Archived: Trees Nursing Home

Updated 13 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Tree’s Nursing Home is a care home for older people, some of whom were living with dementia. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager in place who was registered with the Care Quality Commission. They and the provider are legally responsible for how the service is run and for the quality and safety of the care provided in line with the Health and Social Care Act 2008 and associated Regulations.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and one relative to ask about their experience of the care provided.

We spoke with the registered manager, the provider, a member of maintenance staff and three care staff. We looked at four records in relation to people who used the service. We also looked at staff files and records relating to the management of the service, recruitment, policies, training and systems for monitoring quality.

Updated 13 September 2019

About the service:

Trees Nursing Home provides accommodation and personal care for up to 21 older people, some of whom were living with dementia. At the time of our visit 20 people were using the service.

What life is like for people using this service:

People who live at Trees Nursing Home have their needs met by sufficient numbers of suitably trained staff. People told us staff were kind and caring and knew them as individuals.

Whilst one discrepancy in medicines administration was identified, on the whole, medicines were managed and administered safely.

Care records accurately reflected people’s needs in sufficient detail. Risks to people were identified, monitored and managed. Some care plans could be developed to make them more personalised.

People received the support they required at the end of their life. Plans were in place to further develop care planning in line with best practice.

People and their representatives were involved in the planning of their care and given opportunities to feedback on the service they received. People’s views were acted upon.

People had appropriate access to meaningful activity and engagement. People were positive about the activities provided by the service.

People were offered a choice of meals which met their nutritional requirements. The risk of people becoming malnourished was identified, monitored and managed.

The quality assurance system in place to monitor the service provided to people was robust and capable of identifying areas for improvement. The service had good links with the local community.

Positive comments about the management team and providers were made by people who used the service, relatives and staff.

The service worked well with other organisations to ensure people had joined up care. People were supported to have input from external healthcare professionals in a timely way.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update):

At the last inspection the service was rated Good. (Report published 1 November 2016)

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.