Inspection on 12/12/05 for The Trees

This inspection was carried out on 12th December 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 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 Trees 28/10/08

The Trees 10/11/06

The Trees 11/05/05

The Trees 20/12/04

The Trees 24/06/04

The Trees 23/03/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

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

CARE HOME ADULTS 18-65 The Trees Deveron Way Hinckley Leicestershire LE10 0XS Lead Inspector Rajshree Mistry Unannounced Inspection 12th December 2005 1:50 The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Trees Address Deveron Way Hinckley Leicestershire LE10 0XS 01455 615523 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) Leicestershire County Council Social Services Mrs Karen Julie Maxted Care Home 23 Category(ies) of Learning disability (23), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (8), Physical disability (9), Sensory impairment (4) The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. No one falling within category MD may be admitted into the home where there are 8 persons of category MD already accommodated within the home No person falling within category MD may be admitted to the home unless that person also falls within category LD ie dual disability No one falling within category PD may be admitted into the home where there are 9 persons of category PD already accommodated within the home No person falling within category PD may be admitted to the home unless that person also falls within category LD ie dual disability No one falling within the category SI may be admitted into the home where there are already 4 persons of category SI already accommodated in the home No one falling within category SI may be admitted to the home unless that person also falls within category LD ie dual disability 11th May 2005 Date of last inspection Brief Description of the Service: The Trees is a purpose built home for people with learning disabilities, situated in a residential area of Hinckley. The home is a provision of the Leicestershire County Council. The Trees is located close to a public bus route and train station. The town centre is approximately 1 mile from the home. There are shops and other local amenities close to the home. The home provides care on a short and long term basis for twenty-three adult residents in the categories of learning disabilities, mental disorder, physical disorder and sensory impairment. The home has five separate units within the main building, some of these being adapted to provide services for residents’ complex needs. The accommodation for most residents is in single bedrooms, some with en-suite facilities. There are a number of lounges throughout the home. Bathing, shower and toilet facilities are spread throughout the home. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service, which took place on the afternoon of 12th December 2005 and over 3 hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission is upon the outcomes for the resident and their views on the service provided. The primary method of inspection used was ‘case tracking’. Three residents were identified for case tracking and the quality of the care received was measured from speaking with the residents and their key-workers, examination and reviewing the care records and observation of care practices. The Inspection also addressed the requirement and recommendation from the previous inspection visit and the management teams obligations under Regulation 26 and 37. What the service does well: What has improved since the last inspection? Since the last inspection the requirements and recommendations have been met. Additionally, the following improvements have taken place including the recommendations made at the last inspection • The home now has a minibus for the sole use of the Trees. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 6 • Three new carers have been appointed and commenced employment following the receipt of satisfactory pre-employment checks. Further interviews have been scheduled to appoint to two posts. Two bedrooms have now ceiling track hoists and a new shower has been installed. Residents have been away on holidays, short breaks and day trips. Person Centred Plans (PCP) are now in place and continue to be developed in consultation with the resident and the important people in the residents’ life. Staff have attended specialist training in Autistic Spectrum, Communication, British Sign Language, and Dementia Training in addition to refresher training i.e. health and safety, moving and handling. • • • • 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 Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: The core standards were inspected at the last inspection and were met. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 the following standard(s): 6, 9. Residents’ choice of lifestyle, interests, health and social needs are reflected plans used by staff to ensure the tailored provisions are met timely. EVIDENCE: Since the last inspection Person Centred Plans (PCP) have been developed in consultation with the resident, key-worker, family and other important people in the residents’ life i.e. college, day centres, VISTA and the physiotherapist. The PCP viewed for three residents were comprehensive looking at all aspects of their life, using format appropriate to the needs of the residents such as written, audio tape and pictorial. The home is commended for the developing comprehensive PCP and their application. All medication is stored in a designated locked room and only trained staff administers medication. Medication and respective records were examined for three residents were found in good order and up to date. Residents spoken with indicated that they get their medication on time often choosing to manage their medication with personal support from their key-worker. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 the following standard(s): 14. Residents are supported to experience and enjoy pursuing their social and leisure activities of interests. EVIDENCE: Residents spoken with stated the key-workers support them participate in social and leisure interests. The three PCP’s viewed detailed the residents interests in the written and pictorial format and how these are met. Residents’ have participated in PCP training and interviewing group. Residents are confidence to make their views known directly or through the Advocate. One resident enjoys horse riding and showed the Inspector photographs taken with Princess Anne. Residents have had the opportunity to go on holiday: • Three residents and staff went to Norfolk; • Long weekend breaks to Warners; • Day trips on the boat. The staff at the home actively fund-raise for the “residents’ fund”. The home has recently purchased an adapted mini-bus, for their sole use. Residents and staff have a programme of Christmas festivities and events, as residents will not be attending day centres, voluntary work or college. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 the following standard(s): 18, 19. Residents’ personal health and social care needs identified are met timely and in the manner suited to the individual. EVIDENCE: Three residents care files were viewed and showed that residents had access to health and social care professionals. Staff spoken with demonstrated awareness of residents preference of lifestyle and activities in relation to their daily routine from the time the resident chooses to wake up, attending college or day centre to appointments with the Physiotherapists. Through discussion with the resident, their key-worker and reviewing the PCP with the daily case records there was evidence to show how residents are supported to identify and achieve personal goals. For example residents have been supported to improve and maintain personal hygiene and building self-confidence to travelling in cars and going shopping. Residents have access to equipment such as ceiling tracks to mobilise residents and aids such as story audiotapes and talking newspapers specifically for residents with a visual impairment. Residents have access to local health care services i.e. GP, District Nurse, Dentists and Opticians. Residents are supported to maintain their health care needs and attend appointments, for example the diabetic clinics. Residents have risk assessments in place relating to daily living including administration of insulin and food tolerances. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 the following standard(s): 22. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: The Complaints Procedure is displayed at the entrance of the home and in the communal areas in different formats. The Inspector observed residents freely communicating with other residents and staff. Residents spoken with felt safe with the staff in the home and confident to express concerns. Comments included, “I would let …….. know at the time if there was a problem” and “I would speak to ……. (the resident’s Advocate) if I had a complaint”. The Complaints Log viewed detailed the complaints made and the actions taken that were within the set timescales. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 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 the following standard(s): 24. Residents live in a homely and well-maintained environment that is in keeping with their choice of décor and lifestyle. EVIDENCE: Since the last inspection the home has had tracking installed in two rooms with an additional shower facility. The areas of the home viewed during the inspection were found well maintained and decorated to respecting the residents’ views. Communal areas were homely and two bedrooms viewed with the permission of the residents were personalised and spacious to accommodate a wheelchair and a hoist. Residents spoken with stated enjoyed helping with the Christmas decorations in the home. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36. Staff receive regular training and supervision to ensure residents needs are met timely and safely. EVIDENCE: Since the last inspection the home has appointed three carers who have commenced employment with satisfactory pre-employment checks. The Inspector spoke with several members of staff including a new carer who confirmed completion of the mandatory induction training and regular supervision meetings that are minuted. The staff spoken with confirmed they are offered regular mandatory and specialist training. The recent training undertaken and scheduled included: Autistic Spectrum, communication, British Sign Language, and dementia training in addition to refresher training i.e. health and safety, moving and handling. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Residents’ views are sought regularly and incorporated in the daily life in the home. EVIDENCE: The home is run in the best interest of the residents. Residents are consulted on a daily basis regarding their plans for the day, with key-workers, at the formal review meetings, with social workers, mentors and family representatives. Residents spoken with indicated they felt confident to express their views at any time, informally, through the Advocate and formally at reviews and residents meetings. The responsibility to fulfil the regulatory obligation under ‘Regulation 26’ and monthly visits conducted, should be reported to the Commission on a regular basis. From the discussion with the Deputy, it appears that Regulation 26 visits are being conducted regularly, but the copy of the report has not been forwarded to the Commission. Assurance was given that this would be raised with the Registered Manager to pursue. The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Trees Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000035333.V272421.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO 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 The Trees DS0000035333.V272421.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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