Inspection on 22/11/06 for Tenlands Care Home

This inspection was carried out on 22nd November 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

Tenlands Care Home 17/02/09

Tenlands Care Home 27/03/08

Tenlands Care Home 24/11/05

Tenlands Care Home 23/06/05

Tenlands Care Home 18/11/04

Tenlands Care Home 25/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Tenlands Care Home Wood Lane Ferryhill Durham DL17 8JD Lead Inspector Mrs Sue Lowther Unannounced Inspection 09:30 22nd & 27 November 2006 th 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 Tenlands Care Home DS0000000758.V321405.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 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. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tenlands Care Home Address Wood Lane Ferryhill Durham DL17 8JD 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) 01740 657200 01740 656262 Southern Cross Home Properties Limited Mrs Janet Brown Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 Convalescence. Persons over the age of 55 requiring convalescent care may be accommodated commensurate with the home’s statement of purpose and function. Terminal Illness Up to 5 persons with a terminal illness (palliative care) over the age of 55 may be accommodated commensurate with the home’s statement of purpose and function. 24th November 2005 2 Date of last inspection Brief Description of the Service: Tenlands Care Home is purpose built. The home can accommodate up to 42 people in single or double, personalised bedrooms provided on two floors catering for service users who require general nursing and residential care There are a number of communal lounge / dining areas available for residents use. There is a social and recreational programme for those who wish to participate. Fees charged are between £347 and £391. Hairdressing, chiropody, newspapers and toiletries are not included. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Tenlands Care Home took place on the 22nd November & 27th November 2006. Records were examined and a tour of the building took place. Time was spent talking to service users, staff and relatives. The manager supplied some information on a pre inspection questionnaire. One relative returned a survey to the Commission for Social Care Inspection (CSCI). Information from the survey and discussions on the day of inspection are reflected in the report. The inspection focussed on key standard outcomes for service users. What the service does well: What has improved since the last inspection? The paperwork in service user files is now all in accordance with the organisation that owns the home. Care plans contain all of the information needed to ensure each resident gets the assistance they need to live safely. All prescribed medication is administered in line with company policy and procedures and according to the instructions of the prescriber. A hand washbasin has been provided to the shower room on the ground floor. This was a requirement from the last inspection. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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 Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures are in place to ensure that the home can meet all of the needs of the people who go to live there. The home does not provide intermediate care. Therefore assessment of Standard 6 is not required. EVIDENCE: The file of one service user held a contract which did not state the amount of fees and who was responsible for paying them. The manager was advised of that this information must be shown regardless of the source of funding. The manager visits service users in their current place of residence to carry out a comprehensive assessment. This makes sure their needs can be met within Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 9 the home. A care plan is agreed and this is reviewed regularly. The files of three service users confirmed this. The relatives of one service user chose to move their relative to Tenlands as it was near to their home. They said “the staff were very helpful gave us all of the information we needed”. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems are in place to ensure that health care needs of service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: Service user case files showed individual care plans that identified health and personal care needs and how they would be met. Daily records showed this care was provided. Relatives said that if they asked for their mother to see a doctor they were confident that this would happen straight away. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 11 Arrangements for the receipt, storage and administration of medication were looked at and found to be in order. Controlled drugs were stored safely and documented accurately. Observations by the inspector of the actions and responses of staff showed the service users are treated with dignity and respect. Where service users shared a bedroom screens were provided to ensure privacy when personal care is required. One relative said that the staff were “very caring” and “couldn’t be better”. Another said, “You can ask staff to do anything and they do it”. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for some of the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. EVIDENCE: Service users religious preferences are taken account of in the home. A Methodist minister holds regular services for those who want to take part whilst a priest visits other service users in their rooms for private prayer if required. Tenlands has a policy of open visiting. Visitors said they always felt welcome. Family members and access community transport and facilities sometimes take out Service users. Family members can also go on trips with their relatives if they want to. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 13 An activities co-ordinator is employed and a volunteer assists her. There is a full programme of activities both inside the home and out in the community. Service users can take part in as little or as much as they choose. Relatives said their mother didn’t take an active part but enjoyed watching. She made it clear to staff when she wanted to go to her room and staff would assist her to do this. One relative said, “Activities at the home are excellent, they are well organised and effective”. Tenlands has a varied menu displayed each day. Staff go around to ask service users if they are happy with this or if they want an alternative before lunchtime so that it can be provided. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: The home has a complaints procedure for service users and relatives. Family members said that if they had any concerns they would talk to the manager and staff. They felt confidant that they would be listened to and action would be taken. Relatives said “the manager is marvellous and would see to anything straight away”. Staff spoken to have had adult protection training, were all aware of policies and procedures which ensure the protection of vulnerable adults and felt confident they would know how to respond if an incident occurred. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. EVIDENCE: Maintenance records showed all services had been inspected within appropriate timescales. A sample of certificates confirmed this. The bedrooms viewed were found to be clean and comfortable. Service users had their own belongings, photos, ornaments and televisions in their rooms giving them a homely feel. Some bedrooms have en-suite facilities but did not have a working call bell in the toilet to ensure service users can summon help at all times. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 16 In the last report it was recommended that the commodes in the home be replaced with ones of a more domestic nature to fit in with the homely environment. The manager said that some had been replaced. The remainder are to be replaced on a rolling programme. One bedroom was found to have a number of wheelchairs being stored in it. This meant that the person who lives in the room would be unable to access it at all times. The home has a variety of communal areas including a small quiet lounge upstairs and a large lounge, dining area and a comfortable reception seating area downstairs. All of these were found to be clean and comfortable and are available along with bedrooms for service users to see friends and families. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. EVIDENCE: An examination of staff rotas and discussion with staff and management show the home has sufficient numbers and mix of skills to meet the needs of the service. Staff employed by the home are recruited through correct procedures. This includes the following up of references, POVA first checks and CRB checks. Staff files confirmed that that these procedures were carried out. Staff said they felt they had relevant training, including induction, moving and handling and infection control. Of the twenty-six care staff employed fourteen have achieved an N.V.Q in care at level 2 or 3. This exceeds the National Minimum Standard of 50 . Staff are supported through regular supervision and monthly staff meetings. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. EVIDENCE: The manager has qualifications in nursing, management and palliative care. Staff said they felt supported by management in caring for the service users. The manager uses her experience to run the home in an open and welcoming way, which benefits service users and relatives. Relatives spoken to felt they could approach her at any time with any concerns. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 19 Service users finances are managed by the home in line with their policies and procedures. A sample of records, which were examined, were found to be in order showing income and outgoings. The health and safety of the home is maintained in accordance with regulations. Maintenance records showed all services had been inspected within appropriate timescales. A sample of certificates confirmed this. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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 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 2 3 X X 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 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. 1 Standard OP2 Regulation 5 (1) (b) Requirement Each service users must have a contract, which includes information about the amount of fees payable regardless of funding source. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP24 OP24 OP24 Good Practice Recommendations All bedrooms must have an accessible call bell including the en-suite toilet. The programme of replacing the commodes should continue to fit in with the homely environment. Wheelchairs should not be stored in service users bedrooms. Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Tenlands Care Home DS0000000758.V321405.R01.S.doc Version 5.2 Page 23 - 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. 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