Latest Inspection
This is the latest available inspection report for this service, carried out on 9th June 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Cherry Trees.
What the care home does well Staff work hard to understand each individual and to provide the support which suits them. This had led to people feeling secure and settled in their home. A variety of communication methods and tools are used throughout the home. This helps the people who live here to express their views and to live as independently as possible. The planning of people`s care and support is carefully considered and uses all the information the home can gather about each individual. This helps to ensure people are supported in an appropriate way. The staff who were working in the home were seen to interact with and support people in a confident, professional and respectful way. There was a relaxed atmosphere in the home; staff had a good rapport with the people who live here. People are involved in lots of activities which they choose. Staff are here to support and guide them but let them do as much for themselves as they are able to. Staff we spoke with said they are happy working in the home; they felt they are part of a hard working and supportive staff team. Staff who wrote to us said they have been given up to date information about the people they support, are provided with training which helps them understand people`s needs and that there are enough staff working in the home to support each individual. The home is very well maintained and is comfortably furnished; accommodation meets each person`s needs. Cherry Trees is run by a skilled and knowledgeable manager; they are supported by experienced staff who are well trained and well supported in their roles. What the care home could do better: This was a positive inspection visit. We did not identify any areas in which the service could improve during our visit to the home. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Cherry Trees 28 Berrow Road Burnham-on-sea Somerset TA8 2EX three star excellent 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: David Smith Date: 0 9 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Cherry Trees 28 Berrow Road Burnham-on-sea Somerset TA8 2EX 01278792962 01278795961 christine.morgan@nas.org.uk www.autism.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Christine Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : National Autistic Society care home 9 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 9 Cherry Trees is registered to provide personal care for up to nine people; it is owned by the National Autistic Society and provides a specialist service for people with autism. The home is a large Edwardian property close to the sea front in the small seaside town Burnham-on-Sea. It is within walking distance of the town centre and the seafront. There are gardens at both the front and rear of the home; there is a car park at the rear which both staff and visitors may use. Cherry Trees provides a supportive base from which people can access a personalised programme of education and social opportunities.
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The home is comfortable and very well maintained. Accommodation is arranged on two floors, with two bedrooms on the ground floor and the remaining seven on the first. The home has an experienced, well-qualified manager, Christine Morgan. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This Random Inspection visit was carried out by one inspector and lasted approximately four hours; the term we is used within this report as this, and the judgements within it, are made on behalf of the Care Quality Commission (CQC). The last Key Inspection of this home was carried out in June 2007. Cherry Trees is rated as 3 star, which means people who live in the home experience excellent quality outcomes; this is the highest quality rating CQC awarded. Before we visited the Manager completed the homes Annual Quality Assurance Assessment (AQAA) and three members of staff completed a survey and returned them to us. The AQAA is a self-assessment that focuses on how well outcomes are being met for people who live in the home. In this the Manager said Cherry Trees provides a secure, relaxed and homely environment...the staff strive to preserve and maintain the dignity, individuality and privacy of all individuals. Individuals are encouraged to participate in the development of their person centred plans. We looked at the care records belonging to two people who live in the home. Each had a detailed personal plan which describes the care and support they require and how staff should provide it; information is also included about their life history, who the important people in their life are, how they communicate, what daily routines they may have and what goals they may be working towards. Each individual, or people close to them, have helped to develop these plans and are involved in reviewing them. Each person has been supported to develop a Health Action Plan; these contained lots of information such as how to support each person to communicate effectively, how to support them with their medicines, details of the health professionals who support them and records of each visit such as when people see their Doctor or Dentist. These are an excellent addition to the care planning records for each person and they are regularly reviewed. We met the people who live in the home on their return from their usual day service. People were seen to go through their preferred routines on their return and they carried out tasks independently. Staff were available to offer help or advice but let each person do as much for themselves are they were able. Each person appeared to be relaxed in the company of staff; there was a very homely, yet supportive atmosphere. People are involved in a variety of activities, which they choose. People enjoy horse riding, trampolining, walks, shopping trips, holidays, visits to family and friends, swimming and line dancing. They are involved in the day to day running of their home and they take responsibility for keeping their home clean and tidy, share tasks such as washing up and doing their own laundry and ironing. People take great pride in their own skills and abilities; the home do not purchase pictures, instead many different pieces of artwork produced by the people who live here are hung on the walls. One person who lives in the home made the cabinet for the TV and others made the furniture for the garden. Peoples own rooms are decorated and furnished in line with their wishes and reflect their individuality, interests and tastes.
Care Homes for Adults (18-65 years) Page 4 of 9 A variety of communication methods and tools are used throughout the home; these include a pictorial staff rota, pictures and symbols explaining routines and tasks within the home and these were also used on peoples daily planners. People who live in the home were seen referring to planners to see which staff were working in the home or what tasks they needed to complete. It is very important to the people who live here that they know what is due to happen in the home; this helps them to feel secure and reduces any potential anxieties. We looked at medication administration and storage. The home uses a monitored dosage system provided by Boots pharmacy; this system is well managed. The records we looked at were well kept; people occasionally take medicines out of the home and clear records are kept of all medicines entering or leaving the home. Medicines are stored securely in one room in the home; there are regular stock checks carried out and ample information about peoples medicines for staff and individuals to refer to. Two people who live in the home now keep and administer their own medicines; staff offer appropriate support and guidance. These two people sign their own medication records, which have been developed specifically for them. Staff felt this was a very positive development for each person and told us that there had been no issues since this process started. The staff members who wrote to us said they have been given up to date information about the people they support, are provided with training which helps them understand peoples needs and that there are enough staff working in the home to support people. Staff told us that they know what to do if someone had concerns about the home and they felt they have enough support, experience and knowledge to meet the needs of the people who live in the home. One staff member said we work well with all the service users, meet all the individual needs and understand the men extremely well. The staff we spoke with during our visit repeated these views. They told us the staff team worked in a consistent way to support each person who lives here; people had become very settled and secure since moving to the home. One staff member said the people who live in the home are very settled and they seem to really enjoy what they do. There is a really good staff team, everybody is here for the people we support and another person told us it is very well structured here, there are routines which help the people who live here; people know what is happening and that is what they need. Staff are provided with a variety of training opportunities; these include compulsory courses such how to provide first aid, food safety, fire safety and how to identify and report potential or actual abuse (safeguarding). Other courses specific to the people who live at the home such as the homes induction programme, how to support people who have Autism and how to support people who may present difficult or aggressive behaviours are also provided to staff. There are 12 permanent members of staff; 10 have attained a National Vocational Qualification (NVQ). One member of staff said the training is brilliant, there is always loads of training going on. We viewed the communal areas of the home, each persons bedroom and the grounds. All areas of the home were clean and tidy; many improvements to the home have been made in the last 12 months including new furniture being purchased, bedrooms being reCare Homes for Adults (18-65 years) Page 5 of 9 decorated and re-carpeted, laundry equipment being replaced and toilets and bathrooms being refurbished and modernised. People who live in the home were involved in choosing furniture and colour schemes as part of the refurbishment. During our visit they were seen to use the communal areas as they wished; each person appeared to be happy and relaxed in their home. What the care home does well: 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!