Inspection on 28/10/08 for The Trees

This inspection was carried out on 28th October 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

The Trees 10/11/06

The Trees 12/12/05

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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Trees Deveron Way Hinckley Leicestershire LE10 0XS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Keith Williamson     Date: 2 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: The Trees Deveron Way Hinckley Leicestershire LE10 0XS 01455615523 01455615523 kmaxted@leics.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Leicestershire County Council Social Services care home 23 Number of places (if applicable): Under 65 Over 65 1 0 0 0 learning disability mental disorder, excluding learning disability or dementia physical disability sensory impairment Additional conditions: 23 8 9 4 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 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 one falling within category SI 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 person falling within category MD may be admitted to the home unless that person also falls within category LD ie dual disability No person falling within category PD may be admitted to the home unless that person also falls within category LD ie dual disability Care Homes for Adults (18-65 years) Page 4 of 27 Date of last inspection Brief description of the care home 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 Service Users 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 Service Users 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. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The focus of the inspection is on outcomes for Service Users and their views of the service provided. The main method of Inspection used was case tracking which involves selecting a sample number of people and tracking the care they received through talking with them where possible, on this occasion it was only possible to speak to one Service User, who made no verbal comments about the home. We also looked at Service User records and accommodation. In this case four Service Users were chosen. This visit took place over one day, commencing at 09.30am and took seven hours to complete. An opportunity was taken to talk with Service Users, some of the management team and staff, look around the home, view records, policies and care plans. Information was obtained from the Annual Quality Assurance Assessment, which gives information Care Homes for Adults (18-65 years) Page 6 of 27 about the home, and is filled in by the registered manager. A copy of the last Commission For Social Care Inspection report is displayed at the home, and copies of this report are available from the registered manager. The quality rating for this service is 2 star. This means the people who use this service continue to experience good quality outcomes. What the care home does well: What has improved since the last inspection? What they could do better: The staff could update the information on complaints, and give the current contact details for the Commission for Social Care Inspection. Care Homes for Adults (18-65 years) Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A detailed and individual assessment process ensures that service users needs are effectively met. Evidence: Assessment information is very well detailed and contains information relating to the Service Users needs and abilities. This is important as this information forms the basis for any plan of care. Some of the information has been recently updated by staff from the home and is held together with the assessment documents from the Service Users placing authority. A contract was also in place. These documents are important to signify the terms and conditions of Service Users stay. Discussion with the registered manager and staff indicated that the assessment process was being changed to a person centred style. This shows the staff are giving more thought to the detail in the assessment process. One Service User commented during the inspection, that he remebered coming for a brief visit before his stay commenced, and remained at the home for tea. Care Homes for Adults (18-65 years) Page 11 of 27 Care Homes for Adults (18-65 years) Page 12 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service Users are supported by a well informed staff group, backed up be detailed care and Person Centred Plans (PCPs) and risk assessments. Evidence: Four Service Users were case tracked, this group was made up of two long term and two short term Service Users. All four peoples care, and Person Centred Plans (PCPs) were in place and very detailed. This is significant as both the care plans and Person Centred Plans for two people, were in place for their first stay to the home. All of the information provide for staff would enable care staff to provide individualised care in a safe manner, as all plans had areas of risk covered as well. Decision making was covered with a questionnaire as to the likes and dislikes of the person. These and other documents were produced in an easy read format, enabling a larger group of Service Users to participate. The management staff stated that paperwork could be produced in other formats and languages. this is good as it shows the staff try to communicate in many ways with the current Service User group, and think of people Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: looking to stay in the future. Care and Person Centered plans are regularly updated and stored securely in the appropriate part of the home, near where Service Users live. This is important as it allows staff to access the correct information when required. Care Homes for Adults (18-65 years) Page 14 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home enjoy a good lifestyle, and are enabled to make positive choices to influence their chosen goals. Evidence: Care plans demonstrate a continuation of home life for Service Users using the home on a short term basis, where there is a continuaton of day centre and work placements. Plans for longer stay people show that there is a development of peoples lifestyle including their leisure and social life. All files seen confirm that people have their education interlinked with their lifestyle, the Person Centered Plan (PCP) being used consistantly as part of the communication between the home and others providing support to the Service User. A communication passport is also widely used in this area. The staff have introduced pictorial menus to assist in meal choices and actively involve Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Service Users in the making up of menus with the assistance of an advocate at Service User meetings and on and individual basis. One Service User commented during the inspection, I dont have any dislikes, I had curry for lunch, the food here is great. Care Homes for Adults (18-65 years) Page 16 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well looked after in terms of personal support, healthcare and medication administration. Evidence: Personal support is individually detailed in both care and Person Centred Plans (PCPs). Some of the Service Users spoken with, confimed they have copies of ther plan and are involved in the compilation and review process. Of the four plans viewed, one had the appropriate confirmation from a health professional, with regard to use of bed rails. Another who was in the home for a short stay, had extensive instruction for monitoring their health needs. Permission was included from a health professional to enable staff assistance to a medical appointment. Individual records of Service User visits to General Practitioners and other health care workers were noted on files. The medication and medication records were viewed; all were found to be in good order. Individual instruction and risk assessments were noted to be in place, for Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: occasional medication (or prn) administration, thus increasing Service Users safety in this area. A number of files were noted to have the final wishes of Service Users included in Person Centred Plans (PCPs). Care Homes for Adults (18-65 years) Page 18 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are protected by the policies and procedures and staff training and knowledge regarding information on complaints and safeguarding. Evidence: The Complaints Procedure is displayed on the notice board around the home and is also available in a pictorial format. Service Users spoken with were aware of whom to contact and speak with should they have any concerns. The Complaints Log was viewed, this detailed information about the complaints received by staff in the home. All ten were acted on appropriately, and were investigated within set timescales. Service Users and staff showed an awareness of Adult protection policies and protocols. An advocate assists individual Service Users and attends the Service User meetings. These are held periodically, with an agenda in a pictorial and written format and meetings are minuted in the same way. This is important as people can deal with issues personal to them on a confidential basis. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comfortable and safe standard of accommodation is provided for the Service Users. Evidence: Service Users live in a homely, comfortable and clean environment. The staff continue to provide personalised and individual accomodation for people on a long or short stay basis. A programme for upgrading and replacing of worn out furniture and equipment is in place. Since the last inspection a number of ceiling track hoists have been fitted in certain bedrooms within the home. Other areas that are planned to be upgraded are the bath and shower room in the short stay unit. Two service users bedrooms were viewed, and found to be personalised with electrical equipment and in posters of the persons favourite pop star. This is important as it adds to the homely feel of the home. Security out side the home continues to be monitored by a closed circuit television system. Staff are aware of cross infection and cross contamination issues. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The number of staff employed to work in the home is sufficient in meeting Service Users assessed care needs. The recruitment process is rigorous enough to ensure Service User safety. Evidence: Staff are offered a structured programme of training opportunities commencing at the point of induction with a very comprehensive training schedule. Staff confirmed the wide range of subjects addressed during induction. Many staff have completed the Learning Disabilities Award Framework (LDAF) training, which contributes towards a National Vocational Qualification. Staff spoken with on the day confirmed the extent of training offered to them, and stated that this was a two way process and the management staff would look at courses for staff, that they thought beneficial to the people living in the home. The rota was viewed. This showed a recording of those staff on duty throughout a 24hour period. The staff agreed that an increase in staff numbers had made the process of compiling and reviewing of care plans and Person Centred Plans (PCPs) easier, with more regular updates being done. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff files are stored securely and individually; the appropriate recruitment and preemployment checks are in place so ensuring peoples safety in the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the Service Users and staff. Evidence: A quality assurance system is in place with questionnaires circulated by the staff and Service Users assisted in completing them by an independant advocate and in some cases a family member. The outcomes are made available to prospective Service Users through the Statement of Purpose and Service User Guide. Both these documents, the qestionaires and many other documents are produced in an easy read format. A member of staff appointed by the Responsible Individual visits the home regularly. These visits form part of the Quality Assurance within the home, and regulate the development of staff, and progress building work in the building. The quality assurance system is further enhanced by the inclusion of an advocate who assists in the Service User meetings, so providing an independent voice to influence procedures and development of the home. Fire records were examined, these indicated that suitable checks of fire safety equipments are being made on a regular basis. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Risk assessments were viewed, some including pictorial information, again these are updated regularly. Two staff members spoken with gave good verbal responses on how Service User care needs must be met, knowledge of Control of Substances Hazardous to Health (COSHH) and how to keep people safe in the homeand free from infection. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 22 The current contact details of the Commission for Social Care Inspection (CSCI) should be included in the complaints policy, procedure and any associated information including any easy read information. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!