Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Tynings The Tynings The Tynings Walmore Hill Minsterworth Gloucestershire GL2 8LA The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tim Cotterell Date: 1 9 1 1 2 0 0 8 Information about the care home
Name of care home: Address: The Tynings The Tynings The Tynings Walmore Hill Minsterworth Gloucestershire GL2 8LA 01452751037 Telephone number: Fax number: Email address: Provider web address: grapevinecareadmin@gmail.com Name of registered provider(s): Type of registration: Number of places registered: Grapevine Care Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 5 Over 65 0 Conditions of registration: The home is registered to provide care and accommodation for up to 5 service users with a learning disability, but may also accommodate service users with minor associated physical disabilities provided that their primary needs relate to learning disability. The policies and procedures must be fully reviewed by 31/07/06 such that each one provides full, up to date guidance based on current law and best practice. Date of last inspection Brief description of the care home The Tynings opened in 2005, and is registered to provide care for up to five people with a learning disability. It is located in a rural area near the village of Minsterworth and is about 10 miles from Gloucester. The home is set in seven acres of land and various animals are kept including sheep, horses, chickens and pigs. Residents have single rooms. Four bedrooms have en-suite facilities and the fifth has access to a Care Homes for Adults (18-65 years)
Page 2 of 9 nearby bathroom. There is a large dining and living area on the ground floor, as well as a conservatory with views over the countryside. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The inspection was a consequence of the concerns raised with us and the home by health care professionals over the quality of care in the home.The meeting was seen as a random inspection and undertaken in the home.The registered persons and the proposed new registered manager were present. We found during our discussions with the registered persons that the home accepted that there had been problems but they felt that the matters had now been resolved. The issues included care planning, staffing, the management of medication, activities and appropriate diets. There had been errors/omission in respect of the management of medication and further staff training has been arranged. It was accepted that all health care advice must be included in the individual plan of care and this had not been the case. It was agreed that the complex needs of the residents meant that such inclusion was essential. There had been problems when attempting to meet the specific dietary needs for residents however the home felt that the advice provided would now ensure that specific diets are available. It was accepted that there had been shortfalls in the number of staff on duty and that this could have adversely affected the quality of life for some residents. However new appointments had been made and a new manager had been appointed and the providers hoped that she would be seen as suitably qualified/competent to act as the new registered manager. What the care home does well: What they could do better:
The home must ensure that the home is staffed to ensure that the needs of the individual residents are met. If it is felt that needs have increased or changed over time it is suggested that a review of the needs are undertaken through a formal assessment. The home is required to have a registered manager and it is anticipated that this position will be filled shortly. The question of care planning, the management of medication and adequate stimulation for the residents must be managed through policies and procedures which provides a flexible but consistent service. Where there are errors/omissions in respect of medication we must be informed under Regulation 37. Care Homes for Adults (18-65 years) Page 4 of 9 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 6 15 Care plans must include all advice from health care professionals To ensure individual needs are met 30/01/2009 2 12 12 The home must endue that there are suitable activities and opportunities for the residents To ensure residents have a stimulating and meaningful environment 30/01/2009 3 17 16 The home must provide suitable diets To ensure individual needs and wishes are met 30/01/2009 4 20 12 The home must keep 30/01/2009 accurate records of the receipt and administration of medication any errors/omissions must be reported to the Commission To provide a safe and effective service 5 33 18 The home must ensure there 30/01/2009 are sufficient staff on duty
Page 7 of 9 Care Homes for Adults (18-65 years) To provided a safe environment which meets the needs of the individual residents Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
