Inspection on 25/10/05 for 1 and 1a Orchard Villas

This inspection was carried out on 25th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

1 and 1a Orchard Villas 30/10/06

1 and 1a Orchard Villas 13/03/06

1 and 1a Orchard Villas 26/08/04

1 and 1a Orchard Villas 18/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 and 1a Orchard Villas Perry Street South Chard Chard Somerset TA20 2QF Lead Inspector Susan Lyons 25 th Inspection October 2005 10:00 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 and 1a Orchard Villas Address Perry Street South Chard Chard Somerset TA20 2QF 01460 220747 NA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr David Edward Wright Mrs Sheila Grace Wright, Mrs Helen Anne Bond Mrs Sheila Grace Wright Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in ground floor accommodation may have concurrent physical disabilities 25/2/05 Date of last inspection Brief Description of the Service: Orchard Villas is a domestic scale residential home, providing care and support for three people who have learning disabilities. One person with significant care and support needs lives in the main house. Two other people live more independently in the adjoining bungalow. The providers, Mr & Mrs Wright live in the main house and provide the bulk of support. The home is located in a rural area south of Chard. Mr & Mrs Wright promote a family based ethos and each of the people living here is included in extended family activities and occasions. Recreational and occupational activities are encouraged on both an individual and group basis. There is a strong focus on outdoor activities including horse riding and stable management. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced a few days before it took place due to the difficulty of finding everyone at home. The inspection took place during the morning and the inspector then went away and returned at 4pm to speak to the residents. During the inspection records were looked at and discussion took place with Mr & Mrs Wright. The pre-inspection document was seen and feedback cards received from relatives and residents. Before the inspector finally left Mr & Mrs Wright had started work on the areas which were discussed as requiring some additional in-put. There is a very homely atmosphere at Orchard Villas, which is run very much as a family home. What the service does well: Mr & Mrs Wright are aware of the needs of the residents living with them and also know about the assessment they must receive for any new resident. Residents gave examples of decisions in which they have been involved within the home and also the independence, which they are given. Residents are able to take up work experience and day activities and they are also able to take part in village activities and mix within the local community. The residents confirmed that they are able to go out with and invite friends to the home and that meals are nice. Personal support and health care is offered to meet the needs of the individual residents. Residents felt happy to talk to Mr & Mrs Wright about any concerns they may have. Mr & Mrs Wright said that they are aware of the Somerset Adult Protection Procedure. The home is well maintained, clean and has nothing to distinguish it as a residential home. One of Mr & Mrs Wright’s daughters who work at the home has obtained NVQ level 2 and is undertaking level 4 and the other daughter is in the process of undertaking level 2. Statutory training has also been undertaken. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The admission process is good ensuring that residents’ needs are identified and known. EVIDENCE: All of the residents have lived at the home for several years and therefore there have been no recent new admissions. They now have a good understanding of the needs of individual residents. Mr & Mrs Wright are aware that if, in the future they should admit a new resident then they will need to obtain a copy of the shared assessment. This has happened at the sister home owned by Mr & Mrs Wright. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Lack of detail in care plans and risk assessment has the potential to place residents at risk. The system for residents’ consultation is good with evidence that residents’ views are sought. EVIDENCE: Care plans were seen for all the three residents. They do contain detail of how needs are to be met but do require some further detail to be included. It was noted that details of how a specific need was to be met was not included in the care plan but in the risk assessment. This needs to be cross-referenced to ensure that staff are clear about where the information is held. Residents could not remember care plans being discussed with them but Mr Wright told the inspector that they are discussed. Residents are encouraged to make as many decisions about their own lives as possible. This was confirmed by the residents who spoke to the inspector who said that they had been involved in the choice of decoration for their own rooms and that they looked after their own money. Risk assessments were seen for all residents. They are not dated and there is no indication as to when they have been reviewed. Although they highlight risks they do not necessarily identify what measure have been put into place to 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 10 minimise the risk. There were also risks which have not been identified in risk assessments and discussion took place in relation to these and who needed to be involved in their completion as well as Mr & Mrs Wright. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 15, 16 & 17 Formal and leisure activities, links with the community and friend and relative relationships are good enriching residents’ lives. The rights of residents are respected and recognised within the home. The meals in the home are good offering residents choice and variety. EVIDENCE: Residents confirmed that they are involved in work experience placements and also attendance at a local day centre. If they wish they also attend evening classes in domestic science and arts and crafts. Residents make use of local facilities such as shops etc. They also confirmed that they attend the local church and two of the residents sing in the choir. Residents are able to invite friends and families to the home and they are also able to go out and about with their own friends as long as this has been agreed. Residents told the inspector about inviting friends to the home and about leisure activities. Residents are able to let themselves in and out of the home as they wish. They said that staff do not always knock on the door of the annexe before they come in but they did not mind about this. Residents also confirmed that they 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 12 open their own post and that they are able to get up and go to bed when they wish although they do get called in the morning if they are going out. Meals are decided on a daily basis and currently the meals are cooked by Mrs Wright in the main part of the home and taken over to the annexe but this is to change in the future with the meals at the annexe being provided by the residents in advance. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The personal support is offered in such a way that choice and independence are promoted. The systems for maintaining residents medical needs are good but lack of documentation in relation to medication may compromise resident’s safety. EVIDENCE: Currently none of the residents require aids or personal support with lifting. The home provides same gender care for residents. All other support is provided to meet individual needs of residents. Residents are all registered with a local GP and also receive regular dental, optical and dental treatment. Additional medical support is provided as required and an example was given of this. Currently none of the residents are administering their own medication. Medication is stored in a locked cupboard and a record is made of when it is given. There is no record of the amount of medication coming into the home and therefore it is not possible to do a stock check at any one time. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents are protected by the complaints and adult protection procedures. EVIDENCE: The home has not had any complaints since the last inspection. Residents said that they would speak to Mr & Mrs Wright or their care manager if they were unhappy about anything within the home. Mr & Mrs Wright confirmed that they have received a copy of Somerset’s Adult Protection Procedures. They do not recall having any specific training in relation to Adult Protection in recent years. However they were confident that their daughters have received training whilst undertaking NVQ and agreed to familiarise themselves again with the procedures. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The standard of the environment and facilities within the home is good providing residents with an attractive clean and homely place to live, which they have been able to personalise. EVIDENCE: One resident lives in the main house with Mr & Mrs Wright and two residents live in an annexe. Areas of the home, which was seen, were pleasantly decorated and homely. Residents have been able to bring their own possessions into the home. Furnishings are domestic in nature and there is nothing outside to distinguish the house as a residential home. The annexe has its own washing machine and there is a separate one in the main house. The home was clean and there were no unpleasant odours. Residents said that they have help to clean their own rooms and the communal area. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 35 Resident’s benefit from being supported by qualified and trained staff. EVIDENCE: Currently Mr & Mrs Wright undertake much of the work within the home with their two daughters. One daughter has completed NVQ level2 and is undertaking level 4 and the other is undertaking level 2. Records supplied by the home indicate that Mr & Mrs Wright and one of their daughters has undertaken statutory training in First Aid, Food Hygiene as well as safe handling and health and safety. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 There is clear leadership within the home and residents benefit from an open management style. With minor agreed adjustments health and safety measures are met. EVIDENCE: Mr & Mrs Wright have many years experience of working with people with learning disabilities and also of running a residential home. They do not currently have an NVQ 4 but one of their daughters who is also registered as a provider is currently undertaking NVQ level 4. Residents felt that they would be able to talk to Mr & Mrs Wright if they had any worries. The wiring certificates were seen and they were completed in 2003 and the electrician’s recommendation is that they are rechecked in 2008. Mr Wright says that he checks the portable electrical equipment and has equipment to do this. The home has electrical smoke detectors which are wired into the fire system and Mr Wright says that he checks these daily. A record is maintained on the calendar of when fire drills take place and the inspector said that this is more frequently than six monthly. One of the residents confirmed that they 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 18 have fire drills and she was aware of what to do if the alarm went off. Thermostatic mixer valves are not fitted to hot water outlets as the residents may well move at some stage into more independent living. However this needs to be record in a risk assessment. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 and 1a Orchard Villas Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000016213.V253164.R02.S.doc Version 5.0 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA6 YA9 YA20 YA42 Good Practice Recommendations It is recommended that further detail is available within care plans It is recommended that risk assessments contain details of how the risk is to be managed and that where required they are written in consultation with other professionals. Medication coming into the home needs to be recorded. It is recommended that a risk assessment is in place in relation to hot water. 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1 and 1a Orchard Villas DS0000016213.V253164.R02.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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