This inspection was carried out on 22nd February 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Cherry Garth - North Yorkshire County Council Chapel Street Thirsk YO7 1LX Lead Inspector
Pauline O`Rourke Unannounced Inspection 22nd February 2006 13:00p X10015.doc Version 1.40 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 Cherry Garth - North Yorkshire County Council DS0000034497.V275980.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 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 Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Cherry Garth - North Yorkshire County Council Address Chapel Street Thirsk YO7 1LX 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) 01845 523189 01845527471 North Yorkshire County Council Joan Craft Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (2) of places Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The category for Physical Disability (PD) only applies to the named service users. 19th May 2005 Date of last inspection Brief Description of the Service: Cherry Garth is a purpose built property standing in its own well-maintained grounds. It is situated a few minutes walk from the centre of Thirsk. The building occupies two floors and provides for a maximum of 48 service users. There are 40 single rooms and 4 shared bedrooms, none of which has an ensuite facility. There are communal bathrooms and toilets provided on each floor. There is a passenger lift. Communal rooms are located throughout the premises. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection including preparation time took place over 7 hours. A tour of the building was conducted. A number of the service users records, staff records and records about the management of the home were inspected. Service users, and the staff on duty were spoken with. 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. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 3 and 6 The service users can be assured that their care needs will be met EVIDENCE: The service user files seen contained copies of an assessment by a care manager. The registered manager confirmed that they do visit all prospective service uses before their admission. A copy of the assessment is kept in the service users file. Service users spoken with confirmed they had seen someone from the home prior to their admission. Intermediate care is not provided. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7 and 8 The health and personal care needs of the service users are met. EVIDENCE: The service user files seen contained a Promotion of Independence Plan. This document was pertinent to the individual concerned and those service users spoken with were aware of their plans. However, the service user had not signed the plans. Evidence was seen to show that the plans are reviewed at monthly intervals, by the key worker and with the service user. The service users files contained information about their health needs and details of GP visits and district nurses are recorded. The service users spoken with said that they could see their GP on request and that any visits made either to the home or the surgery happened in private. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 9 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 the following standard(s): The service users can exercise choice and control over their lives. EVIDENCE: The service user files contained information about their personal preferences as to rising and retiring times, where they like to take their meals and what they like to be called. The service users spoken with said that whilst they were considerate of the routine within the home they could follow their own routines. The service users were seen to be going out in to the community freely. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 16 Service users were confident that any complaints or concerns they had could be raised and acted upon. EVIDENCE: North Yorkshire Social Services has a detailed complaints policy. This policy is provided to all the service users and is displayed around the home. There have been no complaints made to the CSCI in the last 12 months. Several complaints had been made directly to the home and evidence was available to show that these had been dealt with appropriately. Service users spoken with all said that if they had any problems there was someone within the home they would go to. The staff had also received several commendations for the care and support they had given. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 26 The home was clean and suitable laundry facilities are provided. EVIDENCE: All communal areas of the home seen were clean and odour free only one bedroom was found to have an unpleasant odour and this was pointed out to the registered manager during the inspection. The laundry is separate from the communal areas of the building and has impermeable flooring. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 12 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): There is sufficient staff to meet the needs of the service users. EVIDENCE: The staffing levels at Cherry Garth have not altered since they were registered with the Commission. The registered manager is more prudent about the level of care they can provide when considering new admissions to the home. This means that the staff have the time to ensure they can meet the social and personal care needs of the service users. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 13 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, and 35. The service users live in a well managed home where the service is regularly checked to ensure the standards don’t drop. EVIDENCE: The registered manager has achieved the registered managers award and also has a National Vocational qualification level 4 in management. She is responsible only for Cherry Garth and receives monthly supervision from her line manager. Service users spoken with said that she was approachable and if they had any problems they would not hesitate in going to see her. Staff also said that they could speak to her at any time and when on duty she was always available to them. North Yorkshire Social Services has introduced a quality assurance programme. This involves the home assessing the service they provide
Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 14 against the National Minimum Standards for Older People every three months. This information is then used to develop an action plan to improve services. Service user meetings, staff meetings, team briefings, and the quarterly newsletter supplement this document The personal allowance for several service users is held in the office and the records were checked and found to tally with the cash held. Receipts are obtained for any purchases Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 15 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 16 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The service users should sign their promotion of independence plan. Cherry Garth - North Yorkshire County Council DS0000034497.V275980.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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