Tree Tops Residential Home

Updated 9 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a review of infection control and prevention measures in care homes.

This inspection took place on 16 and 18 November 2020.

Updated 9 December 2020

This unannounced comprehensive inspection took place on 11 and 13 June 2018.

Tree Tops Residential home is located in a residential area of Rainhill within walking distance of a train station. The service provides residential care without nursing for up to 43 people. People living in the home nay be living with dementia. At the time of the inspection there were 41 people living in the home. The home comprises of two units; the Tree Tops unit accommodated 28 people and Delphland unit accommodated 13 people living with dementia.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and we reviewed both areas during this inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Risks to people were assessed and measures put in place to manage identified risks and reduce the likelihood of harm occurring.

Staff had received training in relation to safeguarding adults from abuse and understood what actions they should take when concerns are identified.

Safe recruitment processes were in place to ensure that newly recruited staff were safe to work with vulnerable adults.

Medicines were managed and stored safely and people received medicines at the right times.

People received care and support from staff who received appropriate training and supervision for their role.

Consent was gained in accordance with the Mental Capacity Act 2005 (MCA); staff understood the need to obtain consent from people prior to offering support.

People's dietary needs were understood and met and people were provided with food and drink appropriate to their needs.

People were supported with access to other health and social care professionals; care records showed evidence of additional support from GPs, opticians, district nurses and social workers.

People were treated with dignity and respect; staff ensured privacy was maintained at all times. Interactions between staff and people were positive and staff showed a good knowledge of the people they supported.

People’s care and support needs were reviewed regularly and updated where appropriate. Care and support plans were based on individual needs and person centred.

The quality and safety of the service was assessed and monitored regularly and improvements made when required. The management team were open and inclusive and showed a desire to maintain and improve on the quality of the service being provided.