Latest Inspection
This is the latest available inspection report for this service, carried out on 12th October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Tanglewood.
Annual service review
Name of Service: Tanglewood The quality rating for this care home is: The rating was made on: two star good service 0 1 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: James OHara Date of this annual service review: 1 0 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 66 Leaves Green Road Keston Kent BR2 6DQ 01689850642 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Totem Care Ltd Number of places (if applicable): Under 65 Over 65 6 0 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 categories: Learning disability - Code LD Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The home has a new manager, they hold an NVQ 4 and the Registered Managers Award. They plan to register with the Commission to run the home. 0 1 1 0 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Tanglewood is a large detached bungalow located in the quite residential area of Keston not far from Bromley. The home has its own transport and there are bus routes within walking distance to Bromley and Croydon town centres. Tanglewood provides support for up to six people with learning difficulties. There are currently three people living at the home.
Annual Service Review Page 2 of 6 Tanglewood is furnished and decorated to a high standard and offers ground floor accommodation making it suitable for people who use wheelchairs. The home has a large lounge, separate dining room, conservatory, activities room, and kitchen and laundry room. All bedrooms rooms are single, five of which have en suite facilities. To the rear of the home is a large well maintained garden with a decking area and good quality garden furniture. This is very popular with people who use the service in the summer months. The starting fee for a placement at the home is £1650.00 per week, the current fees paid by people living at the home range between £1900.00 and £2800.00 per week. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment, AQAA, that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. We looked at a number of surveys from people who use the service, relatives, an advocate, staff and a General Practitioner. What has this told us about the service? We got good information from the AQAA. It included clear evidence of how the service has improved since the last key inspection. The home currently employs nine staff, eight staff hold an NVQ level 2 or above in care. They have established a relationship with a local college for people with learning disabilities. They have encouraged people who use the service to make their own decisions with regards the running of the home and how they choose to live their lives. One person now accesses public transport and is able to visit their family independently. They have developed good relationships with local health teams. They have developed the complaints procedure in a pictorial format for the benefit of the people who use the service. Staff has attended a training course on maditory training. They have also attended training on dysphagia, autism, posture care, medication and infection control. The manager has attended training on the Deprivation of Liberty and the Mental capacity Act. The interior of the home has been improved and the decking in the back garden has been coated with anti slip surface coat. The AQAA also included plans for further improvements over the next twelve months. Annual Service Review Page 4 of 6 They plan to develop communication systems so that new staff will easily ajust to the needs of the service users. They plan to place staff on a British Sign Language course. They also plan to recognise and develop a deputy manager. A redecoration programme has been implemented. We received a number of surveys from people who use the service, relatives, an advocate, staff and a General Practitioner. People who use the service indicated that the home was always fresh and clean, they could do what they wanted during the day, evenings and weekends and staff and managers treated them well and listened to what they had to say. They knew how to make a complaint. Staff indicated that they had an induction, they were receiving training relevant to their role and met regularly with their manager for support and to discuss how they were working. They commented, the home supports service users to achieve independence and there is good communication amongst staff and managers. An advocate commented, the service makes my client feel valued and able fulfil their expectations. I cannot praise the manager enough as they have brought about so much improvement for my client all of which is much appreciated. A General Practitioner commented under what the service does well, the service maintains communication with all relevant services. We spoke to one relative on the phone. They told us that they didnt feel their concerns were always listened to. The manager told us that concerns were taken seriously however they would write to peoples relatives advising them of the homes complaints procedures and assure them that any concerns or complaints they had about the service would be listened to and fully investigated. The manager also told us that they plan to set up a parents and relatives committee so that they can meet every three months to talk about the service, their relatives, make suggestions about activities and raise any concerns. We have not received any complaints about the service in the last year. The manager told us that the service has not received any complaints since the last key inspection. The manager told us that the two requirements set at the last key inspection have been met. What are we going to do as a result of this annual service review? We think that the people continue to receive a good service. We will do a key inspection by 1st of October 2010 to review our assessment of the care home. However we can inspect the home at any time if we have concerns about the quality of the service or the safety of the people living there. Annual Service Review Page 5 of 6 Reader Information
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