Inspection on 31/10/07 for Cherry Trees Care Centre

This is the latest available inspection report for this service, carried out on 31st October 2007.

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 Trees Care Centre 09/02/06

Similar services:

Snydale Care Home

Abbey The

Whiteley House

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Cherry Trees Care Centre Cherry`s Road Cundy Cross Barnsley South Yorkshire S71 5QU Lead Inspector Christine Rolt Key Unannounced Inspection 31st October 2007 09:15 X10029.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 Trees Care Centre DS0000066494.V346472.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 and Care Homes for Adults 18 – 65*. 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 Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Trees Care Centre Address Cherry`s Road Cundy Cross Barnsley South Yorkshire S71 5QU 01226 704000 01226 704004 cherry.trees@fshc.co.uk www.fshc.co.uk Four Seasons (DFK) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Julie Bassendale Care Home 89 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) Category(ies) of Dementia (34), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (34), Old age, not falling within any other category (45), Physical disability (10) Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for 34 service users in the category DE/E Dementia Elderly or MD/E - Mental Disorder Elderly. These service users must be aged 60 years and above, however, three service users may be accommodated on this unit aged 55 years and above. The accommodation for these service users is on the lower ground floor in a separate unit. The home is also registered for 45 service users in the category OP Older People. The accommodation for these service users is on the ground and first floor. The OP - Older People service users must be aged 60 years or above. The home is also registered for 10 service users in the category PD Physical Disability. These service users must be accommodated on the ground floor in a separate unit. With the exception of the PD - Physical Disability Unit, the care staff, qualified nurse staffing levels and the Manager supernumerary time must be maintained at, at least the levels agreed previously with Barnsley Metropolitan Borough Council and Barnsley Health Authority. In the PD - Physical Disability Unit, a registered general nurse must be on duty in the unit 24 hours a day. Staffing levels must at least comply with the `Residential Forum Care Staffing in Care Homes for Younger Adults`, published April 2002. The registered Manager must undertake training in working with service users with Dementia and Mental Health problems. 7th August 2006 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Cherry Trees is situated in Cundy Cross and is 3 miles from Barnsley. The unit is on three levels, is purpose built and has adequate car parking space. The home is registered to care for residents requiring personal and nursing care in the categories of dementia, old age and physical disability. The physical disability unit was registered by the NCSC and opened in 2003. Within a moderate walk of the home there is a full range of amenities including a variety of shops selling provisions, a chemist, optician, hairdresser, post office and newsagents. The fees were from £341.50 to £1,047.71 per week. Fees were dependent on need and category of care and could include a third party top up. For more specific information please see the home’s manager. Hairdressing, private chiropody and toiletries were not included in the fees. Outings arranged by the home were funded mainly by the home’s fund raising efforts but residents were expected to pay a minimal charge towards the outing. The regional manager supplied this information during the site visit. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection and comprised information already received from or about the home and a site visit. The site visit was from 9.15 am to 4.00 pm on 31st October 2007. The manager was on holiday during this inspection therefore the regional manager assisted with the inspection. The manager had completed an Annual Quality Assurance Assessment before the site visit. This document gave her the opportunity to say what she thought they did well, what needed to improve and how they planned to do this. Various aspects of the service were then checked during the site visit. Care practices were observed, a sample of records was examined, a partial inspection of the building was carried out and service provision was discussed with the regional manager. People living at the home were chatted to throughout the day and some were asked for their opinions of the home. The care provided for four people (three older persons and one person on the Younger Adults Unit) was checked against their records to determine if their individual needs were being met. Questionnaires were sent to six people living at the home, six relatives and five health care professionals. Completed questionnaires were received from three persons living at the home, three relatives, and three health care professionals. During the site visit a visitor was asked for their comments about the service provided. The inspector wishes to thank the regional manager, members of staff, people living at the home, relatives and health care professionals for their assistance and co-operation. In addition to this key inspection, a thematic inspection was carried out on 25th September 2007. It was a short, focused inspection that looked in detail at the quality of care, particularly dignity, for people with dementia. People with dementia are not always able to tell us about their experiences, therefore their well-being, actions and interactions were observed and recorded in a formal way. This process is called the Short Observational Framework for Inspection (SOFI). A maximum of five persons were observed for two hours. Recommendations were made following this inspection and these are included at the end of this report. What the service does well: Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 6 There were many positive comments about this service. “It is a good care home.” The registered manager provided good leadership and the home was well run. “I have always been impressed by the manager and staff at Cherry Trees over the years. The standards are high.” The home was clean and hygienic, and there were no offensive odours. “Ensure, in the main, that there is a caring and welcoming atmosphere.” People living at the home were well cared for, and they were treated with respect. “The general level of care is of a high standard.” “They strive to adapt to the needs of the person in care and gradually improve the service they provide.” “Care provided is very good. Good communication with me and staff.” “Patients are well looked after by staff.” “Mam has been her for over five years and has been looked after very well by a team of lovely people. I have nothing but praise for them. For what they do, they are not paid enough.” “They provide a high quality of care.” “The staff at Cherry Trees fulfil all my mother’s needs as she is unable to do anything at all for herself and they do it with dignity.” “Provision and quality of care is of a good standard.” What has improved since the last inspection? What they could do better: Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 7 A statement of purpose should be made available and this should include information about the services provided for each category of people including people with dementia. People’s files should include more information of them as individuals. Daily records need to reflect the care given as identified in the care plan. Also information of how people spend their day would provide a more person centred approach. Provide evidence that people living in the home or their representatives have been consulted about care plan reviews and changes to care needs. The manager also needs to ensure that there is sufficient staff cover at all times to meet people’s needs. Menus in large print would make it easier for people to read the choices available. 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 Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (YA 2) and 6. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Assessments were carried out to ensure that the home could meet people’s needs. People had some of the information they needed to make an informed choice. This home does not provide intermediate care. EVIDENCE: People considered that they usually received sufficient information to make a decision. However, there was no statement of purpose displayed and there was no copy available on request. At the thematic inspection on 25th September 2007 (see Summary), a recommendation was made. This was that the Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 10 statement of purpose should include information about services the home provides to people with dementia. Inspection reports were displayed in a folder in the entrance foyer. The service user guide information was in a loose-leaf format. The Regional manager said that all people living in the home had copies of the service user guide. People were assessed before being admitted to the home and copies of the Dependency Assessment Rating Tool were seen on the four files that were checked. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7 (YA 6 & 9), 8 (YA 19), 9 (YA 20), and 10 (YA 16 & 18). People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were treated with respect, and their day-to-day care needs were reflected in their care plans but daily recording could be expanded. Health needs were met and medication procedures ensured that people were protected. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 12 EVIDENCE: People considered that health and care needs were met. Comments were “I visit mum on a regular basis. She spends most of her time in bed. She is turned regularly for comfort and checked and changed. She is always clean and tidy”, “Staff are very caring and they give me all information regarding patients”, “Very attentive and very helpful”, “Have a shower twice a week and could have one every day if I wanted”, “Staff are constantly in touch with me and follow instructions”, and “Written and oral communication has always been effective”. Four files (three older persons and one younger adult) were checked and these showed the care plans relevant to each person’s needs. Risk assessments were in place. Daily records provided some information of meeting people’s needs but did not specify which particular needs e.g. “hygiene cares met” and there was inconsistency in recording leisure needs. Specifying the hygiene needs that have been met verifies that the care plan has been followed correctly and no areas are missed. Recording people’s daily routines (e.g. informal interactions, personal hobbies) achieves a more person centred approach. These were discussed with the regional manager. The thematic inspection on 25th September 2007 (See Summary) also recommended that more information of the person’s history and background would help promote a personal identity. Care plans were reviewed but there was no information to indicate that the person or their representative had been consulted or notified about the review. The procedure for monitoring people who’d had accidents was discussed with the regional manager. She explained the procedure and the manager’s actions to ensure that people were monitored. A member of staff was also able to show the ‘three day check form’ used and also a form to record any unexplained bruising. Records were also available to show that the manager carried out analyses of accidents to identify any common denominators. A medication round was observed. The correct procedure was adhered to. The trolley was clean. The Medication Administration Records showed the date of receipt, quantity of medication received and this was signed and dated. Names and photographs were clear. No handwritten entries were seen and there were no gaps in the records seen. During the site visit some people were asked if they would prefer to look after their own medication. They said that they preferred the home to do this for them. The regional manager said that the company had a policy for self-medication including a risk management and monitoring system. People living in the home said that staff listened and acted on what they said and this was confirmed during the site visit. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 (YA 11, 12 and 14) 13, (YA 13 and 15), 14 (YA 7) and 15 (YA 17). People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Personal choice and control were promoted. Meals were good quality with variety and choice. The lifestyle within the home matched people’s expectations and preferences. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 14 EVIDENCE: People said that there were always or usually activities in the home and were being held during the site visit. The home had several activity co-ordinators and activities were varied and suited to people’s needs. Records were kept of the activities that each person had participated in. In the lounge on the Young Persons Disability Unit, there was a computer, books, games, television, hi-fi system, and videos. The whole unit had been decorated for Halloween. Comments from people were “Don’t get bored”, and “I like bingo and then there are other things such as crafts and making cards on other days”. A relative considered that more stimulation could be provided for people who were not able to participate in some activities. Her comments were “As mum is more or less bed bound, there isn’t much she can get involved with. She does get to listen to singers and concerts which are held in the home. I feel a programme of pampering, beauty treatments, massage would be nice for those stuck in bed”. The regional manager was informed of this comment to consider whether anything could be provided. Relatives said that they were always or usually kept informed and that residents were supported to keep in touch. One relative said that he was always made welcome and tea was offered whilst another visitor considered that the care home could improve by offering “…hospitality to visitors, cup of tea, etc, especially when a visitor has travelled a long way”. Comments about people’s choices were all positive and information on care plans verified that people’s preferences were considered and acted upon. People said that they could get up, go to bed and use their bedrooms when they wanted to. One person said that they could go out as long as they let staff know and another person commented that some people liked a bath but she preferred her showers. Breakfast and lunch were observed. Choices were available, ingredients were fresh and meals were well presented. People said that they liked the meals. Comments were mainly positive, “Eats everything”, “Excellent, well cooked and well presented” and “Lovely, can’t knock it”. A relative considered that “They could improve choice of meals for those needing specialist diets” and another comment received was “Far too much wasted food”. Copies of the menu for the week were displayed in the dining rooms and in the entrance foyer, but these were on a normal sheet of paper. Some people may find it difficult to understand the format for finding the box relating to the particular day and time of day. Others with poor sight may find the print Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 15 difficult to read. The provision of a user-friendly menu was discussed with the regional manager. Effort had been taken to make the dining rooms pleasant places to dine. Notice boards stated the day and date and wished everyone a Happy Halloween. Music was playing. There were tablecloths on the tables, condiments and milk, sugar and sweeteners, which showed that people’s choices were respected. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 (YA 22) and 18 (YA 23). People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using this service were protected from abuse. They and their relatives and friends were confident that their complaints would be dealt with appropriately EVIDENCE: People were satisfied with the complaints procedure. Comments were “Any problems I have, I can take to the staff and get resolved usually”, “Would speak to Julie (manager) but never had reason to”, “Nurses in charge are very reasonable”. The complaints procedure was displayed and had been amended to include CSCI details. Any complaints were recorded in the complaints book together with the action taken. There had been a recent adult protection issue but this was unsubstantiated and there was no case to answer. Records showed that all staff undertook adult protection training and a member of the ancillary staff confirmed this. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 (YA 24) and 26 (YA 30). People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home was pleasant, hygienic, well maintained and safe. EVIDENCE: The home was fresh and clean and there were no offensive odours. Domestic staff were in evidence throughout the site visit. People thought that the home Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 18 was always or usually fresh and clean. Their comments were “nice bedroom – they keep it clean”, “Very nice”, “Lovely – satisfied”, “very good” and “smashing”. A relative felt that more could be done and stated, “I feel that more time should be given to cleaning the room. I have washed paintwork and windows myself and cleaned my mother’s armchair when food has been spilt”. The regional manager said that the home was to be refurbished and updated as it was beginning to look tired. She also said that they were also looking at providing a hairdressing facility on the dementia unit. This was for those people with dementia who were reluctant to use the hairdressing facility on the ground floor. No hazards were noted throughout the day. Mobility aids and equipment were provided. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 (YA 33), 28 (YA 32), 29 (YA 31,34) and 30 (YA 35). People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff met people’s needs. People were supported and protected by the homes recruitment procedures. EVIDENCE: Relatives and health professionals considered that staff always or usually had the skills and experience to do their jobs. A comment was “Staff have always presented in a positive manner”. People who lived in the home said, “(that they)…liked staff”, “Very approachable”, “Helpful” and that they felt that staff cared for them properly. There were sufficient staff on duty during the site visit. However there were two comments about staff levels ““Staff are skimped on in places” and “More Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 20 staff at weekends”, therefore the manager needs to ensure that there are sufficient staff at all times to meet people’s needs. The home had a robust recruitment procedure and files contained the relevant information and documentation. Staff said that they received training relevant to their roles. Each member of staff had a training file and the manager kept records of training requirements. The manager and deputy manager had undertaken in depth dementia training and plans were in place for staff to undertake more detailed dementia training. This would ensure that the needs of people with dementia were better understood and could be met. Also, the thematic inspection on 25th September (See Summary) recommended that staff receive additional training in how to communicate effectively with people with dementia. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 (YA 37), 33 (YA 39), 35 (YA 36) and 38 (YA 42). People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 22 The home was run and managed in the best interests of people living at the home. Their health, safety and welfare were promoted and their financial interests were safeguarded. EVIDENCE: The manager had the skills and experience to do the job. She kept up to date with current practice and was a good role model. At the time of this inspection, the manager was away on holiday but the home was running well. The home had a quality assurance monitoring system in place and this provided good information, was up to date and ensured that the home was run in the best interests of people living in the home. The administrator dealt with personal allowances held on behalf of people living in the home. Receipts were issued for any money received and safe storage was provided. All money was banked in a trust account with no interest paid but no charges incurred. Bank statements were kept. Records were kept of each resident’s individual finances and receipts were kept for purchases made on behalf of residents. The organisations head office audited all accounts. Information of staff training was seen and the graph showed the dates of all training undertaken. This graph indicated that all staff had undertaken the full range of mandatory health and safety training. Maintenance and servicing records and certificates were available and a sample was checked, which verified that servicing and maintenance was carried out within the regulated timescales. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 23 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 3 2 X 3 3 4 X 5 X 6 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP7 Regulation 15 Requirement The daily records must include more specific information of the physical care needs that have been met. This verifies that the care plan has been followed correctly and no areas are missed. Timescale for action 28/11/07 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 3 4 5 Refer to Standard OP1 OP1 OP7 Good Practice Recommendations A statement of purpose should be made available for anyone who wishes to see it. The Statement of Purpose should include information about services the home provides to people with dementia. Daily records should include information of how people’s social needs are met through group or individual pursuits. This provides a more person centred approach. People living in the home (or their representatives) should be consulted about care plan reviews. Peoples care plans should include information on the person’s background and sense of the person’s identity. DS0000066494.V346472.R01.S.doc Version 5.2 Page 25 OP7 YA6 OP7 Cherry Trees Care Centre 6 7 8 9 10 YA11 OP12 OP13 YA15 OP15 OP27 OP30 Consideration should be given to the social needs of people who are bed bound Consistency in the provision of hospitality to visitors, e.g. offering refreshments, would enhance the service. The provision of a user-friendly menu would ensure that people were aware of the meals on offer. Ensure that staffing levels are appropriate to meeting people’s needs Staff would benefit from additional training on how to communicate effectively with people who use the service. Cherry Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Trees Care Centre DS0000066494.V346472.R01.S.doc Version 5.2 Page 27 - 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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