Inspection on 01/07/05 for Yew Trees

This inspection was carried out on 1st July 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

Yew Trees 22/09/06

Yew Trees 06/12/05

Yew Trees 17/03/05

Yew Trees 28/10/04

Yew Trees 04/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

SignHealth

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Yew Trees Yew Trees Lane Dukinfield Tameside SK16 5BJ Lead Inspector Janet Ranson Unannounced 30 June & 1 July 2005 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 Older People. 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. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Yew Trees Address Yew Trees Lane, Dukinfield, Tameside, SK16 5BJ 0161 338 3053 0161 303 0072 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) Tameside Care Limited CRH Care Home 40 Category(ies) of DE(E) Dementia - over 65 (40) registration, with number OP Old Age (40) of places PD(E) Physical Disability - over 65 (40) SI(E) Sensory Impairment over 65 (2) Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service Users to include up to 40(OP); up to 40 (DE)(E); up to 2 (SI)(E) and up to 40 (PD)(E) Date of last inspection 17th March 2005 Brief Description of the Service: Yew Trees is a large, purpose built establishment, originally commissioned by the local authority; it is now owned and managed by Tameside Care Limited. The home has been extended and adapted over the years to provide care for up to 40 older people, some of whom have a dementia or physical disabilty. The accommodation is provided in single rooms over two floors, 25 of which have en-suite facilities. There is a full passenger lift and aids to enable the residents mobility. Both floors have lounges and dining areas and there is a designated area on the ground floor for those people who smoke. A large conservatory has recently been added to the ground floor lounge. Small kitchens are situated on each floor where drinks and snacks can be prepared. In addition, there is a small room containing specialist equipment to help those residents with dementia. The home is located on the edge of a residential area with associated local facilities and transport links. There is an enclosed garden to the rear of the home, shared by the adjecent home. Car parking is the the front of the building. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over one and a half days, a total of nine hours. Yew Trees provides personal care for up to 40 people over 65 years of age. It is owned by Tameside Care Limited, a not for profit organisation. The manager was present throughout the inspection. In addition to teams of carers, the organisation employs domestic, catering, laundry and maintenance personnel. The home has undergone improvements to the residents’ accommodation and the communal areas. The most recent improvement being a large conservatory on the ground floor. The work has been carried out to a high standard. Individual case files and care plans of three residents were examined as part of the inspection process. They concerned people who had lived at the home for a long time, were newly admitted and whose needs were changing. Wherever possible, the residents were invited to talk to the inspector of their experiences and expectations. Two key workers were interviewed and two residents’ relations assisted the inspector with their comments. The inspector also spoke with the cook, kitchen domestic and laundry person. Observations of staff practice were also made during the first day. What the service does well: Yew Trees provides a good service for vulnerable residents in a pleasant and secure environment. The residents feel safe and secure. The home cares for the residents’ families and encourages them to remain involved in the care. The gardens are accessible, secure and inviting with furniture and brightly coloured planting. There is a stable workforce who work well as a team and are respectful towards the residents, their families and also towards each other. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 6 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. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Systems are in place to ensure the residents’ needs can be fully identified and met by the home. EVIDENCE: Care needs assessments were contained within the three care files examined as part of the inspection. The home also has a process of assessing potential residents’ needs carried out by a senior member of staff. By completing such an assessment, the home can ascertain individual needs and ensure they can be met. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 The residents’ personal care health and welfare needs are fully documented and reviewed. The residents’ identified health needs are fully met by the various healthcare professionals. The residents are enabled to self medicate wherever possible. The residents are treated with respect and their privacy is maintained at all times. EVIDENCE: Three care plans were examined as part of the inspection process. They clearly set out the residents’ individual care needs. The care plans document the action to be taken by the carers to ensure all aspects of health, personal and social care are met and reviewed. Two relatives who spoke with the inspector were aware of the care planning process. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 10 Where identified, the residents’ health is monitored and addressed by the appropriate health care professionals. The district nurses are involved on a regular basis, as are the chiropodist, audiologist and optician. The district nurse was attending to a resident’s needs at the time of the inspection. The home also works closely with the local authority’s mental health team who provide specialist advice and guidance. Specialist equipment to prevent pressure sores was in evidence. An external trainer was providing a session of armchair aerobics during the inspection. This is a regular occurrence and serves to maintain or improve the residents’ mobility. The medication administration records of three residents were examined and found to be completed in the approved manner. All senior staff responsible for the administration of medication have received the appropriate training. Records are retained to show changes to medications. There is a policy and procedure in place to enable the residents to self medicate, subject to a risk assessment. The inspector observed the staff respecting residents’ privacy by knocking and waiting before entering the room. At interview the staff clearly demonstrated their understanding of privacy and dignity. Two relatives visit the home on a daily basis. Both of these visitors are also invited to take meals with the resident. One person said he valued these visits and the manner in which the staff kept him involved with the care of his wife. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 & 15 The choices offered to the residents meet with their requirements and needs and enable them to exercise day-to-day control over their lives. The residents can participate in a programme of daily activities. Visitors are made to feel welcome and remain in contact with their relatives’ care. The contents of the menu appeared nutritious and well balanced with a choice provided at each mealtime. EVIDENCE: The individual care plans documented the residents’ previous lifestyle and social history. At interview the carers clearly demonstrated their knowledge of the residents’ previous experiences and fully understood the importance of this in providing the care package. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 12 Since the previous inspection two additional members of staff have been employed to provide stimulation and activities over seven days each week. Evidence of the various activities have been photographed as a permanent record. The programme of activities is displayed in the main corridor. A resident said he particularly enjoyed the trips out, and photos of the latest trip on the canal proved this to be the case. The residents had planted all the hanging baskets and pots both at the front of the building and in the garden to the rear of the property. They are also involved in the watering and general maintenance. Based on direct observation the residents benefit from relaxed informal contact with the staff. The main meal of the day at Yew Trees is served at midday; breakfast is flexible, as and when the residents get up. The choice for the day was not displayed. The residents who spoke with the inspector were unable to remember what they had chosen for their next meal. The choice of the day could be written on a wipe clean board and would provide a reminder for the residents. The residents who spoke with the inspector stated that, in general, the standard of meals was good. A visitor stated that the meals were good and he was involved in assisting his wife at lunchtime. This person was aware there were alternatives to the main meal. The care plans document the residents’ dietary likes and dislikes. Small domestic kitchens are located on both floors. They enable the staff to make the residents drinks and snacks throughout the day. The inspector spoke with the cook and the kitchen domestic during the inspection and was impressed by their enthusiasm and understanding of their role. They were working extended hours to cover staff sickness and also to provide continuity. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The residents and their visitors were confident any complaints would be treated with respect and acted upon. The absence of formal training in the Protection of Vulnerable Adults could result in a resident being put at risk. EVIDENCE: The complaints procedure was available in the service user guide; it is also clearly displayed. The residents and their relatives who spoke with the inspector were unable to recall having seen the complaints procedure but were able to tell the inspector how and to whom they would voice their concerns, either to family members or staff. The organisation has a policy and procedure to respond to allegations of abuse. In discussion, the carers demonstrated their intuitive awareness of abuse and described how they would report concerns to the manager or registered provider. The care staff have not received formal training in the Protection of Vulnerable Adults (POVA) as required. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 Yew Trees provides a warm, clean, safe and well-maintained environment with a good standard of furnishings and fittings. EVIDENCE: The residents and the relative who spoke with the inspector voiced their satisfaction with their accommodation. A resident invited the inspector to her room. She was proud of the accommodation and appeared to recognise the furniture, ornaments and photographs as her own property. The main entrance into the home is accessible to the visitors by entry phone and all other doors have a system to alert staff when they are opened. The residents are encouraged to use all areas of the home. The grounds are fully accessible to the residents. The weather was hot during the inspection and residents could be seen walking in the garden and enjoying the water feature and colourful plants. Garden furniture is also provided. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 15 A person is employed at Yew Trees to provide general maintenance. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 The people who live at Yew Trees receive care from well-trained staff who respond in a respectful manner. The organisation’s recruitment policy and procedure provides protection to the residents from potential abuse. EVIDENCE: The staffing levels at Yew Trees have been improved to reflect the residents’ changing needs. The majority of the people who live at the home have been diagnosed with dementia and require skilled care. The carers who spoke with the inspector recognised the improvements brought about by the increase in staffing, stating they had more time to provide personal care. During the inspection the carers were interacting with the residents and acknowledging them by name. The organisation continues to be committed to the National Vocational Qualifications and it was reported that 62 of the carers had achieved level 2. Recruitment is carried out according to the organisation’s policies. The staff who spoke with the inspector confirmed they had provided referees and had CRB clearance. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 17 Mandatory training is provided to all staff and there is a system to ensure such training is kept up to date. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 & 38 The use of questionnaires and continued reviewing of care plans enables the residents and their relatives to be involved in the delivery of care. Systems are in place to protect the residents’ financial interests and to ensure their health and safety at all times. EVIDENCE: All care plans are reviewed at regular intervals and a relative confirmed his understanding of the reviewing process. A representative of the organisation also carries out regular spot checks on records, health and safety issues, in addition to seeking the residents’ views of the service wherever possible. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 19 When questioned, two staff informed the inspector that they felt fulfilled and supported in their work. They enjoyed working at Yew Trees, stating that they had a good team. The manager confirmed this to be the case. Of particular note was the recognition of the stressful nature of the role and the strategies employed to overcome it. There are procedures to enable residents to maintain their own financial affairs. The home handles small amounts of money on behalf of the residents. Records are retained to account for expenditure. The staff confirmed they had received all the mandatory training concerning the health and safety of the residents. The organisation also has a system to ensure the training is current. The maintenance of all appliances and equipment is carried out under contract. The health, safety and welfare is further ensured by the systems in place to report accident and incidents. Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x 3 x 3 x x 3 Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 21 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. 1. Standard OP15 Regulation 12(2)(3) Requirement The registered person must ensure that the residents are able to see the choice of meals for the day. The registered person must ensure all staff have training in the protection of vulnerable adults. Timescale for action 01/08/05 2. OP18 13(6) 01/10/05 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 Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor, Heritage Wharfe Portland Place Ashton under Lyne OL7 0QD 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 Yew Trees F54 F04 s5587 Yew Trees v235762 300605 Stage 4.doc Version 1.40 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. 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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