Inspection on 11/01/08 for Tudor Court LA

This inspection was carried out on 11th January 2008.

CSCI found this care home to be providing an Adequate service.

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

Tudor Court LA 28/11/06

Tudor Court LA 08/02/06

Tudor Court LA 13/09/05

Tudor Court LA 19/10/04

Tudor Court LA 27/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Tudor Court LA Tudor Court Seymour Street Heywood Rochdale Lancs OL10 3AJ Lead Inspector Jenny Andrew Unannounced Inspection 11th January 2008 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 Tudor Court LA DS0000032850.V357662.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. Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tudor Court LA Address Tudor Court Seymour Street Heywood Rochdale Lancs OL10 3AJ 01706 364427 01706 628700 ss.tudorcourt@rochdale.gov.uk 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) Rochdale M.B.C. Miss Heidi Tombling Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability (1) of places Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP (maximum number of places: 19); Physical disability : Code PD (maximum number of places: 1). The maximum number of service users who can be accommodated is 19. 28th November 2006 Date of last inspection Brief Description of the Service: Tudor Court was temporarily closed on 16 July 2007, in order that a total refurbishment could take place. The permanent people living there at that time were, following consultation, transferred to Meadow View, another Local Authority home, until Tudor Court is re-opened. This is expected to take place in March 2008. The home is a purpose built residential home owned by Rochdale Council offering accommodation for 19 service users, including 11 intermediate care and two recovery beds. The Intermediate Care Unit offers a short-term programme of rehabilitation for between two and six weeks for older people leaving hospital or for those in the community who may otherwise need admission to a hospital bed. Over a period of time, the permanent care beds are to be phased out and ultimately the unit will cater solely for those people requiring an intensive rehabilitation programme. All rooms are single and suitable for wheelchair users as they all measure in excess of 12 square metres. There are no en-suite facilities. The home is situated approximately half a mile from the centre of Heywood where there is a wide variety of shops, pubs, cafes, etc. Ramped access for wheelchair users is provided to the front and rear of the home. There are safe garden areas, which residents enjoy during the summer months. Adequate parking is available to the front of the building. Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 5 Weekly fees varied dependent upon the service and the individual finances of the service user. No charge was made for intermediate care. Additional charges were made for private chiropody, hairdressing, papers/magazines, transport for outings, holidays and clothes. The provider made information about the service available upon request in the form of a Service User Guide and Statement of Purpose, which were given to new residents. At the last inspection, a copy of the most recent Commission for Social Care (CSCI) inspection report was displayed in the entrance hall together with other useful information. Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Tudor Court was temporarily closed on 16 July 2007 so it could be refurbished and work undertaken in order to meet the Commission for Social Care Inspection’s environmental standards and those required by the Fire Service. It is due to re-open February or March this year. A key inspection will take place within the next 12 months. Until this time, the overall quality rating will remain adequate, as at the last inspection, as we have not been able to revisit. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Tudor Court LA DS0000032850.V357662.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 Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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): Quality in this outcome area is adequate. This judgement has been made due to the home being temporarily closed. A full key inspection will be done after March 2008 when a new judgment, together with the necessary evidence, will be recorded. EVIDENCE: A visit was not able to take place due to the temporary closure of the home for refurbishment purposes. Tudor Court LA DS0000032850.V357662.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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 16 Are there any outstanding requirements from the last inspection? Not known. The requirements below were made at the last key 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 OP2 Regulation 5(3)5A5B Requirement Timescale for action 15/01/08 2 OP8 12(1) 3 OP9 13(2) 4 OP9 18(1)(c) (i) Where a Local Authority has made arrangements for the provision of accommodation, nursing or personal care to the service user at the care home, the registered person shall supply to the service user a copy of the agreement specifying the arrangements made. The registered person shall 15/01/08 ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users in that nutritional assessments are undertaken upon admission. The registered person shall make 15/01/08 arrangements for the recording, handling and safe administration of medicines received into the home. The registered person shall 15/01/08 ensure that persons employed to work at the care home receive training appropriate to the work they are to perform, i.e., medication training. DS0000032850.V357662.R01.S.doc Version 5.2 Tudor Court LA Page 17 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. 5 Standard OP19 Regulation 23(4)(a) (c) Timescale for action The registered person shall, after 15/01/08 consultation with the fire authority, take adequate precautions against the risk of fire. Requirements in the GMC fire officer’s report of 3/11/04 and the authority’s fire report undertaken in March 2005 must be implemented. (The GMC fire requirement has been outstanding since November 2004). The registered person shall 15/01/08 ensure that lighting suitable for service users is provided in all parts of the care home that are used by them. This specifically refers to improved corridor lighting and provision of bedside lighting or easy access to light switches from the service users bed. The registered person shall 15/01/08 establish and maintain a system for evaluation the quality of the services provided at the care home. Requirement 6 OP19 23(2)(p) 7 OP33 24(1)(2) (3)(4) Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 18 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. 8 Standard OP37 Regulation 26(1)-(5) Requirement Where the registered provider is an organisation, the care home shall be visited by the responsible individual or an employee of the organisation, who is not directly concerned with the conduct of the home on a monthly basis. The registered person shall maintain in the care home the records specified in Schedule 4. This specifically refers to accident report records. The registered person shall ensure that all equipment provided at the care home for use by service users or persons who work at the care home is maintained in good working order. This specifically relates to the servicing of all gas appliances. Timescale for action 15/01/08 9 OP38 17(2) 15/01/08 10 OP38 23(2)(c) 15/01/08 Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 19 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 4 5 6 7 8 Refer to Standard OP1 OP7 OP12 OP18 OP19 OP29 OP30 OP30 Good Practice Recommendations The service user guide and statement of purpose should be kept updated and revised copies sent to the CSCI. Care plans for the permanent service users should be updated on at least a monthly basis. A more varied activities programme should be formulated which meets both individual and group needs. All staff should undertake protection of vulnerable adult training. Level access showers, suitable for the diverse needs of intermediate care clients should be provided. Staff personnel files should contain all relevant copy documentation, e.g., application forms, references, etc. The manager should ensure that all new staff receive Skills for Care induction training and that competencies are assessed and clearly recorded. The manager should formulate a training matrix for training done additional to that which is mandatory. Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Manchester Local Office 11th Floor, West Point 501 Chester Road Old Trafford Manchester M16 9HU 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 Tudor Court LA DS0000032850.V357662.R01.S.doc Version 5.2 Page 21 - 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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