Latest Inspection
This is the latest available inspection report for this service, carried out on 10th December 2009. 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 Excellent.
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 Tregarland Care Home.
Annual service review
Name of Service: Tregarland Care Home The quality rating for this care home is: The rating was made on: three star excellent service 0 8 1 0 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: Anita Sutcliffe Date of this annual service review: 2 1 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 51 Whitchurch Road Tavistock Devon PL19 9BD 01822618460/618533 Telephone number: Fax number: Email address: Provider web address:
tregarland@btconnect.com Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Tregarland Limited Number of places (if applicable): Under 65 Over 65 20 20 0 0 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 Tregarland provides residential care for 20 people with a learning disability, who may have additional physical disabilities. The home consists of a pair of semi-detached houses called individually Tregarland North and Tregarland South. Each house operates as a completely separate unit, each with its own staff and communal areas including kitchens and laundries. Tregarland North has level access on the ground floor with wheelchair access through the rear entrance. In both houses there are two ground floor bedrooms. The other eight bedrooms in each house are spread over the first and second floors. There is a large garden to the front of the houses. The home is within walking distance of Tavistock town centre. A mini bus with a tail lift is available to support the mobility of the service users. The fee level for the home is £315 upwards. Additional charges are made for: hairdressing, chiropody, toiletries, extra holidays, activities, and papers and books.
Annual Service Review Page 2 of 6 0 8 1 0 2 0 0 8 Annual Service Review Page 3 of 6 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 that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys completed for the home by people using the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was very detailed and gave us all the information we asked for. People at the home have told the providers what they like and do not like. All said staff listen and help them, they feel safe at Tregarland, they like the meals, their room and living at the home. People were asked: Are you happy with the rules at Tregarland? 15 said yes and 2 said no. People who use the service, asked what changes they would like to the home, said: Decoration; Move bed; New mattress and have family move in. One person wanted more choice of food. People were asked, amongst other things, what activities they like, what holiday they would prefer, what work they want to do and how they want their personal money looked after. The home sent us the organisations business plan which sets out the values and hopes for the service. Information within the plan includes: Holidays are important features of todays society and have an equal importance in a residential environment. Annual holidays will be organised to provide our clients a break from daily routines. And Enablement services will be developed to provide continuity of care through transition to more independent living options. It is clear from the business plan that staff are valued as vital to providing a good service. The home reports that 70 of staff have National Vocational Qualifications (NVQ) to level 2 in care, 15 have NVQ to level 3 in care and 5 have NVQ to level 4 Annual Service Review Page 4 of 6 in care. The Commission has not received any complaints about the service. However, concerns have been voiced by health care professionals the first following a safeguarding alert, in March, which is now closed. However, meetings continue to be held for professionals to discuss certain ways in which the home works. We therefore sought additional professional opinion about this and were were told that Tregarland is one of the few homes willing to work with people despite the probable need to use restaint. Also, that it would be wise for Mrs. Hay to look at further development of staff using training in the management of challenging behaviour, which has been accredited by the British Institute of Learning Difficulties (BILD). Mrs. Hay reports that the home now have BILD accredited induction training for staff, but currently only 3 of the 23 staff employed have done it. We were also told that Mrs. Hay is passionate about the home and increasingly reflective over any limits in the service. A home rated as excellent must be so. A second concern has been raised by a different source and relates to the homes management. This was in October. We have received additional information very much in support of what the home did at this time. We were told: We are delighted that our daughter was accepted into Tregarland. She is very happy there and making great progress under the guidance of Mrs. Hay and the staff. We believe the home keeps us informed of events, is honest and works well with the Commission. What are we going to do as a result of this annual service review? We are not going to review our inspection plan. We will do a key inspection no later than 8th October 2011. However, we expect the home to let us know when BILD accredited training is arranged for all staff and provide notifications relating to any physical intervention necessary at the home. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
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