Inspection on 27/06/07 for 50 Cherry Orchard

This inspection was carried out on 27th June 2007.

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

50 Cherry Orchard 09/12/05

50 Cherry Orchard 30/06/05

50 Cherry Orchard 11/03/05

50 Cherry Orchard 26/08/04

50 Cherry Orchard 20/01/04

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 Cherry Orchard (50) 50 Cherry Orchard Highworth Swindon Wiltshire SN6 7AU Lead Inspector Pauline Lintern Key Unannounced Inspection 27th June 2007 10:00 Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 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 Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 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. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherry Orchard (50) Address 50 Cherry Orchard Highworth Swindon Wiltshire SN6 7AU 01793 765090 01793 765090 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) White Horse Care Trust Ms Rachel Baxter Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1), Sensory Impairment over of places 65 years of age (1) Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2005 Brief Description of the Service: 50 Cherry Orchard is a home in Highworth offering accommodation and care to five adults with a learning disability. The home is one of a number of homes managed by the White Horse Care Trust. The home is located in Highworth and is situated close to local shops and community amenities. All service users have the benefit of single bedrooms. There is a large enclosed garden to the rear of the property with a seating and recreational area. The home is normally staffed with a minimum of two staff on duty throughout the waking day with additional staff at peak times. There is no waking night staff. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over four and a half hours. Three members of staff were at the home on the inspectors’ arrival. The manager was not working on this particular day, however the deputy was available later in the day to assist the inspector with the inspection. Two service user were at home and the other three were at their day services. Prior to the inspection we sent out survey forms to service users, staff members and relatives to enable us to obtain their views on the service being Provided. Five staff responded, two service users and one relative. Feedback was positive. During the inspection various records and documents were examined including two care plans, risk assessments, staff recruitment, induction, supervision and training records, medication and quality assurance. The inspector met with two members of staff but was unable to communicate effectively with the two service users in the home, however one service user took the time to show the inspector photographs and their bedroom. The fees charged at Cherry Orchard are £1,074.00 per week. What the service does well: The home has addressed the one requirement set at the last inspection relating to keeping staff recruitment records at the home available for inspection. There is a current statement of purpose and a pictorial service user guide, which contains relevant information on the service. The statement of purpose is also available in a audio cassette version. Care plans reflect the assessed needs of the service user and these are kept under review. Support plans are clear and detail how the person prefers to have their personal care delivered. Each person has clear ‘goals’ and action plans are in place to monitor the progress of achieving individuals’ aspirations. The home have ensured that the communication needs of service users is given much consideration and they have provided opportunities to promote independence for people with a sensory loss. There is evidence that staff members are developing person centred plans and are provided with training in this subject. There are safe systems in place for the administration of medication. The complaints procedure is in different formats including video, pictures, symbols and text. The home was found to be clean and tidy with no unpleasant odours. There is a homely feel to the house, which is comfortable and welcoming. Staff are recruited, inducted, trained and supervised properly. There is a comprehensive training programme in place for staff’s personal development and to ensure their competency. Mechanisms are in place to monitor quality assurance. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 6 Leisure activities are recorded and detail how people responded to the experience. 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. The summary of this inspection report can be made available in other formats on request. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 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 Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is excellent People are provided with sufficient information to make an informed choice about where they wish to live. The individual needs and aspirations of people are fully assessed prior to being offered a place at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No service users have been admitted to the home since the last inspection. Feedback from service user survey forms confirm that two out of three people were asked if they wanted to move into the home and felt that they were provided with enough information about the service. The statement of purpose was updated and provided all necessary information. There is also an audio cassette version of the statement of purpose available. The service user guide was also informative and produced in a pictorial format. Each case file contained a copy of their contract and a complaints procedure, which was also in a pictorial format. Feedback from one relative stated, “This is certainly the right home for my daughter. Here she has a wonderful home, with friends who love and care for her. We could not wish for a better home for her. Our grateful thanks goes to the White Horse Care Trust and the staff at Cherry Orchard for making this possible”. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 9 Evidence shows that each person has had a full assessment prior to moving into the home to ensure the home can meet his or her individual needs. The assessments cover accommodation, mobility, social skills, finances, communication, recreation, health awareness, sexuality, spiritual needs, nutritional needs, mental health and physical needs. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 6, 7 and 9 Quality in this outcome area is excellent. People’s care plans reflect their assessed needs. They are supported to lead an independent life, making decisions and choices. Risks are assessed and managed well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two care plans were sampled as part of the inspection process. Both files show that they are kept under review and reflect the assessed needs of the service user. The staff team sign to confirm that they have read and understood each care plan. Individual plans demonstrate how the service user’s ‘goals and aspirations’ will be met. There are clear ‘action’ plans, which identify who will be responsible for certain actions, timescales and outcomes. One person’s ‘goal’ was to participate in more social activities, another was to attend speedway racing. The deputy manager confirmed that service users have the opportunity to attend their review meetings although sometimes they choose not to. The deputy manager discussed how they are planning to develop person centred planning within the home. She confirmed that the Trust is providing Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 11 on-going training, which has also involved service users. There are plans to develop communication passports to support people to be in control of their lives. A feature of this home is their commitment to promoting communication for the people who use the service. The home has tactile signs outside of each room to identify it; for example a knife and fork for the kitchen and a raised tactile name plate by the bedroom. There is a dado rail, which enables one person to ‘map’ their way around the home independently. Each staff member has an individual ‘object of reference’, such as a key ring, which identifies him or her to a service user. Another person uses Makaton signs and they have a separate file, which shows all the signs that the person knows. This is helpful for new staff to ensure consistent communication. Staff were observed signing to one service user and it was clear that they have a good understanding of the person’s communication needs. The deputy manager reported that other people in the house are now developing their signing skills, which is also enabling them to communicate more effectively. Key workers are allocated to each service user to ensure consistency. Care plans provide information to the reader on how an individual makes choices and whether they understand the principles of consent. If the service user cannot give consent then decisions are made as part of a multidisciplinary team and in the person’s best interests. One care plan states that the person can ‘vote with their feet’ and can indicate if they want a hot or cold drink. Another file reports that the person will use facial expression to communicate pleasure and displeasure and hand gestures to indicate choice. Some service users can make choices at a basic level but needs support to make informed decisions on major issues. Risk assessments are in place and are regularly reviewed to ensure there are no changes. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who use this service are provided with the opportunity to participate in appropriate activities within the local and wider community. Staff members support people to maintain relationships with family and friends. The rights and responsibilities of service users are respected. The home supports people to eat by providing nutritious food in a relaxed environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home offers varied choices regarding leisure and social activities. Preferences and needs are detailed in individual plans and support plans. The home accesses local amenities such as local shops, pubs, cafes, library, restaurants and the cinema. One person’s file states that they enjoy going ‘wheelchair’ ice skating, another says that the service user enjoys lively music and dancing and any items that light up, makes a noise or has to be wound up. Staff members report that the person has a large box of items which they Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 13 enjoy exploring and staff rotate the contents so that they do not become ‘bored’ with them. Staff explained that they are planning a birthday party for one service user where they are having a ‘bouncy castle’ and are inviting service users from other local Trust homes. One case file shows that the service user attends One Step Ahead where they do various activities such as art, music, dance, fitness club and bingo. They are also a member of the ‘Peoples group’ and are an ‘honorary member’ of the ‘Friday club’, which is aimed at the over 65’s. Staff at the home are keen recyclers and report that one service user is the ‘head’ of recycling and takes a pride in doing this. The Trust arrange monthly ‘crafty clubs’ where people have the opportunity to meet up with service users from other local Trust homes and participate in arts and crafts. One person showed the inspector a photograph of themselves making cards and invitations, which the staff confirmed their family love to receive. The deputy manager explained that there are plans to take four of the service users to Devon on holiday this year. She added that the accommodation is larger enough for people to have their own space and to be able to access separate activities if they wish. Two staff will be supporting them. Feedback from one service users survey form stated “I choose not to go out, but I am given the opportunity to do so, if I wish to stay in my room, this is treated with respect and I am not disturbed”. Each person has a turn lock fitted to their individual bedroom door, if they wish to use it. Care plans inform the reader of the person’s preferred form of address and any cultural requirements they may have. Three of the people living at the home see their family regularly. One survey reports, “This is my home – a place where my parents can visit me, and I am given every opportunity to be alone with them. I love my home here”. The home provides a healthy and varied diet for the service users. Service users participate in menu planning and shopping for food. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 18, 19 and 20 Quality in this outcome area is excellent People can feel confident that personal care support will be provided in a way that they prefer. Access to healthcare professionals enables people to have their physical and emotional needs met. Medication is managed well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support plans detail how the service users prefer to have their personal care delivered. Likes and dislikes are recorded, for example if they prefer a shower or a bath and at what time of day they wish to have it. One person’s support plan states that they rely on staff members to offer a choice of appropriate clothing to suit their age and gender. There is evidence to confirm that people’s diversity is respected. One person chooses not to leave the house therefore the staff have arranged for the optician, dentist, community nurse to visit the home. The manager reports that they have sourced a new therapeutic masseur for one service user who has profound sensory loss. The Trust report that this person is in receipt of their own Criminal Records Bureau check. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 15 Staff members confirm that they receive specific training relating to epilepsy, Downs syndrome and diabetes. All service users are supported to attend medical appointments and receive an annual OK health check. Medication is well managed at the home. No service user currently self medicates. Administration records were found to be accurate. The deputy reported that the staff team have received training on a particular medication they are now administering on an ‘as required’ (PRN) basis, to ensure that staff would safely manage the storage and recording of the medication. Staff members undergo training before they are able to administer medication and have to be supported at least ten times before they are able to administer on their own. The staff team regularly get re-assessed in medication procedures to ensure they maintain their competency. Medication is recorded when it is received into the home and returned or disposed of. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 22 and 23 Quality in this outcome area is good. People can feel confident that their concerns will be dealt with promptly. Policies and procedures are in place to safeguard people from any form of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an accessible complaints procedure, which is in a pictorial format and uses some symbols and text. There is also a video copy. Feedback from surveys showed that two people knew who to speak to if they were not happy and if they wished to make a complaint. One relative commented, “Although our daughter does very little speaking she communicates exceptionally well and we know the staff respond accordingly. The manager reports that there has been no complaints made within the last twelve months. There have been no complaints made to the Commission during this period. Each service user is provided with a pre-addressed post card to send to the Chief Executive if they wish to raise a concern directly with the Trust. Staff members confirmed that they have received training in safeguarding people and that they were aware of local procedures for reporting any suspected abuse. One staff member commented that they were aware of the ‘whistle blowing’ policy and that they have seen the Wiltshire and Swindon’s guidance ‘No Secrets’ and added “I would be able to deal with it if I suspected abuse and would report it”. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People are provided with a comfortable and safe environment, which is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This service provides a comfortable and safe environment for the people who live there. The home is in keeping with other houses in the area and offers access to local amenities and transport. The home itself is ‘fit for purpose’ and provides an environment, which is light, cheerful. The furniture and fittings are of a high standard. All rooms were found to be clean and tidy with no offensive odours. The manager reports that service users are involved in choosing pictures, plants, table linen and crockery for the home. Each bedroom is personalised with photographs and trinkets. People have a television, video player and a cd player in their room if they wish. A couple of people had exercise bikes in their rooms to use if they wished. One service users bedroom indicated that the staff team had considered their diverse needs resulting in the person having wooden tactile pictures and other tactile objects for them to stimulate their senses. There was a wooden board Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 18 with hooks on that held a number of objects of reference to enable the service user to identify who was in the room or communicating with them. One staff member explained that her watch was the object of reference that she used to be identified. Outside there is a large secure garden, which has a summerhouse and swings for people to access. There were lots of colourful patio plants, which the staff reported one service user had planted. They had also grown a number of runner bean plants, which were ready to be planted out. The deputy explained that although this person prefers not to leave the house they do enjoy sitting in the garden and doing planting some flowers. The home has a regular gardener for the general upkeep. The home has a laundry where there is a washing machine and tumble drier. All toxic materials are securely locked in the laundry to safeguard the people who live there. Rubber gloves and aprons are available for staff to use. It was noted that there was anti-bacterial hand wash in all places with hand washing facilities. Staff members confirmed that they attend infection control training and the home has an infection control representative who is responsible for updating any data and informing the staff team of any issues. Records show that the staff member responsible for this task carries out regular infection control checks. The manager reports that in the last twelve months the home has replaced the carpet in the sitting room and dining room and purchased new net curtains throughout the home. There is an rolling re-decoration plan and maintenance issues are dealt with promptly. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 32, 34 and 35 Quality in this outcome area is good. Competent and qualified staff support people who use this service. They have received training to enable them to meet the service user’s needs. There is evidence that each person has been recruited following the correct procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six members of the staff team have achieved their National Vocational Qualification (NVQ) level 2 or above. All new staff that have little or no experience of working with people with a learning disability attend Learning Disabilities Award Framework (LDAF) training before they commence with their NVQ, this provides them with a good base knowledge of the particular needs of the service users. The deputy manager explained that one new member of staff had started two days previous to the inspection and two more have also been recruited and due to start in the next couple of weeks. Staff demonstrate overall competency and appear to be sufficient in numbers, properly recruited, inducted, supervised and trained. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 20 One staff member described their induction to the inspector and confirmed that they had received all mandatory training such as fire awareness, health and safety, abuse awareness, basic food hygiene, manual handling. They explained that while a staff member is on induction they do not take on the role of a key worker. All new staff members have a mentor and have the time to get to know each person and their needs fully. The manager reports that the home has good equal opportunities recruitment practices and policies. She adds that the Trust ran ‘learning to choose staff’ training for service users in 2005. Recruitment records for three staff members were sampled and evidenced that checks with the Criminal Records Bureau are completed before a person commences employment. Two references are sought and proof of identity. Feedback from staff surveys demonstrates that the correct recruitment procedure was carried out for each of the people who responded to the survey. One staff member reported, “we have a good team of people here”, another said, “We all get on fine”. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 37, 39 and 42 Quality in this outcome area is excellent The people who live at the home benefit from a well run service. They have the opportunity to share in decisions relating to the development of the home. Health and safety is taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is qualified and competent to manage this service. The registered manager of the home confirms that the Trust have confirmed their commitment to equal opportunities by appointing the first Manager’s job share opportunity within the Trust. Ms Baxter continues to be the current registered manager, however the Trust confirms that they plan to also submit an application to us to register the person undertaking the job share in due course. Staff members confirmed that this arrangement works well. Policies and procedure are kept under review. The manager reports that a new Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 22 computer system is to be installed to facilitate the improvement of record keeping, transmission and storage of information. Feedback from staff and relatives surveys returned to us confirms that the home is well managed. Comments received include: “Cherry Orchard is run very well and to a good standard. I can’t think of anything at the moment that needs to change. If I did I would talk to my manager, who is very understanding and will listen to what I have to say”. “If there was a change needed I would discuss it with my manager, no change needed at the moment”. “I think everything so far is going well, nothing to moan about”. “I feel Cherry Orchard is run to a very good standard for clients and staff but if there was anything in the future to improve I would talk to my manager as she is always approachable and will listen”. “The management is organised and does things accordingly. Informs staff of any changes or plans about the home and service users, service users are well cared for and given satisfactory support. They are given a choice to do any activities whatsoever”. They ensure the well being of all service users and staff. Making sure that all are safe and trained. All needs are met along with being aware of new ones, changes that may occur. Most of the time everyone is happy and contented and any problems that arise are seen to efficiently. Cherry Orchard is a lovely home to work in and the service users are a pleasure to support”. “The clients have a good quality of life with the care that they receive and are encouraged to keep as much independence as they can. They are happy, relaxed and contented in their home. The Trust provides good training for all staff including health and safety to keep clients and staff safe at all times”. “I would like to say the home is a happy place where all are welcome and cared for. Communication between staff and relatives is excellent and outings and activities are always enjoyable. If there is ever a problem or worry about anything I know I can speak to someone. The highest praise to the staff at Cherry Orchard (as always) with special thanks to two staff members who not only care for my relative but have extended that care to our family as well”. Mechanisms are in place to monitor quality assurance. There are monthly health and safety audits completed within the home and health and safety committee meetings. The area manager carries out monthly audits, which are then forwarded to us. Annual surveys are sent out to staff and next of kin to obtain their views. Feedback from the surveys is audited and formulates the home’s development plan. Service users have the opportunity to attend ‘resident’s consultation’ meetings where they meet people from other Trust homes. The home has been accredited with the Investors in People award for commitment to staff development. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 23 The health and safety and welfare of service users and staff members is taken seriously. Records show that fire fighting equipment and emergency lighting is regularly checked and fire drills take place. Staff received internal fire instruction on 26/6/07. Staff members report that annually they also receive instruction from the fire officer. There is a current fire risk assessment dated 28/11/07. All radiators are guarded and all windows have restrictors on them. Hot water temperatures are recorded along with fridge and freezer temperatures. Legionella checks are also recorded. Accidents are properly recorded. The last entry was on 17/06/07. Portable electrical appliances were last checked on 7/11/06. Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 4 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 3 X X 3 x Cherry Orchard (50) DS0000003178.V336501.R01.S.doc Version 5.2 Page 25 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. Refer to Standard YA6 Good Practice Recommendations It is recommended that the staff team further develop their person centred plans. 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