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Care Home: Yew Tree Care Centre

  • Yew Tree Care Centre Yew Tree Avenue REDCAR Cleveland TS10 4QN
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Yew Tree Care Centre is a care home which is registered to provide care for up to 76 people who may require nursing or residential care. The care home can provide care for people with dementia. The home has three units offering social and nursing care. These units are located over three floors. Each bedroom has full en-suite shower facilities, some have wall mounted TV`s and all have a fully computerised call bell/intercom system. The home has a number of communal lounges, a conservatory, coffee shop and hairdressing salon. Fees at the home range from £462.32 to £696.30. The home is located in Redcar, close to public transport, shops and churches.

  • Latitude: 54.59700012207
    Longitude: -1.0789999961853
  • Manager: Mrs Natalie Melling
  • Price p/w: £579
  • UK
  • Total Capacity: 76
  • Type: Care home with nursing
  • Provider: Express Care Services (Guest Services) Limited
  • Ownership: Private
  • Care Home ID: 19960
Residents Needs:
Old age, not falling within any other category, Dementia

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Yew Tree Care Centre.

Key inspection report Care homes for older people Name: Address: Yew Tree Care Centre Yew Tree Care Centre Yew Tree Avenue REDCAR Cleveland TS10 4QN     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: Tanya Newton     Date: 2 9 0 4 2 0 1 0 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 Older People Page 2 of 26 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 Older People 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Yew Tree Care Centre Yew Tree Care Centre Yew Tree Avenue REDCAR Cleveland TS10 4QN Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Natalie Melling Type of registration: Number of places registered: care home 76 Express Care Services (Guest Services) Limited Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care Home with Nursing - Code N, to service users of the following gender: Either, Whose primary care needs on admission to the home are within the following actegories: Old Age, not falling within any other category - Code OP, Dementia - Code DE. Total number of people who can be accommodated is: 76. Date of last inspection Brief description of the care home Yew Tree Care Centre is a care home which is registered to provide care for up to 76 people who may require nursing or residential care. The care home can provide care for people with dementia. The home has three units offering social and nursing care. These units are located over three floors. Care Homes for Older People Page 4 of 26 Over 65 0 76 76 0 Brief description of the care home Each bedroom has full en-suite shower facilities, some have wall mounted TVs and all have a fully computerised call bell/intercom system. The home has a number of communal lounges, a conservatory, coffee shop and hairdressing salon. Fees at the home range from £462.32 to £696.30. The home is located in Redcar, close to public transport, shops and churches. Care Homes for Older People Page 5 of 26 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit to yew Tree care centre took place on the 29th April 2010. Prior to the visit being carried out the home completed an annual quality assurance assessment (AQAA). Two inspectors carried out the site visit. The inspection of the home included a tour of the building, a look at a sample of documents and records, which the home is required to keep, and discussions with people living at the home. Comments from which have been included throughout the body of the report. In addition to the visit we also sent out surveys to people who live at the home. Care Homes for Older People Page 6 of 26 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 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 Care Homes for Older People Page 7 of 26 order line 0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 home has procedures in place that should ensure that prospective service users have their needs assessed and that those needs can be met. Evidence: The home has an up to date statement of purpose and service users guide which is given to new or prospective residents. This tells them about the services being offered by the home. When the home receives an inquiry about a place at Yew Tree Care Centre they fill out a bed inquiry form and then arrange for an assessment to take place. A full preadmission form is filled out to ensure that the home can meet the individuals needs. People are encouraged to visit the home prior to admission. Three assessments were viewed during the inspection, all contained an admission assessment. Files also contained other information from health professionals who have Care Homes for Older People Page 10 of 26 Evidence: input with the individuals care. The home does not admit people for intermediate care. Care Homes for Older People Page 11 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. In the main peoples health and personal care needs are recorded in their individual care plan. The home has appropriate systems to manage medication and privacy and dignity is a strong theme in the induction and ongoing supervision of staff. Evidence: Each person living at Yew Tree Care Centre has a care plan which sets out the way in which the individuals needs should be met by staff working at the home. As the home had only been open for six weeks when we carried out this inspection, care plans were still in the developmental stage. The home needs to continue to build on these to ensure that they reflect all aspects of a persons needs. Where possible people should be involved in developing their plans of care and this should be evidenced. Bed rail assessments should be signed by two staff. Of the four surveys received three people ticked always when asked, do you receive the care and support you need? one person ticked sometimes. We looked at the way in which people had their health needs met. For residential clients district nurses are accessed where required. Input is also sought from other Care Homes for Older People Page 12 of 26 Evidence: health professionals as and when it is needed. We looked at medication systems. There is a policy in place for the safe handling, storage and administration of medication. The home currently uses a pod system which is similar to the nomad system. All medication is listed on the pod and includes a picture so that staff can identify each tablet. All MAR sheets were signed. Systems to manage controlled drugs were looked at. These were appropriately stored and signed for by staff. The home has a drugs fridge for storing items and all items were appropriately stored and were being dated on opening. This helps to ensure that drugs are used within their shelf life. The temperature of the treatment rooms should be monitored to ensure that these are maintained at the correct temperature. Privacy and dignity are covered in induction and will continue to be a strong theme through supervision, support of staff and appraisals, this information was taken from the AQAA completed by the home. Care Homes for Older People Page 13 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In the main people are offered the opportunity to take part in a range of activities, this could be developed further. Visiting arrangements are good and people receive a varied menu. Evidence: Social activities were looked at. There is a full time activities co-ordinator working at the home. Social assessments have started to be developed. There are posters of activities displayed around the home. This includes dominos, chair exercises, quizzes, baking, reminiscence, newspapers, bingo, crafts and cards. Activity plans have not been dated or signed. The home is hoping to develop the activities further to include church, allotments, library and weekly clubs. The activities co-ordinator would benefit from specific training. People living at the home said that they wanted more activites to be available, some people said that they were bored. Suggestions for improvement included, quiz days, bus trips and music afternoons. Of the four surveys returned all contained comments about activites needing to improve. Visiting arrangements are open and people were observed coming in and out of the home. Relatives meetings are held and the manager said that she operates an open door policy. One relative said, I visit most days, I can come any time. Care Homes for Older People Page 14 of 26 Evidence: The statement of purpose for the home states that All service users will have the right to be fully involved with all aspects of their lives and will have substantial input into the ways in which services will be provided. One of the people spoken to said that they had to get into their night clothes by 6.30pm as if not they would have to wait until the night staff had given out medication and that they could not then get help until after 9pm. The manager said that this was not the case, it is recommended that this issue be discussed within the next service users meeting. The home has a four weekly menu in place which includes a range of hot and cold items for breakfast, a cooked lunch with a choice of two main courses and a choice of dessert. Tea tends to be a lighter meal such as beans on toast. There is also a quick bite menu in place which includes cereal, soup, sandwiches, toast, tea cakes and ice cream. People spoken to during the inspection had mixed views about the food, some said they enjoyed it whilst others thought it could be improved upon. People did not seem to be aware of the quick bite menu available. Comments include, I am happy with the food, its good quality, The food here is good, yes, I waited from 5pm until 6.30am for a drink. Care Homes for Older People Page 15 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 complaints policy should be updated and all staff need to be trained in safeguarding. Evidence: The home has a complaints procedure which sets out clearly the action to be taken and the timescales should a complaint be made. Eleven complaints had been received since the home opened. Each complaint had been responded to. All of the four surveys received were ticked yes for do you know how to make a complaint? The complaints procedure needs updating to reflect the role of the local authority in investigating any complaints. Since the home opened the Care Quality Commission have received three expressions of concern about the home. These concerns have been shared with the local authority and have been looked at as part of their safeguarding adults procedures. The management of the home assisted with the investigations into the concerns and implemented action plans in response to their findings. There is a clear policy around safeguarding vulnerable adults which is adhered to and any issues are reported to the Manager or person in charge to be appropriately reported and dealt with to ensure that people are protected from abuse. All staff working at the home should receive training in safeguarding of vulnerable adults (SOVA). Care Homes for Older People Page 16 of 26 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, 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. 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 is well maintained and furnished and decorated to a high standard throughout. Evidence: Yew Tree Care Centre is a purpose built home which is split into three units. The ground floor accommodates up to twenty-five people who require nursing or social care. Each bedroom has full en-suite shower facilities, with wall mounted TV and fully computerised call bell/intercom system. There are two large communal lounges, a separate dining room and conservatory. a large coffee shop is available on the ground floor and this can be accessed by all who live at the centre. The first floor provides care for people who have memory loss. Each bedroom has full en-suite shower facilities, some with wall mounted TV, fully computerised call/intercom system. There are two separate lounges, a dining room and the hairdressers is located on this floor. The second floor accommodates up to twenty five people who may require nursing care and have memory loss. Again each bedroom has en-suite shower facilities, a nurse call/intercom and some rooms have wall mounted TV. There are two large communal lounges a separate dining room and a sensory room/quiet room located on this floor. The environment is spacious and built with privacy in mind. Aids, hoists and assisted Care Homes for Older People Page 17 of 26 Evidence: toilets and baths are installed which are capable of meeting the assessed needs of the service users. All rooms viewed were individually furnished and decorated. The home has a number of domestic staff who complete their duties seven days a week to ensure that the environment is kept clean and hygienic. Care Homes for Older People Page 18 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Systems to recruit, train and induct staff need to be further developed to ensure the safety of people living and working at the home. Evidence: We looked at staff rotas, there are eleven staff on duty for thirty six service users. There are two nurses on duty most of the time. The staff team is very new due to the short timescale that the home has been open. If new staff do not already have their NVQ they are in the process of being signed up for this through Access Training. We looked at six staff recruitment files, concern had been raised with CQC prior to the inspection about poor recruitment practices. We were told that staff were being employed without interview, references or police checks being obtained. We were also told that there was a lack of training for new staff. The staff file we requested was unavailable. However, of the six files inspected all contained the appropriate checks which included an application form, two references (including one from the last employer) and a criminal records bureau check (CRB) which is a police check. A training and development plan is being put together and basic inductions have been carried out. The home need to carry out a more in depth induction so that staff have a Care Homes for Older People Page 19 of 26 Evidence: clearer understanding of their roles. Further training is booked and this needs to continue so that the home have a well trained workforce who are able to meet the needs of the people living there. Care Homes for Older People Page 20 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 has good systems available to monitor the quality of care being delivered and health and safety. The manager needs to implement these systems and to take action to address any issues which are identified as a result of these audits. Evidence: The home has a registered manager who is a qualified registered mental Nurse (RMN) and has previous experience of running a care home.. We looked at quality assurance systems. There are a number of quality assurance and monitoring systems in place which will be used within Yew Tree Care Centre as well as the Regulation 26 audit. The results of these audits will be fed into an ongoing action plan to ensure the development of the service. As with the health and safety audits some of this quality monitoring has not yet commenced, due to the short time that the home has been open. The home has recruited an administrator on a full time capacity who deals with service Care Homes for Older People Page 21 of 26 Evidence: user monies, where these are not self-managed or managed by family members. A check on three peoples money was made during the inspection. Receipts are maintained for all expenditure and monies are audited weekly by two people. The home is newly registered so has all its certificates in place. Regular health and safety checks are carried out. A number of audit tools are available to ensure the health, safety and well being of service users and staff, however some of these audits may not yet have taken place due to the home opening so recently. Care Homes for Older People Page 22 of 26 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 Older People Page 23 of 26 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 18 13 All staff must receive training in SOVA. To protect people living and working at the home. 30/07/2010 2 30 18 All staff must receive suitable induction and training. To ensure that suitably qualified and experienced staff are on duty at all times. 30/07/2010 3 33 24 Quality monitoring systems need to be implemented. To ensure that the quality of care is reviewed regularly. 25/06/2010 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 1 7 Care plans should continue to be developed and people should sign their agreement to their care plan where Page 24 of 26 Care Homes for Older People 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 possible. 2 3 9 12 The temperature of the drug treatment rooms should be monitored and recorded. Activity plans should be dated and signed and further training should be provided for the activities co-ordinator so that activities are suitable for those living at the home. The home should discuss issues around choice making in service users meetings so that people can make choices and decisions about all aspects of their lives. The complaints procedure needs updating to reflect the role of the local authority in investigating complaints. Recruitment files should be available for all staff. Audits to monitor health and safety should be implemented. 4 14 5 6 7 16 29 38 Care Homes for Older People Page 25 of 26 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 non-commercial 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 Older People Page 26 of 26 - 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!

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Yew Tree Care Centre 29/04/10

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