities. The home provides sufficient quality and quantity of food, which provides a well balanced diet that meets individual resident’s needs. EVIDENCE: The home has a daily programme of activities and residents take part if they wish. Resident’s interests are recorded and staff encourage them to pursue these. The home welcomes visitors at any time during the day. The manager informed that most residents have regular visitors, some more regular then others as some of relatives live a distance from the home. Menus are planned on a weekly basis, based on residents’ likes and dislikes. The manager considers nutritious food essential for residents to maintain good health. If residents need assistance at mealtimes, this is provided in a discreet manner. The kitchen was clean and tidy and food stored correctly. Residents spoken with were very complimentary regarding the quality and quantity of food provided. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 11 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 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: The home has an appropriate complaints policy, which is displayed in the home so that visitors and residents can see it. The manager informed that no complaints have been received by the home and that the home has received several compliments from relatives. All residents are included in the local voters register. The manager informed that residents are encouraged to use their vote and if necessary support them to vote. The home has an appropriate policy for protecting residents from abuse, which the manager discusses with all the staff. Only one member of staff has attended external training on the protection of vulnerable adults. The manager was encouraged to ensure all staff attend external training. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 12 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): 19-26 The home provides a good standard of accommodation, which is clean, comfortable and generally well maintained. EVIDENCE: The home is generally well maintained and suited to the present residents’ needs. It is decorated and furnished to a standard that creates a comfortable and homely environment for the residents. The communal facilities consist of a lounge/diner and a second lounge. The home has a maintenance person who carries out repairs and improvements to the home, including providing wooden panelling to the corridors and staircase. Residents’ bedrooms were seen to be well furnished and personalised to individual residents tastes. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 13 As the building does not have a lift, or the space of one, residents are made aware that the first floor of the home can only be accessed by the staircase and the building may not be suitable if residents’ mobility declines. The home has adequate communal toilets and bathrooms to meet residents’ needs. One bathroom has recently been retiled. The home was found to be clean, tidy and odour free. Tara DS0000018045.V268491.R01.S.doc Version 5.0 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 Staffing levels and skills are appropriate to meet residents’ needs. EVIDENCE: The home continues to meet its agreed staffing levels without the use of agency staff. Staff are encouraged to attend a wide range of training including training at NVQ Level 2,3 and 4. Recruitment records of the last person examined revealed that a thorough recruitment process is in place. Staff spoken with felt they had a good staff team and morale was high. Residents spoken with said the staff are nice and kind and do spend time with them. Tara DS0000018045.V268491.R01.S.doc Version 5.0 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): 31-38 The home benefits from an experienced and qualified manager who provides stable leadership and guidance to staff to ensure a consistent quality of care. EVIDENCE: The manager is a trained nurse and holds the Registered Managers Award at NVQ Level 4. Both the manager and proprietor keep their nursing qualifications up-to-date. The manager and proprietor have owned the home since 1990. Staff spoke highly of the manager and said she was very supportive, easy to approach and works hands on with them. Staff received regular supervision on a one-to-one basis. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 16 The manager informed that residents’ finances are managed by their families or by social services. However, the home does look after small amounts of residents’ money for day-to-day expenses. Appropriate records were seen to be maintained. Other records seen were well kept, up-to-date and stored securely. Safety certificates were in place for services and equipment and regular checks on the home fire protection systems maintained. Tara DS0000018045.V268491.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 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 2 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Tara DS0000018045.V268491.R01.S.doc Version 5.0 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. 1. Standard OP1 Regulation 5 Requirement Service Users Guide should be further developed to ensure adequate information regarding the service provided by the home Timescale for action 31/01/06 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. 2. Refer to Standard OP7 OP18 Good Practice Recommendations Residents’ care plans should be reviewed on a monthly basis. All staff should be provided with appropriate training in the protection of vulnerable adults. Tara DS0000018045.V268491.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Tara DS0000018045.V268491.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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