Care Home: Cherry Trees

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• Pennine Camphill
• Muston Road (70)
• Grayling
• The Cornerstone
• John Street Nursing Home

What the care home does well Supporting people to maintain their individuality is central to the home`s ethos and approach. Everyone`s differences are understood and valued and the people are helped and encouraged to understand and get along with everyone else. One health and social care professional said the people who use the service seem to enjoy their visits and `...are happy with the support provided by Cherry Trees.` One member of staff said `Everything is geared up to make it as nice as possible eg food, outings (when possible) and there are plenty of indoor activities to do.` Everyone said that staff listen to them, and act on what they say. One member of staff said they felt that the home `Promotes independance, the right to have choices, respects their privacy and dignity.` There is good and friendly interaction between the people who stay at the home and the staff. The staff on duty try to make sure they have time to spend with people in conversation, as well as offering people support to take part in individual and group activities and outings. The home`s recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home All the staff said they enjoy working at Cherry Trees and felt they were well supported by their manager. They said the training is good and helps them to do their job well. More than half of the support staff have achieved a National Vocational Qualification (NVQ) at level 2 or 3. One staff member said that the `Staff team work well together and (are) always willing to help each other.` The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is well planned, spacious and clean and everyone we spoke to said that the home is always kept fresh and clean. What has improved since the last inspection? This section is not applicable as this was the first inspection of this new service. What the care home could do better: The home`s management should look at the staffing levels carefully, to make sure there are enough staff on duty to meet the social needs of the people who stay at the home. One staff member said that Cherry Trees `...really tries to meet the needs of all service users, but sometimes there are not enough staff.` This reflects the comments made by most of the staff and some of the people who go to stay at the home. Key inspection report Care homes for adults (18-65 years) Name: Address: Cherry Trees Cherry Tree Court Field Way Shepley Huddersfield W Yorkshire HD8 8DQ     The quality rating for this care home is:   two star good 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: Liz Cuddington     Date: 0 9 1 0 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 30 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 30 Information about the care home Name of care home: Address: Cherry Trees Cherry Tree Court Field Way Shepley Huddersfield W Yorkshire HD8 8DQ 01484222703 01484222704 gill.pearce@kirklees.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Kirklees Council (Adult Services) Name of registered manager (if applicable) Ms Gillian Pearce Type of registration: Number of places registered: care home 8 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: 8 The registered person may provide the following category of service only:Code PC, to service users of the following gender:either, whose primary care needs on admission to the home are within the following categories: Learning disabilities:LD Date of last inspection Brief description of the care home Cherry Trees is a respite care home for adults with a learning disability. Most people who choose to stay at the home will go for regular breaks throughout the year. The home is owned and managed by Kirklees Local Authority. It is a new, spacious, purpose built house with all the rooms on the ground floor. There are eight single bedrooms, all with their own en suite shower room. Four of the rooms Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 8 Brief description of the care home have ceiling tracking, for use where a hoist is needed to assist people to transfer. There is also a separate adapted bathroom. There is a large, comfortable lounge, a dining room and a dining/kitchen which people use to make their own drinks and snacks if they wish. The house is surrounded by large gardens and seating areas. There is plenty of car parking and there are bus and train routes nearby. Care Homes for Adults (18-65 years) Page 5 of 30 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: The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are those agreed with the local authorities, who are responsible for funding the persons placement. This was the first inspection of this recently registered service. The purpose of this inspection was to assess the quality of the care and support received by the people Care Homes for Adults (18-65 years) Page 6 of 30 who go to stay at Cherry Trees. The visit to the home was carried out over one day by one inspector. The methods used to gather information included conversations with the people living at the home and the staff, as well as looking at care plans and examining other records. Before the inspection visit we received surveys from six people who use the service, six staff and two health and social care professionals. We also received the homes selfassessment questionnaire. These gave us a lot of useful information about the home and helped us plan the visit. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: The homes management should look at the staffing levels carefully, to make sure there are enough staff on duty to meet the social needs of the people who stay at the home. One staff member said that Cherry Trees ...really tries to meet the needs of all service users, but sometimes there are not enough staff. This reflects the comments made by most of the staff and some of the people who go to stay at the home. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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 10 of 30 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. Before people start to use the service, there is an assessment and introduction procedure, to make sure the home will be able to meet the individuals needs and the person is satisfied that they want to have respite stays at Cherry Trees. Evidence: When someone is considering going to stay at the home for regular breaks, they are given information to help them make a decision, including an illustrated Service Users Guide. People are also invited to visit the home as many times as they need and share a meal with people who are already staying there. People can also have overnight visits, if that would help them reach a decision. During these visits the staff make an assessment of how they can meet the persons needs and they will also gather information from other sources, such as the family and social care professionals, before reaching a decision. People choose to have regular respite breaks away from home for many different reasons, and these measures all give the person the opportunity to make an informed Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: decision as well as helping the home decide if they are able to meet the persons needs. This procedure, along with other professional assessments, helps the staff to start developing a suitable plan of care and support. Care Homes for Adults (18-65 years) Page 12 of 30 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. Peoples right to maintain their individuality is central to the ethos of the home. To maintain their autonomy and independence, staff support people to make choices and decisions about all aspects of their daily lives. People are involved in planning and agreeing the level of care and support they need and how this is to be provided. Evidence: Three individual care and support plans were looked at. They show that people are involved in developing and reviewing their plans. The plans reflect the individuals preferences and needs and clearly demonstrate the persons involvement in making all the decisions that affect them. Other people also contribute to the care plan review procedure, to make sure a full picture of the individual is obtained. These people could include the persons relatives, Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: the homes management, their social worker and someone from any other services he or she is involved with. If they wish, people are also involved in compiling their daily diary of events. The plans are up to date and reflect peoples individuality. They contain sufficient detail to guide staff and help them understand each person. Everyone is supported and encouraged to make their own choices about how they lead their lives, while staying at Cherry Trres. The support plans reflect this and show that people are supported to achieve their goals. The plans are updated frequently, to make sure they always reflect peoples choices and wishes. Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting peoples right to independence and freedom of choice. These assessments are reviewed regularly, along with the rest of the plan, and wherever possible the plans are signed by the person concerned or their representative, to confirm that they agree with them. The people we spoke with said the staff at Cherry Trees understand their needs and support them to live their own lives and maintain their individuality. All the evidence we saw clearly indicated that the homes staff support people to maintain their independence and improve the quality of their lives. The staff do all they can to promote peoples right to autonomy and everyone is treated as an individual. From talking to the people who were staying at the home when we visited and the staff, as well as reading the notes, it was clear that everyones personal choices are respected and supported. People are supported to meet their own cultural and spiritual needs. All the written information is securely stored and confidential information about people is only shared with those who need to know. Care Homes for Adults (18-65 years) Page 14 of 30 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. Where needed, people are supported to follow the activities they choose, to make sure their needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. Evidence: The care and support plans include information about each persons choice of recreational and leisure pursuits and their goals. The activities people follow depend upon what they want to do. Some people continue to take advantage of educational opportunities and other people still go out to work during their visits. Some people choose to carry on with their regular social and leisure activities. Other people treat their visits like a complete Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: holiday and have a break from their usual routines. People said they are supported to lead their lives in the way they choose. The staff are aware of peoples preferences and the home is run in the best interests of the people who go to stay there. The staff we spoke with had a good understanding of peoples needs and how each person likes to be supported. They understood the ethos of the home and the importance of respecting peoples right to self-determination and their right to be left in peace if they wish. It was clear that the staff understand how to support people to maintain their dignity and self respect. Individual choices about spiritual and cultural matters are reflected in the plans and the staff all know and understand each persons needs and preferences. The home employs a cook and other staff make the meals when the cook is off duty. People say what foods they would like and there are always alternatives to the menu. Special dietary requirements, such as diabetic diets or following a religion based diet, are understood and respected. For example, as well as buying Halal meat the home keeps separate cooking utensils for preparing Halal meals. There is a formal dining room next to the main kitchen as well as a second kitchen/dining room that people use to eat in and to make their own drinks and snacks. On the day of our visit the people who were staying at Cherry Trees invited us to share their evening meal. It was a very sociable occasion and everybody seemed to enjoy their dinner. The home tries to involve people in their local community by using local shops, pubs, public transport and other facilities. The home also has its own adapted minibus, so that everyone is able to go out and about. On the morning we visited, photographs from a recent football tournament were being mounted ready for display. We were told by one of the players that the event had been very enjoyable. There is a large garden surrounding the house and some people have asked for raised beds and a vegetable garden to be created, so that they can do some gardening during their stays. People also said they enjoy going out to social events and on day Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: trips to places of interest. Care Homes for Adults (18-65 years) Page 17 of 30 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 healthcare needs are met. People are protected by the homes medication systems. Evidence: Peoples health and wellbeing is observed and monitored, and any concerns are followed up with the family and relevant health or social care staff, where appropriate, and their advice is followed. The plans contain details about the individuals healthcare needs. Information in the plans, and conversations with staff, confirmed that peoples individual preferences are understood by everyone and are central to the care and support they are offered. Each plan is individual and reflects the persons choices for all aspects of their life. They plans are well set out and the way people prefer their care and support to be provided is clearly detailed. This makes sure that staff know exactly how each person likes to be supported and the routines they like to follow. The people we spoke with said that the home and the staff meet their needs. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The full support plan file is kept in a secure place. A separate folder with a brief overview of the persons support needs and their daily diary is kept in the persons room. The staff that administer medication have received suitable training. This helps to make sure that medicines are administered safely and that staff understand this area of their work. There were signatures on the Medicines Administration Record (MAR) charts to confirm that staff had administered the medicines according to the instructions. Some people prefer to look after their own medicines, while others like the staff to do this. All the medicines are brought into the home in their original packaging and the procedures for checking, storing and administrating medicines are safe and accurate. Where someone looks after their own medication, a separate risk assessment is carried out in order to minimise any unnecessary risks. Our observations during the inspection confirmed that the staff always respect peoples privacy and dignity. Their approach is open, friendly and supportive. Care Homes for Adults (18-65 years) Page 19 of 30 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 people who go to stay at the home said they are aware of how to raise a concern or make a complaint. Staff have received suitable training and understand the adult protection policies and procedures. Evidence: The staff training records showed that the majority of the staff have taken adult protection training. Conversations with the staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. They are expected to have read and understood the policies and procedures concerning adult protection. Staff said they understood about whistle blowing, handling complaints and safeguarding and had taken training in these areas of their work. People we spoke with, and people who completed our surveys, said they feel safe and know how to make a complaint or raise a concern if they need to. The evidence we Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: saw confirmed that accurate and detailed records are kept of any concerns or complaints and improvements are made as a result of complaints investigations. Care Homes for Adults (18-65 years) Page 21 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, clean, well planned and comfortable environment. Evidence: Cherry Trees is a purpose built single storey house designed to offer well planned, spacious accommodation for the people who use the service. All the private rooms have their own large, attractive shower rooms and four of the bedrooms have ceiling tracking to make using a hoist for transfers more convenient for people. Some of the rooms have patio doors leading into the gardens and all the rooms are light and airy. Everyone who wishes has their own nameplate for their bedroom door, which they have designed themselves. There is a separate bathroom with an adapted bath, for people who would like to have a bath rather than a shower. The whole house is beautifully decorated and comfortably furnished. The shared rooms are welcoming and are very pleasant places for people to spend time doing activities or relaxing and enjoying each others company. There are large gardens surrounding the house where people can sit out, play football, Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: basketball and other games or hold summer parties. The house is clean and fresh throughout. Protective gloves and aprons are available for staff to use when necessary, as part of the homes infection control measures. Care Homes for Adults (18-65 years) Page 23 of 30 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. Sufficient well trained staff are employed to meet peoples needs. People are protected by the recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Evidence: The staff rotas confirmed our observations that there are generally enough support staff on duty to meet most of the care and leisure needs of the people who go to stay at the home. In the surveys, most of the staff said that people would be able to follow a wider range of activities if more staff were available. One person who stays at the home said, in their survey, that they can always do what they want ...when there are enough staff members to make it possible. The only comment this person made about what the home could do better was to have More staff. The homes management should look at the staffing levels carefully, to make sure there are enough staff on duty to meet the social needs of the people who stay at the home as well as their care needs. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: As well as an interview, all new staff complete an application form and provide two written references, as well as completing satisfactory Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks before they start work. New support staff take the mandatory health and safety training and they all follow accredited induction training. One member of staff described the induction process and all the training that went with it. This prepares them for moving on to take a National Vocational Qualification (NVQ) course. From a total of twenty-two support staff, twelve have achieved the NVQ qualification at either level two or three and other staff are currently taking the award. Other specialist training, including person centred planning, is available to make sure staff skills and knowledge is kept up to date. Staff told us that before Cherry Trees opened the people who were going to work there all started their training together. The staff team, who come from a variety of backgrounds, said this was very valuable and helped them become a good and supportive team. All the staff who spoke to us said they enjoy working at the home and like the variety each day brings. One person said that the staff group Works well as a developing team. The records, and the staff, confirmed that all the staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. Care Homes for Adults (18-65 years) Page 25 of 30 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 home provides a safe environment. It is well managed and run in the best interests of the people who use the respite service. Evidence: The manager has the necessary experience and qualifications to manage the home effectively and in the best interests of the people who use the service. To maintain confidentiality, peoples personal information is stored in an office that is locked when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. Regular audits are carried out to make sure the records and amounts are accurate. The policies and procedures provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner and staff have basic health and safety training. Fire drills are Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: also held regularly, to make sure everyone knows what to do in an emergency. All these measures make sure that the health, safety and welfare of everyone at the home is promoted and safeguarded. The home asks people who use the service, their relatives and professional visitors to complete quality assurance questionnaires, in order to find out what people think about the care and support the home offers. The questionnaires for people who use the service are illustrated, to make sure everyone can understand the questions. The staff said they felt supported by the management team and enjoyed working at Cherry Trees. One member of staff said that the home Encourages high standards from all staff. Praises good work and ideas. Gives a high standard of respite service. At present there are no people who stay at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the homes annual quality assurance self assessment. It contained very detailed information about the services, the support that is provided, the improvements they have made since opening in April 2009 and their plans for the coming twelve months. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 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 33 The homes management should look at the staffing levels carefully, to make sure there are enough staff on duty to meet the care and social needs of the people who stay at the home. Care Homes for Adults (18-65 years) Page 29 of 30 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 30 of 30 - 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!