Inspection on 12/04/05 for The Cherries

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

The Cherries 03/12/07

The Cherries 27/03/07

The Cherries 17/07/06

The Cherries 21/11/05

The Cherries 10/08/04

The Cherries 26/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Cherries Heath End Road Flackwell Heath High Wycombe Bucks, HP10 9DY Lead Inspector Chris Schwarz Unannounced 12 April 2005 12:45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Cherries Address Heath End Road, Flackwell Heath, High Wycombe, Bucks, HP10 9DY 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) 01628 530657 01628 850474 MacIntyre Care Care Home 7 Category(ies) of Learning disability (7) registration, with number of places The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 August 2004 Brief Description of the Service: The Cherries is registered to provide accommodation for up to seven adults with learning disabilities. The provider, MacIntyre care Services, has kept occupancy levels at six since a service user moved out a few years ago. The service user group is a stable one and individuals have a range of personal care needs. The home is close to the centre of Flackwell Heath where there are shops, pubs, banks, a library and community centre and transport links to nearby towns such as High Wycombe. The Cherries is built into the side of a hill which has resulted in a split-level style of accommodation. Bedrooms, bathrooms and the laundry are on a lower ground level with the lounge, kitchen and dining room on an upper ground level. The office and a training/resource room are in a separate building, linked to service users accommodation by a patio walkway. There are front, side and rear gardens with a parking area at the front of the building. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on a weekday, lasting from 12:45 pm to 4:45 pm. It consisted of discussion with the new manager, a tour of the building, and meeting service users and staff. What the service does well: What has improved since the last inspection? • • • • • • A manager has been recruited. Procedures for missing service users and confidentiality are now available at the home. A service user’s outstanding review has taken place. Decking has been added to the garden to provide a safe area for service users. Some bedrooms have been improved through fitting new carpets and repainting. New baths have been added. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed on this occasion. EVIDENCE: The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 9 and 10. The care needs of service users are effectively assessed and reviewed within a risk assessment framework and this ensures that service users receive the care they require. Information is kept secure and this ensures that only authorised persons have access to service users’ personal details. EVIDENCE: A service user’s overdue review has taken place since the last inspection. There is intention to introduce person centred planning and training is available to introduce staff to this. Care plans are now being stored securely in a locked cabinet. None of the service users had gone missing and procedures are in place should there be an occurrence. The provider’s policy on data protection was available at the home. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12 and 13. Service users have a range of different opportunities as part of their lifestyles, resulting in variety and stimulation. EVIDENCE: Three service users were out at day services at the start of this inspection, with staff collecting them later in the afternoon. Horse riding links have been established with a local stables and one service user continues to walk to local shops regularly to buy his newspaper and sundries. Service users make use of local facilities, such as the shops and pub and banking arrangements have been changed to make use of local branches that are more accessible to people. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20. Medication procedures are not available at the home, which could mean that service users are put at risk from unsafe practices. Staff enable service users to attend medical appointments, to ensure they keep healthy. EVIDENCE: Medication was stored safely and drug records showed that it is being administered appropriately. The home has made good links with the pharmacist who has visited to check storage of drugs. There were no policies relating to medication practice in the home’s manuals and these must be obtained and referred to by staff; a requirement is made regarding this. Outstanding health care appointments had been taken care of since the last inspection. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed on this occasion. EVIDENCE: The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30 The Cherries provides a reasonable environment given a difficult design of building. This means that service users have a home that is comfortable, mostly safe and clean but more could be done to improve it to give service users a better quality of home life. EVIDENCE: All bedrooms were clean and personalised and efforts had been made since the last inspection to improve some of them by fitting new carpet and re-painting. Mould growth was evident on one window frame and some others need to be re-glossed. Decking had been added to the rear garden to create a flat area for service users to use, although the remainder of the garden at the rear was uneven and unattractive. A requirement is set to attend to this. The laundry was in good order and there were no unpleasant odours around the building. There is a shower room and two bathrooms; both bathrooms had new baths. One of these was a different colour from the rest of the suite and looked out of place, as did the white toilet seat on a pink toilet. Both bathrooms are dark The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 14 due to lack of natural light. Ways of improving bathroom space still need to be sought to make them cheerful, bright and airy areas of the home. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35. The provider’s procedures for inducting new managers are not sufficiently structured to ensure and prove that they receive all necessary information. This could put service users’ wellbeing at risk from ineffective management. The home’s recruitment processes are not robust enough and could put service users at risk from harm. EVIDENCE: There was no structured induction package for the manager although she received a handover period from the previous manager and had undertaken some training modules arranged by the provider. A structured induction package needs to be established for managers to ensure that they have the necessary foundation to carry out tasks effectively; a requirement is set to attend to this. Recruitment files were not available for new staff who have started at the home. These were located at the provider’s head quarters, rather than at the home. A requirement is set for these to be available at The Cherries. The home had not ensured that it had received proof of an agency worker being thoroughly vetted. A requirement is made for the home to ensure that it has proof of thorough recruitment practices prior to any staff starting at the home. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 16 The manager must also see references for herself employment, a practice that has not been happening. prior to offering A training session was taking place at the home from a podiatrist, to advise on good foot care. There had been some staff training from the speech and language therapist around communication since the last inspection. Good all round training opportunities were described. The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42. The provider has appointed a manager to lead and guide the staff team and ensure that service users receive care appropriate to their needs. Service users are being put at risk from harm by some lapses to health and safety. EVIDENCE: The home has a new a manager who is applying to become registered with the Commission. She is undertaking National Vocational Qualification level 4. Monitoring takes place by the provider to assess care provision and reports of these visits were available at the home. Various health and safety checks are undertaken at the home and an audit by the provider had been undertaken in January this year. There had been improvement to accident recording at the home since the last inspection. Bleach and toilet cleaner were accessible in the toilet next to the office, presenting a potential safety hazard to service users. A requirement is made to improve safety measures at the home. The fire log showed that only one The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 18 weekly test of the fire alarm took place in January this year although other checks were up-to-date. A requirement is made to ensure that weekly testing is carried out consistently at the home. An intruder alarm has been fitted to the building following a burglary earlier in the year. Clinical waste is disposed of appropriately. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 The Cherries Score 3 x x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 2 3 3 H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 19 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score 3 3 3 x x x x Standard No 31 32 33 34 35 36 Score x x x 1 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 2 x The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 20 n/a Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 24 Regulation 23(2)d Requirement Window frames must be kept in good condition through treating mould growth and repainting where necessary. The remainder of the garden must be tidied up and made safe. Recruitment files must be available at the home for inspection purposes. There must be evidence of thorough recruitment practices, in line with schedule 2, prior to staff starting work at the home. References must be seen by the manager to ensure that there are effective and thorough recruitment practices. A structured induction must be undertaken by the homes manager. Weekly testing of the fire alarm must consistently take place. Bleach and other cleaning products must be stored safely at the home. Ways of improving light and ventilation in the bathrooms must be explored. Timescale for action By 30 June 2005 By 30 July 2005 from 12 April 2005 from 12 April 2005 from 12 April 2005 from 12 April 2005 from 12 April 2005 from 12 April 2005 from 12 April 2005 2. 3. 4. 28 34 34 23(2)a,b 17(2) 19(1) 5. 34 19(1) 6. 7. 8. 9. 35 42 42 27 18(1)c(1) 23(4) 13(4) 23(2)p The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Cambridge House, 8 Bell Business Park, Smeaton Close Aylesbury Bucks, HP19 8JR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Cherries H53_H02_S23062_The Cherries_V220883_120405_Stage 4.doc Version 1.20 Page 23 - 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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