Inspection on 19/04/07 for Cherry Tree House

This inspection was carried out on 19th April 2007.

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

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Cherry Tree House 1 Vickers Avenue South Elmsall Pontefract West Yorkshire WF9 2LL Lead Inspector Tony Railton Key Unannounced Inspection 19th April 2007 09:30 Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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 Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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 Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Tree House Address 1 Vickers Avenue South Elmsall Pontefract West Yorkshire WF9 2LL 01977 609884 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) Janet Varga Janet Varga Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection First key inspection visit. Brief Description of the Service: Cherry Tree House provides care, support and accommodation for up to two people who have a learning disability. The support and care offered is based on ordinary living principles and people living at Cherry Tree House are expected to do as much for themselves as possible. People are assisted and supported to take advantage of ordinary community based healthcare and leisure services. Cherry Tree House is a large semi-detached house in a residential area of South Elmsall. All accommodation is provided on the ground floor and there is a large garden to the front and a large patio area to the rear. The home is on a bus route and there are local shops nearby On 19th April 2007 the owners said that the fees for staying at Cherry Tree House are £395.00 per week and that there are extra charges for hairdressing (£3.00 plus). Further information about the service and the role of the CSCI can be obtained from the home or by e-mailing justhomes@yahoo.co.uk Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first visit to the home since it was registered in October 2006. The visit started at 09.30 and ended at 12.30. There is only one person receiving a service and there was the opportunity to meet and speak to her, the manager and her husband. After the visit the Social Worker and advocate were also spoken to. A tour of the premises was undertaken and the homes policies and procedures were seen along with other records including assessments, care plans, daily, medical and financial records and reviews. It was found that all the regulations and national minimum standards are met and that the service provided is good. The inspector would like to take the opportunity to thank the manager for her hospitality and co-operation throughout this very positive visit. What the service does well: People know that their personal care and support needs are assessed, planned for and met by the service. One person said that they liked living in the home and the people caring for them. People’s independence is promoted and their progress is monitored and reviewed to make sure that their needs continue to be met. The independent advocate who makes sure that peoples best interests are promoted said that the support given is good and in particular independent living skills people are learning. The way peoples finances and medicines are looked after, promotes peoples independence and makes sure they are protected. People are encouraged and supported to use ordinary leisure and healthcare services and one person said that they enjoy going to college, swimming and shopping. People benefit from living in a well run and well managed home where they are listened to and where they have a say in what happens to them. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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 Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 and 5 People living in the home benefit from having their personal care and support needs assessed. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The home has only one person living there who said that they “came for a tea visit”, “liked it” and “decided that they would like to live here”. Their assessments show that their personal care and support needs are identified and written down to make sure that they get the support and assistance they need. The Social Worker said that they are happy with the care and support provided by the service. There is a contract, which is signed by the person living in the home, by their advocate and the manager to make sure that their best interests are looked after. The Advocate said that the service provided is very good. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 People living in the home make decisions about their lives and are supported to take risks as part of living an ordinary lifestyle. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The assessments show that people have their personal care needs assessed to make sure they get the support and care they need and require. The care plans show that their personal care needs are written down, agreed and reviewed to make sure they get the care they need. The Social Worker and advocate said that they are pleased with the support and care provided by the service. As part of living an ordinary lifestyle there are risk assessments to make sure people are safe that are signed and kept up to date. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 10 People were observed being asked what they would like to do and the daily records show that people do make decisions about their lives and have choices. The manager, advocate and Social Worker said that the person using the service is very able and makes daily choices about what they want to do. The daily records would benefit from the use of more descriptive words to show that people always make choices about what they do for example choice of menu. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 People enjoy being part of the local community and making decisions about what they do, what they eat and how they live their lives. People using the service experience good quality outcomes in this area. We have made this judgment using a range of evidence including this visit to the service. EVIDENCE: The person using the service said that they enjoy going to the college three days a week. They went on to say that they like going shopping to the supermarket and playing their computer games. The daily records show that people enjoy a full and active lifestyle. The manager said that the service provided is based on inclusion and supporting people to be part of the local community. The advocate said that they are pleased with the support offered by the service and in particular maintaining and promoting peoples independence and providing opportunities for improving peoples life skills. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 12 The daily records would benefit from an increase in the use of descriptive words to show and reflect peoples choices and preferences, likes and dislikes. The manager said that people are supported to go supermarket shopping and that they chose their own menu. One person said that as well as shopping for food they also do other shopping for clothes and things, which they like doing very much. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, and 20. People are protected by the way medicines are administered and benefit from having their healthcare needs met. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The medical and daily records show that people are supported and encouraged to use ordinary community based healthcare services. The reviews also show that people benefit from the support of the Community Learning Disability Team if required. They also show that other people including relatives and advocates have the opportunity to comment on the care provided. The Social Worker said that they are very happy with the support provided for people using the service. Checking the medicines found that people are safeguarded and protected by the way medicines are stored, given and recorded. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People living in the home know that they are listened to and that they are safe. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The Safeguarding Policy and Procedures protect the people using the service. There is a complaints policy and procedure displayed in the home to make sure that people know how to make a complaint. One person said that they have no complaints about the home. The Social Worker and Advocate working with people using the service said that they are very happy with the services provided and had no reason to complain. People have a copy of the complaints policy in the Service User Guide showing them how to make a complaint if they need to. The manager said that she has received Safeguarding Training as part of the Registered Managers Award and is aware of adult protection issues. The managers training record confirms this. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 26, 27,28 and 30 People enjoy a comfortable homely environment that is clean and well maintained. People using the service experience a good quality outcome in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: A tour of the premises found that people live in a homely, comfortable, safe and well maintained environment. People can enjoy the extensive gardens to the front and a paved patio area to the rear provided with garden furniture. The person using the service said that they enjoyed having barbeques in the garden. People have their own space arranged as they want it. One person said that she likes her bedroom and in particular her CD’S, DVD’s and computer games. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 16 The record of the fire alarm checks show that regular checks are made to make sure people are safe. The hot water outlets, were tested and are set at a safe temperature, to safeguard and prevent people hurting themselves. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 People are well cared for and protected by those looking after them. People using the service experience a good quality outcome in this area. We made this judgement using a range of evidence including this visit. EVIDENCE: People using the service are protected and safeguarded, as discussion with the manager found that although the service does not currently employ any staff, records seen show that the manager’s husband who helps as a carer has had a CRB and POVA Check. The manager also said that her husband is also registered on an National Vocational Qualification Level 2 course which will benefit people using the service. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 People live in a home that is safe, well managed and where they know they have a say in what happens to them. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People benefit from living in a home that is well managed. The pre registration report shows that the manager is an experienced and qualified carer who has a Registered Managers Award NVQ Level 4. The daily records and reviews show that people have the opportunity to comment on the running of the home and the services provided. The quality assurance questionnaires/surveys show that the views of other stakeholders such as relatives, advocates, community nurses and social Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 19 workers are sought and that they are happy with the quality of the services provided. The Social Worker and Advocate confirmed this and said that they are happy with the services and support provided for people using the service. The manager said that she will collate all of the information gathered from the quality assurance surveys and provide a report showing the outcomes for people using the service. People’s health and safety is promoted as the pre-inspection questionnaire and registration report shows that all health and safety checks have been carried including lighting, gas, water and fire alarm systems. Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 20 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 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 N/A 32 3 33 N/A 34 3 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Cherry Tree House DS0000068580.V336238.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 YA7 YA14 Good Practice Recommendations The daily records would benefit from the use of descriptive words to reflect and show peoples choices, preferences and decisions they make about their lives. 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