Random inspection report
Care homes for older people
Name: Address: Tixover Care Home Tixover House Tixover Grange Stamford Rutland PE9 3QN three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Debbie Williams Date: 0 5 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Tixover Care Home Tixover House Tixover Grange Stamford Rutland PE9 3QN 01780444491 01780444572 Tixoverhouse@barchester.com www.barchester.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Barchester Healthcare Homes Ltd care home 48 Number of places (if applicable): Under 65 Over 65 15 48 48 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 48 No more than 15 persons with Dementia should be accomodated within Tixover House Care Home. The maximum number of persons to be accommodated in Tixover House Care Home is 48 Tixover House is registered to provide personal care to male and female service users whose primary care needs fall within the following categories; Physical Disability over 65 years of age PD(E) 48 Physical Disability over the age of 55 years PD 48 Old age not falling within any other age category OP 48 Dementia over 65 years of age DE(E) 15 Date of last inspection
Care Homes for Older People Page 2 of 8 Brief description of the care home Tixover House is part of Barchester Healthcare Homes Limited, and provides both residential and nursing care. Qualified nurses are on duty throughout the 24-hour period. The home is close to the village of Tixover on the A47, surrounded by open countryside. It is set within well-maintained grounds and is bright, clean and modern in design. All areas of the home and gardens are accessible to people who use wheelchairs. Many rooms have en-suite facilities and can be personalised with the residents own furniture, if so desired. There are attractive communal sitting rooms, and a dining area on the ground floor. There are additional toilets, and assisted bathing and showering facilities for less able residents. There is an in house laundry service and all food is freshly prepared and cooked on site. The Statement of Purpose and Service Users Guide (both give information about the home) are provided for all new residents, and a copy is available in the reception area, with the most recent inspection report. Care Homes for Older People Page 3 of 8 What we found:
This random inspection included a visit to the service. We visited the home on the 5th of October 2009. Since the last key inspection, three separate concerns have been raised about this service. The concerns were about care practices, staffing levels and security. The main method of inspection used was case tracking which meant selecting three residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. We spoke with two people living at the home. People spoken with were satisfied with the care they received and the number of staff on duty. One person said the staff are exceptional, you are treated as real people they are efficient and friendly,the nurses are very well trained. We looked at care records for three people and found they contained needs assessments and care plans. Care plans were detailed and person focused and provided staff with the information they required to meet peoples individual needs and preferences. People we case tracked appeared well cared for, care records indicated that all assessed needs were being met and people had access to the health-care services they required. We looked at staffing rosters and spoke with residents and staff about staffing numbers. People told us that staffing numbers were sufficient and they were not kept waiting for staff to attend to them. Staff told us that staffing levels were sufficient and that a replacement was usually found if a staff member called in sick. We found that during the week prior to this inspection there were three night shifts that only had three staff members on duty when there should have been four, on these occasions replacement staff had not been found. The registered manager told us they were in the process of recruiting more night staff and that they would be using bank staff from another home in the Barchester Group to cover any shifts when needed. We looked at staff recruitment records and found that all necessary checks had been carried out and references obtained, this is to ensure that people working at the home are suitable to do so. We spoke with the registered manager about security at the home. Staff told us there had not been any previous concerns about security at the home. The registered manager told us that night staff carry out a security check each night. A senior manager from the company was investigating security issues at the time of this inspection. What the care home does well:
There was a relaxed and homely atmosphere a the home, people living there appeared relaxed, comfortable and well cared for. People we spoke with said they were satisfied with the service they received. Care Homes for Older People Page 4 of 8 Staff spoken with said they were well supported and received the training they required. Care plans were detailed and provided staff with the information they required to meet peoples needs. Staff recruitment procedures were robust and minimized risk for people living at the home. What they could do better: 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 Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, 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 27 18 Staffing levels must be sufficient to meet peoples needs at all times. This is so that people have their needs met and are protected from harm. 11/11/2009 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 1 38 Risk assessments should be carried out regarding all aspects of personal and environmental security. People living at the home should be consulted about security issues and policies and procedures should minimize risk. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Older People 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: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
