Latest Inspection
This is the latest available inspection report for this service, carried out on 8th June 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Integrated Support Limited.
What the care home does well Everyone in this home is treated as an individual. The staff try to understand what each person needs and wants and to help them to live their lives the way that they choose. One person wrote on a survey: `I like the staff taking me out every day.` This is a lovely, new, purpose built home. It is well furnished and decorated. It is clean, spacious and comfortable. There are rooms for people to do things together in groups and peaceful, more private spaces for individuals to be by themselves or with visitors. Everyone who lives there has their own room and bathroom. There is a sheltered, private garden outside. The home has been designed so that people who use wheelchairs can move about freely and there is a lift between the floors. A social worker wrote: ` I was extremely impressed by the homely atmosphere, which provides a therapeutic environment.` Staff in this home receive lots of training and support, so that they know how to care for people safely. A staff member wrote: `The training is good, the management are approachable and we have a good network of support.` One person who lives in the home told the inspector: `They do a good job.` Staff work with health and social care professionals to help keep people out of hospital, to keep them healthy and to encourage them to become more independent. One staff member wrote: `Integrated Support does a very good job in helping people with the move back into the community.`The home asks people for their views on the service and what would make the service better. It uses their suggestions to plan improvements. What the care home could do better: The home must continue to develop its training programme based on the needs and situation of the people who use the service. In particular, the home must provide staff with more training on mental health law and what it means for the way they work with people. The home should continue to develop information for people who use its services that people who do not read written English can understand. All sorts of different people, men and women of different ages, with different abilities and needs and from different backgrounds, communities and cultures use services. Some people who need to use services are lesbian, gay, bi-sexual or transgender. So it is good if the home can employ different sorts of people to support them. The home`s managers should ensure that it lets people know that it welcomes people from all communities and backgrounds and recognises and respects the differences between people, including their lifestyle choices and beliefs. They should regularly check that there is nothing in the information they provide and the way they recruit and support staff that could unintentionally put off people, who would be good carers, from applying for a job in this home. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Integrated Support Limited Tanglewood Mews Wylam Road Stanley County Durham DH9 0EJ one star adequate service 18/08/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michaela Griffin Date: 0 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Integrated Support Limited Tanglewood Mews Wylam Road Stanley County Durham DH9 0EJ 01207235259 Telephone number: Fax number: Email address: Provider web address: julie.heron@intergratedsupportcare.com Name of registered provider(s): Name of registered manager (if applicable) Integrated Support Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places: 6 Date of last inspection Brief description of the care home Tanglewood Mews is a new purpose built home for younger adults, run by Integrated Support Limited. It has been built to the latest guidelines and requirements and offers a very high standard of accommodation and facilities. The home aims to provide person-centred support and care to individuals, based on their needs and wishes, and
Care Homes for Adults (18-65 years) Page 2 of 9 1 8 0 8 2 0 0 9 Brief description of the care home to promote their rights and independence. The organisation that runs this service respects the differences between people and hopes to provide an inclusive environment, where people feel welcome, whatever their backgrounds, circumstances or personal characteristics. The home has six large bedrooms, all with their own en suite bathroom. It is close to Stanley town centre, but on the edge of a wooded area and park with views over open countryside. It is is set in its own grounds with other accommodation and services run by Integrated Support on the same site. There is ample free parking. People who use wheelchairs can move around the home easily, as it has level entry, a through floor lift and wide doorways and communal areas with circulation space. All the bathrooms and toilets are fully accessible. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This random inspection took place on one day and lasted four hours. We found that the home has made many improvements since the last inspection and has done what the last inspection report said it must. The home was assessed as achieving good outcomes for people who use the service in the outcome areas that were inspected. The inspector talked to the homes service manager, her deputy, the human resources manager and the person who is registered with the Care Quality Commission as the individual with overall legal responsibility for the service. The inspector also met three people who live in the home and two other staff. She checked files and other paperwork. Before the visit, the inspector sent surveys to people who live in the home and one person returned one. Surveys were also sent to staff and four returned them. They gave their views about the service. Before the inspection the acting manager completed an Annual Quality Assurance Assessment, which gave us information about the home and how it meets the National Minimum Standards and Requirements of the Care Standards Act 2000. The random inspection looked at specific outcome areas identified by checking all this information collected before the inspection and the previous inspection report. What the care home does well:
Everyone in this home is treated as an individual. The staff try to understand what each person needs and wants and to help them to live their lives the way that they choose. One person wrote on a survey: I like the staff taking me out every day. This is a lovely, new, purpose built home. It is well furnished and decorated. It is clean, spacious and comfortable. There are rooms for people to do things together in groups and peaceful, more private spaces for individuals to be by themselves or with visitors. Everyone who lives there has their own room and bathroom. There is a sheltered, private garden outside. The home has been designed so that people who use wheelchairs can move about freely and there is a lift between the floors. A social worker wrote: I was extremely impressed by the homely atmosphere, which provides a therapeutic environment. Staff in this home receive lots of training and support, so that they know how to care for people safely. A staff member wrote: The training is good, the management are approachable and we have a good network of support. One person who lives in the home told the inspector: They do a good job. Staff work with health and social care professionals to help keep people out of hospital, to keep them healthy and to encourage them to become more independent. One staff member wrote: Integrated Support does a very good job in helping people with the move back into the community.
Care Homes for Adults (18-65 years) Page 4 of 9 The home asks people for their views on the service and what would make the service better. It uses their suggestions to plan improvements. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 35 18 Staff must have training on 09/01/2010 mental health legislation and the implications for how they support and protect people must be communicated to them clearly. They must have opportunities to understand the relevance of their training to the way that they work with people. This is to enable staff to understand the homes responsibilities for keeping people safe and to understand the implications of mental health law for their practice. Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 35 18 Staff must have further 01/06/2011 training on mental health legislation and the implications for how they support and protect people must be communicated to them clearly. They must have opportunities to understand the relevance of their training to the way that they work with people. This training should build on the training on the Mental Capacity Act that staff have already had. Further training on the Mental Health Act is to enable staff to understand the homes responsibilities for keeping people safe and to understand the implications of mental health law for their practice. Care Homes for Adults (18-65 years) Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 1 All the information provided for people interested in using the service should be written in simple language and in short sentences, illustrated with appropriate pictures and images. The service user guide for people who already live in the home should be kept up to date, so that photographs of staff who have left are replaced to avoid confusion. The homes managers should ensure that it lets people know that it welcomes people from all communities and backgrounds and recognises and respects the differences between people, including their lifestyle choices and beliefs. The homes managers should regularly review its policies and procedures and carry out equality impact assessments of all its practices. They should check that there is nothing in the information that it provides about its services and the way it recruits and supports staff that could unintentionally put off people, who would be good carers, from applying for a job in this home. 2 2 3 32 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
