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We are carrying out checks at Tree Tops Residential Home. We will publish a report when our check is complete.

Inspection Summary

Overall summary & rating


Updated 8 February 2016

This was an unannounced inspection, carried out over two days on the 25 and 26 of November 2015.

Tree Tops care home provides residential care without nursing for up to 43 older people. People living at the home may be living with dementia. There were 42 people living at the home when we visited. The home comprised of two units, the Tree Tops unit accomodatiing 30 people and Delphland unit accommodating 13 people with dementia. Tree Tops care home is located in a residential area of Rainhill within walking distance of a train station. Parking is available at the service.

There was 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.

At our previous inspection on 16 and19 February 2015 we found that the registered provider was not meeting seven regulations. These related to medication, complaints, management of risks, training and quality assurance monitoring. The registered provider sent us an action plan outlining how they would make improvements. We checked for improvements during this inspection and found that the registered provider had made the necessary improvements to comply with these regulations.

People we spoke with and their visiting relatives told us they were satisfied with the care and support they received from Tree Tops. People told us they had developed good relationships with the staff and told us they were treated with dignity, kindness and respect and they felt safe living in the home.

During this inspection we found that people’s risks were identified, managed and reviewed and the staff understood how to keep people safe. There were sufficient numbers of suitably qualified staff to meet people’s needs and promote people’s safety. We saw that staff listened to people and encouraged them to make choices and decisions about their care. Staff sought people’s consent before they provided care and support.

Some of the people who lived in Tree Tops did not have the ability to make decisions about some parts of their care and support. Staff had an understanding of the systems in place to protect people who could not make decisions and followed the legal requirements outlined in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

People who lived in the home and their relatives said, they were confident that any issues or concerns they raised would be responded to appropriately by the registered manager or the registered provider.

The staff had a good understanding of the needs of people they cared for and were positive about their roles and the organisation.

People were supported to access healthcare professionals whenever they needed to.

Staff recruitment procedures were robust, which ensured that appropriate checks were carried out before new staff commenced employment. Staff received a thorough induction and on-going training to ensure they had up to date knowledge and skills to provide the right support and care to people. Members of staff also received regular supervision, appraisal and observations of their work practice.

Staff were complimentary about the registered manager and the registered provider and had no concerns about raising any issues.

Inspection areas



Updated 8 February 2016

The service was safe.

People’s medicines were managed and administered safely.

Staff knew how to recognise and report abuse and potential abuse.

There were sufficient staff on duty to meet people’s needs.



Updated 8 February 2016

The service was effective.

Staff received training and support which enabled them to carry out their roles effectively.

People were supported to make choices and decisions. Where people did not have the capacity to make decisions, they were made on their behalf in accordance with the law.

People were provided with a choice of food and were appropriately supported, when needed to eat and drink.



Updated 8 February 2016

The service was caring.

Staff were kind, caring and patient in their approach.

People’s wishes were listened to and acted upon.

People were respected and treated with dignity. Staff took time to speak with people and they understood people’s needs.



Updated 8 February 2016

The service was responsive.

People were given choices throughout the day which included choices about activities, food and how they spent their day. People were supported to go out into the community and go on outings.

People’s care and support needs were well documented and their assessed needs were met.

People were aware of how to make complaints and voice concerns about the service, if needed.



Updated 8 February 2016

The service was well-led.

The service was well managed and staff felt valued and supported by the registered manager.

Good monitoring and quality assurance systems were in place.