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Inspection on 16/06/10 for Cherry Orchards Camphill Community Ltd

Also see our care home review for Cherry Orchards Camphill Community Ltd for more information

This is the latest available inspection report for this service, carried out on 16th June 2010.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The managers and staff have been supporting people well to ensure their needs, wishes and preferences are being met. The support has been individual and person centred and people said they were happy with the care and support they were offered. There are good care planning processes that show how needs are to be met with goals set that are reviewed and monitored. People are enabled to make decisons and to be involved in the running of the home. The environment has extensive grounds for supporting people with their needs through a therapeutic philosophy. The people living in the home are provided with clear information about how they can live healthily. The food offered to people is of a high quality that is organic and home grown.Comments made by people living in the home included: "The home helps me greatly to motivate my life, they help to provide you with a healthy more beneficial day to day approach, this including all life coping strateies needed to cope alone ..." "Cherry Orchards is the best in the world. Shall miss not coming in the future."

What the care home could do better:

No requirements or recommendations were made as a result of this inspection.

Random inspection report Care homes for adults (18-65 years) Name: Address: Cherry Orchards Camphill Community Ltd Canford Lane Westbury On Trym Bristol BS9 3PE two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Webb Date: 1 6 0 6 2 0 1 0 Information about the care home Name of care home: Address: Cherry Orchards Camphill Community Ltd Canford Lane Westbury On Trym Bristol BS9 3PE 01179503183 01179593665 cherryorchards@camphill.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Stephen Sands Mrs Valerie Sands Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cherry Orchards Community Limited care home 21 Number of places (if applicable): Under 65 Over 65 0 0 0 0 past or present alcohol dependence past or present drug dependence learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 21 21 21 21 May accommodate up to 21 persons aged 18 - 64 years of age Date of last inspection Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home Cherry Orchards is a therapeutic community, set in 18 acres of land, yet it is within reach of local shops and amenities. The aim is to help adults recovering from the debilitating effects of any life crisis, this may include mental health or psychological problems,learning difficulties, individuals recovering from substance or alcohol abuse, and any other form of emotional distress. People living in the home are supported through individual development towards health, increased independence and self fulfilment. The holistic and individually tailored therapeutic programme includes groups as well as one to one activities. Cherry Orchards is a Camphill Community, a therapeutic community based on the teaching of Rudolph Steiner, which recognises the unique identity of the individual and the importance of social relationships in maintaining good health. The community also recognises the spiritual needs of individuals and while based on a Christian outlook, is open to all faiths. The number of registered places includes all rooms inclusive of the co-workers rooms. Voluntary co-workers live on site in the two main buildings with the residents. An arts therapist and counsellor also live on site and there is weekly input from two occupational therapists, a drama therapist and a practitioner of therapeutic speech. Bedrooms are large with very pleasant views over the land. A large emphasis of the day-to-day living is based upon tending the land and the animals. Two gardeners are employed to tend to a large landscaped garden were there are numerous areas to sit and relax. The service is not suited for people who have difficulties with mobility. The cost of the placement is £1500 per week and people who wish to consider the home are given information about the Community before they visit. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: This was a unannounced Random Inspection carried out on 16th June 2010 over a period of five hours. The managers were present and helped with the inspection process. We looked at a range of different evidence. This included information provided by the managers through the Annual Quality Assurance Assessment completed before this inspection, speaking to people and staff living in the home, reviewing peoples individual care records, examination of some of the homes records, and observation of staff interaction with the people living in the home. Before our visit we received one survey completed by a person living in the home and six surveys from staff. The feedback from the surveys was positive showing the person living in the home was happy with their care and support. Staff confirmed people live in a peaceful, and homely environment, supporting people through a structured lifestyle. There were no requirements or recommendations from the previous Key inspection of 24th September 2007. We saw for those people living in the home who were funded by the local authority, there were care assessments to help decide if the home was able to meet their individual needs. We saw there were clear procedures in place for people wanting to move to Cherry Orchards. The admissions procedures included an initial referral, an application to be completed, visits arranged and an interview. We saw all these documents in two peoples care files. We saw people had been provided with full and clear information about the home and what was expected from people during their stay. We looked at the assessments, care plans and risk assessments of two people to see how their service was being monitored and reviewed. People were offered a four week assessment period. We saw assessments had been undertaken collecting comprehensive information. People had visited the home before moving to meet people. This was confirmed by people spoken with who told us they made the decision to move to Cherry Orchards. Comments included Very happy, feel supported good environment . It was evident there were good and robust processes in place to admit people to the home W saw care files that contained full information about individuals needs and how they should be supported. They had been involved in their care planning. Weekly 1:1 meetings had been held with their keyworker to review and discuss their goals, needs and any changes. Care records and keyworker records showed decisions and agreements about goals set, how they were to be met. We spoke to three people living in the home who spoke positively about the staff and the care and support offered. We saw written risk assessments had been completed that showed potential risks, and how they were rated. Specific activites and support had been risk assessed and showed what action should be taken in making sure people were safe. We saw staffs interaction with the people living in the home and it was evident they had built good working relationships that supported people well. Information in care plans gave staff information and guidance about how they should be supporting people. This was confirmed by staff spoken with. It was evident time had been spent with the people living in the home in involving them about the way they wanted to be cared for and their Care Homes for Adults (18-65 years) Page 4 of 10 preferences in all aspects of their lifestyle. People living in the home were offered opportunities to participate in a varied range of meaningful and therapeutic activities. From speaking to people and looking at records we saw that people were making decisions about their daily lives and their personal development. It was evident they enjoyed the activities and spoke confidently about their involvement. Daily group meetings took place when people were informed and communicated with about what was happening during the day. We saw the activities included 1:1 sessions, art, drama, gardening, preserving, making bread, out door games and generally socialising. We were told by people living in the home that activities changed every six to eight weeks when people made changes and tried other areas. We spoke to the managers and staff about how people progressed in moving back into the wider community. We had seen in the Annual Quality Assurance Assessment that an area that had been identified for improvement was fostering residents independence. Arrangements were being planned to use one of the houses as a moving on step where people could become more independent before leaving Cherry Orchards. It was evident that supporting people in working towards independent living was a key aspect of support. We spoke to three people living in the home and were told there is open communication with everyone, that people were enabled to make choices, and open discussion took place. Tasks such as washing up were shared between people through a rota. We saw written details of what was expected of people living in the home regarding the care and cleaning of their rooms. We were told some people may need support in these areas. The Community grows all of its own food which is organic. Everyone was involved in the cooking of the meals during the week. The menus were considered highly important in supporting people with a healthy and balanaced diet. Meals were at set times and we shared a cooked mid day meal with some people living in the home, a volunteer and three staff. It was evident people were provided with a fresh and healthy diet. When we asked people living in the home Whats good about living in Cherry Orchards? comments included complete feeling of safety, authenticity of what staff are saying. Another comment told us we work together like a family that brings us together to understand eachother and feel free to express ourselves. We saw people living in the home were supported with their physical and emotional health care needs. We saw records of when people saw specialist services in helping to monitor this and on going daily records that monitored peoples general well being. Nutritional advice was given to the people living in the home and they were encouraged to take daily exercise. There was as onsite gym for people to use, and involvement in the garden also promoted this activity. Since the last inspection we have been informed of a death in the home. This is currently being investigated by the coroner and are waiting for the outcome of their report. The organisation has a complaints policy and procedure. We have received one complaint since the last visit to the home. We saw that the complaint had been investigated appropriately following the complaints policy and procedure, with the complainant having been responded to. Care Homes for Adults (18-65 years) Page 5 of 10 It was evident the views of the people living in the home are listened to and acted on. This was confirmed by people spoken with. As the majority of the staff and people live together sharing the same environment, we saw open and honest feedback was encouraged. We saw people living in the home had been provided with procedures for resolving issues of mutal concern. We saw there was information for staff relating to the safeguarding adults from abuse. We saw staff files that showed they had attended training in this area. This was also confirmed by staff spoken with. We saw some areas of the home such as the communal areas. There were spacious dining rooms, and lounges. These had been well maintained and had been decorated in a homely way. The home did not have a television, reflecting the philosophy of the service. We did not visit any bedrooms of the people living in the home as we were not invited to do so. The staff team consisted of co workers and therapists. We saw there was a high number of staff to support the current seven people living in the home. We saw through staffing files that staff were qualified and had experience in various areas. Files showed a recruitment process had been followed and we saw two references, application, and a Criminal Records Bureau check had been obtained for each member of staff. We saw staff had attended training in first aid, food hygiene, and health and safety. We spoke with two members of staff. They confirmed the philosophy the Community followed and felt people were well supported through an effective and consistent team approach. They confirmed they had regular supervision support and attended regular staff meetings. The Community has three qualified managers. Stephen Sands, Valerie Sands, and Gitte H. Knudsen are registered as the managers of the Community. They live on the premises and it was evident there was good communication and support between the three managers. We saw their involvement in the running of the home and they demonstrated their knowledge of the needs of the people living in the home. The Community is run in the best interests of the people living in the home. Their views are asked for, they are encouraged to make informed decisions and are included in the running of the home. What the care home does well: The managers and staff have been supporting people well to ensure their needs, wishes and preferences are being met. The support has been individual and person centred and people said they were happy with the care and support they were offered. There are good care planning processes that show how needs are to be met with goals set that are reviewed and monitored. People are enabled to make decisons and to be involved in the running of the home. The environment has extensive grounds for supporting people with their needs through a therapeutic philosophy. The people living in the home are provided with clear information about how they can live healthily. The food offered to people is of a high quality that is organic and home grown. Care Homes for Adults (18-65 years) Page 6 of 10 Comments made by people living in the home included: The home helps me greatly to motivate my life, they help to provide you with a healthy more beneficial day to day approach, this including all life coping strateies needed to cope alone ... Cherry Orchards is the best in the world. Shall miss not coming in the future. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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