Inspection on 08/06/06 for 208 Cherry Tree Road

This inspection was carried out on 8th June 2006.

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 26/06/07

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 8th June 2006 09:30 208 Cherry Tree Road DS0000009973.V299832.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.V299832.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.V299832.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 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.V299832.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 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. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit undertaken during a daytime period over three hours. There was no pre inspection material received prior to the site visit therefore all information recorded was obtained at the time of the site visit. Two residents are living at the home and both were spoken to at length during the visit. Comments will be recorded in the main body of this report There are no additional staff employed at the home, which is operated by the registered provider. There have been no complaints received about the service since the previous inspection. What the service does well: What has improved since the last inspection? What they could do better: There is a requirement to include policies and procedures in respect of adult protection, so that there is a formal procedure to follow should abuse or adult protection issues be presented. The home must put in place quality assurance systems, so that the homes stated aims and objectives could be measured. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 6 External paintwork is in a poor condition and would benefit from some work being carried out, so that the premises remain in a good state of repair. 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 DS0000009973.V299832.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.V299832.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 The quality judgement is good. This judgement has been made using available evidence including a visit to the service. The needs of users of the service are met by way of assessment and recognition of individual preferences. EVIDENCE: Users of the service have their individual needs met by way of making sure there is an assessment, which is based upon professional assessment and review, so that individual needs are recognised and met. Residents comments included, “we can do what we want, but know what is too risky”. There is recognition of risk and this is recorded and action taken so that residents are protected. 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.V299832.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 6, 7 & 9 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. Residents are helped to make decisions, which supports them in their day-to-day lives, whilst taking into account the level of risk to the individual. EVIDENCE: The approach to meeting needs is informal, however there is recognition of helping people to make choices in their daily lives, which will positively help them in what they choose to do. Comments received included, “ I like to go to the supermarket, so that I can get what I want”. The registered provider gave clear examples of how the approach to care has helped people to make individual choices and decisions, which have improved their lives. Comments included, “residents are encouraged to develop their personal skills which help them to integrate in the community”. Written records show there is a positive approach in including family members to be involved in the caring process, by way of clear communication and contact. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 12, 13, 15, 16 & 17 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. Residents lead fulfilling lifestyles by way of personal support and recognition of individual rights. EVIDENCE: As the home is small, the registered provider is aware of making sure individual lifestyles are reflective of their needs. This is achieved through recognising individual need, and providing support to achieve recognised goals. Meals are prepared on the premises and residents are encouraged to be involved in the planning g process for meals. Personal preferences are recognised. Comments received included, “I really like the food, its good and what I like”. There is recognition of making sure residents Privacy and Dignity is maintained, so that residents feel their rights are upheld. Residents spoken to commented on how their Privacy and Dignity is upheld by making sure doors are closed, and rooms are not entered until a response is made after knocking on the door. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 11 Residents are encouraged to make contact in the community. This is done through day care facilities, as well as residents being encouraged to go out independently. Residents spoke of their choice in participating in community activities. Residents visit a local supermarket, to purchase items of their choice. One resident commented on how they like to go shopping locally and bring in treats. Contact with family and friends is actively encouraged and residents spoken to spoke of how they enjoy family and friends visiting the home, as well as them going to visit family and friends, which helps them to retain links beyond the home. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 18, 19 & 20 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. Health and personal needs are met by way of recognition of individual needs with good access to healthcare services for the benefit of residents. EVIDENCE: There is evidence the home has good access to specialist healthcare services for the benefit of residents using the service, so that their healthcare needs are met. The registered provider makes sure personal support is sensitive but positive so that all issues regarding personal care is delivered for the benefit of users of the service. The storage and management of medication has improved, in that there is a recognised storage system, which is safe. Recording of medication administered is clear and up to date, so that there is a good record of medication administered in the home. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 22 & 23 The Quality outcome is adequate. This judgement has been made using available evidence including a visit to the service. Residents are protected by the complaints system in place, however abuse procedures and policies must be developed for the protection of users of the service. EVIDENCE: There is a complaints procedure in place, which provides residents with the opportunity to raise concerns with the registered provider or to use contact details for independent referrals. Residents spoken, to said they felt confident they could raise issues they were not happy with, with the registered provider and they were aware they could contact an independent source to raise concerns. One resident said “If I don’t like something I say and it gets sorted”. Adult protection policies and procedures need to be in place so that they can be referred to and followed as guidance if issues regarding adult protection arise, so that users of the service are protected. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 24 & 30 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. The homes environment is of a domestic nature and meets the needs of residents living there, but external decoration is necessary. EVIDENCE: The homes environment is of a domestic nature. There are no adaptations required for people living there. External decoration is required, as it is currently weathered. Internally the home is generally well maintained. Furnishings provide a comfortable and homely environment in which to live. 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. This is facilitated by the registered provider who recognises the benefit of helping with a personal collection in respect of personal fulfilment. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Resident’s needs are met by the registered provider, there are no additional staff. EVIDENCE: There are no additional staff working at the home. The registered provider meets the individual needs of residents on a day to day basis. There are healthcare and social workers who visit the home monthly and annually to carry out reviews, therefore the registered provider does not work in isolation and has communication with other professionals who provide advice so that the needs of residents is continually met. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The quality outcome is good. This judgement has been made using available evidence including a visit to the service. The home is run in the best interests of residents who live there, however there is a requirement to gain the views of users of the service so that this information can be used for the development of the service. EVIDENCE: The home is run in the best interests of people who live there. It is a small home, which is operated by the registered provider in the best interests of the two residents who live there. Comments received from users of the service confirmed they are happy living at the home and fell it meets there needs. 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. 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 17 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 3 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 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X 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 2 X X 3 x 208 Cherry Tree Road DS0000009973.V299832.R01.S.doc Version 5.2 Page 18 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 2 Standard YA23 YA39 Regulation 13(6) 24 Requirement There must be evidence of policies and procedures in place for the protection of residents. There must be a system of quality review so that the service can be measured against its stated aims and objectives. Timescale for action 31/08/06 01/12/06 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.V299832.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way 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 DS0000009973.V299832.R01.S.doc Version 5.2 Page 20 - 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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