Inspection on 29/06/05 for Cherry, Rowan and Aspen Villas Care Home

This inspection was carried out on 29th 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, Rowan and Aspen Villas... 28/02/08

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

Cherry, Rowan and Aspen Villas... 16/11/05

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 Oakfield Lane Warsop Nottinghamshire NG20 0UE Lead Inspector Stephen Benson Unannounced 29/06/05 9.30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cherry and Rowan Villas Address Oakfield Lane Warsop Nottinghamshire NG20 0UE 01623 844064 01623 844034 cherryvilla@btinternet.com Oaklands Residential Home 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) Brenda Bird CRH 13 Category(ies) of 13 LD registration, with number of places Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: One service user may be over 65 years Date of last inspection 2/3/05 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 home’s 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 C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two unannounced inspections to be carried out between April 2005 and March 2006. The inspection lasted for 3 hours and 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. A tour of the building was undertaken. A discussion was had with the manager and deputy manager, care staff on duty were spoken with and care practices were observed. There were no other residents available to speak to and no visiting professionals or relatives were seen during the inspection. . What the service does well: New residents are assessed before they move into the home and visit the home before moving in, which a resident who was staying for respite said she had done. Residents are able to make decisions according to their ability to do so and they gave examples that reflected this. There are excellent opportunities for residents to follow educational and leisure interests both in and out of the home and are able to have regular holidays away from the home. The home plays an active role in the local community and make regular use of local facilities as well as frequent holidays abroad and in this country. Residents talked about there forthcoming holidays.. Families contribute to the running of the home residents are taken to see family members who are unable to visit. Residents health care is well looked after and a resident understood some treatment he is due to undergo. The accommodation is kept to a high standard and there are extensive well maintained grounds for residents to use. Residents commented on the good condition the home is kept in. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 standard(s) 2, 4 and 5 New residents are assessed prior to admission and have an introductory period. Residents using the respite service are not told what they are entitled to during their stay. EVIDENCE: Both the permanent and respite residents have an assessment carried out prior to coming to the home to ensure that their needs can be met. Assessments for respite residents are kept in a central file for staff to refer to when a resident comes in for their period of respite and those for permanent residents have theirs kept on their individual file. New residents for both the permanent and respite service come for an initial visit for tea, then a day visit and then an overnight stay. A resident currently on respite at the home said she came to visit first and thought it was lovely. Terms and conditions have been updated since the last inspection to provided all the information required. These are issued to permanent residents but not to those using the respite service. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Information is needed on how the needs of residents using the respite service are to be met. Residents receive individual support to enable them to make and follow decision they wish about their lifestyle. EVIDENCE: There is a care plan prepared for each resident using the permanent service which detail the care and support needed, however care plans are not prepared for those using the respite service who have a considerable differing range of abilities and needs. At present parents/carers are given some information forms and asked to complete these, however these are not always returned and those that are do not always contain sufficient information. Residents are able to make decisions according to their ability. One resident said that he was going to Blackpool for a birthday treat and that he is able to shave himself. Another resident said that she is able to go out when she wants; she just has to tell staff she is going. Residents are carefully monitored as to what they are able to do according to their ability and sufficient staff are available so residents are not restricted from doing what they want due to the abilities of others. A number of responsible risks being taken were identified, including taking part in activities out of the home. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15 Residents have excellent opportunities to take part in activities and are actively involved in the local community. They keep in contact with families and friends. EVIDENCE: There are close links with a local day centre where a number of residents go. Residents have had opportunities to follow a variety of interests at the centre and certificates seen included horticulture, farming and independent living skills. Within the home there have been a number of courses organised for residents including literacy and numeracy. There are 2 residents who are due to start a distance learning basic food hygiene course and others have expressed an interest in getting a job which staff are supporting them with. Residents who are using the respite service can continue with their normal daily arrangements but often view their stay at the home as a holiday and are supported to follow different activities. The home plays an active part in the local community, having their own community centre and extensive grounds where regular events take place some of which raise funds for the residents fund. These include car boot sales, tea dances and evening entertainment. A summer fayre is currently being Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 Page 11 organised. A resident said they are always having do’s here. There is a regular swimming session at the local swimming baths and residents are well known and made welcome at local pubs and restaurants some of whom help with fundraising. The notice board has information about a range of forthcoming activities residents will be able to take part in including trips to music shows. There is a programme showing when residents are going away on holiday and trips include Disneyland Paris and Spain. One resident said he was going away to Yorkshire on Saturday. Some respite residents are able to join in on the holidays. Families play an active role in the home and a number belong to the Bungalow committee and join in activities. Maintaining links with friends and relatives is included in the care planning for permanent residents and arrangements are made to take residents to see families where they are unable to come to the home. One resident recently had a large 80th birthday party in the community centre where many family members, friends and staff came to join in the evening. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 standard(s) 19 and 20 The arrangements in place ensure that the physical, emotional and healthcare needs of residents are met. EVIDENCE: Details as to how health care needs of permanent residents are included in care plans. Any appointments for residents using the respite service will be met and their doctor contacted if needed. A resident said that he was waiting to hear when he was going into hospital for an operation. Residents attend the well person clinics and community based health care professionals attend the home when needed. There is a weekly reflexology session held in the home. A pharmacy inspector carried out a specialist visit on 8/6/05 and the report from that visit is included in this report. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 standard(s) 22 Procedures are in placed to deal with a complaint if one is made EVIDENCE: The home has a complaints procedure and this is displayed in picture format in each bungalow. There is a book to record any complaints in, but none have been received. A resident said that there is nothing to complain about here it is brilliant. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 standard(s) 24, 25 and 30 A good standard of accommodation is provided in a pleasant setting. EVIDENCE: The bungalows are set in a large garden and the accommodation is well suited to the aims and objectives of the home and is domestic in character and was comfortable, bright, clean and maintained well. Each bungalow has a conservatory, one being used as a sensory room and the other a games room. The community centre offers considerable opportunities for recreational and social activities as well as involvement with the local community. Residents said how lovely the home is and it is kept clean. All bedrooms were comfortable, personalised and equipped to meet the needs of the residents. A new bedroom has just been built and an application is being submitted to increase the registered number to 14. The room measured 13 square metres and had in addition an ensuite. It contained the required fixtures and fittings and there is the sufficient additional communal space. Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 4 4 3 x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cherry and Rowan Villas Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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. 2. Standard 5 6 Regulation 5 15 Requirement Provide terms and conditions/contracts to residents using the respite service Residents using the respite service must have a care plan detailing how their needs are to be met whilst in the home Timescale for action 1st September 2005 1st November 2005 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 Good Practice Recommendations Cherry and Rowan Villas C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Edgeley House 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 C53 C03 S8649 Cherry and Rowan V236314 290605 Stage 4.doc Version 1.40 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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