The Care Quality Commission
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Treetops Nursing Home

Overall: Good read more about inspection ratings

Carthage Street, Oldham, Greater Manchester, OL8 1LL (0161) 628 6811

Provided and run by:
Treetops Nursing Home Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Date of assessment: 23 July to 30 July 2024. This assessment was carried out in response to information we had received about the service. Treetops Nursing Home is a care home providing personal care and accommodation for to up to 34 people. The service provides support to older people, some of whom live with physical disabilities and sensory impairments. At the time of our assessment there were 33 people using the service. During the assessment we spoke with 10 members of staff including the registered manager, provider, nurses, senior care workers, care workers and the chef. People were protected from the risks of abuse and staff were trusted to keep them safe. The provider had policies and procedures in place for safeguarding to protect people from the risk of abuse. Staff were recruited safely and had the necessary safety checks in place before starting work. Staff received an induction when they first started working at the service and training relevant to their roles. Suitable staffing arrangements were in place. People gave positive feedback about the staff who supported them and the management team. People were encouraged by staff to remain as independent as possible and were given appropriate support to do so. Care plans promoted people’s right to independence and choice. Person-centred care was promoted. Staff knew people’s support needs and preferences well. The service worked in partnership with other professionals to meet people’s needs. Referrals were made to other medical services when required. Complaints had been responded to. The provider had an appropriate whistleblowing policy in place to support staff to raise concerns. There were governance systems in place to monitor the quality of service. The service had an effective audit system in place which assisted them in identifying areas of improvement.

26 November 2020

During an inspection looking at part of the service

Treetops Nursing Home is located in Oldham, Greater Manchester and is operated by Treetops Nursing Home Limited. The home is registered with the Care Quality Commission (CQC) to provide care for up to 34 people, some of whom are living with dementia. At the time of the inspection there were 32 people living at the home.

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

Risks within the home were well managed and record keeping, storage of confidential information and governance systems had all improved since our last inspection.

People living at the home and their relatives told us the home was a safe place for people to live. Staff demonstrated a good understanding about how to safeguard people from the risk of abuse. Staff recruitment procedures were robust and there were enough staff to care for people safely. The premises were well maintained, with regular servicing of equipment and the building carried out. Staff wore appropriate personal protective equipment (PPE) when delivering care. Good practice was also observed regarding Covid-19.

We received positive feedback about management and leadership from everybody we spoke with including staff, people living at the home and their relatives. Staff told us there was a positive culture at the home, with good team work throughout. Appropriate systems were in place to enable staff, relatives and people living at the home to provide feedback about the care they received.

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 this service was requires improvement (published July 2019).

Why we inspected

We carried out an unannounced inspection of this service in between 26 November and 10 December 2020. The inspection was carried out due to the previous inspection rating of requires improvement, where regulatory breaches had been identified.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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 coronavirus and other infection outbreaks effectively.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Treetops Nursing Home on our website at www.cqc.org.uk.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

4 June 2019

During a routine inspection

About the service:

Treetops Nursing Home is owned by Treetops Nursing Home Limited and is situated in Oldham, Greater Manchester. The home is registered with the Care Quality Commission to provide both nursing and residential care for up to 31 older people.

People’s experience of using this service:

We carried out this comprehensive inspection on 4 June 2019. At the time of the inspection there were 30 people living at the home. This was the first inspection we had undertaken at the home since re-registering with CQC in June 2018.

Not all potential risks around the home had been considered and were being well managed.

People received their medication safely, however the storage and recording of thickened fluids (used for people with swallowing difficulties) needed to be improved.

A range of quality assurance systems were in place, however were not always fully effective to ensure potential risks at the home were well managed. Confidential information was not always being stored securely.

People said they felt safe living at the home, with staff demonstrating a good understanding about how to protect people from the risk of harm.

Staff were recruited safely, with appropriate checks carried out to ensure there were no risks presented to people using the service.

Maintenance checks of the premises and the servicing of equipment was carried out throughout the year to ensure they were safe to use.

There were enough staff to care for people living at the home.

Accidents and incidents were monitored and any actions taken to prevent future re-occurrence were recorded.

People’s mental capacity was kept under review and deprivation of liberty safeguards (DoLS) applications were submitted to the local authority as required.

Staff received the necessary training and support to help them in their roles. Staff supervisions and appraisals were carried out and gave staff the opportunity to discuss their work.

People told us they liked the food available and we saw staff supporting people at meal times, if they needed assistance. Where people needed modified diets due to having swallowing difficulties, these were provided.

People living at the home and visiting relatives made positive comments about the care provided at the home. The feedback we received from people we spoke with was that staff were kind and caring towards people.

People said they felt treated with dignity and respect and that staff promoted their independence as required.

Complaints were handled appropriately. Compliments were also maintained about the quality of service provided.

There were a range of activities available for people to participate in and we observed these to be well attended by people living at the home during the inspection.

We received positive feedback from everybody we spoke with about management and leadership within the home. Staff said they felt supported and could approach the home manager with any concerns they had about their work.

Rating at last inspection:

Treetops Nursing Home re-registered with CQC in June 2018 and as such, this was the first inspection we had undertaken at the home.

Why we inspected:

This inspection was carried out inline with our inspection methodology timescales for newly registered services which is within 12 months from the date of registration.

Follow up:

We will continue to monitor information and intelligence we receive about the home to ensure good quality care is provided to people. We will return to re-inspect in line with our inspection timescales for ‘Requires Improvement’ rated services, however if any further information of concern is received, we may inspect sooner.

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