Inspection on 29/09/06 for 3 Cherry Tree Close

This inspection was carried out on 29th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 Cherry Tree Close 06/11/08

3 Cherry Tree Close 12/11/07

3 Cherry Tree Close 06/01/06

3 Cherry Tree Close 08/02/05

3 Cherry Tree Close 07/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 3 Cherry Tree Close 3 Cherry Tree Close Nailsworth Stroud Gloucestershire GL6 0DX Lead Inspector Mr Tim Cotterell Key Unannounced Inspection 29th September 2006 09:30 3 Cherry Tree Close DS0000038186.V310480.R02.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 3 Cherry Tree Close DS0000038186.V310480.R02.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. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3 Cherry Tree Close Address 3 Cherry Tree Close Nailsworth Stroud Gloucestershire GL6 0DX 01453 835023 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) Gloucestershire Group Homes Mr Jeffrey Michael Bird Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 Brief Description of the Service: 3 Cherry Tree Close is a detached house with accommodation for two adults with Aspergers Syndrome. The organisation offers a very specialised, individual service for people with Aspergers syndrome, and staff receive training to support service users appropriately. The home is conveniently situated in Nailsworth, which enables service users to access local community facilities. Service users also have access to transport that is provided by the home and this enables them to access facilities in several other local towns. The home is staffed 24 hours a day, seven days a week. Family and friends are welcome to visit the home at any time and service users can meet them in private if they wish to. The service users attend various activities, which include Day services provided by Gloucester Group Homes, College courses and work experience. The Inspector has visited the day service that is provided by the organisation, it has been developed specifically for people who have Aspergers and offers service users very individual programmes to meet their needs. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The inspection included two visits and all of the staff and service users were seen. The accommodation was also inspected together with a number of records to include plans of care and the administration of medicines. Staff were seen as competent and helpful and having a good relationship with the service users. What the service does well: What has improved since the last inspection? What they could do better: 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 3 Cherry Tree Close DS0000038186.V310480.R02.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 3 Cherry Tree Close DS0000038186.V310480.R02.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 Not applicable. EVIDENCE: Not inspected as there had not been any admissions since the last key inspection. 3 Cherry Tree Close DS0000038186.V310480.R02.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): 679 Quality in this outcome area is good. Individual needs are identified and met. . The judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a plan of care and this is completed after consulting with all interested parties. The plans are reviewed on a regular basis and this ensures staff are aware of any developing needs. The service users’ plan is based on the outcome of the annual review, which indicated the objectives and the actions required to achieve them. Staff were aware of the individual objectives and had made progress in attempting to achieve them. Service users and relatives are encouraged to develop plans in partnership. The plans in the home look at current needs, the development of skills and future ambitions of the residents. Residents are able to access plans of care. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 10 There are risk assessments and these are reviewed as and when necessary. The home does not have a formal service users group, but they are living in an environment which naturally consults them in an informal manner, and subject to risk assessments they are able to pursue a lifestyle that meets their needs. The service users play an active part in their daily lives and through risk assessments are able undertake activities that they wish e.g. going into the local village unsupervised. The service users who have limited intellectual and communication skills are supported by a staff group who provide the options available, and this results in informed choices being made. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. Service users enjoy a range of appropriate social and educational activities. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Both service users have a varied and appropriate range of activities and they include supported employment and education/training at the Trusts day centre. The residents play an active part in their daily lives. and are able to undertake activities that they wish e.g. going into the local village unsupervised. There are good links between families and service users and staff were providing appropriate support if and when necessary. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 12 The daily routines of the home reflect the needs and wishes of the service users and the home has found a balance between meeting the needs of the service users as well as addressing their wishes. The provision of food is based on a healthy diet and staff make great efforts to inform service users about what constitutes a healthy diet. However, where someone specifically requests something different this is provided. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. Service users have access to all of the healthcare facilities. Medicines are managed safely and appropriately. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The daily support provided by staff is based on the individual needs and wishes of the respective service user. Guidance and support regarding personal hygiene is also provided. The small staff group and shift patterns means that there is consistency and continuity of care. Staff ensure that the service users have access to all of the health care professionals and there is a monthly audit which records any treatment/ advice. Where specialist advice is required staff were aware of and know how to access the Community Learning Disability Team. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 14 The staff manage and administer medicines and there is a record kept. There was no self administration, as required medicines or household remedies at the time of the inspection. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. Service users live in a safe environment. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a written complaints procedure. The inspector was able to see many staff/service user interactions during the inspection. Staff were seen as good listeners and gave time and attention to the individual requests which were made. The home had not had any formal complaints, and there was little doubt that the attention to “minor concerns” by staff on duty would mean that formal complaints would be unlikely, as most issues are dealt with informally and at the time the matter was raised. If staff are unable to resolve any concerns the management team are available through the senior carer or directly when service users attend the Spring Mill day centre. Staff were clear about the various forms of abuse and also what to do if abuse is suspected or reported. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 16 Behaviours that challenge were dealt with in a calm and sensitive manner and the practices in the home reflected the philosophy of the Trust, which was to maintain a safe environment where service users are safeguarded from all forms of abuse. All of the staff were seen and spoken to. They had a good knowledge of what constitutes abuse and confirmed that the management of the home provided relevant training updates. 3 Cherry Tree Close DS0000038186.V310480.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this outcome area is good. The home provides a comfortable physical environment. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has been maintained to good standard and was found to be clean, safe and comfortable. There were no malodours and it provided sufficient light, heat and ventilation. All of the accommodation was seen and the service users accompanied the inspector to their respective bedrooms. One service user was a keen collector of trains and staff had provided an additional room to enable a model track to be installed. Both bedrooms had been personalised and this reflected their interests. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 18 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): 32 34 35 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The recruitment procedure and records were not inspected as the personnel records are kept at the head office and no new appointments had been made since the last inspection. The records will be seen later this year by arrangement. All of the staff who are employed in the home were seen and spoken to individually. The training needs of the staff have been met and there are continual updates to ensure new issues are addressed and where appropriate training provided. A number of the staff are undertaking the distance-learning course through Birmingham University and they said that they found the course stimulating and helpful. There is a staff meeting every three months and these are recorded. Staff also receive individual supervision from the senior carer in the home every six months or more frequently if required. There is also an annual staff appraisal. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. Service users live in a well run home. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manger is responsible for a number of homes but most tasks are delegated to a senior carer who has day-to-day responsibility for the running of the home. The three support workers who are employed were seen as competent and suitably qualified and providing a sensitive and flexible service which responded to individual needs. The home continuality seeks the views of service users, relatives and health care professionals to determine if the home is meeting its aims and objectives. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 20 A considerable amount of the “quality assurance monitoring” is done informally and through the day-to-day interactions in the home. The staff in the home ensure that service users live in an environment, which is safe and one which ensures their health, safety and welfare. Staff were conversant with health and safety issues and all relevant equipment was being tested as required. The record of the regulatory visits (Regulation 26) by the responsible individual were inspected. The last available report was dated 31/03/06. 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 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 3 X X 3 x 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 22 no 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 YA39 Regulation 26 Requirement The manager must ensure that regulation 26 visits are completed as prescribed in the regulations. Timescale for action 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 3 Cherry Tree Close DS0000038186.V310480.R02.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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