Care Home: Tyndale Nursing Home

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What the care home does well People appeared well cared for. We spoke to four people who were satisfied with their care. We received eight comment cards confirming that staff were there when people needed them and "always" offered care and support. When asked what the service did well one person wrote " look after the residents, talk to them and help with anything needed." Relatives had helped people to complete some of the questionnaires. One daughter wrote " Tyndale is a very caring home. My mother has improved since being there." Another daughter wrote " During her stay at Tyndale our family have found a big improvement in Mum`s general quality of life. This is down to the excellent care given by al staff. Anything we ask of the staff is carried out with understanding. " It was clear that the manager had responded to the requirements made at the last inspection and is committed to continuous improvements in the service. Overall the home was clean and comfortable. The catering in the home is professional and caters to peoples` choices and needs. Each day people are asked to make a choice about their main meals. The home has received a good reports from the Environmental Health Authority. The cook has undertaken a Diploma in Diet and Nutrition to ensure people are well nourished. All staff have received an appraisal that includes information about their training needs. What the care home could do better: Whilst the overall care plans were clear and gave staff guidance regarding care some areas could be improved. Peoples` food and fluid charts could have been completed more fully. It is good practise to give staff some indication of the amount of fluid that nurses are hoping a person will drink as this amount varies with the size and condition of the person. There should also be some indication of a persons output as well as input. It is the nurses` responsibility to ensure that care staff are assisting people with fluids and food . A system of reviewing charts with care staff should therefore be established. Care plans give clear directions regarding action to be taken to prevent pressure damage. It was not clear from the records that these instructions were always followed. There is a programme of activities that is shared between Tyndale and the sister home Latimer Lodge. In practise few people from Tyndale go to Latimer Lodge. There should be a programme of social events and activities that is devised according to the needs of people in Tyndale. The home must ensure that it checks the PIN numbers of all nurses before they are employed and that records of renewal dates are available. Staff should sign to confirm that they have received an induction to the home and have understood the content. Random inspection report Care homes for older people Name: Address: Tyndale Nursing Home 36 Preston Road Yeovil Somerset BA21 3AQ one star adequate service 07/07/2009 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Shelagh Laver Date: 1 2 0 5 2 0 1 0 Information about the care home Name of care home: Address: Tyndale Nursing Home 36 Preston Road Yeovil Somerset BA21 3AQ 01935472102 01935706624 janipaul@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Carol Flowers Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Christopher Michael Bruce Wharton care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Conditions of registration: 0 To provide day care for up to 2 persons per day between the hours of 0700 and 1700 Up to 27 elderly persons of either sex, not less than 60 years, who require general nursing care Up to 3 places for personal care Up to two persons of either sex, between the ages of 18-60 years, who require general nursing care Date of last inspection 0 7 0 7 2 0 0 9 Care Homes for Older People Page 2 of 10 Brief description of the care home Tyndale is a 27-bedded care home providing nursing and personal care for older people. The home is in Yeovil, which has all the facilities of a medium sized town including hospital, shops, theatre, churches and other leisure facilities. There are smaller shops and a park within walking distance. The home is situated on a site, which also includes a sheltered housing complex and residential care home. This affords people from all three facilities the opportunity to socialise and maintain friendships should they move into different areas for care. Tyndale is an old converted house with a purpose built extension, built in 1987, attached by a short walkway/entrance hall. Accommodation is provided in 17 single and 5 double bedrooms on two floors, the first floor being accessible via a shaft lift. There is an attractive, large front garden that looks onto the main road and a quieter courtyard garden accessed from the lounge. Current (7/07/09) fees are 720 pounds per week. Care Homes for Older People Page 3 of 10 What we found: This Random Inspection was carried out by one inspector from the Care Quality Commission over a period of four hours. On arrival at the home the manager was on duty and gave all assistance throughout the visit. We (the Commission) reviewed in detail the care plans of the last two people admitted to the home. We could see that they had been assessed prior to arriving at the home and that information from a range of health and social care professionals was used when available and appropriate. We could see that there the plans had an organised structure based on the Activities of Living model. Each care plan contains prompts and guidance for the plans completion. Plans gave clear guidance on the support people needed including for example feeding and moving and handling. Moving and handling guidance included details of the hoist and sling to be used. Assessment of vulnerability to pressure damage was followed by clear guidance of action to be taken. We could see that there was appropriate pressure relieving equipment available. Nutritional assessments had been completed. We could see that one person had gained weight slightly since being admitted to the home. There were records of receiving prescribed supplementary drinks and these were recorded in the medication charts. There were assessments in place for the use of bed rails. Plans were reviewed regularly and there were signatures to show that either the person or their relative had been involved in the care plan. We saw that one person was having regular dressings having been admitted with pressure damage. There was evidence that wound care was carried out as prescribed and that this was effective as the wounds were healing. We could see that these two people were receiving appropriate medical attention and that they had been registered with and received visits from General Practitioners. We saw that medications were stored safely and that records were completed accurately. We checked records of controlled drugs and found them to be accurate. We looked around the home with the manager and were able to see the bedrooms that had been redecorated. The manager told us that as rooms become empty they are being redecorated. We looked at the recruitment files of the two last staff employed by the home. We could see that there was a system in place designed to ensure that staff had the appropriate checks before they commenced employment. Care Homes for Older People Page 4 of 10 We saw that staff received an induction that included manual handling training,fire safety and Protection of Vulnerable Adults. The management of the home appeared good. The manager has implemented a series of audits that include key areas of the home operations such as housekeeping and infection control. We saw that there are systems in place to maintain the health and safety of people who live in the home and staff. We saw that hoists are serviced. We saw that staff receive fire training and that fire alarms are tested regularly although not weekly.There is an external company employed to assist the home with maintenance of alarms and fire equipment. There is a maintenance plan in place that outlines key targets for the coming months. We saw that there is an annual audit of the service. The audit results were formulated into an action plan to be addressed. The date planned for action and a space to note when completed would be good practise. We reviewed the accident records and saw that there were relatively few accidents and that they were audited. The home keeps us informed via notifications of events that occur in the home. What the care home does well: People appeared well cared for. We spoke to four people who were satisfied with their care. We received eight comment cards confirming that staff were there when people needed them and always offered care and support. When asked what the service did well one person wrote look after the residents, talk to them and help with anything needed. Relatives had helped people to complete some of the questionnaires. One daughter wrote Tyndale is a very caring home. My mother has improved since being there. Another daughter wrote During her stay at Tyndale our family have found a big improvement in Mums general quality of life. This is down to the excellent care given by al staff. Anything we ask of the staff is carried out with understanding. It was clear that the manager had responded to the requirements made at the last inspection and is committed to continuous improvements in the service. Overall the home was clean and comfortable. The catering in the home is professional and caters to peoples choices and needs. Each day people are asked to make a choice about their main meals. The home has received a good reports from the Environmental Health Authority. The cook has undertaken a Diploma in Diet and Nutrition to ensure people are well nourished. All staff have received an appraisal that includes information about their training needs. Care Homes for Older People Page 5 of 10 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 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 10 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, 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 8 17 Fluid and food charts must 29/05/2010 be fully maintained and accurately completed when a person is identified as being at risk of malnutrition or dehydration. In order for the nursing staff to make skilled assessment of the persons progress or needs. 2 12 16 People must be consulted about their social interests and a programme of activities provided in the home. In order to maximise peoples health by providing appropriate stimulation and interest. 19/06/2010 3 27 18 The home must ensure that they have current details of nurses registration. To ensure the nurse is a suitably qualified nurse 29/06/2010 Care Homes for Older People Page 8 of 10 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 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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