Inspection on 03/01/08 for High Trees Care Home

This inspection was carried out on 3rd January 2008.

CSCI found this care home to be providing an Good service.

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

High Trees Care Home 30/10/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 High Trees Care Home 4 Persehouse Street Walsall West Midlands WS1 2AS Lead Inspector Mike Moloney Key Unannounced Inspection 3rd January 2008 09:30 High Trees Care Home DS0000067426.V348806.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 High Trees Care Home DS0000067426.V348806.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. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Trees Care Home Address 4 Persehouse Street Walsall West Midlands WS1 2AS 01922 615761 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) Chatha Care Homes Limited Mrs Susan Mary Smith Care Home 12 Category(ies) of Learning disability (12) registration, with number of places High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The present service users may remain living at the home once they reach 65 years of age unless their needs cannot be met by the home. No new service users over the age of 65 years may be admitted to the home. 30th October 2006 Date of last inspection Brief Description of the Service: Hightrees is a privately owned care home that provides accommodation to twelve service users who have a learning disability. The home is made up of two converted Victorian houses. It is domestic in nature and consists of eight single bedrooms and two double rooms, with some of the rooms being very spacious. In addition, there are two lounges, a dining room and a separate kitchen, a hair dressing facility and several bathrooms and toilets. The home is situated close to Walsall town centre with facilities such as shops, public transport, places of worship and pubs with the near vicinity. There is an enclosed garden to the rear of the property with on and off road parking. The fees for this home are £442.42 a week. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. What the service does well: What has improved since the last inspection? Since the last inspection a number of improvements have been made to the home. These include improvements to the building where not only have a number of the minor issues identified at the last been put right but so have issues of damp in the walls. During this work extra bath/shower facilities have been added. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 6 The home have also undertaken a review of all it’s systems, policies and procedures around care planning, risk assessment and adult protection as well as the training of staff in such matters. 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. High Trees Care Home DS0000067426.V348806.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 High Trees Care Home DS0000067426.V348806.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 and 5 Quality in this outcome area is good. Prospective people to use a service and their representatives have the information needed to choose a home which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of the one person admitted to the home since the last inspection were looked at and these showed that the home had completed an assessment of that person to ensure that they could met her needs. This assessment had included information provided by the service user and her family about her preferred lifestyle and any health issues. The records were also seen to contain a copy of her contract with the home. High Trees Care Home DS0000067426.V348806.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): 6, 7 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for two of the service users were looked at and these showed that their support plans had been reviewed within the last six months. During the inspection staff were seen talking with service users and checking with them what they wanted to do. The files were seen to contain lists of the likes and dislikes and the staff confirmed that these had been obtained by talking with the service users or by watching them make choices The service user records were also seen to contain a range of risk assessments relevant to the activities identified in their support plans. Risk assessment training for staff was seen to have been included in the range of training that they have to undergo. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the service users records were looked at and these contained the details of activities that they were involved in. The activities ranged from attending local day services to social clubs to going to pantomimes, playing bingo and listening to music. Risk assessments for a number of these activities were seen and these included how any behaviour management procedures should be applied. Talking with the service users confirmed that they have the use of the home’s transport, bus passes, local authority transport as well as being able to walk to places because the home is so centrally sited. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 11 The records of all of the meals were seen in the kitchen. Talking with the staff confirmed that they know what individuals want by talking to them, observing their reactions to different food at meal times and letting them help with the shopping. The menus appeared varied and nutritious and talking with the staff showed that they were aware of the various dietary needs of the residents. At lunch time all of the service users were very enthusiastic about their meal when asked what they thought of it. All of the bedrooms were seen to have appropriate locks. Staff were seen to knock before they entered a residents bedroom or any of the bathrooms. The visitors book was seen to contain the names of numerous people. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support plans were seen to contain guidance to staff on how personal care and healthcare should be given. Records seen in both of the files looked at showed the dates, times reasons for and results of healthcare consultations. The administration and storage of medication was looked at with storage consisting of a secure cabinet in the dining room that contained the facility to store controlled drugs. A fridge was seen in the locked staff room that was used for the storage of such things as Insulin. Records were seen that showed that the temperatures of both the fridge and the main cabinet were monitored on a regular basis. Appropriate administrative systems were seen to be in place and the records showed that they had been followed. The staff confirmed that they receive training in the safe handling of medication. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 13 Risk assessments around how much some of the people could be involved in the management of their own medication were seen to be in place which enabled three of them to be able to administer their own but under varying degrees of supervision. High Trees Care Home DS0000067426.V348806.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 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The proprietor said that the home has received no allegations of abuse and two complaints. The records gave details of how those issues had been resolved to the satisfaction of the complainants. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of some of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. High Trees Care Home DS0000067426.V348806.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 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is made up of two converted Victorian houses. The accommodation consists of eight single bedrooms and two double rooms, with some of the rooms being very spacious. In addition, there are two lounges, a dining room and a separate kitchen, a hair dressing facility and several bathrooms and toilets. The home is situated close to the centre of Walsall with facilities such as shops, public transport, places of worship and pubs in the near vicinity. There is an enclosed garden to the rear of the property with on and off road parking. It could be seen that new flooring had recently been installed in various parts of the home. A new bathroom and en suite facilities for an adjoining room had High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 16 also been installed in an area that had previously been reported as being in need of renovation. The home was seen to have a laundry that was equipped to deal with items that are heavily soiled. High Trees Care Home DS0000067426.V348806.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, 35 and 36 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be treating the service users in a friendly, respectful and dignified manner. The service users seen with them appeared more than comfortable in their presence. The files of a number of the newly recruited staff were looked at and these were seen to contain evidence of the checks necessary to ensure that people who are employed by the home are fit to work with vulnerable adults. Talking with the proprietor and the staff as well as observation during the inspection and looking at the staff rota confirmed that staffing levels are appropriate to the needs of the service users currently living in the home. The records were seen and staff confirmed that professional recorded supervision of staff takes place at regular and appropriate intervals. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 18 Talking with the staff and looking at the training records showed that they are encouraged to undertake training with a large proportion of the staff team having either attained NVQ2 in care or above or were working towards it. They also confirmed that they receive training in infection control, food hygiene, fire safety, manual handling, first aid, the safe handling of medication and the protection of vulnerable adults as well as undergoing appropriate induction and foundation skills training when they are first appointed to their job. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was not present at the time of the inspection but the proprietor confirmed that she has the Registered Managers Award and is a qualified nurse which are qualifications that are considered appropriate to a person who manages a service of this kind. The proprietor said and talking with the people living at the home as well as the staff confirmed that she has regular contact with the service users and can monitor their wellbeing first hand. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 20 A variety of records that showed that the safety of the environment in which the service users live is monitored were looked at and found to be up to date. These included records of the monitoring of fridge and freezer temperatures, fire equipment test logs, hot water temperatures and the portable appliance test records. The home was also seen to have secure storage for hazardous materials as well as risk assessments that outlined their safe use. As stated elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 21 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 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 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 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 3 x 3 x x 3 x Version 5.2 Page 22 High Trees Care Home DS0000067426.V348806.R01.S.doc 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. 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 High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 High Trees Care Home DS0000067426.V348806.R01.S.doc Version 5.2 Page 24 - 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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