Inspection on 26/06/07 for 208 Cherry Tree Road

This inspection was carried out on 26th June 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

208 Cherry Tree Road 28/05/08

208 Cherry Tree Road 08/06/06

208 Cherry Tree Road 05/01/06

208 Cherry Tree Road 04/08/05

208 Cherry Tree Road 17/08/04

208 Cherry Tree Road 15/04/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Clover House

Thornton Lodge

Parkside

Park Lodge

Mere Hall View

St Bonaventures

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

CARE HOME ADULTS 18-65 208 Cherry Tree Road 208 Cherry Tree Road Blackpool Lancashire FY4 4PT Lead Inspector Mrs Jackie Riley Unannounced Inspection 26th June 2007 09:00 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 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 208 Cherry Tree Road DS0000009973.V334485.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 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. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 208 Cherry Tree Road Address 208 Cherry Tree Road Blackpool Lancashire FY4 4PT 01253 693101 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) Ms Deanna Neal N/A Care Home 2 Category(ies) of Learning disability (1), Mental disorder, registration, with number excluding learning disability or dementia (1) of places 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2006 Brief Description of the Service: 208 Cherry Tree Road is close to all local amenities and facilities. A wide range of shops and supermarkets are in walking distance and a bus stop is immediately outside the premises. The premises are in keeping with the local community and domestic in character. Accommodation within the house are single rooms for the two residents, with lounge and dining areas, as well as a garden area which is not overlooked. There is a Statement of Purpose and Service User Guide provided to both residents, informing them of the services they can expect to receive whilst living at the home. At the time of the site visit the range of fees were £208.00 to £281.00. Additional charges are incurred for Hairdressing, Newspapers and additional toiletries. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the home’s Key Inspection. The site visit commenced at 9.30 am and took place over three hours. Residents live together in the home and see themselves as part of the family unit. There are no institutional practices related to the way they live and both residents do not require any assistance with their personal care at this time. Prior to the visit the homeowner completed a pre-inspection questionnaire, which provided information about the residents and other information, which assisted in assessing how the home was meeting the National Minimum Standards. During the visit the two residents were spoken to and a tour of the home was carried out. The residents’ records and a random selection of administrative records were looked at and discussions took place with the homeowner. From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: What has improved since the last inspection? The home has introduced a policy for the protection of users of the service. This shows how the home will manage issues around safeguarding adults so 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 6 that residents are protected. In addition the home has in place recent local authority revised guidance in this area so that the registered provider is clear as to the process involved in any allegation of abuse for their safety and protection. What they could do better: 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. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The individual assessments confirmed the needs and aspirations of the residents are being met by the home, however the lack of risk management has the potential to put users of the service at risk. EVIDENCE: The residents have in place individual assessments of need, which identify what their needs are and how they are being met, however there was limited information about how individual risk was being managed both in the home and the wider community, having the potential to leave residents in a vulnerable position and being exposed to possible risk situations which have not been identified or planned for. There is evidence of other professional being involved in the assessment and review process so that any specific need is identified and managed, whether by the registered person or by another professional. Residents commented on how they are supported by the homes registered provider or by another professional working in their best interests. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 9 The assessment process includes reference to individual rights and how they are to be met and respected. Comments included, “they make sure they know what I need, and they discuss that with me”. As this is a small home there is recognition of how unplanned admissions may be detrimental to people using the service, so that admission is well planned and organised. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system in place means that the residents’ needs, aspirations and goals are met, so they have a good quality of life. EVIDENCE: The residents are fully involved in all aspect of their day to day lives. A care plan has been developed for each resident, which they have been involved in. This was confirmed by both residents whose comments included, “We are involved in how our care is decided, we work well together”. The information covers all aspects of their individual needs, physical, mental, emotional, spiritual and social needs. This information is continually being reviewed by the registered provider and in most instances by the respective social worker to ensure that the home continues to meet their needs. However, there is a current transition in social work support for one resident and the registered provider is addressing this so that the resident is not disadvantaged in any way. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 11 The information seen confirmed that the residents did not currently require any assistance with their personal care needs and observations made confirmed that they remained independent within their capabilities. There was evidence seen of resident’s healthcare needs being met through appointments with GP’s, Community Psychiatric Nurses and Psychiatrists, so that resident’s specialist needs are being met. Comments included “I link into my support workers when I need to”. The information recorded on each resident is kept secure and shared only on a need to know basis with the appropriate person in order to ensure confidentiality. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support provided to residents enables them to maintain their choice of lifestyles in and outside of the home. EVIDENCE: Residents live in the home as a family unit and spend the majority of their time together. Both residents go out independently of each other on a daily basis to the shops or local amenities. Both residents commented on how they like to ‘do their own thing’. One resident commented on how they have recently joined an art class, and how they are enjoying the challenge”. The residents have a range of activities available to them, which they enjoy and include a variety of board games; music, and television. One resident has a particular hobby and this is promoted and assisted by the registered provider who actively encourages both residents to key into their own personal interests as well as doing things together, so that they retain their own personal identity. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 13 There was evidence of good liaison between the residents and family members. This was confirmed following discussion with both residents, who commented positively on how they have relative’s visit them at the home or they go to see relatives. The resident’s respect each others individual space and do not go into each other’s room unless invited. This was confirmed through observations and their permission was asked before a tour of the home took place. The residents have their meals together although they do have the choice of eating in their room if requested although this is not encouraged as the registered provider feels mealtimes are a time when there can be positive communication for all parties. “We all tend to have a good natter, and share things at mealtimes, which can be beneficial to everyone”. Residents spoken to said they like the meals they received and have recently agreed with the registered provider as to what times they like to have them, so that all parties are in agreement and this is working well. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice, so that people are not disadvantaged. EVIDENCE: The residents in this home do not currently require any assistance with their personal care needs. They are independent and require only gentle reminders in relation to their personal hygiene. Observations made during the visit confirmed that the residents are given their privacy, dignity and their independence is encouraged. Comments included, they always knock on the door and give a shout before coming in “. “I know there are rules, and they are there for a purpose”. The rules are based on health and safety including smoking restrictions, and letting the registered provider know when a resident chooses to go out, with an estimated time of coming home. Examination of the residents’ individual files showed that a record was kept of visits by the doctor and other health care professionals, so that there is a clear audit trail of information about how that persons needs are being met on a day to day basis. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 15 There has been improvement in how a resident’s medication is managed, in that there is a good record of the prescribed medication and in what dose and at what time it is taken. In addition storage of medication is secure and safe, so that people are protected. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the residents are aware of their rights and have a complaints procedure. Systems are in place to safeguard the people living in the home. EVIDENCE: The residents have been made aware of the complaints procedure, which to date they have not needed to use. Comments made by the residents confirmed that they were confident to speak their minds if the situation arose. One comment received stated, “I’ve not had to make a complaint but if I did I know what to do and who to go to”. The resident have available to them contact numbers and addresses of outside agencies if they have any problems to discuss that cannot be settled by the homeowner. Since the previous inspection the registered provider had implemented a policy on dealing with safeguarding adults so that people living in the home are protected. In addition the home had received updated local guidance in safeguarding adults so that there is a clear process to follow in any case of suspected abuse. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a homely, comfortable environment; however deteriorating external decoration has the potential to lead to damaged woodwork. EVIDENCE: The home is very much domestic in character and in keeping with the local community. Residents were happy for a tour of the home to take place, which confirmed that the home was warm, clean and fresh smelling. Resident’s bedrooms are decorated and furnished to meet their own preferences. Residents spoken to are pleased with their individual rooms, which are well maintained with evidence of personal collections. One resident was proud to show a personal collection of items, which are collectable and provide a keen interest and hobby. The registered provider who recognises the benefit of helping with a personal collection in respect of personal fulfilment assists this. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 18 The external paintwork of the home is deteriorating and has the potential to lead to damaged woodwork, and therefore consideration should be given to this. There are no aids or adaptations around the home has these are not required at this time to assist with the independence of the residents. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does not employ any additional staff. The needs of the residents are being met at this time. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents, however shortfalls in the fire safety precautions and maintenance of electrical systems and equipment could potentially affect the health and safety of the residents. EVIDENCE: The home is run by a competent person who acts in the best interests of the residents at all times. It is a small home, and people living there commented positively on how they like to live and how it meets all their needs. There are no additional staff working in the home, and therefore the day to day running is based around the individual needs of the people who live there, overseen by the registered provider. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 21 The management approach is relaxed so that there is no formality in the dayto-day management of the home. Residents are encouraged to follow their individual routines, which was seen throughout the site visit, and was seen to meet the individual needs of the residents living there. From comments and observations made it was evident that they are able to make their views known and are involved in all decisions that affect them as individuals and as a group to ensure that their needs continue to be identified and met. Through discussion and observation it was noted there are a number of health and safety issues, which require attention. They include the requirement under revised fire regulation that a fire risk assessment is in place for the home, so that people are aware of the how the home will be able to manage an evacuation in the event of a fire emergency. The home did not have evidence of maintenance for the homes electrical systems or electrical equipment, which is a requirement for the health safety and protection of users of the service. These areas have been discussed with the registered provider and it was agreed action would be being taken to rectify the issues so that people are safe. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 x 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 23 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 YA2 Regulation 13(4) Requirement Timescale for action 31/08/07 2. YA42 The registered person shall make sure a risk assessment plan is in place for the users of the service so that they are protected from hazards which may affect their safety and well being. 23(2)©4(e) The registered person must ensure the home electrical systems are maintained and safe as well as ensuring there is a fire risk assessment in place so that users of the service are safeguarded and protected. 31/08/07 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. Refer to Standard YA24 Good Practice Recommendations The external paintwork would benefit from renovation so that the homes external appearance is well maintained. 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 208 Cherry Tree Road DS0000009973.V334485.R01.S.doc Version 5.2 Page 25 - 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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