Care Home: Twelvetrees

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What the care home does well People living at Twelvetrees can express their concerns. The complaints procedure is robust and easy to access. In the main staff practices, the homes policies and procedures, training and compliance with complaint and safeguarding procedures, help to safeguard people, and protect their rights. What the care home could do better: We have issued one new requirement, referring to people`s safety and rights. To ensure that staff recieve adult safeguarding refresher training. This helps make sure safeguarding practices are robust to help keep people safe. Random inspection report Care homes for older people Name: Address: Twelvetrees 17 Priory Road Sheffield South Yorkshire S7 1LW 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: Shelagh Murphy Date: 2 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Twelvetrees 17 Priory Road Sheffield South Yorkshire S7 1LW 01142555155 01142555005 simon.mills@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Kathryn Jane Moore Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Simon Charles Mills care home 34 Number of places (if applicable): Under 65 Over 65 34 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Twelvetrees is a Victorian house that has been converted to offer 24-hour care for up to 34 older people. There are single rooms and 4 double rooms. The home is well decorated. It is in a residential area on the south side of Sheffield. Care Homes for Older People Page 2 of 10 Brief description of the care home The establishment offers both long and short-term care. There is an eight-person lift allowing easy access to all levels of the home. There are spacious bathrooms and toilets suitable for people with disabilities. They offer a choice of services such as hairdressing, chiropody, dentist and optician all at the service users request. The homes Service User Guide states care is provided by a carefully selected team of qualified carers, of whom receive regular training and appraisal to maximise motivation and team spirit. With an exceptionally low staff turnover and many long serving employees. Information gained on the 20th May 2010 indicate the current fees range from £475 up to £510 per week. Additional charges include private chiropody, hairdressing and newspapers. For further information about fees, a copy of the statement of purpose or the last inspection report please contact the manager of the service. Care Homes for Older People Page 3 of 10 What we found: We carried this inspection out as a Random Inspection. This means we visit the service and look at chosen areas concerned with the health, safety, and wellbeing of people who use the service. We will only change a star rating following a key inspection. Therefore, the rating for this service will stay the same following this random inspection. This inspection complies with our regulatory processes. The Care Quality Commission will conduct a further review under our new registration procedures before October 2010. The service had its last key inspection on 29 May 2007, and it was rated as a 3 star excellent service. Before we visited the service we looked at any information we had received since the services last inspection. This included, The services AQAA (Annual Quality Assurance Assessment). This is information the service is required to provide us with about how well they are delivering care. The services previous report, and any information from other stakeholders, such as the local authority, relatives and staff, and any surveys we received. Notifications. These are notices of information a service must give us about any incidents that happen which may affect peoples wellbeing. Any safeguarding, concerns and complaints information. During the visit we spoke to people who live at Twelvetrees, one relative, two staff, the registered manager and the owner of the service. We observed some care practices and looked at some records and documents. For the purpose of this random inspection we looked at how the home manages concerns, complaints and protection. (National Minimum Standards 16 and 18) This included, How well people can express their concerns. Access to a robust complaints procedure. How the service protects people from abuse. And how the service protects peoples rights. We also looked at requirements and recommendations we made to the service on our last inspection. This included, to ensure all staff received training in safeguarding adults and Care Homes for Older People Page 4 of 10 for the service to carry out quality assurance surveys with people who used the service, their relatives and other interested parties. The manager showed us some evidence from the staff training matrix that staff had completed `elder abuse, training in 2007, following our inspection. However, we advised that staff needed to have their training updated, therefore we referred the manager on to Sheffield Councils, Safeguarding adults team, to book the safeguarding training and refresher training, in order to keep staff up to date with local area policy. This helps make sure people are well protected from harm and poor practices. The manager showed us evidence that people who lived at the service and other stakeholders had been surveyed and the findings from this had been used to develop the service. We sent surveys out to people who lived at the home, staff and health professionals. Some relatives also sent in surveys on behalf of their relatives. This is what they told us; People who lived at the home said, The home gives excellent care to elderly people. In my opinion the home really looks after people well. The home is really good at helping people to meet their needs. The home is really good at offering care to residents. The staff are really well-trained. Staff who worked at the home said, Everything is good. Very friendly atmosphere. Takes care of staff and service users. They are open to new ideas and improving the quality of the care for people. I am happy with most things. We do the majority of things very well. Relatives told us, The home seems to be able to retain staff which is important to residents who like to see familiar faces. The home has always been very helpful and caring towards my parent. The home is always clean and uncluttered which inspires confidence. The staff appear friendly and kind to both residents and their relatives. They are well trained and professional in their duties. Care Homes for Older People Page 5 of 10 The home is always clean and tidy with no unpleasant odours. There are always fresh flowers on the reception desk giving Twelvetrees the feel of a pleasant family run hotel rather than an institution. Visitors are always made to feel welcome and are offered refreshments. There is plenty of entertainment and activities to partake in. As a nurse working in a nearby hospital, I know that Twelvetrees has a very good reputation in the area. Simon (the owner) and the team should be proud of their achievements keep up the good work!. Health professionals said, This is one of the best care homes in Sheffield, it provides exceptional care to residents. We asked for a copy of the homes complaints procedure which was clear and accessible to people. We spoke to two people who lived at Twelvetrees. They told us their care was very good, they feel safe and well protected, and they can raise concerns and complaints if they need to. People made positive comments, which included, Yes, I enjoy living here. I am quite happy, I understand it cant be the same as living at my own home, but they do their very best to make it homely. If I was unhappy I would speak to the manager, Kath, and she would sort out any problems we may have. I have lived here over five years, I feel safe and happy and Ive never had to make a complaint yet. We spoke to one relative, they told us they felt their family member was safe. They said, If I had to move in here I would do so without any concerns as I know how well my sister is cared for. I would go straight to the manager if we have any complaints, we have no problem doing that, we are very satisfied. We spoke to two members of staff. And we spoke to them in detail about their understanding of protecting people from harm and protecting peoples rights. One member of staff was a team leaders and the other one was a newly recruited carer. They both understood what to look out for to identify if someone could be at risk of abuse, and they knew the right action to take to help people keep safe. And they were both aware about mental capacity and what this meant to people they cared for at Twelvetrees. Care Homes for Older People Page 6 of 10 Staff also understood how to, `whistle blow if they felt people were at risk, and action was not taken. The manager told us staff have an introduction to safeguarding vulnerable adults (adult protection) during their induction, then have more in-depth training. From discussions with the newly recruited staff member we observed this to be the case. The manager told us that staff were also completing training regarding Mental Capacity and Deprivation of Liberty. This shows that Twelvetrees is proactive in making sure they help protect people they care for. The manager said they had received no complaints in the past 12 months. We had not received any complaints about the service over the last year. The manager told us they had not referred any allegations to the adult safeguarding team at the local authority over the last year. We checked the service had met the previous requirement of ensuring staff completed adult safeguarding training and were shown evidence that the majority of the staff completed this in 2007. However, we are making a requirement to ensure staff receive refresher training on this subject to ensure people are protected from abuse or the risk of abuse. 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 Older People Page 7 of 10 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 Older People Page 8 of 10 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 1 18 13 The registered person must ensure that staff complete safeguarding adults training/refresher taining. To ensure that people are protected from abuse or the risk of abuse. 30/08/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 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 Older People 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. 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