Latest Inspection
This is the latest available inspection report for this service, carried out on 26th March 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 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 Tenlands Care Home.
Annual service review
Name of Service: Tenlands Care Home The quality rating for this care home is: The rating was made on: two star good service 1 7 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: Nicola Shaw Date of this annual service review: 1 8 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Wood Lane Ferryhill Durham DL17 8JD 01740657200 01740656262 tenlands@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Home Properties Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 40 The maximum number of service users who may be accommodated is 40. The registered provider may provide the following category of service only: Care home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 40. Have there been any changes in the ownership, management or the No 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 Tenlands Care Home is purpose built. The home can accommodate up to 40 people in single or double, personalised bedrooms provided on two floors catering for service users who require general nursing and residential care There are a number of communal lounge / dining areas available for residents use. There is a social and recreational programme for those who wish to participate. Fees charged are between 390 pounds 50 p and 600 pounds. Hairdressing, chiropody, newspapers and toiletries 1 7 0 2 2 0 0 9 Annual Service Review Page 2 of 7 are not included. 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 we have received, or asked for since the last key inspection on 17th February 2009 . This included: The annual quality assurance assessment (AQQA) that was sent to us by the service. The AQQA is a self assessment that focuses on how well outcomes are being met for people using the service. The previous key inspection report and the results of any other visits we have made to the home in the last 12 months. Information we have about how the service has managed complaints. Relevant information from other organisations. The results of surveys we sent to service users, staff and other health care professionals. We received 5 completed surveys from service users and one from a health care professional. A visit to the service on 12th February 2010. What has this told us about the service? The home sent us the AQQA when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQQA and from our visit and our judgment is that the home is still providing a good service and they know what further improvements they need to make. What the AQQA told us: Monthly service user and relative meetings and care plan reviews continue to be used to find out what people think about the home. As a result of listening to people the communal areas of the home have been adapted, menus have been planned according to individual choices and a monthly newsletter has been produced. We were told in the AQQA that a full admission assessment is carried out before a prospective service user moves into the home. This is to ensure Tenlands is the right place for them to live. After the assessment has been completed care plans are written and these cover all aspects of the service users health, personal and social care needs. A planned programme of activities is available and the service users individual preferences with regards to routines of daily living are recorded where possible in the care plan. This is important as this helps to make sure that service users receive support in the way that they prefer. Complaints continue to be dealt with promptly and effectively. The home has dealt with one complaint in the last year. There has been a low turn over of staff, which is good for continuity of care. And in addition to the NVQ level 2 qualification in care in the last 12 months some staff have attended dignity awareness sessions and completed safeguarding training. What surveys told us: Annual Service Review Page 4 of 7 Four out of five service users said that they always received the care and support they needed. Two out of five service users said that there were always staff available when they needed them, three said usually. All five service users said that the home always made sure they they received the medical care they needed. All five service users said that there was someone they could talk to if they were not happy and four service users said that the home was always clean and fresh. Additional comments from service users about what the home does well included: Provides good meals. The home employs good staff who really care, I think the home does well at everything, and very helpful and staff are great friends. I have been well looked after. When asked what they felt the home could do better service users said: Employ more staff, girls are always rushed in their job and do with more staff as they are busy especially when they have to feed people. A visiting health care professional raised concerns in the survey they completed in relation to the lack of a manager, lack of leadership and poor staff morale. We spoke to this health care professional and decided to visit the home. What the visit told us: We met with the temporary manager. She confirmed that as a result of concerns the company had she had been asked to manage the home for a period of three months until a permanent manager is recruited. She has extensive experience of managing care homes and transferred over to Tenlands on a full time basis on 8th February 2010. She told us that as a result of a lack of a permanent manager she was aware that staff morale had been low. We talked to a member of staff who said that in the short time that this manager had been in the home things were looking up. Improvements already implemented include reviewing seventeen service user care plans, holding a staff meeting, proving new crockery and improving the presentation of dining tables with table clothes, flowers and condiments. This manager has also quickly improved practices in order to address the nutritional needs of some of the service users. For example, the provision of cakes and sweets as snacks and providing activities linked to food. She has arranged for the catering manager within the company to assess and address the training needs of the catering staff within the home. She has also arranged for care staff to attend a number of training courses in order to keep their health and safety training up-to-date. She is also aware that staff need training in dementia (this was a requirement made at the last inspection) and said that she will ensure that this will be addressed. There are currently 26 people living in this home. When we visited, in addition to the
Annual Service Review Page 5 of 7 manager, there were four care staff on duty plus a a registered general nurse. Such a ratio of staff to service users is considered adequate. There are no staff vacancies. There is currently no deputy manager but the manager is reviewing this situation. A quality adviser, employed by the organisation, has been arranged to visit the home and assess the quality of care provided. Following this assessment an action plan will be provided identifying any areas that need to be improved. It was excellent to note, however, in the meantime the manager has had a meal with service users in order to assess the quality of care provided at this time. The manager told us that there had been one safeguarding incident, which has been referred to the local authority. This has been dealt with appropriately by the organisation. During this visit we observed staff interactions with the service users and chatted to service users. There is clearly a good rapport between the staff and service users and the atmosphere was warm and friendly. Service users were encouraged to help themselves to refreshments from the tea trolley. Where a service user needed assistance with their mobility we observed staff to support them to use their walking zimmer frame at a pace comfortable for them, they were not rushed or hurried along, which is good practice. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by 17th February 2011. However, we can visit the service at any time if information is provided that suggests service users are at risk of harm or abuse. Annual Service Review Page 6 of 7 Reader Information
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