Inspection on 04/08/05 for 208 Cherry Tree Road

This inspection was carried out on 4th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

208 Cherry Tree Road 28/05/08

208 Cherry Tree Road 26/06/07

208 Cherry Tree Road 08/06/06

208 Cherry Tree Road 05/01/06

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 Jackie Riley Unannounced 4 August 2005 10:00am th 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 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 Stationary 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 F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 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 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 Care home only 2 Category(ies) of DE Dementia (1) registration, with number MD Mental Disorder (1) of places 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2004 Brief Description of the Service: 208, Cherry Tree Road, Blackpool is registered, under the Care Standards Act 2000.The home 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. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place during the day of 4/8/05. The process involved discussion with the registered person, examination of records, tour of the premises and discussion with one resident. There was until recently one resident who has lived at the home for sixteen years, one other resident has recently been admitted following a gradual admission process. What the service does well: What has improved since the last inspection? 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. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4 Residents are provided with information regarding services provided by the home prior to admission; thereby ensuring they have choice and are informed of the services. Residents are encouraged to visit the home prior to admission, when they can get a taste of the environment and meet the other resident. Assessments are provided by professional parties prior to admission, thereby helping the owner to decide whether they can meet the resident’s needs. EVIDENCE: Any admission to the home is planned due to there being only two residents at any one time, and the effect this may have on the other resident. A recent admission had taken place following a five-year period when only one resident lived at the home. The resident spoken to was able to confirm they had received written information about the home and had been invited to visit on a number of occasions before the placement was agreed by all parties. The homeowner had a written assessment provided by the social worker and clearly identified the residents needs. A resident spoken to said, “It’s a nice home to live in”. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected. EVIDENCE: 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,16 Residents are fully supported by the home owner, who helps them to be involved in the local community, as well as taking part in any activity of their choice, within the limits of their ability, thereby helping them to develop their own personal lifestyles. EVIDENCE: Every effort is made by the homeowner to make sure residents preferences and choices in their lifestyle are met. One resident commented, “I like to go out when I want to, either on my own or with others”, but im just getting to know my way around”. There was evidence residents go to the supermarket independently, which helps to develop their social skills. There was evidence of much more focus on residents going out into the community to use facilities there, rather than them being brought into the home. One resident attends a local outreach centre, encouraging them to develop life skills. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed. EVIDENCE: 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed. EVIDENCE: 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26 Residents have their own bedrooms, which have facilities to develop their independence. Shared space is used for residents to relax, entertain or carry out hobbies, all of which helps them feel comfortable in the homes environment. EVIDENCE: Residents have their own bedrooms, which makes sure they have their own personal space. Discussion with one resident in their bedroom, confirmed they like having their own space. They commented on how they can make their own drinks with the facilities provided, and that they can watch what they like on television, thereby promoting their personal independence. The homes general environment is one in which residents feel comfortable with, and where there are no restrictions in movement around the home, so that they can use shared facilities or choose to be in their own rooms whenever they want. One resident spoken to said they had only recently moved into the home, but already they felt comfortable when moving around. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No staff are employed by the home. EVIDENCE: 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40,43 There needs to be further development in producing policies and procedures, which would demonstrate the homes ability in recognising the rights and best interests of residents living there. There must be a current certificate of insurance in place so that the interests of the residents are best protected. EVIDENCE: There is a continuing recommendation for the home owner to develop policies and procedures, which are required by National Minimum Standard 40 for Younger Adults and would show how the rights and best interests of residents living their can be met. There is a continuing requirement to have in place a current insurance certificate, which would cover the contractual liabilities of the homeowner. This was raised during he inspection of August 2004 and has still not been met. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 208 Cherry Tree Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x 2 x x 1 F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 16 yes Are there any outstanding requirements from the last inspection? 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 43 Regulation 25©(e) Requirement The registered provider must produce a business and financial plan and ensure suitable insurance cover is in place commensurate with the level and extent of activities undertaken.(Extended) Timescale for action 15.9.05 2. 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 Good Practice Recommendations Policies and procedures should be cross -referenced against Appendix 3 of the Care Homes Regulations 2001. 208 Cherry Tree Road F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 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 F57 F09 S9973 Cherry Tree Road V190142 Stage 4.doc Version 1.40 Page 18 - 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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