Care Home: Tarry Hill

What the care home does well Overall reasonable progress has been made in ensuring that staff is effectively inducted and trained. A fully recorded training needs analysis has been undertaken in respect of each staff member and the staff team as a whole. And a revised training and development programme is being implemented, with the first of three phases completed. A revised staff induction package has been introduced and recently rolled out for completion by newly employed staff and including all new staff starters commencing since July 2008. This complies with sector skills specification and better links to the home`s service aims and to service users needs. A revised needs assessment and care planning format has been fully introduced for all service users which is person centred and reflective of recognised guidance and practise. Staff are conversant with the care needs of people they care for and have the information and support they need to enable them to do so. What the care home could do better: Ensure that they continue with the implementation of the staff induction and training plan as described above to its full completion within the agreed extended timescale. Ensure ongoing planning for staff training and continuous development by way of a formalised rolling programme. So as ensure that staff always receive the training they need to support and protect service users and which is delivered in a timely manner. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Tarry Hill 1 - 7 Cale Road New Mills High Peak Derbyshire SK22 4LW one star adequate service 01/10/2008 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Susan Richards Date: 0 2 0 3 2 0 0 9 Information about the care home Name of care home: Address: Tarry Hill 1 - 7 Cale Road New Mills High Peak Derbyshire SK22 4LW 01663746440 01663744915 tarryhill@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Active Care Partnerships Ltd care home 26 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 26 The registered provider may provide categories of service only: Care Home only - PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Learning Disability - LD The maximum number of service users who can be accommodated is 26. Date of last inspection Brief description of the care home Tarry Hill provides personal care and support for up to 26 younger adults with learning disabilities. The recently redeveloped site provides a range of accommodation, comprising of three four bedroom town houses, being Kinder House, Cale House and Peak Vale and a four bedroom bungalow, all having individual en suite facilities. Also no 10 Cale Road, which has eight bedrooms, some providing en suite facilities, along with a separate self contained two bedroom flat. The home lies on the northeast outskirts of New Mills in the High Peak close to a main bus route and within easy access of local shops and amenities. Each house has its own dedicated lounge and Care Homes for Adults (18-65 years) Page 2 of 8 0 1 1 0 2 0 0 8 Brief description of the care home dining space for service users and with communal bathroom and toilet facilities. There are also garden areas along with a car parking facility. Staff sleep-in facilities are provided, although there is no dedicated staff room. The registered manager has the support of a team of care and hotel services staff and also receives external management support via Active care Partnerships Ltd. Activities are organised for service users in accordance with their individually assessed educational, social and occupational activity needs. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The purpose of this inspection was to ascertain progress made by the provider in ensuring that at all times there are suitably trained and experienced persons working at the home. And in ensuring that staff receive induction and training which accords with sector skillls council workforce training targets. A requirement was made about this at our last key inspection of this service on 01 October 2008. At this inspection we looked at the homes training matrix and phased training plan in progress. Its monthly staff training statistics up to February 2009 and some other training related records. We spoke with the manager and some senior staff, including the training co-ordinator about these and progress to date. We also looked at how the care and support for two service users was determined and delivered. We did this by talking with people, including staff who supported them, about their needs and how these were met. And we looked at those service users needs assessment and care plan records. We also looked at the individual induction and training records of the two staff that we spoke with. We found that good progress had been made for most training areas, although less so in others. However, we accept the reasons why the programme could not be fully completed to date, given the enormity of the task. And we could also see valid reasons where some training had been cancelled and rescheduled for March 2009. We saw the homes training plan, which covers all key subject areas. This is being delivered in three phases and with the first phase completed. We were advised that the second phase is aimed for completion by May 2009 bringing overall staff training to eighty percent achievement. The third phase by the end of June 2009 to achieve full completion. We found that all new staff starters who commenced employment at the home from July 2008 are provided with a revised induction package for their completion. This is comprehensive and meets with Sector Skills Council workforce training targets and is designed to ensure that staff fulfill the aims of the home and meet the changing needs of service users. Staff told us that their stated target for full completion is within one month, given they have completed many parts of this via their initial induction provided on commencement of their employment. We saw that the work that had commenced at our last key inspection, as co-ordinated by the deputy manager. To review and introduce a revised care planing format, was fully introduced and most staff had received training in respect of person centred care planning Staff that we spoke with were fully conversant with the care and support needs of the service users whose care we looked at more closely. And their written needs Care Homes for Adults (18-65 years) Page 4 of 8 assessments and care plans were comprehensive, clear and reflective of recognised guidance associated with their care needs. They also had regularly recorded reviews. Staff were clear about their roles and responsibilities and had signed the care plans of those people they supported, to indicate they had read and understood these. We also spoke with one service users relative. They told us that they were satisfied with the care and support of that service user, who had some identified specialist needs. And which they felt were well managed. They also told us that relevant key staff concerned with that service users care were proactive and sensitive to their needs. What the care home does well: 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 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 35 18 At all times there must be 01/01/2009 suitably qualified, competent and experienced persons working at the care home as are appropriate for the health and welfare of service users. Staff must receive induction and training, which accords with sector skills council workforce trainig targets. This is found to be partially met at random inspection 2 March 2009. Therefore an extended timescale is agreed as detailed below. So that service users needs are consistently met from staff that is effectively inducted and trained. And to ensure staff fulful the aims of the home and are able to meet peoples changing needs. Care Homes for Adults (18-65 years) Page 6 of 8 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, Care Homes 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 Ensure the full 30/06/2009 implementation of the staff induction programme and training plan being rolled out within the agreed extended timescale given. So as to ensure that peoples needs are consistently met from staff that is effectively inducted and trained and competent to perform their role. And to ensure staff fulfill the aims of the home. 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 35 Ensure ongoing planning for staff training and continuous development by way of a formalised rolling programme. So as to ensure that staff always receive the training they need to support and protect service users. That is delivered in a timely manner. Provide CSCI with copies of monthly staff training statistics from March to June 2009. 2 35 Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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. 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