Trees Nursing Home

Updated 20 April 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector, and a specialist advisor in nursing.

Service and service type

Trees Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Trees Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who live at the service and 2 relatives. We spoke with 8 staff members including the registered manager, a nurse, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed 3 care records and a range of documents relating to the health and safety of the service, medicines, and staff recruitment. We received feedback by email from 8 members of staff and 1 relative.

Updated 20 April 2023

About the service

Trees Nursing Home is a residential care home providing personal and nursing care for up to 21 people in one building. The service provides support to older people. At the time of our inspection there were 20. people using the service.

People’s experience of using this service and what we found

Feedback from relatives, people using the service and staff was the registered manager and nominated individual were approachable and helpful. People, relatives, and staff consistently referred to a family atmosphere.

Some aspects of the management of the service needed improvement. For example, processes for staff to escalate clinical concerns were not always clear, and the electronic care planning system was not being used to its full effect. The nominated individual told us about improvements planned to the service, but these had not all been formalised into the service action plan.

People's care plans did not always contain detailed information about people’s needs and preferences. However, a consistent staff team knew people and their preferences well.

Staff understood their safeguarding responsibilities and how to protect people from poor care and abuse. Care staff were recruited safely.

Staff enabled people to access health and social care support. We received positive feedback from health and social care professionals.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People felt able to raise concerns and were confident they would be listened to and action taken. People had access to a range of activities and social opportunities

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

Rating at last inspection

The last rating for the service under the previous provider was good, published on 13 September 2019.

Why we inspected

We undertook this inspection as the provider had become a limited company.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.