Latest Inspection
This is the latest available inspection report for this service, carried out on 5th January 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 Tiled House.
Annual service review
Name of Service: Tiled House The quality rating for this care home is: The rating was made on: two star good service 1 1 1 1 2 0 0 8 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: Gerard Hammond Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 200 Tiled House Lane Pensnett West Midlands DY5 4LT 01384813425 01384813427 anita.williams@dudley.gov.uk N/K Dudley Metropolitan Borough Council Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 48 0 0 48 The maximum number of service users who can be accommodated is: 48 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 48 Dementia (DE) 48 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 Tiled House is a large forty-eight bedded unit owned and managed by Dudley MBC. The home is located near to Pensnett where there are a number of shops, public houses, a post office and main bus routes to surrounding areas. The home is divided into six residential units on two floors. One unit is specifically identified to care for people who are in need of respite or an emergency admission and another caters for people with dementia. All bedrooms are single occupancy. The home does not offer enAnnual Service Review Page 2 of 7 1 1 1 1 2 0 0 8 suite facilities. Each of the six units is self sufficient other than the centralised services of catering and laundry facilities, which also serve the day unit. Each unit has a separate lounge/dining area with kitchen facilities. The intention of the small units is to ensure a more personalised care service to the residents. The home should be contacted directly for current information about fees and charges 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. This included: The homes Annual Quality Assurance Assessment (AQAA). This is a self assessment that focuses on how well outcomes are being met for people using the service, and provides some numerical information about it. Written surveys that people who use the service, their relatives, and staff working at the home have sent back to us. Information or incidents that the service has told us about: these are called notifications and are a legal requirement. Previous inspection reports, together with reports or any other information that we have received from other professionals, relatives or any other people involved with the service. We spoke with the Manager over the telephone. What has this told us about the service? The homes Manager sent us the self-assessment (AQAA) when we asked for it. It was clear and gave us the information we asked for. It is important to acknowledge that the home is operating against the backdrop of a proposed closure programme, though the date for this has not yet been confirmed. This presents particular challenges, as permanent staff have to consider their future employment options. Vacancies may get covered by agency staff, though the Manager seeks to engage familiar staff whenever possible, so as to promote continuity of care for people using the service. There have been no permanent admissions to the home since 2007: some of the spare capacity is currently being used for respite and shortterm care, in areas of the home designated for this purpose. In the Annual Quality Assurance Assessment (AQAA) the Manager told us that the service seeks to recognise peoples equality and diversity through individualised assessment and care management. Staff told us that they were confident that they have the information they need to meet individuals needs, through personal planning that includes peoples individual preferences (for example gender sensitive care, choice of diet and so on). It is planned that staff continue to be provided with the training they need to ensure that their knowledge and skills in this area are up to the mark. We received three surveys from people who use the service, and seven from their relatives, carers or advocates. We also received five surveys from staff working at the home. Comments from people using the service included: Annual Service Review Page 4 of 7 The staff are all very kind to me Replying to a question about what the service does well, people told us: Everything really and Friendly caring staff: it is like a home from home environment. Asked what could be better one person wrote: have more permanent staff Another said: Nothing. One relative expressed concern about the increase in use of agency staff in the home, and felt that they did not connect with people using the service. Comments included The impending closure of Tiled House has not helped, it is hanging over the the home like a big cloud. However, others said: I feel I must say how very grateful we are for the remarkable care and attention given by every single member of staff at Tiled House. Nothing is too much trouble for them. They are a wonderful team and we are truly grateful. Another told us: There is always a welcome from the staff, they keep me informed about everything. They are always available to speak to me and take my comments seriously. The staff do a difficult job very well. Staff working at the home told us that that they are provided with up to date information they need to give people the care and support they want. They said that their induction and training opportunities were good, helping to provide them with the knowledge and skills they need to do their jobs well. They told us that information sharing in the home works well, and that they felt there are enough staff working there to meet peoples needs. Some identified entertainment, outings and social opportunities for people using the service as an area that the home could improve on. They said that they were well supported by the Manager. In the Annual Quality Assurance Assessment, the Manager told us that no complaints have been received, and no safeguarding referrals made by the service since the last inspection. We have not received any complaints or made any safeguarding referrals either. The Manager told us that the team is committed to carry on providing a good standard of care and support for the people who use the service. The home continues to let us know about things that have happened since our last key inspection, and they have shown that they manage issues well. They work well with us and have shown that the service continues to provide good outcomes for the people that use it. 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 of the home by 11 November 2010. However, we can inspect the home at any time if we have concerns about the quality of the service or the safety of the people that use it. Annual Service Review Page 5 of 7 Annual Service Review Page 6 of 7 Reader Information
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