Inspection on 03/11/05 for Tramways Corner

This inspection was carried out on 3rd November 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tramways Corner 15/09/09

Tramways Corner 21/10/08

Tramways Corner 13/05/08

Tramways Corner 08/08/07

Tramways Corner 19/07/06

Tramways Corner 17/05/05

Tramways Corner 25/01/05

Tramways Corner 11/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Tramways Corner Tramways Corner 39 Trebarwith Crescent Newquay Cornwall TR7 1DX Lead Inspector Alan Pitts Unannounced Inspection 3rd November 2005 09:30 Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 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 Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 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 Adults 18-65. 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. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tramways Corner Address Tramways Corner 39 Trebarwith Crescent Newquay Cornwall TR7 1DX 01637 872049 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) Mrs Catherine Fogarty Mrs Mary V Musselwhite Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 8 adults with a learning disability (LD) of whom 1 may also have a physical disability. Total number of service users not to exceed a maximum of 8 Date of last inspection 17th May 2005 Brief Description of the Service: Tramways Corner is an end terrace property very close to the town centre of Newquay. Behind the property there is parking for two cars. Additional car parking is available in a near by pay at the metre car park. There is a courtyard to the back of the house accessed through the kitchen. In the courtyard there is seating, pots of plants and a barbecue. Accommodation is provided on three floors (there is no stair lift facility) to upstairs bedrooms. On the ground floor there is a large lounge/diner and a kitchen that also has dining space. The laundry is domestic in type but is separate to the kitchen. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 3rd November 2005 over a period of approximately 4 hours. The inspector met with two service users and the registered provider, Mrs Musselwhite. The rest of the service users were at their day care resources What the service does well: What has improved since the last inspection? What they could do better: A focus on staff training would benefit the home and the service users. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 6 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. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 The registered providers endeavour to ensure that prospective service users will fit in with the existing service users, and obtain pre-admission assessment information to aid this. Contracts are in place. EVIDENCE: The most recent service user move in to the home visited on three occasions before the decision was made to progress the admission. The service user met with the existing service users. Pre-admission assessment information was obtained. Contracts are in place for each service user. A Statement of Purpose and Service User Guide is available, the latter includes pictorial information. Most of the service users have lived at the home for a considerable period of time. The registered provider undertakes assessments prior to a new service user’s admission to the home. The placement is initially agreed on a first month trial basis. The registered provider emphasised the importance of a successful placement for the existing service users as well as the new person coming to the home. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 10 Service users are consulted and participate to varying degrees in the daily life of the home. Records are stored securely. EVIDENCE: The home holds service user meetings, which are timed to coincide with forthcoming events such as Christmas or holiday periods. The meetings are minuted. The service users participate to varying degrees in the daily life of the home. All the service users participate in external activities. Each service user has in place a detailed care plan that is supplemented by daily records. All the staff are involved in the daily recording and evidence of care plan reviews are in place. Risk assessments are in place for each service user. Each risk assessment identifies risks and hazards and the action taken to reduce risk. The home’s records are accurate and stored securely. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 16 Service users are encouraged to have social relationships with family and friends, and lead active lives outside of the home. Risk-assessments help to identify where service user rights and responsibilities need to be respected. EVIDENCE: Four service users attend college or a work placement at varying frequencies during the week. Similar arrangements are being made for the most recent admission to the home. All the service users attend activities external to the home. Some of the service users engage with the local community (using local shops, playing darts). The registered provider understands the potential risks inherent in respecting service user’s rights, and the risk-assessments reflect this. Family and friends can visit the home at any reasonable time during the day and the evening. This information is documented in the statement of purpose. Daily records evidence when the service users have had visitors. Service users can receive their visitors in private in their room, or in the lounge. Service users can also telephone their family and friends or visit them at any time. Some of the service users go home at the weekend. Some service users go out unaccompanied, although it is expected that they inform staff Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 11 where they are going and when they will return. The home has in place a visitor’s book that all visitors to the home are asked to sign. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 21 The registered providers liaise with other health care professionals as necessary in order to meet care needs and to ensure that the illness and death of a service user is handled with respect. EVIDENCE: The care documentation shows contact with health care professionals. The registered provider discussed how arrangements had been made to provide one service user with a new pair of individually made shoes. The home has provided care to a service user who died since the last inspection. The registered provider should ensure that they are aware in advance of service user/representative wishes in respect of illness and death. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this time. EVIDENCE: These standards were not inspected at this time. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Service users live in a comfortable, homely environment, which is clean and hygienic. EVIDENCE: Tramways is a small home that is homely with comfortable communal accommodation. The home is not suitable for wheelchairs as bedrooms are accessed by stairs with no stair lift or shaft lift facility, but the registered providers are aware of this and take this into account when assessing prospective service users. Regular maintenance and testing of the premises is undertaken; to include, for example gas safety, and hard wiring testing. The home was found to be clean on the day of the inspection. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The registered provider and care documentation showed a good understanding of the service user’s care needs and capabilities. EVIDENCE: These standards were not fully inspected at this time, though it was noted that the Statement of Purpose has been updated to clearly state that there are times when only one member of staff is on duty. As discussed at the time of the inspection, the registered provider should implement the National Training Organisation induction programme for new staff (www.topss-england.net now known as ‘Skills for Care’). Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 41, 42, 43 This is a small home, which benefits from the day-to-day involvement of one or both of the registered providers. EVIDENCE: The registered providers have day-to-day involvement in the home, and Mrs Musselwhite has commenced the Registered Managers Award, which has been to the benefit of the service users and the home. Records are accurate and stored securely. Mrs Musselwhite stated that a member of staff would be undertaking a fire warden training course. The registered provider must ensure that all staff receive fire training at the frequency recommended by the fire brigade (3-monthly for night staff, 6-monthly for day staff). The registered provider must ensure that staff are trained in 1st Aid. The registered provider should arrange for Basic Food Hygiene Certificate training for all staff involved in food preparation. Maintenance and testing of the property and its appliances is undertaken. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 3 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tramways Corner Score 3 X X 3 Standard No 37 38 39 40 41 42 43 Score X 3 X X 3 2 3 DS0000009094.V262379.R01.S.doc Version 5.0 Page 18 NO 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 YA42 Regulation 13 Requirement The registered provider must ensure that all staff receive fire training at the frequency recommended by the fire brigade (3-monthly for night staff, 6monthly for day staff). The registered provider must ensure that staff are trained in First Aid. Timescale for action 01/01/06 2. YA42 13 01/03/06 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 YA21 YA35 YA42 Good Practice Recommendations The registered provider should ensure that they are aware in advance of service user/representative wishes in respect of illness and death. The registered provider should implement the National Training Organisation induction programme for new staff (www.topss-england.net now known as ‘Skills for Care’). The registered provider should arrange for Basic Food Hygiene Certificate training for all staff involved in food DS0000009094.V262379.R01.S.doc Version 5.0 Page 19 Tramways Corner preparation. Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Tramways Corner DS0000009094.V262379.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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