Care Home: Cherry Tree Lodge 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 People who live at the service make their own decisions when they are able to do this. The staff try very hard to involve people in decisions about their lives and care. Regular service user meetings are held to allow people to express their views on care. People have been asked to say what they want and expect from staff, and their comments have been written down in a poster for staff to see. We think this is a good idea and useful for the staff so they know how to help people who live at the service. People`s views are written down in their care plans which have lots of pictures in the plans so people understand what they are agreeing to. The manager thinks about whether people can be involved in key decisions in their lives, this is called an assessment of capacity. The manager also checks that decisions are in people`s best interests when they can`t make their own decisions. Some people who live at the service have help from a person called an advocate who helps them tell others what they want to happen. People who live at the home told us they make their own decisions, they told us, "I do what I want, sometimes the staff help me decide." The risks people face are written down, these documents (called risk assessments) have lots of information about what staff need to look out for in how people act, or in what they say which might show they are getting angry. They also tell staff what they can do to help people, and what they must do to keep people safe from harm. We found these documents are kept up to date and changed when needed. We found that people who need help to make sure they don`t get angry and hurt themselves or other people have information in their rooms in words and pictures to help them understand what they can do to calm down. One person told us, "I like it here but sometimes I get angry with the staff. I have to stop it. When I get mad I come to my room and listen to my music." Staff we spoke with know what can make this person angry and they know what it says in the care plan, so they feel they know how to help. "I find the behaviour support plans are very impressive as what is in there seems to work. Staff do follow the care plans and risk assessments." People are doing lots of different things, usually alone or with one or two others and staff. This week, the records show different people have been out to local cafes, out to the pub, to visit family, out for walks, to work at a local farm, to local churches and out to day services. People we spoke with told us, "I go to Church and I like to watch my television, I don`t like to go out." Another told us, "I like going out, for a walk, to the pub, to the shops. I go and shop for my clothes in town with the staff. I like being out, I go out a lot." People`s care plans show that the manager looks at the reasons people fall and she asks other people such as the Doctor or consultants at the Hospital to see people and make sure people are in good health. We saw in one case she has also asked a physiotherapist to work with the person to make them stronger through exercises. People are given information about how they can complain on a poster which is displayedin the home, this poster uses pictures as well as words so that everyone can understand. We saw that every relative has been sent an up to date copy of the complaints procedure which tells them how to raise any concern. We looked at the record of complaints. There has only been one recorded and the records show the manager looked into the concern to make sure it doesn`t happen again. People who live at the home told us they know they can complain, they told us, "if I was worried I would talk to (named member of staff) I think they would sort it out." There are good systems in place to make sure staff are kept up to date with all of the information about people living at the home. Staff we spoke with told us, "we make sure staff are kept informed of any changes or of any professional visits. We had a recent meeting with the Clinical Psychologist and Community Nurse. The whole staff team were there and we discussed ways of managing behaviour to make sure we are being consistent. We make sure staff know about any interaction with professionals by using communication books and verbal handovers. I feel communication systems work well here." The owners have got a Deputy Manager working at the home. The manager told us this has made things much better as the jobs can now be shared with another person. We spoke to the Deputy Manager who said, "my role is to support the manager, to lead shifts and to make sure the home runs smoothly in her absence. I think my presence is really helping the manager a lot as she used to do everything. There is more structure now, and the staff have a better awareness of who to approach for a decision or for help. It`s also better for new starters." Another member of staff agreed, "I think before we used to worry about who to go to with concerns, so we used to go to the manager, even if she wasn`t here. The Deputy is doing well and is always there to give advice and help us. I think the managers are good at giving us information." What the care home could do better: We looked at the care plans to see if they said anything about helping people learn to become more independent in case they want to move into supported living. Although the care plans are very good, they don`t tell us anything about whether people do their own cooking, shopping, laundry or whether they help keep the home tidy. However, the staff we spoke with told us that people do help around the home a lot, they said, "some people do their own laundry and a couple like cooking, some go out shopping with us." We saw people going out to do the shopping with staff during our visit. Random inspection report Care homes for adults (18-65 years) Name: Address: Cherry Tree Lodge Care Home 34-36 Holme Road West Bridgford Nottingham NG2 5AA two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Linda Hirst Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Cherry Tree Lodge Care Home 34-36 Holme Road West Bridgford Nottingham NG2 5AA 01159143499 01159143499 mgbcareservices@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Beata Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : MGB Care Services Limited care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 12 Cherry Tree Lodge provides a service for up to twelve people who have learning disabilities. It is located in a residential suburb of Nottingham. It is within walking distance of local shops, transport links and other amenities within the city. The home comprises two semi-detached three-storey houses which have been linked together internally. Peoples bedrooms are on the ground and first floor. There are lots of internal stairs but no vertical lift, so any person who has restricted mobility would have difficulty accessing the upper floors of the care home. There is some on street parking at the front, with a good-sized enclosed garden to the rear of the property. The fees range from £551.41 to £828 per week, dependent on the level of care needs. Information for prospective residents is available within the Service User Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home Guide and previous inspection reports, kept in the managers office and the current Certificate of Registration is displayed in the foyer of the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We did this inspection as part of the work we have remaining under the Care Standards Act 2000 before we use the new Law, the Health and Social Care Act 2008 which will mean we work with services in different ways. This service was given a 2* good rating in 2007. It could not be given a 3* rating at the time as the manager was not yet registered. We have not received any information about the service through complaints, safeguarding or from other agencies such as the Local Authority or the Primary Care Trusts which gives us any cause for concern. However, when we did our last Annual Service Review concerns were raised and we looked at these areas during this visit to make sure people are getting the help they need to meet their needs and enjoy their life. We looked at how people who live at the service are helped to make decisions about their lives and care. We looked at how the manager looks at the risks people face, how to help people with these and whether she writes down enough information so that the staff know what to do if someone needs help to keep them or other people safe. We looked at activities and how people are helped to become independent as we have had some people say this might be a problem at the home. We looked at the care plans to see if they said anything about helping people learn to become more independent in case they want to move into supported living. We looked at what the staff do if people have lots of falls to make sure they try and keep them safe. We looked at the record of complaints to make sure people know how to complain and that they get information they can understand to tell them how to do this. We looked at whether there are enough staff on duty to make sure people can do the things they enjoy. We looked at how staff communicate with each other and how the managers make sure they are kept up to date with changes to their needs and advice from professionals on how to help them. We also looked at whether staff rely too much on the manager to make decisions and what is in place to make sure people can speak to a manager when they need to. The result of this visit to the home is that we remain confident that the quality rating we gave this service is right, in fact the improvements to the service mean it has got better. The service is very well managed, and it provides a good, reliable service and a high standard of care to the people living there. Care Homes for Adults (18-65 years) Page 4 of 9 No requirements or recommendations were set after our last inspection and we have not identified any risks from this inspection, we have not set any new requirements or recommendations. What the care home does well: People who live at the service make their own decisions when they are able to do this. The staff try very hard to involve people in decisions about their lives and care. Regular service user meetings are held to allow people to express their views on care. People have been asked to say what they want and expect from staff, and their comments have been written down in a poster for staff to see. We think this is a good idea and useful for the staff so they know how to help people who live at the service. Peoples views are written down in their care plans which have lots of pictures in the plans so people understand what they are agreeing to. The manager thinks about whether people can be involved in key decisions in their lives, this is called an assessment of capacity. The manager also checks that decisions are in peoples best interests when they cant make their own decisions. Some people who live at the service have help from a person called an advocate who helps them tell others what they want to happen. People who live at the home told us they make their own decisions, they told us, I do what I want, sometimes the staff help me decide. The risks people face are written down, these documents (called risk assessments) have lots of information about what staff need to look out for in how people act, or in what they say which might show they are getting angry. They also tell staff what they can do to help people, and what they must do to keep people safe from harm. We found these documents are kept up to date and changed when needed. We found that people who need help to make sure they dont get angry and hurt themselves or other people have information in their rooms in words and pictures to help them understand what they can do to calm down. One person told us, I like it here but sometimes I get angry with the staff. I have to stop it. When I get mad I come to my room and listen to my music. Staff we spoke with know what can make this person angry and they know what it says in the care plan, so they feel they know how to help. I find the behaviour support plans are very impressive as what is in there seems to work. Staff do follow the care plans and risk assessments. People are doing lots of different things, usually alone or with one or two others and staff. This week, the records show different people have been out to local cafes, out to the pub, to visit family, out for walks, to work at a local farm, to local churches and out to day services. People we spoke with told us, I go to Church and I like to watch my television, I dont like to go out. Another told us, I like going out, for a walk, to the pub, to the shops. I go and shop for my clothes in town with the staff. I like being out, I go out a lot. Peoples care plans show that the manager looks at the reasons people fall and she asks other people such as the Doctor or consultants at the Hospital to see people and make sure people are in good health. We saw in one case she has also asked a physiotherapist to work with the person to make them stronger through exercises. People are given information about how they can complain on a poster which is displayed Care Homes for Adults (18-65 years) Page 5 of 9 in the home, this poster uses pictures as well as words so that everyone can understand. We saw that every relative has been sent an up to date copy of the complaints procedure which tells them how to raise any concern. We looked at the record of complaints. There has only been one recorded and the records show the manager looked into the concern to make sure it doesnt happen again. People who live at the home told us they know they can complain, they told us, if I was worried I would talk to (named member of staff) I think they would sort it out. There are good systems in place to make sure staff are kept up to date with all of the information about people living at the home. Staff we spoke with told us, we make sure staff are kept informed of any changes or of any professional visits. We had a recent meeting with the Clinical Psychologist and Community Nurse. The whole staff team were there and we discussed ways of managing behaviour to make sure we are being consistent. We make sure staff know about any interaction with professionals by using communication books and verbal handovers. I feel communication systems work well here. The owners have got a Deputy Manager working at the home. The manager told us this has made things much better as the jobs can now be shared with another person. We spoke to the Deputy Manager who said, my role is to support the manager, to lead shifts and to make sure the home runs smoothly in her absence. I think my presence is really helping the manager a lot as she used to do everything. There is more structure now, and the staff have a better awareness of who to approach for a decision or for help. Its also better for new starters. Another member of staff agreed, I think before we used to worry about who to go to with concerns, so we used to go to the manager, even if she wasnt here. The Deputy is doing well and is always there to give advice and help us. I think the managers are good at giving us information. 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!