Inspection on 12/06/07 for Hft - Orchard View

This inspection was carried out on 12th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hft - Orchard View 27/06/06

Hft - Orchard View 07/02/06

Hft - Orchard View 03/02/05

Hft - Orchard View 20/07/04

Hft - Orchard View 24/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hft - Orchard View 7 Waterloo Road Bidford On Avon Warwickshire B50 4JP Lead Inspector Martin Brown Key Unannounced Inspection 12th June 2007 11:50 Hft - Orchard View DS0000004245.V342753.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 Hft - Orchard View DS0000004245.V342753.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. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hft - Orchard View Address 7 Waterloo Road Bidford On Avon Warwickshire B50 4JP 01789 490730 01789 772790 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) www.hft.org.uk Home Farm Trust Mrs Rachel Rone-Clarke Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2006 Brief Description of the Service: The home is a purpose built, large bungalow for six people with severe learning and physical disabilities. It is part of the Arden Vale Scheme located on a rural campus of the parent body, Home Farm Trust. The site has another 2-unit home for a total of 9 residents, and a large activity centre, which most residents use to some degree during the week. All bedrooms are single without en-suite facilities, there are vanity sinks in each bedroom. The home is fully wheelchair accessible. There are three bathrooms, two with specialist baths (easibaths) and a walk in shower room. There is an enclosed garden area. It is paved with border shrubs, water feature and garden furniture and is easily accessible for service users. The home is near to the village of Bidford on Avon, where there are a number of local amenities. Stratford is approximately 9 miles away, Redditch is 12 miles and Evesham is 8 miles away, where there are a variety of facilities available. Full personal care is provided. The charges, as from 27/6/06, are £1478.00 per week. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over six hours during a weekday. During that time, all residents save one, who is currently in hospital, were seen. Although residents’ verbal communication to the inspector was, in most cases, very limited, they were able to indicate their well-being or otherwise by their actions, general demeanour, and interactions with staff and each other. Staff on duty, as well as management, were also seen and relevant topics were discussed. Policies and procedures and care records were examined, and three residents were ‘case tracked’, that is, their experience of the service provided by the home was looked at in detail. The inspector was made welcome throughout. The recently introduced Annual Quality Assurance assessment was fully filled in and returned by the management to further also inform the inspection. A sample of four relatives were spoken with via telephone to give their views on the home, and were all extremely positive in their views of the service it offered. “Marvellous”, “they have done wonders”, and “they do so much” were typical comments. What the service does well: The service continues to provide a spacious, well-maintained ‘homely’ environment where residents are supported by an experienced staff team who are familiar with their needs and how to meet them. Staff were able to give examples of progress that residents had made since being at the home; this was confirmed by comments from relatives, as noted above. Residents are frequently out and about, and the service is able to cater for their differing needs. Person centred plans and life stories clearly show the wishes, needs and achievements of individuals, and provide good guidelines for staff supporting them. The service is swift to respond to any difficulties, medical or otherwise, checking out and resolving problems before they become major. It has shown itself to work well with outside agencies in promoting a better quality of life for individuals. The service supports residents’ contacts outside the home by, for example, providing transport when needed to see relatives, and currently, to see the resident currently in hospital. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Hft - Orchard View DS0000004245.V342753.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 Hft - Orchard View DS0000004245.V342753.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service ensures it is able to satisfactorily meet the needs of prospective residents, without compromising those of existing residents, before such residencies become permanent. EVIDENCE: One new person has moved to the home since the last inspection. The manager was able to detail the gradual process in which this person became used to the home, and vice versa, with initial visits, stops for meals, followed by overnight stays, weekend stops, ascertaining of the views and reactions of existing residents in residents’ meetings, before the move became permanent. The person’s care file showed assessments of needs and detailed how the home could meet those needs. Where particular behavioural needs showed themselves during the initial ‘settling in’ period, the manager was able to demonstrate how these were successfully managed with the support of outside professionals, to the extent that they are no longer an issue of concern. The resident was seen, on return from the day resource, to be integrated and happily accepted by other residents, although not necessarily interacting with them. One person is currently in hospital; the service is aware that on her return she will have additional needs, and is ensuring that it liaises closely with the hospital and social services to ensure that it is able to fully meet her needs. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 9 Individual guides, and contracts, made more ‘user friendly’ by being in a simple straightforward format, and illustrated with pictures and photographs, continue to be available. Hft - Orchard View DS0000004245.V342753.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ individual plans reflect and inform their needs. Risk assessments may benefit from being more person-focused. EVIDENCE: Each resident has a large file, in the office, along with a risk assessment file. They have, in their own rooms, life storybooks and person centred plans, as well as service user guides and records of activities. These are all made ‘user friendly’ with lots of photographs and vivid records of activities, such as programmes of shows attended, and with simple, clear explanations of routines and needs. In addition there are daily records that show daily achievements and any concerns, and these contribute to reviews of care and charting individual progress. All relatives spoken to said that they were invited to regular reviews, and kept fully informed of any changes. One good example of how well-illustrated care plans related to good care practice was shown by the vivid pictures in the relevant file in the office of one resident’s face and head after self-injury caused by the distress of particular Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 11 infections. This acted as a clear prompt for all staff to get any indication of problems in this area as soon as possible, and this happened during the inspection, with a pre-emptive check-up at the local doctor’s because of concerns in this respect. The record of personal routines continues to be a good means of assisting people with high communication needs to make decisions about their everyday living preferences. People’s likes and dislikes are also recorded and service user meetings are taking place on a regular basis. The meetings provide an opportunity for people to be consulted about everyday issues, such as holidays and activities. Staff were able to give a number of examples, backed up by observation and records, of individual progress in behaviours, abilities, and communication. A discussion was had with the manager concerning the risk assessments contained in separate individual folders, which appeared to be more ‘system focussed’ rather than based on individual needs. The home has indicated in its Annual Quality Assurance Assessment that it intends to review these. Many risk assessments are already covered in a way that relates more to individual needs in such areas as individual routines, which show what support is needed to balance individual safety with independent progress. Hft - Orchard View DS0000004245.V342753.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to enjoy a variety of activities, both within the home and the local resource centre, and in the wider community. Relatives and other visitors are welcomed and supported, and residents enjoy a healthy and varied diet. EVIDENCE: All residents were out for varying parts of the day during the inspection. Three attended the local resource centre, returning later in the day. One person had enjoyed a day ‘at home’ that was in fact spent on a variety of activities outside the home, supported by staff, and at a variety of destinations. Her day had involved a necessary trip to the dentist, followed by some shopping and a trip to the park. One resident, because of concern over a medical condition, had a doctor’s appointment. All residents appeared content when observed in the home. Care plans and life storybooks showed a variety of activities, and staff showed a Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 13 good awareness, of activities enjoyed by individuals. These were supported by statements, pictures, and photographs in individual plans. Laminated pictures of birds were on display in the dining room. These were, explained a staff member, an aide to one resident who enjoyed feeding and watching the birds. This person was pleased to point out birds in the garden to me. One person’s care records showed she liked bus rides, and smiled when this was mentioned, accepting going to the doctor’s as this meant a ride in the bus. The Annual Quality Assurance Assessment states “Good relationships maintained with Family carers. Service users are encouraged by creating opportunities to develop friendships with other service users that may have same interests and with other people that do not live with HFT.” Two examples were noted of the service supporting residents forming friendships with people from outside the home, with visits to , and by, individuals from other HFT homes. Relatives spoken to all said they were made welcome by the home. Staff advised that relatives were freee to visit at any time, but were advised to phone beforehand, to ensure that people were in. One resident is currently in hospital. the home supports residents to visit to maintain contacts. Relatives and staff spoken to about this said that the visits were appreciated, particularly by the person in hospital. The home is, to a degree, isolated from the wider community, being situated in a cluster comprising day resource centre and another, separate, home, all belonging to Home Farm Trust, and on the edge of a small town, but management and staff were adamant that residents were frequently out and about in the local area and beyond, helping with shopping and on social trips, as well as using the local health facilities. Individual records, as well as observations during the inspection, confirmed this. The one resident who was able to make her views clear verbally, was able to talk about the places she visited and variety of activities she took part in oputside the home. Menus, and food available demonstrated a variety of healthy food available. The home has a local award reflecting achievements in healthy eating. Dietary supplements are available and used when needed. The home continues to encourage residents’ involvement in choosing menus and shopping for food, with regular shopping trips to the local shops being a regular part of their life. The menus are currently hand-written, the manager advised that they are working to having menus illustrated with pictures, to make them more accessible to residents. The dining room is spacious, and, joining on to the kitchen, functioned as an additional, airy communal space where residents were seen to be relaxed, having drinks on their return from outside activities, and interacting with staff, as an alternative to the lounge. Hft - Orchard View DS0000004245.V342753.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to have their physical, emotional and healthcare needs met by a staff team that have a good awareness of these and are able to call on the support of outside professionals as needed. EVIDENCE: Residents were seen to be supported in a sensitive and professional way by staff who know them well and were able to demonstrate a good knowledge of their needs and how to meet them. The service was seen to be pro-active in getting prompt medical attention to prevent potential medical problems leading to other problems, where a resident was unable to articulate any pain or discomfort by other than self-harming. Staff have the relevant training in areas such as epilepsy, moving and handling, to meet specific care needs, and outside professionals are involved as appropriate in reviewing and monitoring needs and how they are met. The manager was able to give an example of how an outside professional had been called in and had led a consistent team approach to resolving a particular behaviour that was hindering the resident’s social development as well as causing difficulties to other people. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 15 The manager advised that the management of epilepsy by the service is currently being reviewed, with professional advice, with a view to improving its effectiveness and enhancing people’s safety and dignity. Residents that need to be are checked during the night at fifteen minute intervals by the waking night staff. There is also a monitoring device to alert staff to noises relating to seizures from one particular resident. At present, a brand name ‘baby’ alarm is used. The manager advised that alternatives are currently being looked at. Health screening for residents is currently taking place, led by a community learning disability service at the local surgery. One of the residents had been to the dentist’s that day, as well as ‘the foot person’, as she was able to say. A member of staff demonstrated how medication was administered and recorded. She advised that this was done in the office, to minimise interruption and disturbance. Medication is kept in a locked trolley in a locked, cool room. Medication Administration Record Sheets were checked, and seen to show an accurate record that tallied with medications dispensed. There is a space to record allergies on these, but this was blank. One resident has allergies to specific medicines, but this was not recorded anywhere in the medication folder or records. It was seen to be recorded on that person’s individual care plan. The inspector recommended to the manager that this was recorded in the medication folder, and that where there were no known allergies, that this was also clearly recorded. Hft - Orchard View DS0000004245.V342753.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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse, neglect and self-harm, and can be confident that their views and wishes are heeded. EVIDENCE: One complaint had been made and investigated since the last inspection. The manager was able to explain how this had been managed, and the circumstances surrounding it. Unfortunately, the paperwork concerning the complaint was not available; the manger advised that it had been archived and offered to retrieve it, but this was not seen as necessary on this occasion, as it had been adequately explained and discussed. Later discussions with relatives showed that they felt that they had no complaints with the service, were kept fully involved, and were confident, in the unlikely event of them being unhappy about something, that the manager and staff were very approachable, and that any problem would be resolved. Staff showed a good awareness of abuse, and of the systems in place to ensure that the risk of abuse of any sort was minimal, whether that be watching out for bruises, or signs of unhappiness or distress. Where self-harm was an issue, the service showed its promptness in seeking medical attention in order to minimise the likelihood of this happening. Staff showed a good awareness of residents’ wishes and needs and how to gauge well-being and individual wishes and preferences from non-verbal, as well as verbal, cues. Hft - Orchard View DS0000004245.V342753.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): 24, 27, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a very pleasant, spacious, and generally well-maintained environment. Safety in the bathroom may be compromised by not having regular safety checks of a hydraulic bath. EVIDENCE: The home is situated in a rural location in large grounds. All the rooms are at ground floor level and there is good wheelchair access throughout the home and garden. The central courtyard area provides a pleasant space for people to sit out during the summer months. Overall the home is attractively designed and decorated, and well furnished with domestic style furniture, to give a homely, spacious and airy feel. A small number of minor items detracted from the overall ‘homely’ domestic feel of the home. Some stark ‘no smoking’ notices were evident. The manager agreed that staff and regular visitors would be fully aware that the home was a no smoking home, particularly as it had won a ‘clean air’ award, now on display by the entrance. There were a number of notices in the dining room Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 18 and other areas, primarily addressed to staff. The manager agreed that many of these could be removed, as staff should be aware of the information, or moved to a more suitable location, such as the office. The central courtyard is a very pleasant and useful amenity. Some of the doors and wooden surrounds are showing signs of wear; the manager agreed that action now would prevent further decay and expense in the future. The lounge, like all the other communal areas, was pleasant, spacious and well-decorated. The manager advised that new chairs were to be bought for the lounge. This was also noted in the service’s own Annual Quality Assurance Assessment. The existing ones, although being in good condition to look at, ‘sank’ when sat in, causing potential difficulties for getting out of, particularly for those with mobility difficulties. The area by the front door was welcoming, with pictures of staff to help residents understand who was on duty that day, and pictures of residents pleasantly presented on the wall, as well as a ‘welcome’ folder, with information about the home attractively presented on laminated pages. The home continues to be free from unpleasant odours, with laundering and cleaning managed in an efficient and hygienic manner, minimising the risk of infection. The bathrooms are well-equipped to meet the needs of residents, with decorations to make them more friendly and stimulating, rather than merely functional. One bath has a hydraulic lift. At present, there is no mechanism in place to have this regularly checked by a suitably qualified person. Hft - Orchard View DS0000004245.V342753.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): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents at Orchard View are supported by a core team of experienced, properly recruited and trained staff who are familiar with their needs and how to meet them. EVIDENCE: Staffing was seen to be sufficient to meet the needs of the people at the home, with the core of the care being provided by a staff team who are experienced and familiar with the needs of the residents. Staff and residents were observed to interact in a relaxed, easy-going manner. Staff spoken to were able to demonstrate a good knowledge of the needs of individual residents and how to meet them. The manager advised that finding new staff was difficult, and that agency staff have to be used on occasion, but these are usually the same staff, who are familiar with residents, and known by them. The service recognises that recruitment is ‘challenging’, and its Annual Quality Assurance Assessment shows that it is taking positive steps towards addressing this. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 20 All residents are female, and the staff are all female. Those spoken to agreed that residents might benefit from the presence of male staff, although this would raise issues of gender sensitive personal care. The files of three staff, including a recent recruit, were examined. The files were contain evidence to confirm that a suitable recruitment procedure is in place and to verify that appropriate measures are taken to ensure that staff are suitable to work at the home. This includes evidence of Criminal Record Bureau checks and references. Examination of files, and discussion with staff, showed that staff receive training in mandatory areas, and that over 50 of staff have National Vocational Qualification at level 2. Staff spoken to during the inspection showed a good awareness of abuse, what possible indicators were, and what to do if this was suspected. Hft - Orchard View DS0000004245.V342753.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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-run service, where their health, safety and welfare is promoted and protected, and where staff take care to ensure views are understood and heeded. EVIDENCE: The manager has been in post for a year and a half, advised that she hopes to finish her National Vocational Qualification level 4 soon, which will meet most of the requirements of the Registered Manager’s Award, to be completed after this. There are a variety of quality assurance processes in place, although the service recognises it can always improve on this, noting in the Annual Quality Assurance Assessment a need for “more frequent and effective service user feedback into the service development process.” The Annual Quality Assurance Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 22 Assessment also recognises that more involvement from the Speech and Language Therapy service may help communication and understanding for residents. At present, residents’ meetings, involvement by relatives in individual reviews, internal audits, and visits by the Registered Person all contribute to the development of the home. All relatives spoken to regarding the service were extremely complimentary about it, in some cases comparing it very favourably with others they’d experienced. The information provided on the Annual Quality Assurance Assessment indicated that all items needing to be regularly checked for safety were so. The one exception was the hydraulic lift on the bath, the checking of which the manager advised had been subject to contractual difficulties, but which now, I was advised by the management, will be appropriately checked and serviced as necessary. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 23 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 x 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 2 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 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 24 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. 1. Standard YA27 Regulation 23 (2) (b) Requirement There must be evidence that the bath that has a hydraulic lift has been checked at least annually by a competent person to ensure that it is safe to use. Timescale for action 18/07/07 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. Refer to Standard YA20 YA24 YA24 Good Practice Recommendations Details of any allergies should be clearly recorded in medication records to ensure that residents do not receive medications that are potentially injurious to them. The use of ‘no smoking’ and other notices in the home should be reviewed, to ensure that the homely nature of the building is not compromised by unnecessary notices. Doors and other wooden structures in the central courtyard that are in need of refurbishment should receive that sooner than later, to prevent an excellent facility becoming shabby. Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Hft - Orchard View DS0000004245.V342753.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!