Inspection on 02/06/05 for Cherry Blossom

This inspection was carried out on 2nd June 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cherry Blossom 11/07/06

Cherry Blossom 02/02/06

Cherry Blossom 17/02/05

Cherry Blossom 12/08/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Cherry Blossom 252-257 Arctic Road Cowes Isle of Wight PO31 7PJ Lead Inspector Neil Kingman Unannounced 2 June 2005 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 Older People. 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. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cherry Blossom Address 252-257 Arctic Road, Cowes, Isle of Wight, PO31 7PJ 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) 01983 293849 01983 296084 Islandcare Ltd, Mr Laurence Woodford Gustar Mrs Sarah Ann Woodford Care Home 35 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia - over 65 years of age (4), Old age, of places not falling within any other category (35), Physical disability over 65 years of age (8) Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17/2/2005 Brief Description of the Service: Cherry Blossom is a residential care home providing care and accommodation for up to 35 older people including those within the categories of physical disability and mental disorder. Mrs Sarah Woodford manages the home on behalf of the owners Islandcare Ltd. The property is prominently situated overlooking the river Medina in Arctic Road, Cowes. The town centre with its shops, ferry and bus terminals is within walking distance of the home. The premises consist of a large two storey purpose built building and an older property which has been incorporated. Residents’ accommodation consists of mostly en-suite rooms on both levels, accessible via a passenger lift from the ground to the first floor. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place unannounced over almost 7 hours. The manager of the home was on leave and the assistant manager was in charge. There is a lounge on each of the two floors at Cherry Blossom, the ground floor lounge being the most sociable and consequently the most popular with residents. There were residents in the first floor lounge who preferred a more peaceful environment. The atmosphere although friendly and relaxed, was quite busy with relatives visiting throughout the day. A tour of the premises took place and a selection of records was inspected. Five care staff, the housekeeper and four visitors were spoken with. Seven residents were spoken with, five in the privacy of their rooms. Comments about the service were extremely positive and no concerns were raised. What the service does well: What has improved since the last inspection? A recommendation at the last inspection to add to the home’s statement of purpose information concerning the fitting of locks to residents’ rooms on request had been complied with. There is an ongoing programme of maintenance, redecoration and staff training. Standards relating to the environment will be assessed at the next inspection. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 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. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 The manager ensures that the care needs of the people who live at Cherry Blossom will be met by undertaking a proper assessment prior them moving into the home. Cherry Blossom provides a service for older people, with some capacity for people with a mental disorder and for people with a physical disability. The home has a full complement of staff with the skills and experience to meet the needs of the people living in the home. EVIDENCE: The newest resident in the home was admitted two weeks before the inspection. The assistant manager said that she and a senior member of staff carried out a pre-admission assessment at her home address before she moved into Cherry Blossom. A copy of this assessment was available with the resident’s care plan. Similarly, there was a pre-admission assessment with the care plan of a resident admitted to the home in April 2005. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 9 Cherry Blossom has a stable staff group with only two new care staff recruited this year. Consequently the majority of staff have experience within the home. There is a good training regime with 54 having achieved the NVQ at level 2. Records showed that all statutory training was completed or scheduled. There is a full range of equipment for moving people safely and there were opportunities during the day to witness staff using equipment in a sensitive and competent manner. Several residents were full of praise for the staff, but one in particular who was due to leave following a period of respite care described the staff as ‘angels’, for everything they had done to help her recuperate following an operation. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 The home has a system of care planning with an individual plan for each resident. They demonstrate that residents’ health care needs are identified and met. While medication is securely held it is important to ensure records are monitored to ensure consistent accuracy. EVIDENCE: A selection of three care plans was viewed including the plan for a long term resident and one for a resident soon to return home following a period of respite care. The format of the plans was seen to be clear, detailed and particularly user friendly for care staff. The information they contained covered all aspects of a resident’s health, social, emotional and psychological needs. Appropriate risk assessments were in place and reviews were up to date. The plan of the respite care resident showed good evidence of staff’s achievements in improving her health to the point where she was able to return to her home address. Two of the seven residents spoken with were aware that staff record details of their needs. Examination of the home’s system of administering controlled medication showed a discrepancy in the records of one resident, which was not possible to Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 11 resolve during the inspection. The assistant manager confirmed that an investigation would be carried out and the result reported to the Commission. At the time of producing this report the home has responded with the result of the investigation and the measures that have been put in place to minimise the risk of a future recurrence. While controlled drugs are held under secure conditions it is recommended that the present cabinet be replaced with a metal one. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 and 15 While residents are supported to manage their own financial affairs for as long as they are able, in reality at Cherry Blossom they have family or a solicitor to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. They receive varied and wholesome food in a choice of two pleasant dining rooms. EVIDENCE: The assistant manager said that all residents have either family or a solicitor to represent them. The home has a secure facility for safeguarding their monies if they wish. Residents are encouraged to bring personal possessions with them into the home. During the tour of the building it was evident that some residents had heavily personalised their rooms with their own furniture, ornaments, pictures, and in one case a budgerigar. In discussions with the cook it was understood that while menus work to a four week rota there is a fair amount of flexibility to try and give residents what they want to eat. There is a choice of two main meals each day with a range of alternatives available. The cook said she understands well the likes, dislikes and dietary needs of the residents and there is no shortage of food stocks. Residents spoken with were generally positive about the food. While one Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 13 described it as ‘OK’, others felt it was either excellent or wonderful. They confirmed there was always a choice. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home treats residents’ complaints seriously and responds appropriately. EVIDENCE: The home’s complaints procedure is set out in the service users’ guide, a copy of which is given to all residents or their representatives. The assistant manager said that no formal complaints about the service had been made in the past year. However, minor issues had been responded to immediately. There was an opportunity to speak with two visiting relatives about complaints. Both said they felt confident in raising any issue with the manager or deputy. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21 and 26 The home has sufficient toilet, washing and bathing facilities to meet the needs of the residents. At the time of the inspection all areas of the building were clean, hygienic and free from unpleasant odours. EVIDENCE: Thirty two of the thirty five single rooms have en-suite facilities. There is an assisted bathroom on each floor and one additional bathroom and an assisted shower room. It was understood that plans are in place to create another bathroom with Parker bath on the first floor. A tour of the building took place during which there was an opportunity to speak with the housekeeper. She said she had enjoyed working at Cherry Blossom for five years and took a pride in maintaining high standards of cleanliness. She confirmed that there was sufficient equipment available to deal with all aspects of hygiene. The home’s laundry room has an impermeable floor covering and industrial machines to deal with the high volume of laundry. It was noted that radiators were guarded, control valves Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 16 were fitted to the bath hot water taps and records showed legionella and hot water temperature checks were regularly carried out. Residents said they were generally happy with the environment at Cherry Blossom. One compared the home Favourably to another home she had experienced and said she liked the fact that Cherry Blossom was purpose built and had an en-suite in her room. Two residents like the fact that they could use the first floor lounge, which was generally quiet and peaceful. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 and 30 Staff at Cherry Blossom have the necessary skills and experience to meet the needs of the people who live there. Staff turnover is low and while the procedures for the recruitment of staff are generally robust POVA First checks must be carried out before new staff commence work, to ensure the proper safeguards that offer protection to people living in the home. EVIDENCE: The home has a staff recruitment policy that includes an application form, employment interview, job description and declaration of criminal background form. A minimum of two written references is taken up and CRB and POVA checks carried out on all newly appointed staff. Records of the two staff recruited since this standard was last checked were generally in order. However, while the CRB application form for one had been sent off POVA clearance had not been obtained before she commenced work in the home. This was later discussed with the proprietor who confirmed that it had been due to a misunderstanding of the procedure, which has since been rectified. All staff working at Cherry Blossom receive statutory training in first aid, manual handling, infection control and food hygiene. New staff undertake a comprehensive induction/foundation programme supervised by the manager/assistant manager, which meets TOPSS England training targets. A selection of staff training/development profiles were viewed and found to be in order. The assistant manager confirmed that staff training includes not only Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 18 statutory training but also other care related subjects. Five members of the care staff were spoken with. They confirmed that Cherry Blossom places a strong emphasis on training and gave the management of aggression and death and dying as examples of two recent awareness subjects completed. Records showed that 54 of care staff had qualified at NVQ level 2. All those spoken with were full of praise for the staff and their abilities to provide good care. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 The home provides a sound system to ensure residents’ finances are safeguarded. Policies, procedures and staff training are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: It was understood from the assistant manager that the majority of residents have family to represent them. Residents spoke of either a son or daughter who looked after their affairs. Others have a solicitor to help. The manager is the nominated appointee for two residents. This situation was discussed with the assistant manager and seen to be appropriate. The integrity of the system for administering residents’ monies was examined by way of dip-sampling. Receipts were kept of transactions and records and monies balanced. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 20 There are policies and procedures in place to ensure safe working practices in the home. A sample of records was viewed including accidents, COSHH assessments, TOPSS induction training and fire alarm tests. All were found to be in good order. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION x x 3 x x x x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x 3 Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 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 9 Regulation 13 Requirement The registered person must establish a system of monitoring to ensure staff adhere to procedures, for the recording and administration of medication. To ensure that no person commences work in a care position in the home without the POVA First list having been checked. Timescale for action 30/6/05 2. 29 19 Sch 2 30/6/05 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 9 Good Practice Recommendations Controlled drugs to be stored in a metal cabinet. Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 Cherry Blossom H55_H04_S12474_Cherry Blossom_V218026_020605_Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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