Archived: Tyndale Nursing Home

Updated 4 June 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 9 and 10 December and was unannounced. At the time of the inspection the provider was in the later stages of the sale of Tyndale Nursing home. The inspection was completed by one inspector.

Before the inspection we reviewed all the information we held about the service. This included notifications regarding safeguarding, accidents and changes which the provider had informed us about. At the time of the inspection a Provider Information Record (PIR) had not been requested because the inspection was in response to information of concern. In order to gain further information as to how the service was managed we spoke with the seven people living at the home and two visiting relatives. We also spoke with seven members of staff.

We looked around the home and observed care practices throughout the inspection. We reviewed five people’s care records and the care they received. We reviewed records relating to the running of the service such as environmental risk assessments, fire officer’s reports and quality assurance monitoring audits.

We contacted two health care professionals involved in the care of people living at the home to obtain their views on the service.

Observations, where they took place, were from general observations. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us

Updated 4 June 2015

Tyndale nursing home was last inspected on 9 September 2013. The home was found to be non-compliant in relation to the provision of care and welfare, assessing the quality of the service and staff support.

When we visited there had not been a registered manager in post for the last four months. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Tyndale Nursing home provides nursing care and support for up to 27 older people. At the time of the inspection there were 19 people living at the home.

The lack of registered manager impacted on the support and guidance to staff. There were no effective systems to improve the standards in the home which meant that it was failing to meet the expected standards of care.

Staff lacked the guidance and support to be able to give medicines safely and in accordance with the relevant legislation. This put people at risk of receiving medicines inappropriately.

Some people told us that the staff met their care needs but this is not what we found. There was insufficient evidence to say that people were involved in the planning of their care. Records relating to people’s care and support needs did not always give staff the information they required to keep people safe. They failed to plan and assess people's needs in order to ensure they were met in a consistent manner.

The provider was not meeting the requirements of the Mental Capacity Act 2005 and assessments of people’s capacity had not consistently been made. The staff at the home, whilst understanding some of the concepts of the Act, such as allowing people to make decisions for themselves, did not demonstrate that they could implement this.

The staff demonstrated a degree of caring and compassion to people living at the home but did not understand how to meet all the needs of those people with enduring mental health illness such as dementia. People were not consistently offered choices at mealtimes such as where to sit and what to eat. One person who required staff support at lunch time was not offered this.

People told us there were enough staff to meet their needs. One person told us “I never have to wait long for help to get up in the morning.” Another said “When I ask for help there is always someone around to help, if I press my call bell someone comes”. Whilst there were enough care staff to support people living at the home the lack of management leadership impacted on the support staff received.

We made compliance actions in relation to; Care and consent to treatment, management of medicines, staff support, quality assurance, care and welfare, record keeping, food and nutrition and respect and involving people.