Inspection on 23/07/08 for Cherry Tree House

This is the latest available inspection report for this service, carried out on 23rd July 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Cherry Tree House 18/12/06

Cherry Tree House 16/02/06

Cherry Tree House 06/10/05

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOMES FOR OLDER PEOPLE Cherry Tree House 119 Monkleigh Road Morden Surrey SM4 4EL Lead Inspector Emma Dove Unannounced Inspection 23rd and 31st July 2008 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Tree House Address 119 Monkleigh Road Morden Surrey SM4 4EL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 85430331 Mrs Ann Devers Mrs Eileen Marie Hodgson Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 3 5th December 2007 Date of last inspection Brief Description of the Service: Cherry Tree House is registered to provide care for up to three older people, three people are currently living there. The home is situated in a quiet residential area, with easy access to shops, medical centre and public transport links to larger local shopping areas. Accommodation is provided over two floors, with single bedrooms, a laundry area, lounge and kitchen/ dining area. A well-maintained garden is available to the rear and front of the property. Fees for the service are from £410 per week. Information about the CSCI is available at the service. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means people who use this service experience good quality outcomes. This unannounced inspection took place over two and a half hours on the 23rd July and two and a half hours on the 31st July 2008. One regulation inspector visited, looked at records, spoke with people who use the service, the owner and manager. The manager completed an Annual Quality Assurance Assessment AQAA in the given timescales, which included good information about the service. What the service does well: What has improved since the last inspection? What they could do better: Ensure care plans are up to date so peoples needs can be fully met. Repair or replace the lock on one medication cabinet to ensure medication is securely stored. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home understands the importance of having sufficient information when choosing a care home. A Statement of Purpose and Service Users Guide have been developed to help people make the decision to move in. Assessments are completed before admission and during the ‘taster day’, to ensure that the home is the best place for an individual. Intermediate care is not provided. EVIDENCE: A Statement of Purpose and Service Users Guide have been developed to tell people about the services provided, facilities available and the owner and manager. The manager said she would do an assessment before someone moved in. They would also have a ‘taster day’, when the person is invited to spend time at the home, meeting people who live there and the owner and manager. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 9 We saw assessments completed before individuals moved in, which have been developed into care plans. Intermediate care is not provided. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Personal support is responsive to individuals needs and preferences. People’s privacy and dignity are respected. People have access to healthcare services in the home. Medication is well managed with records signed and almost up to date. EVIDENCE: The manager said they ensure that people who use the service are happy and healthy by giving them one to one care in a private and individual setting. People who use the service confirmed that they receive the care and support they need, that their privacy and dignity is maintained. We saw staff offer people support and assistance in a caring, discreet and appropriate manner to meet individual’s needs. We saw care plans have been developed from assessments with people who use the service. These documents detail the support and assistance individuals Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 11 need and how they wish to be helped. The manager said they are developing a review process to ensure that all people who use the service have at least an annual review of the care and support they receive. We saw information in one case file need updating to include recent changes to the persons medication. The manager said that this would be updated. The manager said that there are only three people involved in this persons care and all are aware of the changes due to the regular discussions and handovers on a daily basis. A new system for daily recording has been put in place, which includes detailing the care and support provided as well as health appointments, visitors and activities. People’s health care needs are recorded and any issues are referred to the GP or other relevant health professional. The GP visits when required and carries out regular medication reviews. One person said their health needs are well met. Appropriate medication policies and procedures are in place. Medication is securely stored, although the lock on one cabinet did not close easily and should be repaired or replaced. Medication Administration Record (MAR) Sheets were up to date and signed with one exception. The manager said this was because a new recording system was being developed. This was updated with a new MAR Sheet in place on our second visit. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service can take part in a few activities and outings, depending on their choice and wishes. People have the opportunity to maintain important family and personal relationships. The menu is varied and meets people’s cultural, religious and medical needs. EVIDENCE: We saw people spending time in their room and in the lounge, talking with the owner and manager, reading the paper, looking at magazines, watching television and sitting in the garden during our visits. People told us that they do the things they want to. The manager said they welcome visitors and encourage family and friends of people who use the service to be involved in daily life at the home. We saw visitors made welcome and people who use the service enjoy their company. One person told us that their visitors are very important to them. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 13 People who use the service receive a varied diet, which meets their religious and medical needs. We saw one mealtime to be an unhurried social occasion with people sitting at the dining table for main course and desert and having a cup of tea at the end of the meal. People who use the service made positive comments about the quantity and quality of food they receive. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure that is clearly written and easy to understand. Information about how to make a complaint is available to people who use the service and their representatives. People are aware of how to make a complaint. There are appropriate policies and procedures for safeguarding adults. The owner and manager have completed training in protection. EVIDENCE: The manager said people who use the service get a copy of the complaints procedure when they first move in. One person was aware of how to make a complaint although was clear that they had no issues or worries. The service has not received any complaints since the last inspection in December 2007. We have not received any complaints or concerns since the last inspection. The manager and owner have completed training in safeguarding and are aware of the issues that need reporting to the local social services department. The manager said that they do not hold any finances for people who use the service. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home is appropriate to meet the needs of the people who live there. The well maintained, safe environment provides aids and adaptations to meet people’s needs. Bedrooms have been personalised to the individuals taste. The home is well lit, clean and smells fresh. EVIDENCE: The lounge/dining room has appropriate comfortable chairs and table and chairs for mealtimes and has doors to the garden. We saw people enjoying the view of the garden and sitting outside. Bedrooms are single, we saw that people have personalised their rooms with photographs, pictures and belongings. One person said they like their room and enjoy sitting in it watching television. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 16 A toilet and shower are available on the ground floor with a bathroom with toilet on the first floor. All areas are maintained and decorated to a high standard. All areas of the home were clean and smelt fresh. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People have confidence in the staff who care for them. Staffing levels were seen to be sufficient to meet the needs of people who use the service. The owner and manager provide most care and support with no staff employed. The owner and manager have attended appropriate training courses. EVIDENCE: The owner and manager provide most care and support with a close friend helping to cover a few hours during the week. Staff are not employed at the home. The manager said they have developed recruitment policies although are not in the process of recruiting staff at this time. People who use the service made positive comments about the owner and manager, saying they are ‘kind’ and ‘helpful’. The manager said she and the owner have regular daily discussions about individuals needs, although a formal staff handover does not take place. This remains appropriate due to the small size of the home. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 18 The owner and manager have completed training in adult protection, infection control, medication administration, fire safety, food hygiene and infection control. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The manager and owner have experience in working in similar services and are aware of the standards to be achieved to provide and maintain a good service. People who use the service are involved in the day to running of the home and their needs and wishes are taken into consideration for planning for the future of the service. Clear health and safety policies and practices are in place to protect people who use the service from harm. EVIDENCE: The owner and manager have previous experience in similar settings and are aware of the needs of the people who use the service and conditions related to old age. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 20 The owner and manager are available to people who use the service and their representatives to discuss any suggestions to improve the services provided. Health and safety is well managed, with checks completed as required and records up to date. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 X X 4 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP9 Good Practice Recommendations To ensure that peoples needs are fully met, care plans must be updated when changes in need occur. The lock on the medication cabinet should be repaired or replaced to ensure it is locked at all times. Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cherry Tree House DS0000061858.V368194.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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