Inspection on 06/01/06 for 3 Cherry Tree Close

This inspection was carried out on 6th January 2006.

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 no outstanding requirements from the previous inspection report, but made 3 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 29/09/06

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 Paul Chapman Unannounced Inspection 6th January 2006 09:10 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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.V276981.R01.S.doc Version 5.1 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.V276981.R01.S.doc Version 5.1 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.V276981.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 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.V276981.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was completed over a period of 1 hour and 45 minutes on a day in January 2006. At the time of the inspection one staff member was on duty and they were present throughout the inspection. Both of the service users were at home at the time, one person was getting ready to go out for the day whilst the other was in bed. The aims of this inspection were to assess the home’s progress towards meeting the 2 requirements of the previous inspection, and inspect 2 of the core standards that were not assessed at that time. The inspector spoke at length to the staff on duty and examined some of the service users records. It is recommended for a more comprehensive overview of the service provided at the home this report should be read in conjunction with the previous report dated 18th August 2005. What the service does well: What has improved since the last inspection? Not applicable at this inspection. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 Page 6 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. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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.V276981.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were inspected on this occasion. No new service users have been admitted to the home since the previous inspection. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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 Staffs comprehensive knowledge of the service user allows them meet his needs consistently and appropriately. Staff support the service users with appropriate information when required that enables them to make informed decisions about their lives. EVIDENCE: The last report required that the home develop guidelines for one of the service users. In conversation with the staff on duty they explained how they ensure that staff work consistently with the service user. They explained how that when a new staff member starts at the home they shadow experienced staff to enable them to witness different approaches. Records of incidents due to behaviours have significantly decreased since the service user moved into the home. The inspector visited the main office to discuss the need for guidelines with the general manager and the service manager. It was agreed that the staff would complete a pen picture of the service user to be included in their file. The incident records support the observations of the inspector in that the staff have a comprehensive working knowledge of the service user which ensures a consistent approach. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 Page 10 Whilst examining the service user’s file the inspector questioned the use of a form called the “IPP sheet for social behaviour”. In the meeting with the general manager they stated that this sheet would no longer be used. The inspector and staff discussed how service users are supported to make decisions about their lives. The staff were able to provide evidence and give two recent examples of where they had supported the service users. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were inspected on this occasion. At the previous inspection all of these standards were inspected with no shortfalls identified. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were inspected on this occasion. At the previous inspection standards 18, 19, 20 were inspected and seen to meet the required standard. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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): 23 Staff completing training in adult protection further safeguards Service users’ from abuse. EVIDENCE: Neither of these standards were inspected on this occasion. After the previous inspection the inspector spoke to the manager about the need for staff to complete training in adult protection. Staff on duty on this occasion explained that they had completed training in this topic in November ’05. They felt the course was really good and refreshed their knowledge in this area. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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 The communal areas have sufficient space to meet the needs of the service users. EVIDENCE: At the previous inspection all of these standards were inspected and found to meet the required standard. At this inspection the communal areas were seen to be decorated to a good standard and were clean and tidy. Since the previous inspection the home have purchased a screen to put in front of the under stairs space. This makes the front room look tidier by hiding the items usually stored in that area. At the previous inspection the inspector was informed that it was planned for a new kitchen to be fitted. This has not been done to date and the general manager explained that she would be addressing this in the future. Neither of the service users’ bedrooms were seen on this occasion. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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): 35 The training provided by Birmingham University enables staff to understand more about the needs of the service users. EVIDENCE: The inspector spoke to the staff member on duty about their previous training. They explained that they had completed NVQ’s in care before joining the organisation, and that recently they have completed a course with Birmingham University that focuses on the specific needs of the service user group. The staff member felt this course was really useful and enhanced her skills required to work with this service user group. Fire training had been arranged to be completed later this month. As discussed with the registered manager previously there is a need for staff to receive mandatory training in topics including food hygiene and manual handling. The staff member explained that they had recently had an appraisal with the registered manager. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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): 39 Regular Regulation 26 visits completed by the management team allows for external monitoring of the home’s procedures and practices. EVIDENCE: Examination of the home’s regulation 26 visits by the provider showed that the last one was completed in July ’05. This was brought to the attention of the general manager who stated that they would ensure that visits would be completed. This is a requirement of this report. 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 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 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 2 X X X X 3 Cherry Tree Close DS0000038186.V276981.R01.S.doc Version 5.1 Page 18 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 YA35 Regulation 18 C, (1) Requirement The service co-ordinator must supply the inspector with a copy of the 05/06 training programme. The manager must ensure that guidelines as discussed at the inspection are developed for the service user. The manager must ensure that regulation 26 visits are completed as prescribed in the regulations. Timescale for action 31/03/06 2. YA6 12, 13(4) c 26 31/10/05 3. YA39 10/02/06 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.V276981.R01.S.doc Version 5.1 Page 19 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.V276981.R01.S.doc Version 5.1 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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