Inspection on 06/12/05 for Yew Trees

This inspection was carried out on 6th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Yew Trees 22/09/06

Yew Trees 01/07/05

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 Inspection 6th December 2005 09:30 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 DS0000005587.V265455.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 DS0000005587.V265455.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Yew Trees Address Yew Trees Lane Dukinfield Tameside SK16 5BJ 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) 0161 338 3053 0161 303 0072 yewtrees@tamesidecare.co,uk Tameside Care Limited Susan Chadwick Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (40), Sensory Impairment over 65 years of age (2) Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include up to 40 (OP); up to 40 (DE) (E); up to 2 (SI) (E) and up to 40 (PD) (E) 1st July 2005 Date of last inspection 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 disability. 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 adjacent home. Car parking is the front of the building. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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. This was an unannounced inspection carried out over three and a half hours. The purpose of the inspection was to ascertain the resident’s quality of life and check compliance with requirements made at the previous inspection (June 2005) The inspection process included a tour of the building, observation of staff practice and discussion with the manager. Some residents also assisted with their comments. What the service does well: What has improved since the last inspection? The residents are now able to see and make a choice from the menu board. All the staff have now received appropriate training in the protection of vulnerable adults. The NVQ ration has increased to 71 . Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 6 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 DS0000005587.V265455.R01.S.doc Version 5.0 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 DS0000005587.V265455.R01.S.doc Version 5.0 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): 3 Standard 3 was inspected at the previous unannounced inspection (June 2005) when it was judged to meet fully with the standard. Standard 6, intermediate care is not provided at Yew Trees. EVIDENCE: Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9 & 10 Standards 7; 8; 9 and 10 were inspected at the previous unannounced inspection (June 2005) when they were judged to meet fully with the standard. EVIDENCE: Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 10 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, 13 & 15 The residents can participate in a programme of daily stimulation and meaningful activities. The staff supports relatives who are encouraged to remain in close contact. Standard 14 was inspected at the previous inspection when it was judged to meet fully with the standard. EVIDENCE: Two activities organisers provide a programme of stimulation and meaningful activities for the residents over seven days each week. Photographic evidence is maintained in the main hallway and also in an album. Christmas decorations, card and calendars were in the process of being made and were particularly impressive. An armchair aerobics session was also observed during the inspection. This is a regular feature and is carried out by an external trainer. Families are very much encouraged to remain in contact with the residents and are supported by the staff particularly during the early days of admission. Meals and light refreshments are offered and some partners visit each day to assist their relative with their meals. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 11 At the previous inspection it was noted that the residents were unable to remember what they had chosen for their next meal. This issue has now been addressed by the use of a wipe clean board located close to the dining areas. The meals for the day had been written in large print and accurately reflected the content of the menu. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 12 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): 18 The residents are protected from all forms of abuse through the staff training. Standard 16 was inspected at the previous inspection where it was judged to meet fully with the standard. EVIDENCE: It was noted at the last inspection that the staff had not received formal training in the protection of vulnerable adults although they demonstrated intuitive awareness of the forms of abuse. The training has now been carried out for all staff. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 13 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, 20, 24 & 26 Yew Trees is a well maintained and safe home with a good standard of accommodation. EVIDENCE: During a tour of the building it was noted that it was free from hazards although there was an odour of stale urine in an area on the first floor. A member of the housekeeping team immediately addressed this issue. The resident’s bedrooms were nicely personalised with pictures, photographs and ornaments. All the bedrooms are fully accessible to the occupants. There is a landscaped garden in the centre of the building that provides a secure fully accessible area for the residents and their visitors to use in the better weather. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 14 It is understood there are plans for the company to upgrade the decoration, furniture and fittings in the New Year. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 15 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): 28 The people who live at Yew Trees receive care from well-trained staff. Standards 27, 29 and 30 were inspected at the previous inspection where they were judged to meet fully with the standard. EVIDENCE: At the last inspection in June 2005 it was reported that the ratio of carers with an NVQ at level 2 was 62 . This number has now increased to 71 , which is considered to be a very good record. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 16 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): 31 The manager is experienced and has leadership qualities. Standards 33, 35 and 38 were inspected at the previous inspection where they were judged to meet fully with the standard. EVIDENCE: The manager has adopted an open management style. She is experienced and knowledgeable and is working towards the NVQ level 4, registered managers award. Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 17 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Yew Trees DS0000005587.V265455.R01.S.doc Version 5.0 Page 19 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. 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