Inspection on 03/03/06 for Tunnicliffe House

This inspection was carried out on 3rd March 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 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

Tunnicliffe House 02/06/09

Tunnicliffe House 04/04/07

Tunnicliffe House 05/07/05

Tunnicliffe House 02/02/05

Tunnicliffe House 19/08/04

Tunnicliffe House 25/02/04

Tunnicliffe House 09/12/03

Similar services:

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Ashwood Court Unit 1

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Park Lodge

Mere Hall View

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

CARE HOME ADULTS 18-65 Tunnicliffe House 16 Tunnicliffe Street Macclesfield Cheshire SK10 1DE Lead Inspector Denis Coffey Unannounced Inspection 3rd March 2006 09:00 Tunnicliffe House DS0000006675.V269660.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 Tunnicliffe House DS0000006675.V269660.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. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tunnicliffe House Address 16 Tunnicliffe Street Macclesfield Cheshire SK10 1DE 01625 617129 01625 618610 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) Mr Sydney Neville Warrington Mrs June Mary Warrington, Mrs Giles Mrs Renee Lillian Giles Care Home 16 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (14), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (2) Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of Service Users must not exceed 16 14 of the Service Users may be MD 4 of the 14 MD Service Users may be LD No more than 2 Service Users may be MD(E) Date of last inspection 5th July 2005 Brief Description of the Service: Tunnicliffe House is a large detached property in a quiet cul-de-sac close to Macclesfield town centre. It is a three-storey building, and residents are accommodated on the ground and first floors. The second floor is not registered to accommodate residents. The care home is registered to provide care for adults with mental health problems, including up to four adults with a learning disability. The home does not have a passenger lift or adaptations, as residents are mobile and independent. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a 6 ½ hour period and included a tour of the premises, an inspection of care and general home records, and speaking with residents and staff. Those residents and visitors spoken with were positive in their comments about the home in general, the care provided and the support given by the staff Two requirements and one recommendation were identified at this inspection. These were in relation to staff recruitment, disinfection of the cold water system, and completion of pre-admission assessments for prospective residents. What the service does well: What has improved since the last inspection? There were no requirements or recommendations made at the last inspection of the home on 5th July 2005. Two requirements and one recommendation have been identified at this inspection. Apart from these, the home has maintained its usual high standard. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 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. Tunnicliffe House DS0000006675.V269660.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 Tunnicliffe House DS0000006675.V269660.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): 1&2 Information is available for residents to enable them to know that their needs can be met. However, the documentation used in the assessment of new residents needs to be completed more fully to show who carried out the assessment, and when this was completed EVIDENCE: The home has a statement of purpose that identifies the structure and facilities offered by the home. This was reviewed at this inspection and the information contained within this meets the standard required. A new resident has taken up accommodation at the home since the last inspection, and evidence was seen of a pre-admission assessment being carried out with this person prior to them moving into the home. This assessment addressed personal needs, life skills, leisure activities and communication. However, independence and relationships had not been covered, and the assessment had not been dated or signed by the person carrying it out. See Recommendation 1 Tunnicliffe House DS0000006675.V269660.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): 6 & 10 The care needs of the residents are identified in their individual care records that accurately reflect the care required. EVIDENCE: The care records of two of the residents were examined at this inspection. Both contained plans of care for their healthcare needs, risk assessments, e.g. management of medicines, and their preferred daily routine. The daily records made with regard to the residents’ health and welfare were informative. Staff employed at the home are given information on how they are to maintain confidentiality, and are asked to sign that they have read and understood this. The home also has a policy on the rights of the residents that covers dignity, respect, choice and advocacy. Staff spoken with demonstrated a good understanding of these issues. Tunnicliffe House DS0000006675.V269660.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): 13, 14, 15 & 16 Residents’ are encouraged to engage in meaningful activities, exercise choice, and maintain contact with their families thereby enabling them to maintain their independence. EVIDENCE: At the time of the inspection one of the residents was preparing to spend the weekend at their family home, and another resident told the inspector that they were going to stay with a member of their family for a week. One resident was attending an industrial workshop at the local hospital and another was spending the day at a local community centre. Residents’ spoken with confirmed that they make choices with regard to their daily lives and that they are supported in this. An annual holiday for residents and staff has been booked for June 2006. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 11 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 & 19 The health and personal care needs of residents are well met, ensuring that their privacy and dignity is maintained and that they keep healthy. EVIDENCE: Residents spoken with said that the staff are friendly and that guidance and support was provided when their personal care needs were being attended to. All of the residents are registered with a consultant psychiatrist and general practitioner. Records were seen of social workers and a community psychiatric nurse visiting the home to carry out reviews of the health care needs of the residents. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 12 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): 22 & 23 There is information available to residents, and visitors to the home on how to make complaints and how these will be dealt with EVIDENCE: There have been no recorded complaints received at the home within the past twelve months. The home’s complaints procedure was on display, and this met the standard required, e.g. who complaints can be made to, the time in which a complaint will be responded to, and the address and telephone number of the Cheshire office of the Commission for Social Care Inspection. A copy of the Department of Health’s document ‘No Secrets’ (this document contains guidance that identifies the different forms abuse can take and how to report this), is available to the staff for reference purposes. Staff spoken with displayed a good awareness of their role in protecting residents from abuse and harm, and they were able to identify the various ways in which abuse can be manifested. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 13 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, 26, 27 & 30 The home provides a comfortable and clean environment for the residents to live in. EVIDENCE: The home is comfortably furnished, and central heating is provided in all areas of the premises. Bedrooms were personalised by the residents reflecting their tastes and interests. Local transport services are located close to the home, and the town centre is within walking distance. There are two baths, one shower room and four toilets provided for use by the residents. One of the sitting areas is a designated smoking area and there is another lounge for use by residents who do not smoke. Laundry facilities are domestic in nature and hand washing facilities are provided in all sanitary areas. All parts of the home were visited at this inspection and found to be clean, tidy and free from unpleasant smells. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 14 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): 34 & 36 Recruitment procedures need to be more thorough to ensure that residents are protected from any possible harm. Staff supervision is provided to enable both staff and management to review training needs. EVIDENCE: The personnel files of two members of staff recently taking up employment at the home were examined. Both contained a satisfactory Criminal Records Bureau check, a health declaration, interview record, and an application form. There was only one reference on file for one of the staff, and there was an absence of employment history on the application form of the second member of staff. Records were seen of staff receiving one to one supervision from their manager/senior that addressed such issues as work performance, relationships with residents and colleagues and training needs. See Requirement 1 Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 15 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): 37, 39 & 42 Whilst the health and safety of the residents’ and staff is well promoted it could be improved by ensuring that the cold water system is disinfected annually to prevent the residents’ being place at risk. EVIDENCE: The home manager is one of the owners of the home and has been in post for a number of years. A senior carer employed at the home is currently undertaking training leading to an NVQ level 4 that she expects to have completed by April 2006. This carer is in the process of applying to the Commission to become the registered home manager. Resident’s were given satisfaction survey forms last year, signed copies of which were seen in their care records. The forms asked the residents’ opinions on such areas as support, diet, accommodation and staff attitudes, with space left for additional comments. All of the responses seen were positive. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 16 Fire safety training for the staff was booked to take place on 23rd March 2006, and records were seen of the fire alarm and emergency lighting systems being tested on a regular basis. The fire safety officer from the local fire brigade visited the home in February this year and recorded that the premises were satisfactory. The central heating system was serviced in November 2005 with no problems identified. Portable electrical appliances at the home were safety tested in November 2005, and the local Environmental Health Officer inspected the home in February 2005. No requirements were made from this visit, and the one recommendation made has been addressed. The cold water system was last disinfected in August 2004. This treatment should be carried out annually. See Requirement 2 Tunnicliffe House DS0000006675.V269660.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 3 2 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 2 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tunnicliffe House Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000006675.V269660.R01.S.doc Version 5.0 Page 18 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. 1 Standard YA34 Regulation 19 Requirement The registered person must ensure that two references are obtained for all people employed at the home, and that all of the information identified in section 6 of Schedule 4 is maintained for all staff employed at the home. The registered person must ensure that the cold water system is disinfected, and that this process is carried out thereafter on an annual basis. Timescale for action 21/04/06 2 YA42 13 30/04/06 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 Refer to Standard YA2 Good Practice Recommendations The registered person should ensure that all pre-admission assessment documentation is signed and dated by the person carrying out such an assessment. Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Tunnicliffe House DS0000006675.V269660.R01.S.doc Version 5.0 Page 20 - 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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