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Inspection on 12/01/06 for Tyneview Nursing Home

Also see our care home review for Tyneview Nursing Home for more information

This inspection was carried out on 12th January 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a high quality of clinical care and there is good liaison with clinical specialist and other health professionals. Service users feel that they are well looked after by the staff and speak highly of the care they receive. Staff members engage service users in conversation when carrying out care and some staff members are particularly skilled at putting elderly service users at their ease. The manager and her staff are flexible in relation to service user`s individual needs and wishes and try to ensure the service responds to the individual`s needs and wishes. Lifestyles are tailored to service users preferences as well as possible taking into account the service users capacity and abilities.

What has improved since the last inspection?

The home now has one variable height bed. The home has employed a number of different strategies to avoid relying on bed rails to keep service users in bed. The majority of the stairway does not squeak when walked upon. Some carpets have been replaced.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Tyneview Nursing Home Cuthbert Street Bensham Gateshead Tyne & Wear NE8 1AF Lead Inspector Mr Tom Moody Unannounced Inspection 12th January 2005 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 Tyneview Nursing Home DS0000018181.V250735.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 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. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tyneview Nursing Home Address Cuthbert Street Bensham Gateshead Tyne & Wear NE8 1AF 0191 477 2835 0191 478 9400 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) Mrs Beverley Anne Tarplee Mr Martin Lang Ms Elizabeth Malley Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37), Physical disability over 65 years of age of places (37), Sensory Impairment over 65 years of age (24) Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2005 Brief Description of the Service: This home is registered as a care home providing nursing and personal care for older people. It is a building that has been converted to its present purpose as a care home. The building has three main floors with some further changes of level within these. The home is built on rising ground and the main entrance is at first floor level. It has a passenger lift giving access to all floors. It is situated in an urban setting close to a busy road junction and is accessible by public transport with several major bus routes running by the home. There are no grounds that can be used as recreational space but it has ample car parking. There are a limited range of facilities, such as pubs and shops, within walking distance of the home and it is a short drive to the town centre. The home’s elevated position provides views of the River Tyne and Newcastle to the North and West. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over one day in January 2006. Care practice was observed and the inspector spoke to staff, service users, relatives and the nurse in charge. The premises were looked at, as well as examples of documentation. A meal was observed but the inspector did not eat with service users on this occasion. What the service does well: What has improved since the last inspection? The home now has one variable height bed. The home has employed a number of different strategies to avoid relying on bed rails to keep service users in bed. The majority of the stairway does not squeak when walked upon. Some carpets have been replaced. Tyneview Nursing Home DS0000018181.V250735.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. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 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 Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 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 the following standard(s): 2, 3, 4, 6 Service users have a contract setting out terms and conditions. All service users entering the home have their needs accurately assessed. Most service users and their family have the opportunity to visit the home before they come to stay, unless there are exceptional circumstances. This allows them to make an informed choice about staying in the home. EVIDENCE: Contracts are present in care plans and the nurse in charge confirmed that each service user receives one. Care plans show that an assessment is made by specialist nurses and socialwork staff, as well as the home manager. This home is one of a limited number in Gateshead that provided intermediate care. These service users are sometimes admitted without the home assessing their needs. In these circumstances, this is done by other professionals. Previous discussions with the manager indicated that service users from this service to progressing to home or some other low level placement other than hospital care. Discussions with service users confirmed this and those service users who had been admitted at short notice commented positively on how well they had been dealt with during this process. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, Service users health care needs are largely met but the risk assessment documentation has highlighted deficiencies in equipment. Service users have access to all healthcare services that they need. The home has appropriate policies and procedures to ensure service users receive their medication in a safe way. EVIDENCE: The service user’s care plans are detailed and indicate that their healthcare needs are assessed. There is evidence of a number of health-care specialists being involved in service users care, as well as GP’s dentists and opticians. Medication policies and procedures are appropriate. Storage and recording of medication is safe and carried out satisfactorily. Care plans indicate that safer alternatives to bed rails are used whenever possible and this equipment is in place in service user’s rooms. Some bed rails are still used and examples were found where these were not secure. Service user’s confirmed that they felt they were well looked after in the home. One service user said, “I feel safe in here, the staff come straight away if I need them.” Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 The home endeavours to provide a lifestyle that matches service users needs and preferences. Meals are of good quality and the timing and choice can be varied to meet service users needs. EVIDENCE: Service users rooms contained their own treasured items and evidence of recreational interests such as books, jigsaws and tapes. Religious symbols and pictures were displayed in some rooms. Staff confirmed that visiting is unrestricted and relatives were observed, visiting the home during the day. Some service users have been provided with tea-making equipment to allow them control over when they take tea and to enable them to offer refreshment to their friends and relatives. Care plans contain good clinical information but there is little information about social care or service user’s life history. Some staff members do have a good knowledge of service user’s background. Service users confirmed that the home had an activities co-ordinator. The menus were appropriate and demonstrated choice was available, although the menu on display did not correspond with the meal served on the day of inspection. The cook confirmed that service users can have a choice other than that which is on the menu. Home cooked food was being served and cooked on the day of the inspection. All service users who were spoken to confirmed that Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 11 the food was good. Comments such as, “The food is grand.” And “I enjoy my breakfast,” were typical of the comments made to the inspector. Service users requiring help at mealtimes were aided by staff in a skilled and appropriate way. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16, 18 The homes policy on adult protection reflects the multi agency approach to adult protection, and local procedures and staff know how to use it. This should ensure the protection of service users. Service users and their relatives are confident in the process and how staff will operate it. EVIDENCE: The policies and procedures in this area are appropriate. The home is using the local authority’s definition of abuse derived from the No Secrets Guidance. Staff have an awareness of what constitutes abuse and how to follow policies. Service users said that they were happy raising issues with staff and they expressed confidence that the manager would deal with issues. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The environment is maintained regularly but some areas still need attention. Although the home has some equipment there are some areas that are deficient and although the home is, in the main, safe, some hazards are present and need to be eliminated to ensure service user’s safety. Rooms are comfortable, furnished to service users tastes, and the home is kept clean. EVIDENCE: The home has adequate communal and bedroom space although some bedrooms are odd shaped. As well as the main lounges there is a smaller communal areas overlooking the car park although few service users seem to use this. The views from the main lounges, are impressive although these are quite large and open. Some of the chairs in these areas are becoming badly worn and need to be replaced. As noted in the last report, one lounge door was wedged open and would be dangerous in the event of a fire. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 14 Bedrooms are reasonably well furnished and contain personal items belonging to the occupants. The home has obtained a variable height bed but the remainder of the divans in use do not allow the safe deployment of bed rails. One bed rail was unsecured and could pose a hazard to the user. There was no loop system in any area to help service users with hearing problems. In the past service users have pointed out that the television, on the other side of the lounge, was too far away to be heard properly. There are adequate numbers of toilet and bathing facilities but floor covering in the shower areas is becoming badly stained and looks unclean as a result of this. Shower traps were open and unsecured, could allow smells into the room. The home has no gardens or grounds that can be realistically used as a amenity area for service users. The home was clean and tidy in all areas and no unpleasant odours were detected. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 The manager ensures that the home operates safely and sufficient staff are available to meet service users needs. EVIDENCE: The home had sufficient staff to meet service users needs on the day. The call system was answered promptly. Service users confirmed that they rarely had to wait for attention. The homes recruitment policies and procedures are appropriate. The recruitment processes are thorough and carried out properly. Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 The manager is experienced and competent and the home is well managed. The manager is professional and ethical and service users benefit from the way she carries out her duties. EVIDENCE: Although the home manager was not present at this inspection she is an experienced nurse registered on more than one part of Nurses and Midwives Council register. She has been approved as the registered manager by previous registering authorities and has NVQ level 4 in management. The staff group is cohesive and they say they feel part of a team. The staff state that the manager is approachable and supportive. Service users also say that the manager is approachable and that she is well regarded. The imaginative use of alternatives to bed rails is a good example of the managers active, problem-solving approach. Tyneview Nursing Home DS0000018181.V250735.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 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 3 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 2 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x x x x Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 OP38OP8 Regulation 16, 13 Requirement The home must have suitable variable height beds and beds that are capable of have bed rails fitted securely to them. Fire precautions must be observed in all areas of the home. The floor coverings in bathroom, toilet and shower areas must be appropriate and kept in good repair. As should sanitory fittings. The home must provide equipment suitable for service users with physical or sensory deficit. Timescale for action 28/02/06 2 3 OP19 OP21 23, 13 23 28/02/06 28/02/06 4 OP22 16, 23 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tyneview Nursing Home DS0000018181.V250735.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Tyneview Nursing Home DS0000018181.V250735.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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