Inspection on 28/02/06 for Three Trees

This inspection was carried out on 28th February 2006.

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

Three Trees 16/02/09

Three Trees 25/01/07

Three Trees 12/10/05

Three Trees 15/02/05

Three Trees 14/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Three Trees 24 St Johns Avenue Bridlington East Yorkshire YO16 4NG Lead Inspector Mavis Pickard Unannounced Inspection 28th February 2006 11:30 Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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 Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Three Trees Address 24 St Johns Avenue Bridlington East Yorkshire YO16 4NG 01262 601626 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) Mr Barrie Stephen Gosland Mrs Christine Alma Gosland Mrs Christine Alma Gosland Care Home 21 Category(ies) of Learning disability (21) registration, with number of places Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Three Trees regsitered to provide care and accommodation for up to 21 younger adults is a comfortable well maintained domestic style home that is situated in a residential area of the seaside town of Bridlington in East Yorkshire. The home has its own transport for taking residents to day centres or on outings in the surrounding countryside and has good access to the local bus service and railway station. Residents who are supported by well-trained and competent staff have access to a range of educational, social and leisure activities through day centres, work experience and different clubs and forums. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is the second in this inspection year 2005/6. The previous inspection undertaken in October 2005 looked at all the core standards some of which were not fully met and where requirements and/or recommendations had been made. The purpose of this visit it to complete the inspection schedule for the home and to confirm the homes compliance with any requirements made. The registered manager was not on duty during this inspection although the joint provider Mr Gosland visited for a while. The deputy manager assisted with the inspection. The home was found to be running well, residents were going about their daily lives in a relaxed way and were noted to be supported by the staff group. Some residents were out either at their day facility or their voluntary work. What the service does well: What has improved since the last inspection? 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. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 6 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 Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 7 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): These standards were not inspected at this visit. EVIDENCE: Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 8 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): 7 and 9 Residents are supported to make informed choice as part of an independent lifestyle. EVIDENCE: From direct observation the examination of records and from speaking with staff it is clear that residents are supported to make appropriate decisions and about their lives and to take appropriate risks within a robust risk assessment framework. During this visit people accommodated were going about their daily lives in as independent way as possible. A tour of the building gave evidence that people who are able are supported to take responsibility for their private rooms, those visited had been personalised by residents and had photographic evidence of the leisure interests and pastimes undertaken by people living in the home. Staff said that some residents go out of the home to voluntary employment and to day centres etc. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 9 From speaking with staff it is clear that residents are part of the local community and that those who can are supported to take an active part in the town, where an individual is vulnerable this involvement may identify risk. Where identified the risks are assessed by staff and the individual and are reviewed regularly within a risk assessment framework. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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): These standards were not examined at this visit. EVIDENCE: Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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): 19 and 20 Residents physical and emotional health needs are met. Residents are protected by the home’s medication policies and procedures. EVIDENCE: The registered person and the staff, many of who are longstanding and experienced in the support of people with a learning disability in general and of these residents in particular, ensure that resident’s health care needs are recognised and met. Records show and staff say that residents are supported as far as is possible to take control and manage their own healthcare. People are supported to visit their GP and dentist and other health care professionals should that be necessary. Individual’s physical and emotional health is monitored regularly and detailed records maintained. The manager ensures that residents have prescribed medication when this is necessary and that appropriate policies and procedures are followed by staff in respect to the receipt, storage, administration and disposal of any medication. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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): These standards were not examined at this visit. EVIDENCE: Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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, clean, comfortable and safe environment EVIDENCE: A tour of the building was undertaken with a staff member. The home is arranged over 3 floors and over what was 2 terraced houses. There is however one main entrance. The size and complexity of the building although unusual lends itself very well to providing a domestic style environment in what is a quite large residential home. Residents benefit from having smaller sitting rooms in ‘both’ properties and in having kitchen areas where the more able residents can entertain and make drinks and snacks for themselves and visitors. The entire home is nicely furnished and decorated and is clean and comfortable. Health and safety records were examined and found to be up to date and appropriate. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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): 32 and 35 Resident’s needs are met by competent and appropriately trained staff. EVIDENCE: Although not all support staff working in the home has achieved a National Vocational Qualification [NVQ] at level 2 or 3, which is the standard to be aimed for within this category of care, from speaking with senior staff, from examination of the staff training records and from direct observation during this visit it is clear that people working in the home are experienced and trained to be able to meet the needs of people resident. Many of the staff group have worked together either in this setting or in previous settings with vulnerable people and have knowledge of providing support to adults who have a learning disability. Standard 32 (5) recommends that ‘care staff hold a care NVQ at level 2 or 3, are working to obtain such a qualification or the registered manager can demonstrate that through past work experience staff meet that standard’. It is considered that the manager would be able to demonstrate that. Standard 32(6) recommends that 50 of care staff in the home achieve the above NVQ. To date that has not been achieved. However staff are working toward this achievement. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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): 42 The health and safety of people living and working in the home is protected. EVIDENCE: The home’s health and safety records were examined and found to be up to date and accurate. All records required to be made available in respect to fire; gas, electricity, alarms etc were examined and were appropriately maintained. Staff undertakes training in respect to health and safety, COSHH and moving and handling. No concerns regarding any aspect of safety of staff and/or residents were identified at this visit. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No 31 32 33 34 35 36 X 3 X 3 X Score LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X 2 X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X X X X 3 X Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 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. 1 Refer to Standard YA32 Good Practice Recommendations The home should continue with its training programme to ensure a minimum of 50 of the care staff achieve NVQ at 2 or 3. Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Three Trees DS0000019764.V280270.R01.S.doc Version 5.1 Page 19 - 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. 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