Inspection on 13/09/05 for Cherryfield House

This inspection was carried out on 13th September 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cherryfield House 14/01/09

Cherryfield House 16/01/07

Cherryfield House 24/01/06

Cherryfield House 15/11/04

Cherryfield House 22/06/04

Cherryfield House 10/12/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cherryfield House Petersburg Road Edgeley Stockport SK3 8UF Lead Inspector Sylvia Brown Unannounced 13 September 2005 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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cherryfield House Address Petersburg Road, Edgeley, Stockport, SK3 8UF 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) 0161-474-1787 Cherryfield Homes Limited Ms S McCoy CRH - Care Home 29 Category(ies) of DE(E) - Dementia over 65 (29) registration, with number MD(E) - Mental Disorder over 65 (2) of places OP - Old Age (29) Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 November 2004 Brief Description of the Service: Cherryfield House is owned by Cherryfield Homes Limited. The home is a two storey detached property set within the community of Edgeley. The care home is close to the town centre of Stockport, situated in a residential area and is within walking distance of a local park. Cherryfield House offers 21 single rooms, of which 18 have an en-suite facility, and four double rooms. The home is equipped with a passenger lift. Service users have access to a large lounge and dining room on the ground floor and a lounge and dining room on the first floor. There is a small garden for use during fine weather and a roof garden on the first floor provides service users with additional outdoor seating. Cherryfield House is registered to accommodate service users over the age of 65 who may or may not have mental health frailty. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Cherryfield was unannounced and commenced at 12pm. The registered manager made herself readily available throughout the inspection and provided all required records as requested. Although comment cards were provided to both residents and visitors, none had been returned at the time of writing the report. What the service does well: What has improved since the last inspection? Since the last inspection the manager has successfully completed the registration process with the CSCI to become the registered manager of the home. The registered manager has introduced new care files and care plans for residents which are more informative and provide a good overview of each individual resident, including their more recent care needs and how they should be met. Carpet replacement has commenced and redecoration continues. Plans are in place to upgrade the main lounge by January 2005. The home has achieved the Investors In People Award in March 2005. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 6 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. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5 Residents do not receive an up to date Statement of Purpose prior to or during their stay. Residents’ needs are assessed and they have the opportunity to visit the home prior to making any decisions about their future. EVIDENCE: The registered manager confirmed that the home’s statement of purpose and/or service user guide has not been updated as required at the last inspection. Residents’ files contained pre-assessments from both the placing authority and the home. In addition, contracts and terms and conditions of residency were evident. Residents confirmed that they were able to visit the home prior to making any decisions about their future. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 & 11 Residents have care plans in place and their health and well being needs are met. EVIDENCE: The registered manager has recently completed the re-development of residents’ care plans. Two care files were evaluated and found to meet the required standard. Advice was given to the registered manager regarding periodically reviewing the care plan system. Records demonstrated that residents’ health care needs were recognised and met. Visits by medical professionals were recorded and treatments given evident. Medication administration records were maintained correctly, indicating that medication was administered as prescribed. The care plans clearly identified that residents had been fully consulted about their care needs and how their care plan had been developed. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 10 Without exception residents stated they felt they were well treated and respected. Staff were observed to be courteous and patient with residents and respected their individuality and privacy. Residents are consulted about their last wishes and feelings which are recorded on file. The home ensures, as far as possible, that individual requests are followed through in the event of death. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 Residents’ lifestyles meet their current expectations. EVIDENCE: Care staff provide structured activities each day. In addition, an activities person visits the home twice a week to provided social stimulation for residents. Collective records are maintained of the daily activities that confirm that residents are supported to visit the community and have the opportunity to join in a variety of activities. Such records should be individual and held within the resident’s personal file. Residents were observed making their own decisions, regarding what they were doing in and where they wished to be the home, some preferring to remain in their rooms, others joined in community activities. The registered manager and main cook have secured a place on an advanced food hygiene course which includes food preparation and nutritional information. The home has consulted with residents about the menu and food served. As a consequence, the menu has been changed and adapted to meet the residents’ requests. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Residents are protected from abuse and are aware of the complaints procedure and how to make a complaint. EVIDENCE: Evaluation of the complaints record confirmed that residents used the complaints system and felt confident at raising matters of concern to staff and/or the management team. The registered manager takes her responsibility to protect those in her care seriously. Adult protection procedures are in place and staff have received training in adult protection and the whistle blowing process. Since the last inspection an adult protection investigation has been completed, with the outcome being that the accused has been referred to the Protection of Vulnerable Adults register with legal action pending. The home’s actions during the investigation demonstrated that the protection of residents was their primary concern and that they took the appropriate action throughout the whole process when the allegation was raised. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 23, 24, 25 & 26 Residents have clean comfortable surroundings. within the home. Strong odours are present EVIDENCE: The home is currently undergoing redecoration. All bedrooms are to be redecorated and plans are in place to upgrade the front lounge. Although domestic cleaning routines are in place, strong odours remain in the home. The registered manager stated that carpet cleaning has not eradicated the odours and that carpet replacement is planned. A recommendation regarding this issue, particularly within the lounge area, was made at the previous inspection. Professional carpet cleaning and/or replacement should be prioritised throughout the home where odours are detected. The laundry has been re-sited and is well equipped, however wall surfaces and flooring do not meet the current standards for such areas. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 14 Individual bedrooms were evaluated. It was evident that residents had been supported to personalise their rooms with items from their own homes. All were well furnished to a good standard and pleasant areas in which to spend time. Previous inspections have identified that the home’s entrance door has inappropriate locking devices. Flexibility has been previously extended by the CSCI whist upgrading of the area was being completed. The home must now have an appropriate locking device fitted to the entrance which ensures easy use whilst safeguarding those at risk of leaving without detection. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 20 Staff are trained and competent and in sufficient numbers to meet the needs of residents. EVIDENCE: Cherryfield manages to retain a consistent staff team. Though some changes have occurred since the last inspection, it continues to be evident that the team continues to work well together and provide a good standard of care to the residents. Recruitment and selection procedures have improved. However, of the two staff files evaluated, one failed to contain a current photograph of the worker whilst another did not have appropriate references in place. Induction programmes were in place for newly appointed staff, however foundation training was not evident. Staff continue to complete mandatory and NVQ training. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37 & 38 The home is well managed and is run in the best interests of the residents, whose health, well being and safety are, as far as possible, maintained. EVIDENCE: Since the previous inspection the manager has successfully completed the registration process with the CSCI and become the registered manager of the home. She continues with her NVQ training at level 4 and studies to achieve the registered manager’s award. The manager has a gentle, determined leadership style and is focused on setting a good standard of service provision for the benefit of residents. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 17 Health and safety records identified that servicing of equipment and checks are routinely made. However, the registered manager confirmed that the home’s electrical wiring certificate was out of date and requires renewing. The home prefers not be to involved with residents’ finances. Residents receive support to manage their finances from family members and support agencies. Though the home has commenced consultation with residents about the home’s services, full quality assurance procedures have not been completed. The requirement from the previous inspection remains outstanding. Staff receive formal supervision and annual appraisals are conducted. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 x 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 N/A 3 3 3 1 3 3 3 3 x Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4&5 Requirement The registered person must produce and make available to service users an up-to-date statement of purpose setting out the aims, objectives, philosophy of care, services and facilities, and terms and conditions of the home; and provide a service users’ guide to the home for current and prospective residents. (Previous timescales of 15/10/04 and 13/03/05 not met). The registered person must ensure that the service user guide provides all the relevant details as identified within Regulation 5. (Previous timescales of 15/10/04 and 15/03/05 not met). The registered person must ensure that odours within the home are eradicated, through professional cleaning or replacement of carpets and chairs where odours are detected. The registered person must ensure that walls and flooring in the laundry have impermeable finishes which are readily Timescale for action 1/12/05 2. OP1 5 1/12/05 3. OP26 16 (2)(k) 1/11/05 4. OP26 16(2)(j) 1/1/06 Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 20 cleanable. 5. OP19 13(4)(a & c) The registered person must provide a suitable locking devisc to the front entrance which conforms to fire safety regulations and is suitable for safe and easy use by visitors, staff and residents. The home must have a valid electrical wiring certificate. 1/1/06 6. OP38 16 &23 1/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP37 OP30 Good Practice Recommendations The registered person should ensure all recorded information pertaining to individual residents is maintained within their personal file. The registered person should confirm that the home’s induction and foundation training complies with NTO standards and details which staff are currently undertaking such training. 3. Cherryfield House F54 F04 cherryfield house U s8602 v233680 130905 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Plance Ashton under Lyne, OL7 0QD 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. 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