Inspection on 16/11/05 for Cherry, Rowan and Aspen Villas Care Home

This inspection was carried out on 16th November 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 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

Cherry, Rowan and Aspen Villas... 28/02/08

Cherry, Rowan and Aspen Villas... 24/01/07

Cherry, Rowan and Aspen Villas... 29/06/05

Cherry, Rowan and Aspen Villas... 02/03/05

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

CARE HOME ADULTS 18-65 Cherry And Rowan Villas Care Home Oakfield Lane Warsop Nottinghamshire NG20 0JE Lead Inspector Stephen Benson Unannounced Inspection 16th November 2005 08:30 Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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 And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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. Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cherry And Rowan Villas Care Home Address Oakfield Lane Warsop Nottinghamshire NG20 0JE 01623 844 064 01623 844 034 cherryvilla@btconnect.com 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) Oaklands Residential Home Mrs Brenda Bird Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named person may be over the age of 65 Sevice users shall be within category LD Date of last inspection 29th June 2005 Brief Description of the Service: Cherry and Rowan Villas is a care home providing personal care and accommodation for 13 younger adults who have and learning difficulties. The home provides 11 long term beds and 2 respite beds and has dedicated beds for this purpose. The home is owned by Oaklands (formally known as Warsop and District Mentally Handicapped Association), which is a registered charity. The home is located in a residential area of Warsop and is close to shops, pubs, the post office and other amenities. The home was opened in 1986 and consists of a 2 purpose built bungalows with a large community centre on the same grounds.11 of the homes bedrooms are single, and 3 of the bedrooms have en-suite facilities. The home has extensive gardens that are well maintained and easily accessible. There is ample car parking available Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two unannounced inspections carried out between April 2005 and March 2006. The inspection lasted for 1 ½ hours and the inspection focussed on key standards not inspected at the last visit.. The main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Only one resident was present at the inspection and care staff were either going off duty or were accompanying residents out of the home. . A discussion was had with the manager and deputy who were the only staff present. . No visitors came to the home during the period of inspection. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: Residents are able to move freely between the bungalows, community centre and grounds. Care practices are designed to respect residents rights. Residents are encouraged to help with domestic chores to the best of their ability. Regular holidays are organised and this year this has included trips abroad. A resident said he had enjoyed the holiday he had been on. Residents are able to have a meal not on the menu if they fancy an alternative and staff are able to assist in feeding. A resident said that his favourite meal was bacon, egg and tomatoes. Staff practices are designed to promote residents’ privacy and dignity and each resident has all their own toiletries. Residents go out to the shops with staff to buy their own things, including their clothes. Weekly training sessions are held and these are designed to meet the identified training needs of staff. Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 Page 6 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 And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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 Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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): None EVIDENCE: Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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): None EVIDENCE: Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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): 16 and 17 Residents rights are respected and staff provide support in achieving these. Meals and mealtime arrangements are suitable to the needs of the residents EVIDENCE: Residents can move freely around the grounds and between the two bungalows. Each resident is risk assessed for leaving the grounds, road safety and using transport. Staff knock on residents’ doors before entering and where a resident is unable to answer wait for a minute before entering. All residents are given a key to their room, but only one chooses to use it. Staff will read out any mail that comes to the recipient resident. Residents will help with domestic chores according to their ability and understanding. Staff said that most enjoy helping wash pots, make beds and empty bins and some are able to use the vacuum cleaner. Any resident who chooses to smoke is able to do so outside s both bungalows are no smoking environments. There have been a number of successful holidays arranged recently including trips to Spain, Disneyland Paris and Center Parcs, which has provided some Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 Page 11 residents with the opportunity to go abroad for the first time.. A resident aid that he had enjoyed his holiday at Center Parcs and he had a beer. Residents prepare a menu for the following week on Fridays, but this is only used as a guide as residents frequently change their mind on the day. A resident said that he enjoyed bacon, egg and tomatoes which he said he often had. A record is made of each mal provided which showed that a varied, healthy and balanced diet is provided. Soft diets are available when required and staff will provide residents assistance with feeding where needed. The dietician has previously attended the home to provide advice on nutritional intake. Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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 Residents are not always able to express the support they require but staff work on providing support in line with what they see as best practice. EVIDENCE: The manager said that all staff are inducted on how to promote and maintain residents privacy and dignity when providing personal care as many can not communicate how they would like to be supported. Each resident has their own toiletries and one resident aid that he had shaved himself with an electric razor. A physiotherapist comes to the home on a monthly basis to provide support and guidance and is in the process of acquiring a new sling for the hoist. One resident with mobility problems has been provided with a walking frame but has been unable to get used to it. Residents who have daytime commitments are got up in the mornings so that they can meet these, but are able to have a lie in bed over the weekend. Residents go shopping for their own clothes and one resident said he was going out shopping for new clothes shortly. Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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 Systems are in place to hear the views of residents and to protect them from abuse. EVIDENCE: A poster in pictorial form is displayed in each bungalow depicting the complaints procedure. The home has a complaints book but no complaints have been recorded and the manager said that none have been made. There was a copy of the Adult Protection Procedures in the office and staff have been provided with training on these. The home has a whistleblowing policy. The manager said that there have not been any incidents of abuse and a resident said that all the staff are kind to him. Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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): None EVIDENCE: Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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): 32 and 34 Staff are provided with the raining to ensure they are qualified and competent in their role. The home’s recruitment practices do not include all the necessary safeguards to protect residents. EVIDENCE: The home provides a weekly training session and where training needs are identified arrangements are made for these to be met. Recent training has included dementia awareness and safe handling of medicines. A number of staff have completed their NVQ level 2 or 3 and more staff are working towards these. New staff are appointed through a recruitment procedure that requires them to attend an interview, provide 2 references and undergo a CRB check. Prospective staff are not required to complete an application form or provide details of their employment history as they should. New staff are given a copy of the terms and conditions of their employment and provided with copies of the code s of practice and conduct set by The General Social Care Council Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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 and 42 Staff try to seek the views of residents. The health, safety and welfare of service users are protected. EVIDENCE: The home has adopted the Quality Tree framework to provide feedback from residents on the services they receive. Weekly residents meetings are held. Relatives are actively involved in the overall running of the home as a number are members of the Board of Trustees. All mandatory training is up to date. The required electrical, gas and water safety checks and tests are undertaken and a new boiler was fitted in October 2005. The required fire safety checks and tests are completed Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 x X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cherry And Rowan Villas Care Home Score 3 X X x Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 x DS0000008649.V267203.R01.S.doc Version 5.0 Page 18 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 YA34 Regulation 19 Requirement Obtain previous employment details for new staff Timescale for action 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cherry And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 And Rowan Villas Care Home DS0000008649.V267203.R01.S.doc Version 5.0 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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