Inspection on 10/01/06 for Yew Trees

This inspection was carried out on 10th January 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

Yew Trees 22/05/09

Yew Trees 05/04/07

Yew Trees 15/08/05

Yew Trees 22/03/05

Yew Trees 03/07/04

Yew Trees 02/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Yew Trees Off Long Lane Chadderton Oldham OL9 8BR Lead Inspector Michelle Haller Unannounced Inspection 10th January 2006 09:00 X10015.doc Version 1.40 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 Yew Trees DS0000005548.V278117.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 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 DS0000005548.V278117.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Yew Trees Address Off Long Lane Chadderton Oldham OL9 8BR 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) 01616816204 Mrs Karen McCarley Susan Fitton Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 16 OP Date of last inspection Brief Description of the Service: Yew Trees Rest Home is a comfortable residential home registered to provide for 16 older people over two floors. The home is situated within walking distance of convenience stores, take-away restaurants and a video rental shop. The garden area is easily accessible and pleasantly landscaped with raised beds and planted pots. The accommodation consists of 12 single rooms, eight of which have en-suite facilities and two double rooms. Bathing and toilet facilities are adapted to meet the needs of the service users. There is a choice of two large lounges and a dining room. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The report relates to an inspection completed in one day over a period of 6 hours. The home had not been previously informed of the inspection, this is called an unannounced inspection. Over the course of the inspection a tour of the home was undertaken, three service user files were examined, three service users interviewed individually, as were two relatives, furthermore one member of staff was interviewed. Over the day the interactions between service users, staff, relatives and other visitors to the home was also made. Reports, records, files and other documents pertaining to the care and support of service users and the running of the home were also examined. It is strongly advised that this report is read in conjunction with the previous inspection that took place on 15th August 2005 in order to get a full picture of the home. What the service does well: From these observations it is possible to conclude that the home provides a good level of physical and emotional care, employing staff that are well trained, well supervised and caring. The manager listens to service users and their representatives and leads by providing a good example to staff. Yew Trees provides information and opportunities for potential service users to make an informed choice about moving into the home, the manager ensures that sufficient information is received about service users prior to their admission into Yew Trees. Following admission the manager ensures that additional assessment of all aspects of the service users needs and wishes are completed, demonstrating a keen interest meeting psychological as well as physical needs. The service has a good relationship with nurses, doctors and other health care and social service professionals this assists in maintaining a good standard of health and social support when required for service users. Staff support and training is excellent. Opportunities for learning new skills and updating practice is regularly provided and fully funded. The home is comfortably furnished and provides an environment that helps to maintain the independence of service users for as long as possible. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 6 The manager of the home is approachable and interested in the lives of the service users. Positives comments from service users and their representatives included ‘It’s lovely living here and the staff are gorgeous-they are lovely people, couldn’t be nicer.’ ‘.. has settled down here from the word go’ And staff comments included: ‘Basically.... it’s a happy home.’ 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 DS0000005548.V278117.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 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 the following standard(s): 1 and 3 The statement of purpose and service user guide provides potential services users with sufficient information about the facilities and care available in the home. Comprehensive need led assessments are completed with all service users ensuring the needs of the service users are known to the home. EVIDENCE: The service user guide and statement of purpose for the home was fully examined. These documents were readily available and described the building and facilities; provided information about the routines in the home including meal times and visiting arrangements; detailed the homes links with health care professionals and the local community. These documents could be improved if the more detail about the training undertaken by staff was included. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 9 Three service user files were examined and the manager had completed comprehensive pre-admission assessments. Letters and other correspondence also verified that the home took steps, such as the provision of special equipment and involvement of specialist staff following assessment thereby ensuring that the needs of services users could be met. Two service users were interviewed and both confirmed that the manager had visited them and asked questions about their needs prior to them being informed that would move into Yewtrees. Standards 2, 4 and 5 were inspected and assessed as reaching a satisfactory standard in August 2005. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 7 and 8 Comprehensive care plans detailing how the assessed needs of services users are to be met by staff are completed. The health needs of service users are met by the action of staff. EVIDENCE: Three service users care files were examined and each contained a copy of a care plan that corresponded to the needs assessment for each person. Signatures and dates demonstrated that the plans had been prepared with the involvement of the service user or their representative. Signatures and dating also verified that the care plans were reviewed, for the most part, once each month. Observations made through cross referencing the daily reports with the care-plans demonstrated that, staff referred to the care plans in respect of the support they provided to service users. Service users who were interviewed were keen to confirm that staff were very efficient and able at meeting their health needs through ensuring that routine and specialist health input was arranged or following the instruction provided by health care professionals. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 11 Records confirmed that service users received all routine health care including flu injections, dental checkups, optician and podiatry. The attendance of general practitioners, the tissue viability nurse, district nurse and continence nurse is also requested to give specialist advice. The diary recordings also demonstrated that service users are supported in attending out patient hospital appointments. Service user comments included: ’if they think anything is wrong they will do anything to get you right again. Standards 9, 10 and 11 were fully examined during the previous inspection and assessed as meeting minimum standards in August 2005. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 12 and 15 Service users live in a home with flexible routines, providing an interesting lifestyle that promotes social, spiritual and physical development. Meals and mealtimes in the home are varied and wholesome ensuring that service users enjoy their meals and are well nourished. EVIDENCE: Staff stated that they are encouraged to support service users to go out individually and, since the last inspection, more details of the activities undertaken by service users are individually recorded. Those interviewed stated that staff were routinely encouraged to sit and talk with and develop a positive relationship with service users. They also described the most recent activities in the home that included the Christmas party, Bon-fire night party, frequent entertainers, clothes party, arts and crafts and visit from the Mobile Library service. Other activities include Reminiscence games, bingo, entertainers or reading the paper. Services users stated that they could choose whether or not to participate in activities. The activities calendar and daily reports endorsement these statements. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 13 Records demonstrated that meals and snacks were varied, plentiful and wholesome. The menu includes traditional Lancashire dishes such as sausage casserole, mince and onion pie, ocean pie and corned-beef hash as well as less traditional meals including chilli-con-carne with garlic bread, and pizzas. It was also hot and cold drinks and snacks such as biscuits and fruit were offered to all service users throughout the day. Service users stated that there was ‘Good food here.’. Assessment charts also demonstrated that service users dietary needs where fully assessed and met. The manager and cook have been awarded National Vocational Qualification (NVQ) level 1 in catering and hospitality. Meals are served in a pleasant and comfortable dining room. Adapted knives forks, spoons and plates are provided to assist service users in maintaining their independence. Staff were observed supporting services who required assistance with meals in a caring, patient and dignified manner. Standards 13 and 14 were fully examined during the previous inspection and assessed as meeting minimum standards in August 2005. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 16 The home has a satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. EVIDENCE: The homes complaints procedure is comprehensive and detailed, informing all concerned of how to complaint could be made and the expected response. Both service users and their representatives have signed to confirm that the manager has informed them about the complaints procedure. Service users were keen to confirm that all staff were very approachable any issues were dealt with quickly. Standards 17 and 18 were fully examined during the previous inspection and assessed as meeting minimum standards in August 2005. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 19 and 25, 26 Some furniture and fittings at Yewtrees requires updating but the accommodation, for the most part, provides service users with a warm, comfortable, homely and clean place to live. Steps are taken to safeguard service users from harm. EVIDENCE: In the course of this unannounced inspection a tour of the communal and private areas of the home was undertaken. On entering the building the atmosphere was warm, comfortable and free from unpleasant odours. The gardens are fully accessible and well maintained, allowing easy access to service users. There are two sitting areas and a large dining room. The manager still plans to replace dining room furniture. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 16 The seating and flooring in the lounge area was clean and free from stains and unpleasant odours. The bathing areas were also clean and moving and handling equipment was available for use. While inspecting the bedrooms it was found that they were furnished to the service users specification, and the en-suite toilets areas were now free from unpleasant odours. Decoration and refurbishment of bedrooms and en-suite facilities has commenced. The programme of covering all radiators in order to reduce surface temperature also continues and it was observed that additional covers had been fitted since the last inspection. Standards 20,21,23 and 24 were fully examined during the previous inspection and assessed as meeting minimum standards in August 2006. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 Staff are well informed and clear about their responsibilities concerning all aspects of working in a residential home. Training and supervision is successful in enabling staff to perform to the best of their abilities, allowing for the safe and efficient running of the home and to promote high standard of care and support to service users. EVIDENCE: On the day of this inspection 2 care staff and the manager were supporting 15 service users. Ancillary staff namely one part time domestic and a part time cook were also on duty. The staff rota also indicated that there were experienced care assistants on duty in sufficient numbers at during the morning and other busy times. Certification confirmed that the majority of staff have completed National Vocational Qualification (NVQ) level 2 award in care, and many have commenced level 3. The cook and manager have recently completed NVQ level 1 in hospitality and catering. ‘Induction into care’ training is provided through Learn Direct. Staff training has included prevention of adult abuse; Foundation in food hygiene; certificate in essential care practice; working in care and administration of medication. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 18 The manager is actively involved with the local authority’s’ training unit as a means of accessing up-to-date and relevant courses for staff at Yew Trees. Standards 28 and 29 were fully examined during the previous inspection and assessed as meeting minimum standards in August 2005. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 The quality assurance system in Yewtrees is not fully developed, therefore service users and others involved in the home are not given opportunity to comment on the quality of the service and facilities provided at Yewtrees. The home is able to fully account for service users money and prove that valuables are stored safely. EVIDENCE: The development of a quality assurance system is ongoing and will present service user, relatives, staff and others who have dealings with the home with the opportunity to comment about the standard of care and facilities provided at Yewtrees. The manager was able to demonstrate through account records that, service users money was readily accounted for and that large quantities of cash or valuables are not kept in the home. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 20 Standards 31, 32, 34, 36 37 and 38 were fully examined during the previous inspection and assessed as meeting minimum standards in August 2005. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 X X X X X 3 3 STAFFING Standard No Score 27 4 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 2 x 3 x x x Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 22 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 OP25 Regulation 13(4) Requirement The registered person must ensure that all radiators are covered to prevent accidental burning. The registered person must develop a system of monitoring the quality of care in the home that takes into account the opinion of service users, their representatives, staff and other interested parties. Timescale for action 01/08/06 2 OP33 24 01/08/06 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 OP1 Good Practice Recommendations The roistered person should include the training achievements of staff in the service user guide. Yew Trees DS0000005548.V278117.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs 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 DS0000005548.V278117.R01.S.doc Version 5.1 Page 24 - 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!