Care Home: Cherre Residential Care Home

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well Support plans tell staff how people like their needs to be met. People can make choices about what they do during the day. People are given a chance to say what they think about living at Cherre Residential Home. People do lots of activities and go on holiday. The people who live and work at the home get on well together. What has improved since the last inspection? We didn`t ask for any improvements at the last inspection. What the care home could do better: The service needs some additional storage for controlled medication. Key inspection report Care homes for adults (18-65 years) Name: Address: Cherre Residential Care Home 2 Daneshill Road Leicester LE3 6AL     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ruth Wood     Date: 2 9 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Cherre Residential Care Home 2 Daneshill Road Leicester LE3 6AL 01162517567 F/P01162517567 crc.ltd@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Cherre Residential Care Ltd care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Cherre Residential Home is in is a residential area close to Leicester. There is a regular bus service to Leicester. There are shops, banks, cafes and pubs near to the home. You can live at Cherre Residential Home if you have a learning disability. 14 people can live at the home. There are 8 single and 3 double bedrooms, two lounges, and a dining area. There is a large paved garden area to the side of the house. People pay various amounts of money to live at the home, depending on how much support they need. Inspection reports are available at the home, or can be accessed via the CQC website: www.cqc.org.uk. Further information about the home is available from the Registered Manager and in the Service Users Guide 14 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 26 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: three star excellent 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: Before we visited Cherre Residential Home we looked at information sent to us about what has happened at the home since we last visited on 23rd August 2007. We visited Cherre Residential Home on 29th September 2009. We arrived at 11am in the morning and left at 5:30pm in the afternoon. We looked at some of the rooms in the home. We spoke to 4 people who live at Cherre Residential Home. 7 people were not at the home - they were on holiday in Ibiza. We watched how staff spoke to the people living at Cherre Residential Home. We looked at 3 peoples support plans. Care Homes for Adults (18-65 years) Page 5 of 26 We spoke to staff about how they support people. We spoke to staff about the training they did. We looked at staff records. These told us about the checks done to make sure staff have the right skills and are safe to work in the home. We spoke to 3 nurses who were visiting the home. They told us how the staff support people who live there. Care Homes for Adults (18-65 years) Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 26 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 8 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are fully assessed prior to admission to ensure the home is suitable for them. The service user guide provides a user-friendly introduction to life in the home. Evidence: People living in the home have put together a user friendly service users guide telling people what it is like to live there. This includes photographs and information about the kinds of activities that people are involved in. This information should help people considering living in the home to make an informed decision. No new people have come to live at Cherre Residential Home since the previous key inspection. The service outlined the comprehensive assessment procedures in place in its Annual Quality Assurance Assessment. The service requests assessments from health and social care professionals and liaises with all professionals and carers involved in the persons care. The service conducts its own assessment of need and assesses the new persons compatibility with people already living in the home. People are encouraged to visit the home several times and staff from the home visit them in their existing settings. Care Homes for Adults (18-65 years) Page 9 of 26 Evidence: We looked at the assessments of three people living in the home. Initial information had been gathered from a variety of professionals and updates had been made to the assessments when peoples needs had changed. Care Homes for Adults (18-65 years) Page 10 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed support plans help staff to identify and meet peoples needs. People are encouraged to make choices about all aspects of their lives. Evidence: We looked at the way three people living in the home are supported. We looked at their support plans and spoke to two of the people about what it was like to live at Cherre Residential Home. We spoke to staff members about how they met peoples needs and to visiting health professionals about their impressions of the support people receive. All three peoples support plans gave detailed guidance about how peoples needs should be met and how particular risks should be assessed and managed. Staff spoken with displayed a very good understanding of peoples needs and regularly review their practice with people. Health care professionals spoke very positively about the support that staff give people and how they work with them; Im very happy with the way staff follow guidance and notify us or seek guidance if they are unsure. Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: Each person has a keyworker who they meet with regularly to discuss what activities they would like to do or if there are any specific goals they would like to achieve. Each person has an individual programme of activities. Care Homes for Adults (18-65 years) Page 12 of 26 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. Daily living and social activities enable people to lead full lives Evidence: On the day of the inspection, seven people who live at Cherre were on Holiday in Ibiza with six staff members. All people living at Cherre are given the opportunity to go on an annual holiday. One person showed us photographs of previous holidays and spoke to us about the kinds of places they had been while living at the home. People living at the home have formed a working party to look at ways of extending the opportunities for activities and have obtained a nearby building, which they hope to turn into a community resource centre, not only for people living at Cherre but for anyone in the community who may wish to use it. At present people are engaged in a variety of activities, some supported by staff. Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: These include further education courses, formal day services for people with learning disabilities and art clubs. Each person has an individual activities programme and this includes activities such as swimming, bowling and going out for meals. People are encouraged and supported to maintain contact with their families by telephone and in person and the home has a number of social events to which families and friends are invited. Peoples likes and dislikes in relation to food are outlined in their support plans and there is a good choice of food available. One person living in the home has put together information about healthy eating which is displayed on the notice board. Care Homes for Adults (18-65 years) Page 14 of 26 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. Peoples personal and health care needs are met Evidence: Peoples personal care needs and how they should be met are outlined in their support plans. Keyworkers ensure that people living in the home are able to take a pride in their appearance and have the necessary toiletries etc. to do so. Each person has a health action plan and the registered manager and one of the senior staff members also work as trainers in this area. A community health care assistant was working with one person on the day of inspection to update their health action plan. Visiting health care workers spoke very positively about how the service met peoples health care needs and said that they had delivered specific training to staff in relation to epilepsy. People have access to dentists, opticians and chiropodists and specialised health professionals such as psychologists if needed. Additional storage needs to be put in place for controlled medication because of Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: changes to regulations relating to the Misuse of Drugs. This should be a metal cupboard of specified gauge with a specified double locking mechanism. It should be fixed to a solid wall or a wall that has a steel plate mounted behind it with Rawl or Rag bolts. Information about medication that people take as required is outlined in their support plans. The registered manager agreed to place a copy of this with the Medication Administration Record so that the information is readily available to staff when they are administering the medication. Care Homes for Adults (18-65 years) Page 16 of 26 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. Policy and practice in the home makes sure that people are protected and that their concerns are listened to. Evidence: We discussed safeguarding policy and practice in the home with the registered manager. People living in the home have received training about how to keep themselves safe and how to report any concerns. The people we spoke to were very clear about what to do if they were not happy with anything. If allegations are made against support staff then that staff member is suspended immediately until a thorough investigation has been completed. If the investigation involves the police, this proces can take a considerable amount of time. This naturally has implications for the management and staffing of the home and the ability of the person who has made the allegation to recall events. The registered manager said that she would discuss this with the safeguarding board to see if the response of outside agencies could be made more timely. All staff receive regular training in safeguarding vulnerable adults and those spoken with displayed a very good understanding of their responsibilities in this area. Staff also receive regular training in Non Abusive Psychological and Physical Intervention (NAPPI) which helps them to actively manage peoples behaviour, some of which can be challenging. One of the Directors of the company is a registered NAPPI trainer, which allows for training to be updated regularly and intensively, if required. Staff Care Homes for Adults (18-65 years) Page 17 of 26 Evidence: were observed using diversion techniques to divert peoples behaviour if it was felt they were becoming challenging and discussing the effectiveness of such interventions at their hand over. People living in the home have put together a user friendly whistleblowing and complaints policy which explains in simple terms how people should make their concerns known. We suggested that the whistleblowing policy for staff should make reference to the Public Interest Disclosure Act and to the Charity Public Concern at Work which supports staff who make disclosures of bad practice in good faith. We looked at arrangements in place for managing peoples monies. All transactions are recorded and receipts numbered to correspond with the entry in the cash book. The balance of peoples monies is checked at the end of each shift. Care Homes for Adults (18-65 years) Page 18 of 26 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. People live in a clean and comfortable environment that meets their needs. Evidence: We looked at some peoples rooms and all the communal areas of the home. Peoples rooms are individually decorated and reflect their interests and personalities. The lounge and dining room are to be re-decorated and people living in the home said that they had been involved in selecting the colour scheme. Staff members have received training in infection control and the home was fresh and clean. A visit by the Environmental Health Officer earlier in the year said that there were good standards of food hygiene in the home. Care Homes for Adults (18-65 years) Page 19 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are effectively met by friendly, professional, appropriately trained staff. Evidence: Several people living in the home need intensive staff support and staffing levels observed during the inspection and by looking at duty rotas indicate that sufficient staff are allocated to meet peoples needs. We looked at three staffs recruitment records. All had in place evidence of identity, employment history, Criminal Records Bureau check and two written references. Their names had also been checked to make sure they did not appear on the Protection of Vulnerable Adults Register. People living in the home have put together a list of questions for prospective staff members and some people get involved in interviewing new staff. Staff undertake National Vocational Qualifications at level 2, 3 and 4 and have received specific training in areas such as working with people with autism, epilepsy awareness, and working with people with challenging behaviour. Health care professionals visiting the home said that, staff are keen to listen and seemed genuinely interested. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: Staff discuss their practice with each other during hand over and review the effectiveness of their interventions and the way they can actively put ideas learned in training in to place. Staff also receive regular supervision from the registered manager who is looking at ways of involving people living in the home in this process. Care Homes for Adults (18-65 years) Page 21 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there. Evidence: The registered manager holds qualifications in care and management and is also a person centred planning trainer. Good systems are in place to enable people who live and work at the home to contribute to how it is run and how the service develops. Regular resident and staff meetings are held and a residents forum has been established to look at ways that the service can develop. People living in the home are also involved in recruitment and developing easy-read policies and procedures. Peoples views on the home are sought formally through Quality Assurance Questionnaires and people living in the home are involved in collating this information and producing the Quality Report. The registered manager is currently updating the fire risk assessment and has Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: obtained a suitable alarm for a person with a hearing impairment. Fire equipment and systems are regularly inspected and maintained. Risk assessments are in place for all working practices in the home and staff have received training in health and safety, fire safety, first aid and food hygiene. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 1 20 13 Secure storage must be put in place for controlled drugs to meet the requirements of the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007 To comply with changes to Regulation 31/01/2010 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 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!