Inspection on 01/12/05 for Tealbeck House

This inspection was carried out on 1st December 2005.

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

Tealbeck House 17/01/07

Tealbeck House 09/03/06

Tealbeck House 15/12/04

Tealbeck House 22/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Tealbeck House Tealbeck Approach, Crow Lane Otley Leeds West Yorkshire LS21 1RJ Lead Inspector Kathleen Firth Unannounced Inspection 1 December 2005 10:00a 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 Tealbeck House DS0000001514.V268422.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. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tealbeck House Address Tealbeck Approach, Crow Lane Otley Leeds West Yorkshire LS21 1RJ 01943 850821 01943 461 018 barbara.thomson@anchor.org.uk 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) Anchor Trust Mrs Barbara Thomson Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2004 Brief Description of the Service: Tealbeck House is owned by Anchor Housing and is situated just out of Otley town centre. At the present time the care home provides accommodation for up to forty-one older people although an extension has just been completed and fifty places will be available once the extra rooms are registered. Accommodation is over two floors with a passenger lift to access the first floor. The home is in the middle of a sheltered housing complex. All of the bedrooms have en suite facilities and there are specialist assisted bathing facilities. The communal rooms are very spacious and well furnished in a homely fashion. Staff clearly take a pride in the home and have added finishing touches to make sure that the residents feel “at home”. Nursing care is not provided but the district nurses offer this service and give good support to the residents and staff. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over 5.25 hours by one inspector on Thursday December 1st 2005. The inspector looked round the building, examined residents’ records including care plans, menus, staff rosters, staff files and the Service User Guide. Staff and residents were very helpful during the inspection and were happy to join in the process. Seven residents, eight staff members, the manager, deputy and the administrator were all spoken to. What the service does well: What has improved since the last inspection? What they could do better: The disclaimer signed by residents who are managing their own medication needs to be expanded to include risks to other residents. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 6 Forms allowing staff to enter bedrooms must all be signed. 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. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 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 Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 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): 1, 3, 5, 6 Residents are given good information about the home and they are invited to visit. This helps them make an informed decision about moving into the home. Residents are assessed before admission to make sure that the home can meet their needs. EVIDENCE: The home provides detailed information to prospective residents and their family and friends. Brochures containing the Statement of Purpose and the Service User Guide are given out that detail the services offered at the home. A copy of this brochure is available in the foyer of the home. Residents are invited to look round the home before deciding to move in. Some people spoken to said they had done this and had chosen their room. On the visit people tend to have a meal and chat with residents and staff. Relatives and friends are also able to look round the home. If either party is unsure a week’s stay is offered to help the decision making process. The manager or her senior visits the prospective resident and does an assessment of need to make sure their needs can be met at the home. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 The Page 9 hospitality manager who has NVQ Level 2 in care is to take over this duty once she is sufficiently trained. A decision to admit someone is made once all the pre assessment information is gathered. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 10 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, 10 All of the residents’ health needs are fully met. Staff treat residents with respect and maintain their dignity at all times. EVIDENCE: Comprehensive care plans were seen to be in place for all residents. Evidence was seen that residents are involved in formulating their care plan. They are also reviewed on a regular basis again with the involvement of the residents. Weight records are kept monthly or more frequent if required. Dietary preferences are also recorded. Risk assessments are in place as appropriate. GP and District nurse visits are clearly recorded with the reason for the visit, the outcome and any actions required. There is a good pen picture of each resident in the file. The residents are registered with three surgeries and the manager said that they receive very good support from the local health care teams. The District nurses visit daily to administer insulin and are always willing to give advice and become involved in staff training. One dentist will visit the home if residents require treatment. Health call opticians visit on an annual basis but residents can keep their own if they prefer. Private and NHS Chiropody services are Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 11 offered at the home. Any personal care required by residents is given in the privacy of the bedroom or bathroom. Staff were seen to be discreet when dealing with residents’ personal care during the inspection. Some residents are able to look after their own medication and the home has a policy in place to deal with the needs of the ones unable to. People sign a disclaimer when they are managing their own medication but this needs to be expanded to include the possible risks to other residents. A risk assessment is done to make sure that a resident is capable of managing the medication and reviewed with the GP on a regular basis. The home has the Boots system in place that uses different coloured cards for different times of the day. The manager takes responsibility for returning unused medication and two signatures are required for this. Staff were seen to treat residents with respect, knock on bedroom doors before entering and everyone spoken to said that they are always polite. Evidence was seen of staff behaving in a sensitive manner when dealing with situations that could be embarrassing for the residents. Any post for residents is delivered to them and help offered to deal with it if required. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 12 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 The social, cultural and religious needs of the residents are well met. The home provides a good nutritious diet that takes into account individual choices and preferences. EVIDENCE: A religious service is held on a fortnightly basis, one time a Church of England minister conducts it and on the alternative one a Methodist minister. The catholic priest was visiting at the time of the inspection. A list of activities due to take place each afternoon is displayed on the notice board. The activities include, bingo, quizzes, dominoes, beauty days, and jigsaws. A shoe party was planned and clothes party are held on a regular basis. Residents are taken out shopping on a one to one basis. If agreed in their care plan residents can go out and about with family and friends or alone. The home works on a four weekly menu. These show a good, varied and nutritious diet, that takes into account individual choices, is served. The main meal is served at lunchtime and the meal served during the inspection was well presented and nutritious in content. Staff were seen to be giving help as required to make sure that residents were able to enjoy their meal. A diet suitable for residents with diabetes is offered. Residents spoken with all said Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 13 that they enjoy the meals at the home and confirmed that there is always an alternative offered if they do not like what is being served. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 14 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, 17, 18 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve issues. Residents can be sure that their rights are protected and that they are safe from abuse. EVIDENCE: The home has a Complaints policy and procedure in place and this is given to all residents with a copy displayed on the notice board. Staff are all aware of the complaints procedure and know what to do if they receive a complaint. There have been no complaints since the last inspection. An Adult Protection Policy is in place and all staff are trained in this area. Anchor has an Adult Protection training officer and all training on this subject is done in house. The manager is confident that staff will recognise the signs and symptoms of abuse and know what to do if they suspect it. All of the residents are registered to vote. Some people go to the polling station and others use the postal system. Families are asked to help residents complete postal votes where possible if it is required. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 15 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, 20, 21, 24, 26 The home is clean and tidy throughout offering a safe environment in which the residents live. Residents are able to have easy access to all parts of the home and garden. EVIDENCE: An extension has recently been added to the home and this has been done in a tasteful way and with as little interruption to the present residents. The fire service were visiting at the time of the inspection. The home is safe and well maintained with contract maintenance service easily available. Evidence was seen of this at the inspection when a plumber had to be called out to deal with a problem with the hot water. There is ramped access to the home at the front and rear of the building and residents are able to move around the home easily. There are handrails in the corridors and a passenger lift to the first floor. The communal rooms are very comfortable and offer sufficient space for all of the residents. Different types of chairs are available to make sure that residents can sit comfortably. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 16 There are sufficient toilets in addition to the en suite facilities and soap and towels were provided in all areas. The toilets are big enough to allow easy access for anyone needing to use mobility aids. Assisted bathing facilities are available for the residents to allow easy bathing in very comfortable surroundings. Residents have been encouraged to personalise their rooms by bringing their own possessions with them. Some have also brought their own furniture to the home. The bedrooms are large and comfortable and some have fitted furniture. Rooms are being upgraded as they become empty before being reallocated. The home is very clean and tidy throughout with no malodours present. It is a very pleasant home with a large conservatory area available for the residents. The laundry is done on the premises and this is well organised with a specific person in charge of this. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 17 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 Residents are supported and protected by robust recruitment procedures. Staffing numbers and skill mix make sure that residents’ needs can be met. EVIDENCE: There were sufficient staff on duty at the time of the inspection and rosters confirmed that is the normal practice. Three vacancies exist at the home and interviews have been held for these. The present staff team are very good at covering shifts and an example of this was seen during the inspection when an evening worker rang in sick. Anchor Housing offer an incentive to staff agreeing to work extra hours. Staff spoken to said it was a good place to work and that they work well together as a team. They all feel that they normally have enough staff on duty to look after the residents and meet their needs. Specific domestic and kitchen staff are employed at the home so care staff are not taken away from their duties. The home has a robust recruitment policy in place with all interviews being carried out in accordance with equal opportunities. Skill mix is important and the manager said she thinks about this when interviewing prospective staff. CRB, POVA, Work permit and Visa checks are made and two written references requested before someone can start working at the home. Staff files seen all contained the required information including recent photographs of people. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 18 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, 33, 35, 36, 38 The home is well managed and the interests of the residents are seen as important to the manager and staff and are safeguarded at all times. Systems are in place to make sure that the health and safety of the residents and staff is protected. EVIDENCE: The manager trained as a nurse and holds an NVQ Level 4 in care. She is also an NVQ assessor and holds the Registered Manager’s Award. She has many years experience working in the care field. She holds staff and residents meetings on a regular basis. There is an agenda for the meetings and everyone can contribute to this. Minutes of these meetings are made available and put on the notice board. Staff said that they are able to speak up at meetings and are listened to. Regular staff supervision sessions are in place with written records and agreements. Everyone spoken to said that the Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 19 manager offers good support to them and is very approachable. Good interactions were observed between the manager, residents and staff. A residents’ meeting had been held the day before the inspection and the minutes were made available. The meeting was well attended and the manager felt this was because arrangements for Christmas were discussed. Residents spoken to said that they are happy at the home and that they feel part of the decision making process. Some said that nothing is too much trouble for the staff and that they are always willing to be helpful. The records seen concerning monies handled on behalf of some residents were correctly maintained and relevant receipts available. The Deputy Manager is the home’s Health and Safety co-ordinator with the manager supporting her in this role. All staff receive Health and safety training including Manual handling and use of hoists. Four of the staff are back care co-ordinators and one is trained in risk assessment. There is a call system available in all parts of the home for residents to summon help. Fire bells and emergency lighting are tested weekly with records kept of these. Nothing was seen during the inspection that would cause a hazard to residents, staff or visitors. Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 20 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 ENVIRONMENT CHOICE OF HOME Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 4 X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 4 Tealbeck House DS0000001514.V268422.R01.S.doc Version 5.0 Page 21 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. 1 Refer to Standard OP 9 Good Practice Recommendations The disclaimer residents sign when managing their own medication needs expanding to include any risk to other residents. 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