Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd February 2010. 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 Excellent.
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 Tanners Wood Close.
Annual service review
Name of Service: Tanners Wood Close The quality rating for this care home is: The rating was made on: three star excellent service 1 3 0 2 2 0 0 9 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: Julia Bradshaw Date of this annual service review: 1 9 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 5 & 5a Tanners Wood Close Tanners Wood Lane Abbots Langley Hertfordshire WD5 0HR 01923270270 01923270095 tannerswoodclose.residentialunit@ Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Hertfordshire County Council Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users who can be accomodated is 9 The registered person may provide the following categories of service only, Care Home only, Code PC, to service users of the following gender, either, whose primary care needs on admission 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Tanners Wood Close respite care unit is a local authority facility operated by Hertfordshire County Council, located in a quiet residential area of Abbots Langley. Local amenities and shops are close by. The respite facility comprises of two wheelchair-accessible bungalows providing eight places within a large site that includes other residential provision excluded from the registration and therefore not inspected by the CSCI as a residential home but as a domiciliary service. The service provides mainly short stay accommodation on a pre-arranged rotational basis for over 45 families. People using this service may have both a learning disability, physical
Annual Service Review Page 2 of 7 None 1 3 0 2 2 0 0 9 disability and complex care needs. Staffing numbers and skills and appropriate special equipment are provided that reflect the diversity of the client group accommodated. Information relating to the service can be found in both the Staement of Purpose and Service User Guide , which are displayed within the main office at Tannerswood Close. The range of fees for respite services are not applicable for the purposes of this report. Annual Service Review Page 3 of 7 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) was completed by the manager and sent to us on the 15th December 2009. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we may 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 inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? Over the past twelve months the manager and staff have listened to the service users and as a result have implemented the following changes to the service:- The fund raising event last year raised over £1000. This money has been spent on the garden areas around the unit, and on decking and seating areas. This has proved to be very popular with Service Users. Specific training for managing epileptic seizures for three Service Users was undertaken in January and again November of this year. Further training has been organised for January of next year. The liaison meetings with CSF Respite Services that were set up last year have proved to be very beneficial and allowed us to continue to offer smooth transitions into Adult Care Services. Staff are undertaking weekly audits in order to ensure that clothing lists and inventories are being implemented effectively. A notice board detailing the staff on duty has been put up in the lobby of the respite care unit. Alongside this, there are also photographs of all the staff members working in the unit, this is currently being re-designed and updated. This year we have continued to send out the Having Your Say forms more regularly. The reason for this has been two-fold, firstly it keeps this issue high on the agenda for staff and secondly it is more straight-forward to monitor the return of these forms and if anyone does have issues, these will not be sat on for another six months before the next lot of forms are sent out. The manager states that the following changes have been made within the past twelve months to both promote and further improve the inclusion of both equality and diversity:- We have bought books to inform us of cultural and religious issues. These books are kept in the respite care units Diversity and Cultural file. We use a clear policy for managing issues of bullying and harassment. All staff have been made aware of these issues via formal supervision, house meetings and hand overs. All staff working in our respite care unit who attend a My Review (or similar) meeting, raise the issue of whether the individual would benefit from advocacy services. This is to ensure that we keep this issue high on our agenda. Improvements within the past twelve months have been identified within the following Annual Service Review Page 4 of 7 areas of the service:- Choice of home We have significantly increased the amount of day respite care that we offer (providing increased choice). The numbers have already been detailed in Barriers to Improvement. An even greater degree of flexibility in terms of offering very individualised packages of care (day and overnight respite care). These individualised packages are discussed and agreed with other professionals within the multi-disciplinary team as well as families,carers and of course the individual themselves. Individual Need and Choices The staff team within the respite care is a stable group and we have nearly completely reduced the number of occasions we have needed to use Manpower cover (although we do still use agency cover for the additional 1 to support required for specific service users). We have maintained equipment in the Games Room and now added a patio and garden exterior to the side of the unit, for respite service users. Lifestyle Increased the opportunities for leisure activities within the Respite Care Unit via the games room, patio area, BBQ, purchase of leisure equipment and 1 to 1 support. An even greater degree of flexibility. Personal Health care and Support Increased the level of staff training (ie gastro-tube feeding). No recommendations from the pharmacists visits in the last year. Complaints and Protection Increased the number of staff who have attended adult protection and safeguarding adults training. We have also ensured that awareness sessions take place on a regular basis. Environment The grounds have had a patio area installed outside respite, and a further garden area has been developed at the side of the second respite unit. Outdoor equipment, both garden and activities have been purchased. Overhead hoists have been fitted in two further bedrooms. The kitchen has been replaced in House 5. A couple of bedrooms have had new carpeting. Staffing We continue our commitment to staff training. Conduct and Management of the Home We have been far more organised in terms of the amount of statistical information recorded and kept up to date. We have developed our knowledge and understanding of parent and carer needs. We have developed a more flexible service. The manager has also outlined plans for improvements to the service within the next twelve months, within these same identified areas of the service:- To support more young people to make the successful transition from CSF to ACS provision and offer individualised packages of care to each of the people. Develop the awareness of all staff in terms of the Mental Capacity Act and Deprivation of Liberty safeguarding issues. Following the ARM in July 2009, we have compiled a detailed Team Plan for the coming year which clearly shows how we aim to achieve our objectives. Annual Service Review Page 5 of 7 To increase the amount of times that we are able to take service users out and use community facilities. We aim, generally, to do this at least four times each week. We aim to use community facilities (over and above the Monday Club) at least 4 times a week. To continue with the level of staff training and ensure that our standards do not slip. This will be reviewed against the previous years performance. Brighten up the fixtures and fittings in the bedroom in House 5. Continue to improve and develop the new patio areas with sensory areas. To maintain permanent staff and to ensure that we continue to maintain a stable management team and that our systems are kept up to date (statistical information required by ACS). What are we going to do as a result of this annual service review? We can inspect the home at any time if we have concerns about the care or welfare of people using the service however there is no indication that an inspection is required in the immediate future. In considering the Inspection plan we take into account both the known positive elements together with developing areas of the service. Also of consideration is the vulnerability and number of people living in the home. The next key inspection will be undertaken by 12th February 2011. Annual Service Review Page 6 of 7 Reader Information
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