Inspection on 11/08/05 for Tynedale House

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Tynedale House 12/02/09

Tynedale House 02/03/07

Tynedale House 14/01/06

Tynedale House 09/03/05

Tynedale House 21/07/04

Tynedale House 23/03/04

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Blenheim House

Prince Bishop Court

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

CARE HOMES FOR OLDER PEOPLE Tynedale House Tynedale Drive Blyth Northumberland NE24 4LH Lead Inspector Mary Blake Announced 11 August 2005 09:30 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 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. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Tynedale House Address Tynedale Drive Blyth Northumberland NE24 4LH 01670 364660 01670 365869 mfairbairn@northumberland.gov.uk Northumberland County Council SSD 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 Malcolm Fairbairn CRH 25 Category(ies) of LD Learning Disability (7) registration, with number LD(E)E Learning Disability - over 65 (2) of places MD(E) Mental Disorder - over 65 (2) OP Old Age (13) PD(E) Physical - over 65 (1) Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 9th March 2005 Brief Description of the Service: Tynedale House is a purpose built single storey home for older people, situated near to a number of shops and facilities on the outskirts of Blyth. A driveway and turning circle, with pathways offers safe vehicular access to the main entrance and reception area. The home provides 25 long-term places. Tynedale House provides accommodation and care to people over 65 years of age in several care categories. There are a variety of aids and adaptation to allow residents to move freely around the home. All of the bedrooms are currently single occupancy and there are no ensuite facilities and there are communal bathrooms and toilet faciltiies situated around the home. There is sufficient communal lounges and dining areas. There is public car parking opposite the front of the building. The home does not provide nursing care. The Local Authority provides the service and it is managed by Mr Malcolm Fairbairn. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home has recently changed to provide mainly for residents with learning disabilities and dementias, this was discussed with the Registered Manager and it was agreed that the statement of purpose, service user guide and policies & procedures would be reviewed to reflect these changes. Staff training and practices were already being addressed. The inspection was announced, the first of the year and took place over one full day. Residents care records and additional statutory records were examined. During the visit the inspector spoke with the manager, six staff, nine residents and one relative. The inspector received 15 resident and 3 relative questionnaires. The majority of these were very positive on all aspects of the service. The Registered Manager had already addressed the concerns in relation to food. What the service does well: It was seen and residents commented that staff were kind and considerate when helping them. Two residents spoke of a gradual introduction to the home and there was a detailed pre-admission process. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of the nine residents spoken to were pleased with the quality and choice available. Five residents described good relationships with the staff and said they were all polite and helpful. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. Residents are fully involved with their care plans. All staff are trained to NVQ level 2 and above. Residents live in a home, which is well run and managed. The Registered Manager’s leadership has been consistent and has ensured that residents receive consistent quality care. Residents have benefited from the leadership and management of the home. The home is run in the best interests of the residents and excellent in house quality assurance systems are in place. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 6 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. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4,5 Tynedale House does not provide intermediate care. Residents do not have up to date information about the home as this is in the process of being updated. The majority of residents move into the home having had their needs assessed and been assured how these will be met. Residents and their relatives have the opportunity to visit the home prior to admission and generally satisfactory pre-admission assessments processes were in place in order to meet their needs. EVIDENCE: The statement of purpose, service user guide had not been updated to reflect the changes to the registration of the home. The Registered Manager is currently addressing this. Discussion with residents, staff and the Registered Manager confirmed that their care needs had been assessed prior to admission. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 9 Information gathered by the staff before and during admission was seen and this provided relevant and useful information. Discussion with residents, staff and the Registered Manager confirmed that their care needs had been assessed prior to admission. These new residents and their family told the inspector that they had been given an opportunity to visit the home, meet staff and other residents, view rooms and had brought personal possessions with them when they moved in. The admission process for two of the most recent admissions was looked at and was found to be satisfactory. However one individual pre-admission assessment had not been fully completed and did not contain enough information about moving and handling or falls risk assessment. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 10 Residents personal and social care needs are set out in their individual plan of care. Residents are fully involved with their plans. Residents felt that their privacy was respected and that staff treat them with respect. EVIDENCE: Individual residents plans of care were examined and have continued to improve. These had been appropriately reviewed and updated and residents spoke of their involvement and this was recorded within their plan. Residents were observed enjoying a lunch that appeared tasty and nutritious, all commented on the improvements to the quality and range of food served. A range of risk assessments are undertaken but for one resident there was insufficient documentation in relation to falls risk assessment and the moving and handling plan was incomplete. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 11 Regular in house and external reviews had been undertaken. Residents spoke of staff giving them privacy but also supporting their independence and that staff were respectful in their dealings with them. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 &15 Social care needs, recreation and stimulation are excellent. Residents are supported to maintain contact with family, friend and their local community. Residents are helped to exercise choice and control over their lives. The menu, food choices and quality of food on offer were sufficient to meet the needs of residents. The meals offer choice, variety and good nutrition. EVIDENCE: Residents spoke of opportunities to participate in a range of activities. It was clear that many evening and weekend activities were happening both inside and outside in the local community and this was enjoyed greatly be the residents. The range of activities was extensive for individual and small groups and included cooking, quizzes, and trips to local pubs, theatres and shops. Some residents had also had a holiday. The social activities co-coordinator was very knowledgeable about the needs of individual and how to work with residents to obtain their likes and interests. Residents individual interests were recorded in detail with particular reference to varying abilities and support needed but enabling everyone who wanted to participate in the activities.. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 13 Up to date information about daily, weekly and forth coming events was displayed and circulated by the social activities co-ordinator. Residents spoke of making decisions about visitors, of going into to town and visitors were observed to see residents in private. Residents are asked to choose their food for the next day. Good quality fresh fruit was seen and residents all commented that the food being served was fresh, nutritious and very tasty. Meals are taken in pleasant, well-lit dining rooms, well laid tables, with good staff attendance and supervision. Lunch was seen to be a relaxed and social occasion. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards was inspected. EVIDENCE: Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Residents live in safe and comfortable surroundings, which are well maintained, clean and pleasant. EVIDENCE: Whilst this standard was not fully inspected during the inspection the inspector was able to see that the home was well maintained, clean and comfortable. This was also confirmed in discussions with residents and families. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28 Resident’s needs are met by the number and skill mix of staff at the home and are in safe hands. Staff are trained and competent to do their jobs. EVIDENCE: Discussions with the Registered Manager, staff and examination of the staffing rotas confirmed that the home has remained consistently staffed, both during the day and night. The minimum numbers of care staff are 4 mornings 3 afternoons 3 evening and two during the night. Senior and managerial staff are in addition to these numbers. There has been a recent staff recruitment to facilitate the proposed new admissions to the home of older adult with learning disabilities. All residents spoken to said that staff were kind and considerate. The majority of staff have completed NVQ level 2 in care, 6 have NVQ level 3 and two staff are undertaking NVQ level 3. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33 & 36 Residents live in a home, which is well run and managed. The Registered Manager’s leadership has been consistent and has ensured that residents receive consistent quality care. Residents have benefited from the leadership and management of the home. The home is run in the best interests of the residents and excellent in house quality assurance systems are in place. Staff are appropriately supervised but not within a standardised format. EVIDENCE: The residents and staff made positive comment about the Registered Manager and staff team, residents gave examples of improved practices. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 18 It was evident from inspection and residents comments that the Registered Manager had sufficiently overviewed the standards within the home and continues to improve the quality of life of residents. The Registered Manager has implemented excellent in house quality assurance systems. This involved in-house monthly discussions with individual residents and covered areas such as the care they received, food and catering issues. This was well structured and documented, identifying issues and actions taken to address resident’s comments. Examination of staff records and discussion with staff indicated that supervision takes place within the recommended timescales. There was variety in how these supervisions were recorded and how issues would be actioned. The Registered Manager has agreed to standardise this process. Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 4 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 4 4 4 x x 2 x x Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 20 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 OP3 Regulation OP14 Requirement Update pre-admission and care planning documentation to reflect the changes to the categories To complete preadmission, care planning in relation to moving and handling and falls risk assessment To standardise supervision documentation. Timescale for action 1st October 2005 1st September 2005 1st October 2005 2. OP3,OP7 OP13 4c 5 3. OP36 OP 18 2 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 Good Practice Recommendations Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Tynedale House B53-B03 S35337 Tynedale House V233850 110805 Stage 4.doc Version 1.30 Page 22 - 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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