Care Home: Cherry House

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What the care home does well Cherry House provides a homely environment for the people who live there. People told us they are happy, saying that they chose to live here. Other comments included `I have all I need in my room`, `I go out and do things I want to`, `staff listen and help` and `I know how to complain but have no need`. We saw records are up to date, care plans are person centred and people access the community and do things they want to do. Staff said they feel supported and receive the training the need to do their job. What has improved since the last inspection? The bathroom has been refurbished, providing better facilities for the people who live there. Staff have completed training in the Mental Capacity Act, ensuring they have up to date knowledge to help them carry out their job. A monthly visit has been completed by a representative from the organisation to check on the quality of the services provided. What the care home could do better: To ensure the service is right for people who move in, sufficient pre-admission information must be available, so staff can meet individuals needs. All staff must complete training in the protection of vulnerable adults, to ensure they are aware of their responsibilities. People who use the service should continue to be fully consulted about the plans for the future. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cherry House 3 Draycot Road Surbiton Surrey KT6 7BL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Emma Dove     Date: 1 2 0 8 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 23 Information about the care home Name of care home: Address: Cherry House 3 Draycot Road Surbiton Surrey KT6 7BL 02083905750 02082871950 richard@maplelodge.charitydays.co.uk www.thefircrofttrust Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Fircroft Trust care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Cherry House provides accommodation for three adults who have a learning disability. It is owned and managed by the Fircroft Trust, a charitable organisation providing residential and day care services. The organisation currently provides registered residential care in three small homes in Surbiton. A Registered Manager oversees all of the homes with a House Leader based at Cherry House who has main responsibility for the day-to-day running of the home. There is a strong network of support and friendship amongst people who use the services. Care Homes for Adults (18-65 years) Page 4 of 23 Over 65 0 3 Brief description of the care home Fees charged are £592.27 per week. More detailed information about the services provided at Cherry House can be found in the homes Statement of Purpose and Service User Guide, available at the home. Care Homes for Adults (18-65 years) Page 5 of 23 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: two star good 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: This unannounced inspection was carried out over two and a half hours on the 12th August 2009 by one regulation inspector. We spoke with people who use the service, staff and looked at records. We received an annual quality assurance assessment (AQAA) from the manager when we asked for it. This gave us good information about the service, what it does well and areas that will be developed over the next year. We also looked at other information received from the service since the last inspection in September 2007. Care Homes for Adults (18-65 years) Page 6 of 23 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 set out 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 23 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 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service understands the importance of having sufficient information when choosing a care home. Admissions are usually only made after a detailed assessment of need has been completed, to ensure the service is appropriate for the individual. Evidence: The manager told us they have good information available for people who use the service. We saw a Statement of Purpose and Service Users Guide, accessible to people who use the service. These documents describe the care and support provided, services offered and information about the organisation. People who use the service said they had chosen to move in and knew about the home and services provided. One person told us they did not have an opportunity to visit the home before moving in, although this wasnt seen as an issue. The manager said the service completes a detailed needs assessment, to ensure the individuals needs can be met and holds a review after ninety days of placement. We saw very brief, incomplete pre admission assessment information for one person, with no evidence of a review for the person. Detailed assessment information was in place Care Homes for Adults (18-65 years) Page 9 of 23 Evidence: for two other people who use the service. Care Homes for Adults (18-65 years) Page 10 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are involved in developing and reviewing their care and support plans and in making decisions that affect their future. Care plans are person centred and risk assessments are in place. Evidence: We saw case files contain person centred care plans, detailing the individuals needs and preferences. People told us they make choices and do what they want. The service operates a key work system. People who use the service are aware who their key worker is. People told us they see their key worker regularly, to discuss the care and support they need. People told us staff provide the support they need. Staff demonstrated good knowledge of the needs of the people who use the service. We saw risk assessments taking into account a balance between safety and allowing Care Homes for Adults (18-65 years) Page 11 of 23 Evidence: people to live fulfilling lives. People told us they feel safe. Care Homes for Adults (18-65 years) Page 12 of 23 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. The service is committed to enabling people who use the service to maintain and develop their social and independent living skills. People are supported to maintain important family relationships. People take part in activities of their choice. People are offered a varied menu to meet their health and medical dietary needs. Evidence: People told us they go out to different day centres, depending on their needs or choices and take part in a few regular social groups. People told us they enjoy going out for meals, seeing their friends, going to football, bowling and to the cinema. People told us they are able to have visitors and go out to see friends and family. We saw people have visitors. Staff said they support the people who use the service to cook meals. People told us Care Homes for Adults (18-65 years) Page 13 of 23 Evidence: they make drinks and snacks and confirmed that staff support them with cooking main meals. People made positive comments about the food, saying they get enough and eat what they like. Care Homes for Adults (18-65 years) Page 14 of 23 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. People receive appropriate support with personal and health care. Peoples health care needs are well met. Medication is well managed. Evidence: We saw case files contain important health and medical information, ensuring staff provide the right support. We saw records of health appointments and any actions staff need to take. Staff said they have good communication systems in place to pass on changes in individuals health needs. Medication is appropriately stored and records are up to date and signed by staff. Good systems are in place to check medication has been administered. Care Homes for Adults (18-65 years) Page 15 of 23 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. The service has developed a clear accessible complaints procedure. Appropriate policies are in place for the protection of vulnerable adults. Evidence: We saw an accessible complaints policy. People who use the service said they are aware of how to make a complaint and would speak with staff, the manager or family members if they had any worries. One person raised an issue which was discussed with staff and the individual and is not seen to be a complaint. No complaints have been received at the home or by the Commission since the last inspection in September 2007. The service uses the local authorities safeguarding policy. Staff have not completed training in the protection of vulnerable adults and this should be completed to ensure they are aware of their responsibilities and actions they should take if concerned. Care Homes for Adults (18-65 years) Page 16 of 23 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. The home is appropriate to meet the needs of the people who live there. People have their own bedrooms, which they decorate to their taste. The home is well maintained and kept at a good standard. Evidence: People have access to a lounge and dining room with doors to the garden with one single bedroom on the ground floor. Two bedrooms, a bathroom with toilet and a small staff room are on the first floor. People told us I like my room and I have all I need in my room. There are sufficient bathrooms and toilets with people having a choice between a bath and a shower. All areas were clean and fresh. Care Homes for Adults (18-65 years) Page 17 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the staff who support them. Staff levels are sufficient to meet peoples needs. Staff recruitment is in line with regulations to keep people safe. Staff have access to training and have regular supervision and support. Evidence: People told us there are enough staff to help and support them. We saw enough staff to meet peoples needs with one member of staff on duty during the day and asleep but on call at the home at night. Staff said there are enough staff to meet peoples needs. The Organisation has appropriate recruitment procedures with Criminal Records Bureau checks and references taken up before new staff start work. Staff confirmed that they had had the appropriate checks. Staff recruitment records are kept at the Organisations head office with records of checks completed kept at the home where the manager is based. These files were not seen at this visit but had been viewed and found to meet the standards in June 2009. Staff said they have access to training to help them carry out their role. Staff told us they see the manager every week to keep him up to date with the needs of the people who use the service and every month for their supervision. Care Homes for Adults (18-65 years) Page 18 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the experience needed to run the home. The service is run in the best interests of the people who live there. The annual quality assurance assessment included clear information about what the service does well, with evidence to confirm this. Health and safety is well managed with records up to date. Evidence: The registered manager is based at another home run by the organisation which is a short drive away. There is a house leader, in day to day charge of the home, who has been at the home for two years and with the organisation for four years The service has a development plan which is being worked through. Systems are in place to monitor the quality of the services provided. A representative from the organisation visits every month and speaks with people who use the service and staff and checks some records. Staff told us they have regular meetings with the people who use the service, to ensure their views are known and can be taken into account. People told us they have Care Homes for Adults (18-65 years) Page 19 of 23 Evidence: regular meetings, they feel listened to and they are involved in what happens at the home. The manager told us that health and safety checks have been completed at the appropriate times. We saw records confirming the gas safety and portable electrical appliances have been tested every year and the electrical supply was tested four years ago. Care Homes for Adults (18-65 years) Page 20 of 23 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 21 of 23 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 23 13 All staff must complete training in the protection of vulnerable adults. This training will ensure staff are aware of their responsibilities and know who to refer issues and concerns to. 30/10/2009 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 1 2 Detailed assessments should be available at the home to ensure staff have access to information to provide appropriate care and support. Care Homes for Adults (18-65 years) Page 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 23 of 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. 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