Inspection on 11/01/07 for Cherry Trees (Woking)

This inspection was carried out on 11th January 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

Cherry Trees (Woking) 25/01/06

Cherry Trees (Woking) 15/08/05

Cherry Trees (Woking) 06/12/04

Cherry Trees (Woking) 07/07/04

Cherry Trees (Woking) 20/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Cherry Trees (Woking) Cherry Trees 15/17 Claremont Avenue Woking Surrey GU22 7SF Lead Inspector Christine Bowman Unannounced Inspection 11 January 2007 10:30 th Cherry Trees (Woking) DS0000013599.V325403.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 Trees (Woking) DS0000013599.V325403.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 Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Trees (Woking) Address Cherry Trees 15/17 Claremont Avenue Woking Surrey GU22 7SF 01483 829463 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) Mr Samy Kadoovel Gengasamy Mr Samy Kadoovel Gengasamy Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age Range The age range to be accommodated is 18 - 65 in respect of those service users within category MD. Category MD (E) Of the 11 (eleven) service users accommodated at the home 2 (two) may fall within the category MD(E) - over 65 years of age 25th January 2006 Date of last inspection Brief Description of the Service: Cherry Trees consists of two Victorian houses that have recently had a corridor built linking both premises. The development also includes a pleasant entrance lounge, office and additional rooms. Cherry Trees is registered to accommodate eleven service users with mental health needs. The Home aims to assist service users to work towards independent living. Both parts of the home have adequate communal areas but the main kitchen and dining area is situated on the left side of the main entrance. Bedrooms are of various sizes and some bedrooms have been fitted with en-suit shower and toilet. The new building provides additional storage, a newly converted reception room and a newly converted computer/resource area. There is a small workshop to be found at the rear of a spacious garden where practical skills and workshops can be obtained. The home is situated on a busy one-way road system close to Woking Town Centre. There is limited parking space to be found on the entry driveway and metered parking is available on the road outside the premises. The weekly fees range from £550 per week to £870 per week. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was conducted as part of the Key inspection process. The visit took place over six hours commencing at 10.30 am and ending at 16.30 pm and was undertaken by Ms Christine Bowman, regulation inspector. A presentation on the new Inspecting for Better Lives process was given at a convenient time to Mr Samy Kadoovel Gengasamy, the manager and a senior support worker, who kindly assisted throughout the visit. Mr Gengasamy was very involved in the daily activities of the home, supporting staff and service users and conducting meetings with visiting professionals. A tour of the premises was undertaken and service users were spoken with and observed throughout the day. One service user was interviewed and one was interviewed later on the telephone, at his request. Six service users completed surveys. The manager and a senior support worker were interviewed and the files of three service users were viewed. Care plans; risk assessments, medication records and menus were inspected. Two staff personnel files were sampled and training certificates viewed. The inspector would like to thank the manager, service users and staff of Cherry Trees, for their assistance and hospitality throughout the site visit and their contributions to the inspection report. What the service does well: The manager was very knowledgeable and experienced in the specialist area of mental health needs and made himself available to service users, who needed support and reassurance. There was a calm confidence in the way the staff conducted themselves in their interactions with the service users, even when challenging behaviour became verbally threatening. One service user commented, ‘I applied three months before I moved here and it’s been very good.’ Care plans had a strong emphasis on the practical skills of independent living and self-sufficiency and the service users had signed to confirm they were fully involved in the development of them. The privacy and dignity of the service users was highly valued and their right to freedom of choice in lifestyle respected. 100 of the service users who completed comment cards confirmed they could do what they wanted to do at all times of the day. ‘Positive relationships built on trust was the key to the success of the rehabilitation process’, the manager stated. There was a strong commitment from the home to the service users to support them into independent living and to remain a point of contact for those with limited family involvement. ‘ The success of former service users is an inspiration to those commencing the process’, the manager added. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 6 The home was spacious, clean, comfortable, well maintained and fulfilled the needs of the service users. The home continued to display ‘The Investors in People Award’ symbol as recognition of the management’s commitment to the development of the service. What has improved since the last inspection? What they could do better: Cherry Trees continues to provide high quality specialist services to adult male service users with mental health diagnoses. Full involvement in care planning and the acquisition of independence and self-sufficiency skills enables the service users to return to the community. The service has a process in place for self-evaluation and development to ensure the continuous improvement of the service. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 7 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 Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 8 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 Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 9 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): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive assessment of the needs of prospective service users is carried out prior to admission to the home to ensure the home is able to meet their needs. EVIDENCE: The admission documentation of three service users was inspected, including one prospective service user, who had been referred. This confirmed that the process included the collection of sufficient information at the time of referral and that information from a variety of professionals had been requested. The information gathered included details of current illnesses, difficulties and needs; current treatment, care and degree of compliance; reason for leaving the current placement, medical history, the applicant’s level of motivation; involvement of family and friends; details of substance, alcohol and illicit drug abuse, the nature of any aggressive or violent behaviour and of any probation orders or time spent in prison. The manager stated that the assessment process can take approximately three months and a number of half-day visits and over-night stays at the home are arranged. The prospective service user is given a tour of the home and garden and shown the bedroom they will occupy. There is an introduction to current service users, the staff on duty and information is given with respect to the local facilities. The manager stated that he always acts as the key worker to new service users until they settle into the home and then he allocates another Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 10 key worker, who works along-side him until the service user and the staff member know each other well and have formed a trusting relationship. Prospective service user’s visits were recorded. All the service users, who completed comment cards, confirmed it was their choice to move to the home. A comment from one service user was, ‘I applied three months before I moved here and it’s been very good.’ Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 11 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): Standards 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The full involvement of service users in frequent reviews of their care plans with a multi-disciplinary team of professionals ensures their changing needs and goals are reflected. Risk assessment minimises the risk to service users associated with independence. EVIDENCE: Two current service user’s files were inspected and their care plans were viewed. They had been developed through the Care Programme Approach with the involvement of Care Management and the Community Mental Health service and were person-centred. The care plans had a strong emphasis on the individual’s attainment of practical skills of independent living and selfsufficiency and the service users had signed to confirm they were fully involved in the development of them. Care plans had been reviewed on a monthly basis by the Cherry Trees team and joint reviews with the Community mental Health Team were three monthly to reflect the changing needs of the service users. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 12 Service users confirmed they could make decisions for themselves. 100 confirmed they could do what they wanted to do at all times of the day. One service user commented, ‘I usually discuss my interests with the staff and receive help and support’. Details of the access to advocacy services were displayed in the resource room. Risk assessments on service user’s files sampled were for self-medication and for challenging behaviour. Risk was on three levels and interventions to minimise risk were included. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 13 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): Standards 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers varied opportunities to the service users to retain and gain skills and interests to support their rehabilitation into the community. Service users are supported to retain appropriate relationships and their rights and responsibilities in their daily lives are recognised. A healthy diet, that reflects individual tastes and choices of the service users, is provided. EVIDENCE: The activities service users engaged in throughout the week were viewed in their care plans. Examples included voluntary work for the Wildlife Trust, trade orientated activities intended to inspire service users to develop skills and adult education courses. Service users interviewed, confirmed they were involved in the local community and enjoyed activities such as football and gymnastics at the leisure centre. They used the town centre facilities including the cinema and the library and visited local pubs and coffee shops. 100 of the service users, who completed comment cards, confirmed they could do what they Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 14 wanted to do at all times of the day. The town centre and the leisure centre were within easy walking distance of the home. The workshop, located at the bottom of the long garden, contained examples of project work, which service users were currently engaged in. A bicycle was in the process of being maintained, and furniture was being renovated. The greenhouse attached to the workshop had been completed and a senior support worker commented that some service users enjoyed working in the garden. There was a plan to plant seeds in the greenhouse in the spring for the service users to plant out in the flowerbeds. The resource room had been provided with two computers and were used for teaching service users information technology skills. A library of books and videos, and a television with video recorder was available in this room. Service users interviewed either visited their relatives or were visited at the home and stated that they were supported to maintain relationships with their families. A visitor’s room was available for private meetings. There was a strong emphasis on independence skills in the home and service users plans included the preparation of meals, laundry and taking responsibility for keeping their own rooms clean. The privacy of service users was respected and all were provided with keys to their rooms and to the home. One service user commented, ‘I enjoy living here and the food is nice.’ ‘ Two vegetarians have their individual dietary requirements catered for’, a senior support worker stated. There was a system in place for service users to request changes to the weekly shop and monthly meetings provided an opportunity for feedback to be given by the service users. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 15 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): Standards 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Experienced and trained staff support services users according to their agreed plan and access to other health professionals can be sought independently or with support. Safe procedures are in place for service users to retain administer and control their own medication to varying degrees according to the assessment of the risks involved. EVIDENCE: The privacy and dignity of the service users was highly valued and references to the staff respecting this were made when a service user demanded that the manager search the room of another service user when a personal item could not be found. The manager was very clear that this was not the policy of the home. With respect to physical personal care the service users were independent, but a great deal of emotional and psychological support was required. Observations made throughout the day confirmed that the staff team were skilled in giving this support. There was a calm confidence in the way the staff conducted themselves in their interactions with the service users, even when challenging behaviour became verbally threatening. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 16 Records confirmed that all the service users had been registered with a General Practitioner and had accessed the services of specialist consultants and the Community Mental Health Team. The manager stated that, ‘sometimes service users had been miss-diagnosed prior to admission to the home’, and that, ‘ he worked very closely with health care professionals to ensure they received clear information with respect to the condition of the service users to ensure diagnoses were correct’. One service user interviewed, confirmed he continued to keep appointments with the dentist he had been registered with at his previous home. All the service users were risk-assessed with regard to self-medication and these were sampled. Different levels of self-medication were recorded. Some service users received their individual doses from the office where the medication was stored in a locked cupboard. The staff member observed the taking of the medication and both the service user and the staff member signed the medication administration chart. Some service users kept their medication in their bedrooms and had secure cabinets in which to store it. Risk assessments of some of these service users indicated that observation of the taking of the medication was still required. The most independent service users signed for a supply of their blister packs and took responsibility for selfadministration. Service users also took their prescriptions to the pharmacy and collected the prescribed medication, bringing it back to the home, where the quantity was checked and signed by the staff and the service user. When injections were required, they were collected and stored at the local Community Mental Health Team office and the Community Psychiatric Nurse countersigned the receipt of the medication and the individual doses. Staff certificates for the administration of medication were viewed. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 17 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): Standards 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are opportunities for service users to make their views known and their views are listened to and acted upon. Policies, procedures and staff training inform the staff on the prevention of abuse, neglect and self-harm to protect the service users. EVIDENCE: The home had a clear complaints procedure, which was accessible to the service users. All the service users, who completed comment cards, knew who to speak to if they were not happy and one commented, ‘I would speak to the manager or any of the staff’. They also confirmed they knew how to make a complaint. No complaints had been recorded in the complaints and compliments file but a compliment made by a visiting relative at Christmas stated, ‘this place is beautiful and I always get a cup of coffee. It’s like a five star hotel.’ There was a policy and procedure with respect to safeguarding adults and the prevention of abuse, which had been reviewed in line with the latest Surrey Multi-Agency Adult Protection Procedures. A senior support worker stated that staff training in the protection of vulnerable adults procedures and the awareness of abuse was accessed during the induction process. Certificates were viewed on the staff personnel files. There had been no referrals since the previous inspection. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 18 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): Standards 24,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides clean and hygienic accommodation, which meets the needs of the service users in a homely, safe and comfortable way. EVIDENCE: A tour of the premises was undertaken and the home was found to be spacious, clean, comfortable and well maintained. A programme of improvements over the previous three years had enhanced the environment, transforming the original two Victorian houses into a modern and stylish home. The tiled entrance hall was cheerful and welcoming and contained potted plants, a piano and ornaments. Photographs, recording the service user’s participation in communal celebrations, and pictures were displayed throughout the home. The designation of shared spaces had been decided in consultation with the service users. The result was a visitor’s room where service users could meet with family and friends in private and a resource room providing two Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 19 computers, television, video equipment and training materials for both the staff and the service users. In addition there were two sitting rooms, a kitchen, dining room, office and laundry room. ‘The service users took responsibility for their own laundry’, a senior support worker stated, and laundry days were planned to avoid congestion. ‘This did not mean’, she continued, ‘that flexibility could not be arranged.’ The laundry room was clean and hygienic. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 20 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): Standards 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Experienced and qualified staff provide appropriate support to service users to enable and empower them to achieve their goals. EVIDENCE: Five of the six service users who completed comment cards confirmed the staff always treated them well and the other service user that, they usually did. Four reported that the staff always listened to them and two that they usually did. One service user commented, ‘The staff are supportive.’ The staff benefited from access to the computers and training materials in the resource room for completing the National Vocational Qualifications and were allocated time to study. Certificates in staff personnel files confirmed that, induction in line with the common induction standards, and mandatory training had been completed. Specialist training had also been accessed including the Development, Provision and Review of the Care Programme, Mental Health, Drugs and Alcohol, Behavioural Management, Risk Assessment, and a full and varied programme had been planned for the future. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 21 There had been no new recruits since the previous inspection, the home benefited from a stable and loyal staff team. Recruitment checks had been completed in the files sampled, but the registered manager must consult with the Criminal Records Bureau with respect to the storage and destruction of the records of staff checks. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 22 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): Standards 37,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Visionary leadership and an open and inclusive management approach ensure the home is run in the best interests of the service users. The health, safety and welfare of the service users is safeguarded by the homes policies, procedures and practice. EVIDENCE: The manager was very knowledgeable, qualified and experienced in the specialist area of mental health needs. He gave examples of where he had provided specialist knowledge and support to other agencies and professionals. This included work with the police, schools and colleges to provide guidance. The manager stated that his main priority, and source of job satisfaction was in the day-to day support he gave the service users and the staff. His management style was inclusive and empowering and the staff and service users were actively encouraged to develop and to take responsibility. A senior Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 23 support worker stated that the manager rewarded the staff for their creative ideas with bonuses, and the staff voted to decide who would be the recipient. Both the staff and service users were involved in a community project to raise money for a third world country and a disco was planned as part of this. The staff and the service users attended monthly meetings; the agenda for the forthcoming meeting was on the notice board in the resource room for items to be added. Attendance at the meeting was not compulsory for the service users but there were opportunities to chair the meeting or to take the minutes. One service user stated, ‘the meetings are good and we have a chance to speak’. ‘The home conducts a quality assurance survey each year’, a senior support worker stated, and the results were available to be viewed. The development plan had also been completed. There was evidence of health and safety checks carried out regularly and a poster was prominently displayed indicating the individual and organisational responsibilities in this area. The manager had recently consulted with the fire officer and was in the process of following up on the advice given. The home continued to display ‘The Investors in People Award’ symbol as recognition of the management’s commitment to the development of the service. A comment recorded during the assessment stated, ‘This home is a good example of a blue print for this kind of work and others could learn from this’. Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 24 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 X 5 X 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 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Cherry Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Trees (Woking) DS0000013599.V325403.R01.S.doc Version 5.2 Page 27 - 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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