Inspection on 15/12/06 for Tarrant House

This inspection was carried out on 15th December 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

Tarrant House 25/01/06

Tarrant House 04/08/05

Tarrant House 23/02/05

Tarrant House 04/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Tarrant House Perrancombe Perranporth Cornwall TR6 0JB Lead Inspector Ian Wright Key Unannounced Inspection 15 to 19th December 2006 14:30 th Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 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 Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 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. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tarrant House Address Perrancombe Perranporth Cornwall TR6 0JB 01872 572214 01326 375601 tarrant@belhay.aol.com 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 Maureen Joy Tarrant Mr Steven Jon Tarrant Mrs Shirley Joy Taylor Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Tarrant House provides residential care for seven adults with a learning disability. Many of the service users are diagnosed as autistic. Mr Steven and Mrs Maureen Tarrant are the registered persons. Mrs Shirley Taylor is the registered manager. The home is situated in Perrancombe and is approximately two miles from Perranporth. Accommodation is provided mostly on the first floor, although a few bedrooms and the office are on the ground floor. Service users have access to a lounge, dining area and kitchen. There is sufficient car parking to the front of the property. A copy of the inspection report is available in the office, and it is suggested a copy is requested from management or CSCI if required. The range of fees at the time of the inspection is £564-950 per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place in twelve and a quarter hours over three days. All of the key standards were inspected. The methodology used for this inspection was: • To case track five service users. This included, where possible, meeting and discussing with the service users their experiences, and inspecting their records. However, service users at this home have limited verbal communication skills. • Discussing with staff their experiences working in the home. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: Care and management at Tarrant House are to a high standard and there are no statutory requirements. This is unusual following any key inspection visit. One recommendation for good practice has been made. The registered persons should consider providing more formalised training regarding autism during staff induction training. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 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 Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable statement of purpose and service user guide. This enables service users and their relatives to have suitable information regarding services provided. Service users have a suitable contract of care or statement of terms of conditions of residency. This enables service users to be aware of their rights and responsibilities. The pre admission assessment procedure is good, and enables the registered persons to ascertain they can meet the needs of service users, before admission is arranged. EVIDENCE: Copies of the statement of purpose, service user guide and contract of care / statement of terms of conditions of residency, were inspected. The registered persons said this information was provided to service users and /or their representatives before or on admission. Copies of local authority contracts are also on file where applicable. Copies of pre admission assessments were also inspected and these were comprehensive. A copy of the registered persons’ assessment policy was also inspected and this is satisfactory. Discussion with staff and the registered persons outlined a suitable process of how new service users moved in to the Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 9 home. This included, where appropriate, the opportunity for service users to visit the home/ stay at the home before formal admission was arranged. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have a care plan and these are reviewed. Care plans ensure staff have suitable information to provide care. Service users are encouraged to make decisions about their lives with suitable assistance as required. The registered persons approach to handling service users moneys is good so service users can be assured their finances are maintained appropriately where staff are involved in this area of their lives. The registered persons have a suitable approach to risk, so service users can be assured they will be supported to take risks as part of an independent lifestyle. EVIDENCE: There is a copy of a care plan in each service user file. Staff said care plans were accessible to them. The care plan format is comprehensive and gives appropriate guidance to staff regarding service user needs. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 11 Staff said service users are encouraged to make decisions regarding their lives. Suitable risk assessments are in place to assess any risks or actions to promote independence. Staff look after some service user moneys, for which suitable records (including a risk assessment) are maintained. The registered provider has a satisfactory policy regarding diversity and equality. There are currently no service users from ethnic minorities, although the registered provider stated the home would be more than happy to accommodate service users from other cultures. The local population is predominantly Cornish, and from ‘White-UK’ background. Women service users have equal opportunity compared with their male counterparts. Issues regarding sexuality seem to be suitably addressed. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can participate in a suitable range of activities, and are able to mix with the wider community. Service users are encouraged to maintain relationships with friends and relatives. Service users rights are respected, and service users are enabled to take a suitable amount of responsibility in their daily lives. Suitable arrangements are in place so service users enjoy a healthy and varied diet. EVIDENCE: Staff said service users attend a range of day activities including attending educational courses and various leisure facilities. Staff said other activities are also arranged in the evenings and at weekends. The home has a ‘multi purpose vehicle’ for service user use. Staff said service users visit friends and relatives regularly, and they are encouraged to maintain contact via the telephone or post. Visiting Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 13 arrangements are flexible, and there is suitable space for service users to receive visitors privately. Staff said service users could get up and go to bed when they wish, although some may need reminding to get up on the days they attend activities. Staff appeared to work with service in a way, which respects their privacy and dignity. Staff were observed knocking on bedroom doors, and staff said service users’ mail is not opened without their agreement. Staff said service users have some involvement in household tasks for example doing laundry, cleaning tasks, shopping and cooking. Service users appeared to enjoy the food provided. The inspector shared a meal with service users. This was to a good standard and support provided to service users was to a good standard. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care is delivered to a good standard, and there are suitable links with medical professionals. The management of service users medicines is to a good standard so service users can be assured their medication is suitably looked after. EVIDENCE: Service users were observed as receiving suitable care and support from staff. Any personal care needs are documented in care plans. Staff the inspector spoke to seem clear regarding what assistance service users need. Care plans document appropriate links with GP’s, dentists, opticians, chiropodists and other professionals. Staff said service users regularly saw medical professionals when required. The manager and other staff reported no problems with links with medical professionals. Medication is stored securely, and dispensed appropriately. The management of the system and records kept are to a good standard. Staff have received suitable external training regarding medication. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons have suitable procedures regarding complaints and adult protection. Subsequently service users can be assured there are appropriate procedures to deal with any concerns or bad practice. EVIDENCE: The registered persons have satisfactory procedures regarding complaints and adult protection. Staff showed some awareness of the procedures, and were able to say whom they would approach if they had a complaint or were concerned about abuse. The majority of staff have also attended training regarding the prevention of abuse. Staff all said they had not witnessed any bad or abusive practices. All staff have Criminal Record Bureau check, and a Protection of Vulnerable Adults check (where applicable). Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tarrant House provides a pleasant, homely and clean environment for service users. EVIDENCE: The building was inspected. The home offers a pleasant and homely environment for service users. Bedrooms and communal areas are of suitable size to meet the needs of service users. All areas of the home are decorated to a good standard. The registered provider has added a large conservatory to the rear of the home, which will be used as a recreational area. There is a pleasant garden at the rear of the home. The home was clean and hygienic throughout the inspection. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels appear suitable so service users can be assured they will get appropriate levels of staff support. Recruitment records are good so service users can be assured there are suitable recruitment procedures and checks in place. Staff training provision is good so staff receive appropriate training as required by regulation. This should assure service users that staff have suitable skills and knowledge to cater for their needs. It is recommended staff receive additional training in autism. Equal opportunities issues regarding recruitment and work practices seem satisfactory. EVIDENCE: Rotas show at least three members of staff are on duty in the morning and three members of staff on duty in the afternoon and evening. Two staff sleep in between 2200 and 0800. The registered manager also works in the home. Mr Tarrant will also be at the home several times a week. The registered persons have a suitable approach to providing National Vocational Qualifications for care staff. The pre inspection questionnaire stated that 50 of staff have an NVQ 2 or 3. Copies of staff NVQ certificates were contained in staff files. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 18 Suitable induction records were available for all staff. Induction includes shadowing more experienced staff; formal instruction from management and viewing videos/ DVD’s regarding various issues such as food hygiene. Staff training required by regulation is to a good standard. Staff training includes staff having a first aid certificate (at appointed persons level), training in manual handling, fire training, infection control training and food handling. Some staff have also attended a health and safety course. The registered persons ensure staff have this training usually within six months. Staff also receive training in epilepsy. Some staff have also received training in Makaton, Person Centred Planning and challenging behaviour. This is very good and it is clear the management are committed to ensuring staff receive suitable training. It is also recommended staff have formal training to improve basic awareness of autistic spectrum disorders (e.g. Wing’s triad of impairment, difference between autism and Asperger’s Syndrome etc.) If possible this should be covered at the induction stage. The registered manager said some of these issues are covered within the National Vocational Qualification staff are required to complete. Care of people with an autistic spectrum disorder is however to a good standard. Recruitment records were inspected. These were to a very good standard and include an application form, two references, supervision records and a record of staff induction. All staff have a Criminal Records Bureau check and Protection of Vulnerable Adults check. The registered persons’ approach to equal opportunities and anti discrimination is appropriate. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons appear to be suitably experienced, skilled and qualified to manage the home so service users can be assured there are competent people in charge of the home. There is a suitable quality assurance system in place so service users can be assured there is a suitable system to measure and maintain a good quality of service. The management of health and safety issues is good so service users can be assured they live in a safe environment. EVIDENCE: The registered persons appear caring, approachable and competent. The staff the inspector spoke to say the registered persons are good to work for, and provided sufficient guidance and support to help them to do their jobs. Service users were positive about the registered persons approach. The registered persons have a suitable approach to quality assurance. The registered persons have a comprehensive quality assurance system to ensure quality standards and regulatory requirements are maintained. A survey has Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 20 been completed of stakeholder views and these are positive. A summary report of the findings was produced. Staff meetings and senior meetings occur regularly and resident meetings also take place. The registered persons have a suitable health and safety policy. Regular health and safety checks are completed. Other records kept of checks required by regulation are satisfactory. For example there are suitable records of the testing of fire equipment, portable electrical appliances and the electrical hardwire circuit. Accident records are suitably maintained. The central heating system is serviced annually. Health and safety risk assessments are satisfactory including a suitable system regarding the prevention of Legionella. Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 21 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 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 22 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 YA35 Good Practice Recommendations Staff should receive training in Autistic Spectrum Disorders (e.g. basic awareness training during induction). Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 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 © 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 Tarrant House DS0000009093.V313430.R01.S.doc Version 5.2 Page 24 - 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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