Latest Inspection
This is the latest available inspection report for this service, carried out on 6th May 2008. CSCI found this care home to be providing an Good service.
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 Tangneffydd.
What the care home does well The home provides a comfortable, safe and homely environment for the resident. The care home is well managed. The registered manager understands the resident`s needs and ensures these are met by the home. The home has established a good working relationship with the community health care teams and local GPs. What has improved since the last inspection? The Home continues to meet the resident`s needs. CARE HOMES FOR OLDER PEOPLE
Tangneffydd 82 Lincoln Road Metheringham Lincoln Lincs LN4 3EE Lead Inspector
Ken Hague Unannounced Inspection 6th May 2008 09:30 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 Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Tangneffydd Address 82 Lincoln Road Metheringham Lincoln Lincs LN4 3EE 01526 322098 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 Dorothy Rae Mr Derek Andrew Rae Mrs Dorothy Rae Care Home 1 Category(ies) of Learning disability over 65 years of age (1) registration, with number of places Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One bed in the category LD(E) is registered for a service user as named in the Notice of Proposal to Register dated 5 May 2005. 5th April 2006 Date of last inspection Brief Description of the Service: Tangneffydd is a four-bedroom bungalow with a large garden to the front and rear of the property, with a pond and patio area. This is a small family run home which is situated on the outskirts of the village of Metheringham, 8 miles north of the town of Sleaford and 7 miles South of the city of Lincoln. Metheringham has a variety of shops and services including a post office as well as a bus service and railway station. The home is registered for one person who has needs associated with learning disabilities and is over sixty-five years of age. The proprietors have confirmed in writing that that they intend to only offer a home for life for the one person who currently lives at the home and who has done so for a number of years. The providers confirmed that they do not employ any other staff to work in the home. The service user lives as part of the family. The weekly fees are £401. No Additional charges are made for any other services. A dedicated intermediate care service is not provided by the home. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes.
The inspection took place over 3 hours. The registered manager was present throughout the inspection. Feedback was given at the conclusion of the site visit. The main method of inspection used was called ‘case tracking’ which involved tracking the care the resident receives through the checking of their records, discussion with them and the home’s staff. Care records were inspected. The proprietor and registered manager were interviewed and the opinion of the resident was sought. An (AQAA) Annual quality assurance assessment was completed by the care home and sent to the Commission for Social Care Inspection prior to the site visit. This is a selfassessment document completed by the providers of the care home. It sets out evidence from the provider to demonstrate that they are meeting the Care Home Regulations. It is normal procedure to obtain written feedback from residents prior to the site visit using a document called “have your say”. This document sets out a number of questions for residents to answer. In this case as there was only one long term resident his opinions were sought during the site visit. What the service does well: What has improved since the last inspection? What they could do better:
Care plans should be reviewed formally with social services. Detailed risk assessments should be on the resident’s care file. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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 Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 & 6 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The proprietors are aware of the requirements and assessments needed should they plan to admit anyone else to the home, to ensure that needs are met. EVIDENCE: The registered persons have confirmed in writing that it is not their intention to provide a service to any person other than the resident who currently lives at the home. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident’s needs are reflected in his care plan and are being met. The privacy and dignity of the resident is being maintained. Care plans and risk assessments have not been reviewed appropriately. EVIDENCE: The care file for the resident contained a care plan, which sets out his needs and how these have to be met by the resources of the home. However, the care plan and risk assessment had not been formally reviewed since November 2002. There is a medication procedure in place but the present resident is takes no prescribed medication. The care recorded how his health care needs are being met. A good professional relationship exists between community services and the home. The resident confirmed that his health care and social needs are being met by the care home. He stated, “I am helped to visit my GP by the home who provide transport. I live here as part of the family my dignity and privacy is respected by everyone in the home”.
Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 &15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough suitable activities provided for the resident that are in accordance with his needs and wishes. He receives a healthy and balanced diet that is based on his individual likes and dislikes. The proprietors enable him to control his life as much as possible. EVIDENCE: The resident has a choice of activities, which he undertakes as part of the family or as an individual. There are facilities within the home to allow him take part in his own choice hobbies. He takes holidays with the family and goes out with them on family outings. The resident has open access to the community and is provided with transport by the registered manager and appropriate supervision. The resident stated “I feel insecure going out into the community without the support of my carers”. The registered manager confirmed that the resident does need support when going out into the community. The resident stated “I am lucky I can go into the community with my family I have my own room I can carry out my own activities and hobbies within my own large bedroom.”
Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 11 There is no set menu. The likes and dislikes of the resident are recorded on his care plan. The registered manager was able to state his favourite food and which foods he did not particularity like. The resident himself said the food here is excellent I get a balanced diet and food, which I enjoy. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 &18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident is protected from any potential abuse by the staff of the care home. He is able to raise any concerns or complaints directly with the registered manager and confident that they will be acted on. EVIDENCE: The resident said “I have no problems here and if I am concerned I can talk to the registered manager. People listen to me here and I feel very secure and happy. The registered manager stated that my husband and I are aware of the need to protect the resident from potential abuse and have received formal training. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Resident lives in a clean well maintained home, which provides him with safe comfortable accommodation. EVIDENCE: All areas of the home were found to be clean. There was evidence of ongoing maintenance being carried out. The resident’s room was decorated to a good standard and had been personalised. The resident confirmed his satisfaction with the environment of the care home and his own individual bedroom. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The proprietors ensure that staffing levels (themselves) are always available to ensure needs are met, and the resident is protected. EVIDENCE: The providers (husband and wife) are the only staff for the home, and the one resident. They keep up to date with current issues and training. Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 & 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The resident is well supported by the management of the care home. EVIDENCE: The resident confirmed that his needs are been met by the care home both social and health care needs. He lives within the home as a family member taking part in all activities including holidays. He is supported by the management of the home on a daily basis both in the home and when he goes out into the community. The resident stated “ I am very happy and settled in this home.” The registered manager confirmed that that she has taken part in training in respect of the Mental Capacity Act 2007.
Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 16 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 X N/a X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? no 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Tangneffydd DS0000002669.V363866.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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