Inspection on 09/02/06 for Tasker House

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Tasker House 23/04/07

Tasker House 16/08/05

Tasker House 17/03/05

Tasker House 04/01/05

Tasker House 15/12/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Tasker House 160 Westfield Road Wellingborough Northants NN8 3HX Lead Inspector Kim Cowley Unannounced Inspection 9th February 2006 3:00 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 Tasker House DS0000012937.V282385.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 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. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Tasker House Address 160 Westfield Road Wellingborough Northants NN8 3HX 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) 01933 276447 01933 383377 Monolace Limited Mrs Helen Rogers Care Home 26 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (26) of places Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Where there are 26 people accommodated in the home within the category of OP, no further persons may be admitted under this category. Within this total of 26 up to 20 persons can be admitted under the category of DE(E). 16 August 2005 Date of last inspection Brief Description of the Service: Tasker House is a care home providing personal care and accommodation for up to 26 older people, some of who have dementia. The home is a large detached house and is located near to the centre of Wellingborough. There are bedrooms on two floors and there are two passenger lifts. There are twenty four single bedrooms and one double. The majority of bedrooms have ensuite facilities. Downstairs are two lounges, an activities room, and dining room. At the rear of the home is a secluded level garden. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents. This means the inspector checked their care records and met with them. In addition the inspector talked to seven other residents, the Manager, the Deputy, the Owner, and one of the care staff. The care plans, the person-centred approach to care, and the Manager and staff team are commended. What the service does well: Tasker House cares for 26 older people in a well-maintained and homely environment. Staff are friendly and efficient and appear to have excellent relationships with residents. All residents made many positive comments about the home including, ‘We live like royalty here’, ‘This is the best home in the area’, and ‘I’ve had no end of laughs here with the staff.’ Staff use a person-centred approach to encourage residents to determine their own lifestyles, and there are no fixed routines in the home. One resident commented, ‘I can go to bed when I want here – the sky’s the limit.’ Another said, ‘I please myself when I get up, I ring for the staff when I’m ready.’ This approach is person centred and is commended. Residents are proud of their home. Two volunteered to show the inspector their bedrooms. These were homely and personalised with good ensuite facilities and storage space. Communal areas were well decorated and comfortable. All areas inspected were clean, fresh, and tidy. One resident commented, ‘This home is spotless. My room is cleaned every day’, another said, ‘When I came to look round the first thing I noticed about this home was how clean it was. When I saw that I wanted to come here.’ The home is well staffed and as a result care staff and the activities organisers have the time to take residents out, for example to shop or to visit pubs or cafés. All residents interviewed praised the Manager and the staff team and the following comments were made, ‘The Manageress is marvellous – I like everything about her. My daughter thinks she’s lovely too’, ‘The staff are wonderful, very caring and kind’, and ‘The staff treat us like we were their own relatives.’ The staff team are commended. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 6 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. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 7 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 Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 8 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): EVIDENCE: These Standards were last inspected at the last inspection on 16 August 2005. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 9 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 Residents’ health, personal and social needs are clearly defined in their care plans, and instructions given to staff on how to meet them. EVIDENCE: Since the last inspection a new system of care planning has been introduced. This is person-centred and covers all areas of care, including dementia. Those care plans inspected were well organised, clear, and up-to-date. Each resident has an Activity Profile, which identifies their hobbies and interests and sets out a weekly programme for them. They also have a Life History sheet, which contains information about their background and family tree. Health needs are clearly defined. Nutritional assessments are carried out for each resident. The new system of care planning is commended. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 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): 14 Staff use a person-centred approach to encourage residents to determine their own lifestyles. EVIDENCE: Standard 14 was inspected. Residents’ preferences about their care and lifestyles are documented in their care plans. On admission residents are asked about their daily routines, for example getting up and going to bed times, when they like to bath or shower, and likes and dislikes regarding meals and activities. One resident commented, ‘I can go to bed when I want here – the sky’s the limit.’ Another said, ‘I please myself when I get up, I ring for the staff when I’m ready.’ The Manager said ‘We are very flexible here. For example, some residents like their breakfast in bed on a tray, other like to come down to the dining room. Getting up times range from 7.30 – 11am and breakfast is served whenever residents want it. This creates a little extra work for staff but that’s what we’re here for, the residents come first.’ Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 11 Residents are encouraged to make choices about all aspects of their lives. The two designated activities organisers encourage residents to pursue their individual hobbies and interests and take part in group activities if they wish. The approach is person centred and this is commended. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These Standards were last inspected at the last inspection on 16 August 2005. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 13 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 premises have been improved and are well decorated, homely and comfortable. All areas inspected were clean, fresh and tidy. EVIDENCE: Since the last inspection significant improvements have been made to the premises including: • • • • • an eight-persons shaft lift four new bedrooms with ensuite facilities an activities/quiet lounge a disabled-access bathroom and shower room a new fire system and automatic closers on some fire doors Residents are proud of their home. Two volunteered to show the inspector their bedrooms. These were homely and personalised with good ensuite Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 14 facilities and storage space. Communal areas are well decorated and comfortable. Two cleaners are employed. All areas inspected were clean, fresh, and tidy. One resident commented, ‘This home is spotless. My room is cleaned every day’, another said, ‘When I came to look round the first thing I noticed about this home was how clean it was. When I saw that I wanted to come here.’ Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 15 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, 29 The home is well staffed by friendly and well-trained carers. Residents are protected by good recruitment policy and practices. EVIDENCE: The home is well staffed. On the day of inspection there were three carers, the Manager, the Deputy Manager, the cook and two cleaners on duty. The Owner was also in the home overseeing improvements to the premises. At night there are two waking members of staff on duty and a further senior member of staff on duty. Due to the good staffing levels care staff and the activities organisers have the time to take residents out, for example to shop or visit the pub or a café. The staff team is established and some have worked at the home for over 10 years. Staff turnover is low. New staff are interviewed by senior staff and on occasions a resident is also on the interview panel. The Manager confirmed that no members of staff start work in the home without a CRB/POVA check and references. Since the last inspection all care staff have attended courses in Dementia Care and expertise is being developed in this area. Other courses attended recently include Infection Control, Reminiscence Therapy, Documentations, Food Hygiene, and Fire Safety. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 16 All residents interviewed praised the Manager and the staff team and the following comments were made: ‘The Manageress is marvellous – I like everything about her. My daughter thinks she’s lovely too.’ ‘The staff are wonderful, very caring and kind.’ ‘The staff treat us like we were their own relatives.’ The staff team are commended. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 17 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): 33, 35 The home is run in the best interests of residents and their financial interests are safeguarded. EVIDENCE: The Manager said the home is run for the comfort and convenience of the residents. Staff undergo the TOPSS induction, which emphasises residents’ rights and choice. The Manager said ‘There are no institutional practices in this home and I would go mad if I came across any.’ She said residents daily routines tend to change, and staff accept that. ‘One one day a resident might be tired and want to go to bed early, on another day there might be something good on television and they feel like staying up late. It’s up to them.’ There are regular residents’ meetings where residents are encouraged to share their views about the home. There is also a ‘suggestions box’ they can use, Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 18 and regular newsletter to keep staff and residents informed about what is happening in the home. Staff will look after small amounts of cash for residents. Appropriate records are kept. Some residents look after their own finances, others have their managed by relatives or solicitors. If staff are concerned about the way a resident’s finances are being managed social services are informed. Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 19 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 20 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. 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. Refer to Standard Good Practice Recommendations Tasker House DS0000012937.V282385.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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