Inspection on 05/07/05 for Tunnicliffe House

This inspection was carried out on 5th July 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 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

Tunnicliffe House 02/06/09

Tunnicliffe House 04/04/07

Tunnicliffe House 03/03/06

Tunnicliffe House 02/02/05

Tunnicliffe House 19/08/04

Tunnicliffe House 25/02/04

Tunnicliffe House 09/12/03

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Clover House

Thornton Lodge

Parkside

Park Lodge

Mere Hall View

St Bonaventures

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 Announced 5 July 2005 09:00 th 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 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 Stationary 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 F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 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 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 Renee Lillian Giles Care Home 16 Category(ies) of Learning disability (4), registration, with number of places Mental disorder, excluding learning disability or dementia (14), Mental Disorder, excluding learning disability or dementia - over 65 years of age (2) TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The total number of Service Users must not exceed 16 2 3 4 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 02/02/05 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 F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announce inspection took place over 7 hours. A tour of the home took place and the care and staff records were inspected. The two staff on duty, eight of the fourteen residents, three visitors and a community liaison nurse were spoken with during the inspection. 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. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 7 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 standard(s) 2 & 5 Residents are assessed and given information to make sure that they know their needs can be met at the home and what their rights and responsibilities are whilst living there. EVIDENCE: The care files of the last two people taking up residency at the home were read. Both of these contained an assessment that had been carried out before they moved in that addressed such aspects of life as communication, health and safety issues, leisure preferences, finances, nutrition, and various aspects relating to personal needs. The files also contained information on what staff should do to help residents overcome the problems identified in the assessments. A written statement of terms and conditions was seen in each of the files. This statement identified the room the resident was to occupy, the weekly fee payable and what services this covered, and the conditions required by both parties for termination of the agreement. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 6, 7 & 9 Effective care planning and monitoring means that residents’ social and healthcare needs are met prompty by the staff at the home. Residents are encouraged to make decisions, and lead an independent life as possible. EVIDENCE: Residents have an individual plan of care that shows how their needs will be met. The care files of two residents were read at this inspection, both of which contained a personal profile of the resident, risk assessments, and daily notes regarding their health and welfare. The care notes of one resident who has recently moved to the home also had documentation compiled by the hospital they had moved from that identified signs for the staff to be aware of that could show that the resident was having a relapse in their condition. All of the residents completed CSCI comment cards prior to the inspection. All stated that they feel well cared for, that the staff treat them well and that their privacy and dignity is respected. Residents spoken with confirmed that they are enabled to make decisions about different aspects of their lives, and visitors spoken with also confirmed this. The care files that were checked contained risk assessments and residents spoken with were aware of these. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12, 13 15, 16 & 17 Social activities are well managed, providing variety and interest for people living at the home and the residents were happy with the standard of food provided. EVIDENCE: Residents spoken with said that they prefer to take decisions about how they spend their leisure time, and that the staff respect this. One of the residents spoke about their involvement in an industrial workshop they attend three days a week and another resident said they go to a local community centre three days a week. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 10 Residents go out an about in the local community, shopping and visiting local facilities such as the pub. The majority of residents had recently returned from a week’s holiday in Wales. During the course of this inspection two sets of visitors were spoken with. One said that they visit regularly and that their relative spends time at the family home each weekend. The other visitors said that they feel welcome when visiting and that there were no restrictions placed on them. One resident’s family lives some distance away from the care home, and a member of staff goes with the resident to visit them. CSCI comment cards were completed by five relatives of residents. All stated that they can visit their relative in private and that the staff welcome them. One commented that their relative was happy with the arrangements of the home, and another stated that they were happy with the level of care provided. Menus were seen that appear varied and nutritious in content, and residents spoken with said that they were happy with the standard of food provided. Lunch on the day of inspection was chicken salad followed by ice cream for dessert. The evening meal was to be roast pork, potatoes and mixed vegetables, with Bakewell pudding as a dessert. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 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 standard(s) 18, 19 & 20 The health care needs of residents are met promptly to make sure that they stay as healthy as possible. Medicines are well managed so that residents receive their correct medication. EVIDENCE: All of the residents are registered with a general practitioner and consultant psychiatrist. Three of the residents’ general practitioners filled in CSCI comment cards prior to the inspection. All stated that the home communicates clearly and works in close partnership with them, that they can see their patients in private, and that the staff demonstrate a clear understanding of the needs of the residents’. One doctor indicated that any specialised advice given by them was not incorporated in the residents’ care plan. When informed of this the manager said that she could not understand this comment, as the doctors did not read these plans. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 12 CSCI comment cards were also received from the social worker of one resident who described the home as a ‘unique resource in that it creates a family type homely atmosphere’. They went on to say that the resident was happy living at the home and attributed this to the positive attitude of the staff. One of the residents living at the home has recently moved in after spending time at the local hospital. A community liaison nurse from the hospital is supporting this resident in this placement. The nurse was present at the time of inspection, and spoke positively about the care and support the resident was receiving from the staff of the home, and went on to describe the home as a ‘good and proactive environment’ for those people with recovering mental health needs. Four of the residents manage their own medicines, and records were seen of an assessment being carried out with them to ensure that they could manage this safely. A senior member of staff said that a monthly check is carried out with the residents’ to ensure that they are not having problems with this. One resident said that they were happy with this arrangement, and confirmed that they are provided with a lockable facility in their bedroom in which to store their medicines. The Medicine Administration Record sheets of the other residents were filled in correctly. A random sample of medicines was chosen for stock reconciliation and found to be correct. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 There is information available to guide residents and relatives on how to make a complaint and who to make it to. There are procedures and guidance available for staff to ensure that residents are protected from abuse, harm and poor practice. EVIDENCE: There have been no complaints recorded as being received at the home since the last inspection. The home has a satisfactory complaints procedure, a copy of which was on display. There is also a whistle blowing and adult protection policy in place and staff confirmed that they had read these. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 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 standard(s) 24, 28 & 30 The standards of décor, furnishings and hygiene are good, providing residents with safe, comfortable and homely surroundings. EVIDENCE: The home is situated close to Macclesfield town centre, and is close to the local transport system. There are two dining areas for the residents, one of which has been designated as the smoking area. This room has recently been redecorated, and new dining tables, colour television and music centre provided. One of the bedrooms has also been redecorated recently; new carpet has been laid in the room and a new bed purchased. Residents’ bedrooms were comfortably furnished, and were personalised with items that reflected the interests of the residents. There is sufficient shared space for the number of residents living at the home and they have free access to an enclosed garden at the rear of the premises. All parts of the home were visited at this inspection and were found to be clean, tidy and free from unpleasant smells. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 & 35 There are enough staff on duty to meet the needs of the residents at all times. The home’s procedures for the recruitment of staff were thorough to ensure that residents were protected at all times EVIDENCE: 50 of the care staff employed at the home have achieved an NVQ level 2 in care, and plans have been made for the remainder of the staff to undertake training leading to this award. Duty rotas showed that the agreed staffing levels were being complied with. The personnel files of the last two members of staff to be employed at the home were read. Both of these contained application forms, a medical questionnaire, two satisfactory written references, a record of induction, and satisfactory enhanced Criminal Records Bureau disclosures. Staff training records showed that staff had received training in the protection of vulnerable adults, health and safety updates, induction and first aid. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 & 42 Residents’ views are taken into account in the way the home is run and care is provided, and there are systems in place to protect and safeguard the residents’ interests. The health, safety and welfare of residents and staff are promoted and protected EVIDENCE: Service users spoken with said that their views are sought and listened to, and the proprietors said that they were in the process of ascertaining the residents’ views in a more structured manner by introducing a satisfaction survey that residents can complete. The home holds small amounts of money for the residents, and records are maintained of all money paid in and handed out. A finance sheet is in place for each resident, and evidence was seen of residents signing for the withdrawal of money, and of the signature of the staff member involved in this procedure. Residents confirmed that they receive their personal allowances. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 17 There has only been one recorded accident involving a resident since the last inspection. This was where the resident was out walking and tripped resulting in them fracturing their ankle. Records were maintained of the fire alarm and the emergency lighting systems being tested weekly. A combined fire drill and fire safety training were last held in June this year. The cold water supply system to the home was disinfected in August 2004, and the landlord’s gas safety certificate is valid until August this year. Products subject to the Control of Substances Hazardous to Health were stored securely. TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 18 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 TUNNICLIFFE HOUSE Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 3 x F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 19 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 Regulation None. 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. 1. Refer to Standard None Good Practice Recommendations TUNNICLIFFE HOUSE F51 F01 S6675 Tunnicliffe House V229730 050705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire 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. 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