Care Home: The Tudors Residential Home For The Elderly

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What the care home does well We observed the lunch that was being served and it was well presented and nutritious with choices being offered. Menus are clearly displayed so that residents are aware of each days food choices.The manager has recently reviewed the care planning process to include monthly review forms. The active care plans and daily notes are kept on the individual units and are completed by team leaders and carers on a regular basis. Old care planning information is archived and kept in the managers office. The manager has also implemented a new system regarding any property received into the home from resident`s relatives. Any new property or clothing is recorded by the resident`s key worker and added to the property list in the care plan. The manager did state, however, that relatives did not always inform staff that they had brought in new property or clothing. The home has been redecorated in the last twelve months and new carpets have been laid in communal areas and bedrooms where required. The dementia care unit has been redecorated with attractive colours to aid residents in recognising particular areas e.g. lounge and dining area. This was undertaken following good practice guidance from an Alzheimers Society publication concerning the environment. The home has been redecorated in the last twelve months and new carpets have been laid in communal areas and bedrooms where required. The manager stated that staffing is regularly reviewed with her line manager and that recently three members of staff have taken on additional part time hours to coordinate activities for residents. What the care home could do better: We recommend that night staffing in the dementia care unit is reviewed to ensure adequate care can be provided. Inspecting for better lives Random inspection report Care homes for older people Name: Address: The Tudors Residential Home For The Elderly Rayners Way North Street Stanground Peterborough PE2 8HR The quality rating for this care home is: The rating was made on: two star good service 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: Andy Green Date: 0 5 0 1 2 0 0 9 Information about the care home Name of care home: Address: The Tudors Residential Home For The Elderly Rayners Way North Street Stanground Peterborough PE2 8HR 01733892844 01733554306 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: RS and SS Gidar T/A Tudors Residential Home care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 0 0 Over 65 43 43 Conditions of registration: Date of last inspection Brief description of the care home The Tudors is a large detached property situated in a quiet cul-de-sac in a residential area near to the city of Peterborough. Care and support is provided to 43 residents with elderly and dementia care needs. Four communal lounges and two dining rooms are provided for residents. A passenger lift to the first floor is provided. There are 43 bedrooms provided. There are well-maintained gardens to the front and rear of the property. Copies of CSCI reports are made available to residents and their relatives upon request. Care Homes for Older People Page 2 of 7 What we found: Two care plans were inspected and they contained detailed information including; personal care, risk assessments, nutrition, monthly weight records, property list, local authority reviews, moving and handling assessments, falls prevention and Waterlow recording. Recent concerns have been expressed by healthcare professionals regarding the number of skin tears experienced by residents. These concerns are being dealt with via the local Adult Protection team. Nutritional information was seen in one of the care plans detailing the residents food preferences preferences. The resident has a mainly vegetarian diet but she occasionally chooses to have fish. This preference was clearly recorded in the care plan and was also agreed and recorded in a review carried out in April 2008 by the local authority. The manager and staff stated that the residents dietary preferences had been discussed with relatives to ensure that her needs could be met. Accident reports were also in place and up to date. We undertook a tour of the premises which included the communal areas and bedrooms. The home was well presented in a homely and clean manner. The were were no unpleasant odours. One bedroom seen was in a tidy and clean state and did not have any odour of urine. The manager stated that on each day there were four staff in each side of the home in the morning, three staff in each side of the home in the afternoon and evening and two staff in each side of the home during the night. The manager stated that night staff in the residential area will provide support if required in the dementia care unit. She also stated that night staff in the dementia care unit undertake some domestic chores during their shift but only if there was time to do so and did not compromise residents care needs. There were four care staff in the residential area and four care staff in the dementia care unit seen during the inspection. Training is regularly updated and there was evidence of planned updates regarding Care planning, Adult Protection, health and safety, medication and moving and handling. The manager is a moving and handling trainer and she updates her training skills every two years. She stated that upcoming training in moving and handling will also focus on staff being made aware of practical issues and hazards for the safety of residents. What the care home does well: We observed the lunch that was being served and it was well presented and nutritious with choices being offered. Menus are clearly displayed so that residents are aware of each days food choices. Care Homes for Older People Page 3 of 7 The manager has recently reviewed the care planning process to include monthly review forms. The active care plans and daily notes are kept on the individual units and are completed by team leaders and carers on a regular basis. Old care planning information is archived and kept in the managers office. The manager has also implemented a new system regarding any property received into the home from residents relatives. Any new property or clothing is recorded by the residents key worker and added to the property list in the care plan. The manager did state, however, that relatives did not always inform staff that they had brought in new property or clothing. The home has been redecorated in the last twelve months and new carpets have been laid in communal areas and bedrooms where required. The dementia care unit has been redecorated with attractive colours to aid residents in recognising particular areas e.g. lounge and dining area. This was undertaken following good practice guidance from an Alzheimers Society publication concerning the environment. The home has been redecorated in the last twelve months and new carpets have been laid in communal areas and bedrooms where required. The manager stated that staffing is regularly reviewed with her line manager and that recently three members of staff have taken on additional part time hours to coordinate activities for residents. 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 Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 5 of 7 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 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 27 It is recommended that staffing levels at night time are reviewed to ensure that residents care and support needs are met. Care Homes for Older People Page 6 of 7 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 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: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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