Inspection on 18/07/05 for Tiled House

This inspection was carried out on 18th July 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Tiled House 11/11/08

Tiled House 22/11/06

Tiled House 14/12/05

Tiled House 20/10/04

Tiled House 27/05/04

Tiled House 30/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Tiled House 200 Tiled House Lane Pensnett West Midlands DY5 4LT Lead Inspector Richard Eaves Unannounced 18th July 2005 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 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. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Tiled House Address 200 Tiled House Lane Pensnett West Midlands DY5 4LT 01384 813425 01384 813427 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dudley MBC Anita Williams Care Home 48 Category(ies) of Dementia - over 65 years of age (12) registration, with number Old age, not falling within any other category of places (36) Physical Disability (1) Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20th October 2004 Brief Description of the Service: Tiled House is a large forty-eight bedded unit owned and managed by Dudley MBC. The home is divided into six residential units, these are situated on two stories. One unit is specifically identified to care for people who are in need of respite or an emergency admission. The home is well maintained with good arrangements for monitoring the environment and servicing on a regular basis. Each of the six units are self sufficient other than the centralised services of catering and laundry facilities, which also serve the day unit. Each unit has a separate lounge/dining area with kitchen facilities. The intention of the small units is to ensure a more personalised care service to the residents. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken by one inspector over one day. The focus of the inspection was on the delivery of care and included case tracking recently admitted service users. The inspection also included a tour of the building, meeting with service users and inspection of records. The home was found to be functioning calmly and efficiently and in conversation with the service users they were happy to confirm that they were content with life at the home. What the service does well: What has improved since the last inspection? A programme of redecoration is in progress and the bedrooms in the respite unit have been provided with pictures and ornaments to give the rooms a homely feel. The views of service users about the range and appeal of the activities provided have brought about a broader programme of events. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 standard(s) 1 - 5 The homes statement of purpose and service user guide are good sources of information providing details of the service enabling service users and families to make informed decisions about admission to the home, this is confirmed at admission by contract. The staff group are stable well established and collectively have the knowledge and skills to assess needs and to meet these assessed needs of the current service users. Confirmation that assessed needs can be met furthers enables service users to make informed decision about entering the home as does the opportunity to visit and trial the services offered. EVIDENCE: The statement of purpose and service user guide are kept under review and updated and meet the requirements listed in the regulations and schedule 1 to Regulations. All residents files include a contract and a letter of confirmation that service users needs can be met by the service. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 9 Assessments are undertaken by senior experienced staff prior to acceptance for admission and takes account of the community care assessed needs. Trial visits and trial admission period are provided for to ensure the service users will make an informed choice and be content at the home. The range of assessments undertaken are reviewed on a monthly basis. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 standard(s) 7, 8 & 9 Care planning at the home is good, clear and consistent, providing staff with the necessary directions of actions required, to ensure that service users care needs are fully met and health is promoted. Arrangements for the administration of medication are good and ensure service users medication needs will be safely met. EVIDENCE: A random sample of service users files were case tracked and these were found to relate to the needs of each of the service users in an individualised way. The care plans drawn from the assessment process were relevant and maintained to a good standard reflecting actual care requirements and the service users preferences of how it is to be delivered. The care plans are subjected to monthly review. All service users are registered with a GP and the district nursing service visits on request. Allied medical services such as dentist and ophthalmics are provided on a regular, as required basis. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 11 The Boots monitored dosage system is used for the administration of medicines. An inspection of the administration of medication procedure identified that is was administered to a satisfactory level. Medications are stored in a locked cupboard and records maintained of medicines received and returned to the pharmacists. Staff involved in the administration of medicines receive accredited training. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 standard(s) 12, 13 & 15 The home provides a limited but varied social and recreational activity programme that provides interest and pleasure for service users. Visitors are welcome and help to keep service users informed about the wider community. The meals are wholesome and meet the nutritional needs of service users while providing for choice and personal taste. EVIDENCE: The home provides a wide range of activities and social events which has been broadened in response to views provided by service users; residents spoken with indicate a good deal of satisfaction with the opportunities provided at the home. The home has the benefit of using the day centre for evening entertainments and activities such as fish suppers it being large enough to accommodate all service users at one time. Each Tuesday service users meet to discuss entertainments for the coming week and to plan events, current favourites being exercise to music, karaoke and bingo, the garden has been a rich source of pleasure to a number of service users providing salad crops and colourful borders for everyone to benefit. The home has open visiting and a number of families were met and all spoke well of the home. The daughter of one respite service user remarked how happy and quickly settled in her mother was. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 13 The home has a 5-week rolling menu that is well thought out and offering variety and a balanced diet to service users, choice of meal including a cooked option is always available and a record kept of individual service users intake and meals taken in the setting of their choice. Regular satisfaction surveys are undertaken of the meals served. The main meal of the day is served at 5 pm except the weekend when lunch is chosen to be the main meal this change has been well received. Fresh fruit is provided during the afternoon tea-time. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 standard(s) 16, 17 & 18 The home has a satisfactory complaints policy and service users and their supporters can be confident that their views will be listened to and acted upon. Staff have all undertaken adult protection training with social services preparing them to uphold the welfare of the service users and to protect their rights. EVIDENCE: The home has a detailed complaints procedure which is well promoted by way of notices and the service users guide. One complaint has been received in recent times and this was resolved to the satisfaction of the complainant. Service users made use of the postal voting arrangements and some attended the polling station. The home has robust procedures for responding to any suggestion of abuse and training is given to staff in adult protection procedures. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 standard(s) 19, 20, 21 & 26 The standard of the environment within the home is good providing a safe, attractive, comfortable and homely place for the service users to live. EVIDENCE: The care home premises are shared with a local authority day centre for older persons with its own facilities sharing only catering. The care home has its own entrance and garden area, parking at the front of the building is shared. The external areas were observed to be tidy and the gardens appropriate to season. A programme of redecoration and refurbishment of bedrooms is ongoing. The previous requirement to provide two double electrical sockets in each bedroom has not been addressed. This omission is explained that the Authority are planning to undertake major rebuild of the premises and details and timings are not yet available. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 16 There are sufficient toilets located around the home and close to communal areas these are accessible and clearly marked and fitted with assisted adaptations. The home has eight assisted baths and showers dispersed around the home, these were found to be clean and maintained and subject to regular servicing. The home has lounges within each section of the home, which are used for social activities and meetings and small quiet rooms are available for privacy, the day centre is also used for evening events when all service users can be accommodated together. The dining areas are spacious and accessible to wheelchair users. The communal areas are lit and furnished with a domestic appearance. The home is clean and hygienic with no unpleasant smells. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 The home has a stable, well-motivated and trained staff group offering consistency of care and enthusiasm to maximise the quality of life for the service users. Service users are further protected by good recruitment and selection practices that adhere to policy. EVIDENCE: The rotas confirm that staff numbers across the 24hour period are appropriate to the needs of service users. The manager has the flexibility to increase staff numbers should the dependency needs of service users increase. The ancillary services provide a full 7-day service. Care staff with NVQ qualification at level 2 or above exceeds the 50 requirement of the standard. The process of CRB checking of all staff is complete and recruitment is undertaken using the Dudley MBC recruitment procedure. A sample of recently employed staff files show these to be completed to a good standard with appropriate pre-employment checks being undertaken and the most recent appointee is currently undertaking TOPSS induction. Staff are issued with the General Social Care Councils code of conduct. The Authority provides comprehensive induction and foundation training the documentation of which is included in a starter pack. There is also a comprehensive package of mandatory and developmental training opportunities for all groups of staff. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 & 38 Leadership of this home is good and staff demonstrate an awareness of their roles and responsibilities. The home regularly reviews its performance which includes seeking the views of service users and their families. Staff receive supervision and direction to ensure that the service users receive consistent quality care. Environment management and staff training in respect of health and safety ensures service users safety and welfare are protected. EVIDENCE: The home is managed by a well qualified and experienced manager who meets regularly with staff and service users. Service users views are in addition regularly surveyed using a range of questionnaires that between them cover all aspects of service. The views of respite service users and their families are consistently sought by way of a questionnaire available at the entrance to the unit. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 19 Formal staff supervisions are undertaken every 4 to 6 weeks and cover a range of topics including aspects of practice, the homes philosophy and personal development. Health and Safety is given appropriate priority with a broad range of monitoring and maintenance in place with all staff receiving training at induction and ongoing at appropriate intervals. During the tour of the building it was observed that all corridors were clear of any obstruction and the premises are kept in a safe condition. Appropriate arrangements are in place for the monitoring, recording and reporting of accidents. Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x 3 x x 3 x 3 Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 21 Yes Are there any outstanding requirements from the last inspection? 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 19 Regulation 23(2)(f) Requirement The responsible person must provide at least two accessible double electric sockets in each bedroom. Previous timescale of 31.3.2005 not met. Timescale for action 31.10.2005 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 Good Practice Recommendations Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 Page 22 Commission for Social Care Inspection Mucklow Office Park West Point, Mucklow Hill Halesowen B62 8DA 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. Extracts may not be used or reproduced without the express permission of CSCI Tiled House E55 S36816 Tiled House V238124 180705 Stg4.doc Version 1.40 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. 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. 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