Inspection on 09/03/06 for Tealbeck House

This inspection was carried out on 9th March 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

Tealbeck House 17/01/07

Tealbeck House 01/12/05

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 9th March 2006 11:15 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.V284572.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. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 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 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Tealbeck House is owned by Anchor Housing and is situated just out of Otley town centre. An extension was completed at the end of 2005 and fifty places are now 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.V284572.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 over three hours by one inspector on Thursday 9th March 2006. The inspector looked around the building, examined records including Contracts, staff rosters, Medication, Medication disclaimers, Health and Safety and the home’s Complaints Procedure. Staff and residents were very helpful throughout the process and were happy to speak with the inspector. Eight residents, five staff members, and one visitor were spoken with and the Senior Carer and Administrator were present throughout the inspection. What the service does well: The home offers a safe, comfortable and well-maintained environment for the residents. The communal rooms are all large and furnished to a high standard offering sufficient space and comfort for residents to follow their lifestyle. Individual flats are of a good size and residents can choose to have fitted furniture provided by the company or bring in their own. If they choose to the residents can make breakfast in their own flat although some prefer to come to the dining room for a cooked meal. They are able to bring their own possessions to personalise their rooms and most have done so. Some of the flats have a private terrace area and there are well-maintained garden areas around the home. Although the home is large it still manages to offer a welcoming and comfortable atmosphere. Each resident has a comprehensive care plan in place with their needs clearly identified along with the tasks staff need to do for these needs to be met. All the residents spoken to say that they are happy living at the home and are well looked after. They say that staff treat them with respect and that they are able to speak with the manager or staff if they have any concerns. One relative said that she had been kept informed of her mother’s condition and was being involved in her move to a more suitable place. Training takes a high priority at the home with staff encouraged to take up relevant opportunities. They have recently completed First Aid and Control of Infection training and staff spoken with confirmed that they are able to access training easily. They receive excellent support from the manager and senior team and they are very supportive of each other. Staff show a good awareness of the residents’ needs as well as their likes and dislikes. Tealbeck House DS0000001514.V284572.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. Tealbeck House DS0000001514.V284572.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 Tealbeck House DS0000001514.V284572.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): 2, 3, 4 and 6, No one is admitted to Tealbeck House unless the manager is sure that his or her assessed needs can be met at the home. All residents have an individual contract. EVIDENCE: All of the residents have an individual contract that gives them the terms and conditions of the home and what services they can expect at the home. It also gives information to the residents about what is expected of them. Once the resident has signed the contact one copy is given to them and another stored in the home. A copy of a contract was seen during the inspection. The Hospitality manager has now been trained to complete assessments of need and she visits every potential resident prior to admission. She looks at all the person’s needs including physical, psychological, social and healthcare needs. Once this assessment has been completed then the person and their family can be sure that all their needs will be met at the home, otherwise an admission will not be agreed. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 9 Intermediate care is not available at this home. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 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): 9 and 11 The home has a comprehensive policy in place to deal with medication. Residents are treated with respect at all times and their dignity is maintained. EVIDENCE: There are seven of the present residents who manage their own medication. Staff order repeat medication for six of these but one person does this independently. Residents who manage their own medicines sign a disclaimer to acknowledge their responsibilities and are supplied with a locked drawer for safe storage. Self-management of medication is only agreed after the process has been risk assessed and this is repeated on a regular basis. The home uses the Boots system that has a different coloured card for various times of the day. Only senior staff who have been trained are allowed to handle medication at the home. The training they receive includes, receipt, storage, administration and disposal of medication. This training is updated on a regular basis and the pharmacist keeps them informed of any changes that occur. All records seen were correctly maintained. People can stay at the home until their death if this is felt to be the best place for them and staff can continue to meet their needs. The GP, District nurse, Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 11 family and the resident are included in this decision making as are any other specialised services that may be required. Resident’s wishes following their death are recorded so staff know what to do and who to contact. Families are able to stay with the resident as long as they wish and are offered hospitality. Night sitters are usually provided to stay with a resident at this time. When a resident has died all the others are informed of this and a notice put up in the home. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 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): 13 and 14 Residents are supported to maintain contact with family and friends. Staff encourage and enable residents to make choices about their lives. EVIDENCE: Visitors are welcomed at the home at any time and some join in the activities. Groups from the Brownies and Guides visit and a Church service is held each month. Some residents attend local day centres and people who live in the flats around the home come in for various activities and are made welcome. Residents are able to go out and about with their family and friends if this has been agreed in their care plan. Residents spoken with confirmed that they are able to go to bed and get up at the time of their choice. Regular residents meetings are held where they often discuss and decide on the types of entertainment they want. Food is also a topic for discussion at these meetings. Residents are able to choose which hairdresser they have and where they want to sit in the home. They have also been involved in the decision making about the recent redecoration and refurbishment in the home. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 13 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 Residents and their relatives have their views listened to, taken seriously and action taken to resolve any issues. EVIDENCE: Residents and relatives are able to speak with the manager and staff if they have any concerns. There are good relationships and communication between staff, residents and families at the home. People spoken to during the inspection all said that they are able to approach staff if they have any concerns. There is a complaints procedure in place with all residents having their own copy and one displayed on the notice board. No complaints have been made since the last inspection. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 14 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, 22, 23, 24 and 26 The home is clean and tidy throughout and offers a safe environment in which the residents are able to live in comfort. EVIDENCE: The home is well maintained and offers a safe place for the residents to live. They are able to walk around the home with the aid of rails on the walls and there is a call system throughout. Painting and decorating were being done at the time of the inspection. The garden areas are kept in immaculate condition and some of the flats have a private patio area. Each flat is of a good size and has fitted furniture where this is the choice of the resident. Residents are able to bring their own furniture if they want to. People have made their flats personal by having their own possessions around them. The en suite facilities are big enough for people who need to use walking frames to do so safely. Newer flats have a shower en suite. Following assessment staff are able to obtain specialist equipment for the residents to help them maintain their independence. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 15 The home is clean and tidy throughout with no unpleasant odours. It is a very comfortable home and there is a large conservatory available to the residents. Laundry is done on the premises and there is a specific person in charge of this. Specific domestic staff are employed at the home. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 16 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, 28 and 30 Staffing numbers and skill mix makes sure that each resident can have his or her needs met. Staff are trained to do their job. EVIDENCE: There is a senior carer on every shift alongside the care assistants. Specific laundry and domestic staff are employed so that staff are free to care for the residents. Staffing numbers were sufficient at the time of the inspection and staff spoken to plus their rosters confirmed that this is normal practice. All staff undergo an induction course that is TOPSS certified. They work shadow for two weeks then work alongside a more experienced colleague until they are felt to be proficient enough to start working alone. Once their induction is completed staff are registered on National Vocational Qualifications (NVQ) Level 2. Staff saidthat they have easy access to training and have recently completed some First Aid and Control of Infection courses. All of the care staff have achieved, are working towards or waiting to start NVQ Level 2. There are NVQ assessors working on site and staff find this very useful. Mandatory training is ongoing amongst the entire staff group. Tealbeck House DS0000001514.V284572.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): 32, 37 and 38 The home is well managed and the interests of the residents seen as very important to the manager and staff. Systems are in place to make sure that the health and safety of residents, staff and visitors is protected. EVIDENCE: Staff say that they are offered excellent support and leadership from the manager. She is always there to support them and holds regular staff meetings. Everyone is invited to add items to the agenda for the meetings and minutes are made available to everyone. Record keeping at the home is very good and all policies and procedures are in place to safeguard the interests of the residents. Residents are informed that they can access their records if they wish to and all confidential information about them is stored correctly. Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 18 The manager takes overall responsibility for Health and Safety but her deputy is the Health and Safety representative within the organisation. The deputy presents the Health and Safety training to all staff at the home. Records were seen that confirmed fire bells are tested weekly and hot water temperatures are tested on a monthly basis. The cook tests the fridge and freezer temperatures twice daily. All staff receive first aid training so there is always someone available on each shift to administer this if the need arises. Tealbeck House DS0000001514.V284572.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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 4 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 3 4 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X X 3 3 Tealbeck House DS0000001514.V284572.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 Tealbeck House DS0000001514.V284572.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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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