Care Home: Tara

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What the care home does well The home is well managed and residents views are regularly obtained through meetings and acted upon so as to improve each person`s experience of living there. Each person`s health and personal care needs are clearly described in their individual plan of care, which describes how the person likes to be supported and how staff are to care for them. Care plans are reviewed regularly, amended and updated to reflect how the resident is and how they are progressing with set goals. Residents receive medicines that are prescribed for them as part of their treatment and staff keep good accurate record around medicines received into the home and administered to residents. People living in the home have the opportunity to raise any concerns or complaints they may have and they have choices about how they spend their days and the things they like to do such as activities, going out and meals etc. The home has a detailed complaints policy and procedure and a simpler version of this is posted in the home so to act as a prompt to residents. Staff are recruited robustly and a detailed work history is obtained, references from previous employers and checks such as Criminal Records Bureau disclosures and Independent Safeguarding Authority (formally PoVA First) checks are carried out before a person commences work at the home. These checks help to ensure that only people who are suitable are employed in the home and to safeguard the welfare and interests of vulnerable people. What the care home could do better: Where there are risk to the health and safety of residents, such as risk of injury from falls, these must be assessed and a plan developed that describes how the risks are managed and the actions taken by staff to minimise injuries. The home must have an up to date policy and procedure around safeguarding vulnerable people from harm. The policy should clearly state how and when incidents are to be reported in line with the current local Southend, Essex and Thurrock safeguarding policy and procedure. Random inspection report Care homes for older people Name: Address: Tara 5 Avenue Road Brentwood Essex CM14 5EL three star excellent service 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: Carolyn Delaney Date: 1 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: Tara 5 Avenue Road Brentwood Essex CM14 5EL 01277233679 01277233679 denny_sookarry@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Chandanee Sookarry Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Chandanee Sookarry,Mr Mohendas Karachand Sookarry care home 8 Number of places (if applicable): Under 65 Over 65 8 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Tara Care Home is a traditional semi-detached large house positioned near the corner of a busy main road leading to Brentwood railway station and town centre. There are shops, a pub and doctors surgery nearby. The accommodation is over two floors but the house does not have a passenger lift or level access into the building. These drawbacks are clearly stated in the statement of purpose. The service offers support to up to eight older people and a number of the present residents have been in the home several years. There is a large pleasant front lounge and a dining roomlounge further back in the house. The bedrooms are six single rooms and one shared all with hand Care Homes for Older People Page 2 of 10 Brief description of the care home washbasins in them. Both floors have toilets and bathrooms for communal use. There is a small but pretty garden area to the rear of the property with a patio. The fees for accommodation range between GBP447.16 and GBP450.00 per week and do not include newspapers, toiletries, hairdressing, chiropody and personal clothing. Care Homes for Older People Page 3 of 10 What we found: This report is in respect of a random inspection carried out for this service. We carry out a random inspection where we want to look at specific outcome or outcome groups. A random inspection will not affect the quality rating made at the previous key inspection. Where we feel following a random inspection that there may be changes to the experiences of people using a service, which would affect the quality rating we would then carry out a key inspection. As it is a focused inspection and not all outcome areas are assessed other issues may come to light when we next carry out our next key inspection. When we visited the home we looked at the three outcome areas, which determine the services quality rating. We looked and Health and Personal Care, Complaints and Protection and Management and administration. We looked at the care plans for two residents who were living in the home. We saw that both had detailed and individualised information recorded around their assessed health and personal care needs. There was information recorded about how the person wished to be supported and how staff were to do this. Care plans were reviewed each month. At this review information was recorded about the progress both residents had made with their set goals and residents had signed the care plan review to show that they agreed with information recorded. We looked at accidents records. We identified one resident who was at risk of injury due to the frequency and number of falls they had sustained over a short period of time. There was no care plan or risk assessment in place to show the level of risk, how this was to be monitored and what action staff were to take to minimise risks to this person. We discussed this with the manager and they assured us that this would be dealt with promptly. We looked at the arrangements for receiving medicines into the home and ensuring that residents received medicines prescribed for them. We saw that staff recorded the quantity of medicines received into the home and signed Medication Administration Records when they administered medicines. We looked at records for each of the seven people living in the home and these were all well maintained. We looked at how complaints were received and the arrangements in place for safeguarding people who may be vulnerable from arm or abuse. We saw that there was a complaints policy and procedure in place, which described how a person may raise complaints or concerns without any fear of recriminations. Residents also had the opportunity to raise any issues with any member of staff or the manager and to bring issues up during regular residents meetings. We looked at complaints records and saw that no complaints had been received since 2006. We spoke with three residents and they told us that they were happy in the home and that they had no complaints. We looked at the homes safeguarding policy and procedure. This had last been reviewed in 2007 and it did not reflect the current guidelines of the local Southend, Essex and Thurrock policy. We saw that two of the twelve members of staff had received training around safeguarding within the past twelve months. Staff had undertaken training around the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. This training helps to ensure that where people have the capacity to make decisions that they are supported Care Homes for Older People Page 4 of 10 to do so and that where there is diminished capacity any decisions made on the persons behalf is in their best interests. Each of the three residents we spoke with told us that staff treated them well and that they were well cared for. We looked at how staff were recruited and saw that the appropriate checks including references, Criminal Records Bureau disclosures and Independent Safeguarding Authority checks were obtained as part of a robust procedure, which helps to protect the interests of the people living in the home. We looked at how the home was managed and how the views of residents were obtained and used to improve the service provided. The home is managed and run by the registered manager and his family. Residents choose when they want to have meetings and have the opportunity to say what they want to do and their wishes are taken into account and acted on. Residents enjoys activities of their choosing, including trips out of the home at their request. Overall we saw that outcomes and experiences for people living in the home remained excellent. We identified some areas, which need to be improved upon so as to ensure that this continues to be the case and we have made regulatory requirements in respect of these. What the care home does well: What they could do better: Care Homes for Older People Page 5 of 10 Where there are risk to the health and safety of residents, such as risk of injury from falls, these must be assessed and a plan developed that describes how the risks are managed and the actions taken by staff to minimise injuries. The home must have an up to date policy and procedure around safeguarding vulnerable people from harm. The policy should clearly state how and when incidents are to be reported in line with the current local Southend, Essex and Thurrock safeguarding policy and procedure. 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 Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 7 of 10 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 8 13 Where there are risks to the 22/07/2010 health and safety of people in the home, such as risks of injury from falls, these risks must be assessed and managed. This must be done so as to minimise risks to the individual. 2 18 13 Staff must receive training 29/07/2010 and be provided with up to date information around their roles and responsibilities for recognising and reporting abuse or ill treatment of vulnerable people who live in the home. This must be done so that staff know what action to take and so that they safeguard vulnerable people who live in the home. Care Homes for Older People Page 8 of 10 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 Care Homes for Older People Page 9 of 10 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 Older People 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. 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