Inspection on 15/12/06 for Tranquility House

This inspection was carried out on 15th December 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

Tranquility House 20/11/08

Tranquility House 28/12/07

Tranquility House 20/02/06

Tranquility House 27/10/05

Tranquility House 26/01/05

Tranquility House 17/08/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Tranquility House 39 Cheriton Gardens Folkestone Kent CT20 2AS Lead Inspector Paul Stibbons Key Unannounced Inspection 15th December 2006 10:00 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 Tranquility House DS0000036015.V318896.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. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tranquility House Address 39 Cheriton Gardens Folkestone Kent CT20 2AS 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) 01303 244049 TINAWRATTEN@AOL.COM Mrs T.Wratten Post Vacant Care Home 20 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (19) of places Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users with DE(E) to be restricted to 1 (one) whose DOB are 11/01/1921. 20th February 2006 Date of last inspection Brief Description of the Service: Tranquillity House is a large detached premises offering accommodation over four floors for up to 20 Service Users over the age of 65, requiring residential care. The Home is located within the town of Folkestone and all local amenities are within easy reach (main train and bus stations being 5 minutes walk away). There are 12 single and 4 shared bedrooms available. Although no bedrooms are provided with en-suite facilities, all have a wash hand basin, call systems, and are well furnished. Residents are encouraged to bring personal possessions to furnish their bedroom, the Home having adequate storage space to enable Residents who wish to fully furnish their room themselves to do so. A shaft lift provides access to all upper floors. Communal areas comprise a main lounge, a reading / quite area, a large dining room and spacious conservatory. The property has a secluded, small back garden, where work to enable wheelchair accessibility has been completed, and small private parking area. The owner of the home is in charge of the day to day running of the home whilst waiting to appoint a Registered manager. Fees for this service range between £303 and £367 per week with additional charges for hairdressing, chiropody, aromatherapy and newspapers. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of 7 hours and a completed pre-inspection questionnaire was returned to the CSCI prior to the visit. A tour of the building was carried out and a variety of records and documents examined. Several service users and members of staff were spoken with in addition to the proprietor and deputy manager. There were no responses from family and relatives. What the service does well: What has improved since the last inspection? What they could do better: There have been many improvements since the last inspection and the management are aware of the need to maintain the momentum for continuous improvement. The re-formatting of individual plans needs to continue. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Tranquility House DS0000036015.V318896.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 Tranquility House DS0000036015.V318896.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): 1,2,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives have sufficient information on which to make an informed decision as to whether the home will meet their needs. EVIDENCE: The home has a clear statement of purpose and a service users guide. Comprehensive assessments in place ensure that the home can meet the needs of prospective service users who will each have a written contract of terms and conditions. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 9 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. Individual care plans inform workers of service users requirements and referral to relevant health care professionals ensures their physical and mental wellbeing. They are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Individual care plans are still in the process of being re-organised into a more user friendly format. Assessments are comprehensive with information on service user requirements and preferences. Whilst acknowledging that revamping the care plans is a slow process this task remains a priority. The no smoking policy introduced in the home now protects service users health. Medication procedures have improved since the last inspection and staff have now received competence based training around current legislation and guidance. Observation of the interaction between staff and service users demonstrated a caring and respectful attitude towards each other. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 10 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. Service users have the opportunity to participate in a variety of activities and are encouraged to exercise choice and control over their lives. They receive a healthy and varied diet according to their wishes. EVIDENCE: There are various board games, bingo, dominoes and skittles available in the home. The home also arranges for musical entertainers to visit the home. Staff were observed encouraging service users to participate in singing and dancing during this visit. Staff have stated that it is difficult to get some service users involved and indeed observations and discussions with residents confirmed this. There are opportunities arranged for coffee mornings, drives out for lunch and pantomime for those who wish to take advantage. The kitchen is well stocked with good quality food and hygienically maintained. Menus viewed were healthy and balanced and service users spoken with were very complimentary about the meals. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 11 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 feel confident their complaints will be listened to and acted upon and they are protected from abuse by the homes policies and procedures. EVIDENCE: There have been no complaints since the last inspection and service users spoken with stated they had no problems in raising issues with staff members should they have any concerns. Since the last inspection the staff team have attended training around Adult protection, medication, health and safety, care planning, moving and handling, loss and bereavement and intensive course on Dementia Care. The home is applying for a variation to admit service users with early dementia and has already implemented some environmental changes like colours and security keypads between floors. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 12 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): 19,20,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained environment with ample personal and communal space to meet their needs. The home is clean, pleasant and hygienic. EVIDENCE: The home is spread over four floors with a security door keypad on each floor for safety. Access to all floors for service users is via a lift. The property is well maintained with comfortable furniture of a good standard. Bedrooms are spacious and reflect the interests and lifestyles of individuals. There are ample communal areas and a large conservatory leading to a secure garden area. The home was clean and tidy on the day of the visit and an Environmental Health Report dated 14/12/06 states “Excellent procedures and practices”. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 13 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. Service users are supported by a competent staff team and are protected by the robust recruitment procedures of the home. EVIDENCE: Recruitment procedures include the necessary checks for the protection of service users and staff training records indicate that staff have the knowledge and skills to carry out their roles competently. Nine members of staff have an NVQ qualification and training is ongoing. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 14 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 benefit from the leadership and management approach of the home and their health, safety and welfare is promoted and protected. EVIDENCE: The owner of the service is now in charge of day to day running of the home whilst the deputy manager completes her qualifications and submits an application for registration. There have been many improvements in practices and procedures since the last inspection and this process is ongoing. Financial procedures have been reviewed to safeguard service users monies and a more robust system implemented. Staff training has been improved and observations demonstrated more of a team culture than was apparent at the last inspection. The deputy manager will have completed NVQ level 3 in January 07 and then commence the Registered Managers Award. Health and safety records comply with current legislation and guidelines. Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 15 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 3 3 3 X X 3 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 3 X X X 3 3 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 Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Tranquility House DS0000036015.V318896.R01.S.doc Version 5.2 Page 18 - 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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