Inspection on 25/07/05 for Little Orchard

This inspection was carried out on 25th July 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

Little Orchard 28/01/09

Little Orchard 12/04/07

Little Orchard 04/01/06

Little Orchard 29/11/04

Little Orchard 01/07/04

Little Orchard 18/02/04

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

CARE HOME ADULTS 18-65 Little Orchard 17 Lavender Road Hordle Lymington Hampshire, SO41 0GF Lead Inspector Rodney Martin Unannounced 25th July 2005 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 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 Stationary 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. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Little Orchard Address 17 Lavender Road Hordle Lymington Hampshire SO41 0GF 01425 617217 01425 617217 info@glyn-residential.co.uk Glyn Residential Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Mandy Henry CRH 5 Category(ies) of PD Physical disability - 5 registration, with number LD Learning disability - 2 of places Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29.11.2004 Brief Description of the Service: Little Orchard, 17 Lavender Road is one of three homes owned by Mr & Mrs Hayward and now provides personal care and accommodation for up to five service users with a physical disability and two service users in the learning disability category. Since the last inspection the home registered two bedrooms upstairs for ambulant residents with a learning disability. The home also provides day care. The home is situated in Hordle, where there are a small number of shops and facilities. Lymington is the nearest town, and the city of Southampton can be accessed by car. The home comprises of a chalet-style bungalow, but the upstairs living area is not utilised. All service users have single bedrooms. Communal facilities include a kitchen/diner, lounge, activities room, which contains a kitchen, craft facilities [where service users can cook, create craft projects and have physiotherapy]. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 17 Lavender Road has a house name, ‘Little Orchard’, and so for the purposes of this report the home will be referred to as Little Orchard. There were no requirements in the previous inspection report, dated 29 November, and again none were made following this inspection visit. The unannounced inspection took place between 9.45am and 1.45pm and during the visit the inspector, was assisted by the manager. The inspector also met two physiotherapists who were also in the home, on the day of the inspection. Little Orchard increased the number accommodated from three to five on 4 March 2005 and has since admitted a service user, who had been coming to Little Orchard for day care. Little Orchard now has four service users, whose ages ranged from 25 to 42 years old. Little Orchard has two male and two female service users. However, on the day of the visit, only one service user and a day care client were in Little Orchard. Two service users were at day services and another had gone to stay with a parent for the weekend. The fourth service user was waiting to go out for the day and so it was decided that the day client would go with their carer to Glyn at 6 Dudley Avenue, for activities and their lunch. The inspector received a pre-inspection questionnaire prior to this inspection and three comment cards from service users. Two of the comment cards had been completed by the service user and third with assistance from the manager. There were no adverse comments. What the service does well: The home provides a safe environment for residents where they are looked after by dedicated and caring staff, who are suitably trained. There is a commitment to staff training with Little Orchard, with a good training programme. The manager leads by example. The inspector received three comment cards from service users, prior to the inspection. All the questions were answered positively. The home enables residents to participate in appropriate activities, which are tailored for each service user. Meals are varied, plentiful and well managed to meet residents’ needs and preferences. There is continuity of care with staff having worked in the home a long time. Residents support needs are met within Little Orchard. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 6 The home is good at advocating on behalf of the service users. 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. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 5 The home’s admission procedure ensures that prospective residents needs are assessed and they have adequate information and opportunities to visit the home, prior to making a decision about living at the home. Service users have a relevant terms and conditions of residency. EVIDENCE: Since the last inspection the home has up dated the statement of purpose to include the increase in the home’s registration regarding admitting ambulant people with a learning disability. The home has a relevant statement of purpose and service users guide. The residents have a copy of these documents in their room. Since the last inspection, a client who had been coming to Little Orchard for day care, five days a week, was admitted. The inspector was able to view the new service user’s file. A full assessment had been completed indicating that Little Orchard could meet the needs of the service user. The staff members, on duty, commented that the transition had gone well because the service user was familiar with the home, the other residents and was known by all the staff in Little Orchard. Various risk assessments had been completed. A signed copy of the contract is also included in the file. Two of the current service users at the home use British Sign Language to communicate, and staff are trained in this. The staff demonstrated a good Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 9 understanding of service users needs and are skilled at meeting their needs. One-day client exclusively has a one-to-one care worker. They have a good rapport with the staff members and individually and collectively staff have the skills and experience to provide the care service users require. The aims and objectives of Little Orchard are “to provide care support and accommodation to people with various disabilities and problems and to ensure quality of life through freedom of choice”. There was evidence that the home is meeting its stated aims and objectives. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 9 and 10 There is a clear care planning system in place, with evidence of consultation with service users about decision making, which ensures that their needs are met. EVIDENCE: Each service user has a comprehensive file, which includes important relevant information, their service user plan detailing the service users’ general abilities, complete details of the care required from the time they get up to the time they go to bed, activities of daily living, activities and interests, behaviour management and likes and dislikes. The files were easy to read and gave a good pen picture of the individual service user. Since the last inspection the home has implemented a recommendation in the last report creating headings in the general abilities section and changing the type into lower case for better ease of reading. The inspector discussed with the manager having individual resident’s files developed in a modular format, with key information, care plan reviews, contacts relevant to the individual resident, medical information, financial information and confidential information et cetera. Such a system would Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 11 ensure that all the relevant information about an individual is held in one place. It would also promote confidentiality and access on a needs-to-know basis. It was agreed that this would be implemented. The use of a care plan outcome sheet was also discussed to date and sign when the care plan is reviewed and updated, if necessary. Staff are actively encouraged to help service users make decisions in promoting independence. These are documented in the service user’s care plan, residents’ meetings minutes and in the service user’s daily diary. The home is good at advocating on behalf of the service users. There were examples of this in service users’ files. Service users are able to voice their opinion at the regular residents’ meetings. Service users are involved in their reviews. A separate activities’ plan for each service user was available, indicating that service users participate in an extensive list of activities. Risk assessments and manual handling assessments are carried out as part of the referral procedure and are updated, as appropriate. This also applies to day care clients. The home has a policy on confidentiality. Staff, spoken to, are aware of how to handle information about service users. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17 Social activities, family relationships and meals are well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Day services/activities and the service user’s social life is part of the care plan. Each service user has a timetable of activities, with a full programme for each one. The home has a large activities room with a variety of specialist equipment. Two physiotherapists came in, on the day of the visit, to provide relevant activities for two service users. They confirmed that they had been coming to Little Orchard for some years and always found the home “very welcoming”, “the staff helpful” and they both said “they enjoy coming”. Service users also attend various clubs and activity centres, including Leonard Cheshire day centre in New Milton, Fernmount day services and the Hexagon Centre in Chandlers Ford. Service users are supported to develop and maintain their skills, relevant to their age and capabilities. It was evident that each service user has different needs and interests but these are catered for in the home. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 13 Glyn Residential Ltd has its own transport to provide access to the local community, for service users. There is support for the service users to pursue entertainment, outings and holidays of their choice, as well as eat out and enjoy visits to local pubs. Service users have been to Wembley to see various artists such as Blue, West Life, Ronan Keating, Elton John, Eric Clapton and Tina Turner. An activities programme for the week of the inspection was on display in the home. There are joint residents’ meetings with the other two homes. One service user enjoys going for bicycle rides with a carer on a specially adapted bicycle with a wheelchair on the front. Service users have their own radios, televisions, video, books and hi-fi systems in their rooms. The home has Sky television installed and is connected to each bedroom. Glyn has a beach hut at Milford-on-Sea, where service users can enjoy a break by the seaside. The residents have a say in where they have their holiday. One service user is going to Jersey with a carer and also a weekend in Ireland with their family. Another service user is going to a camp with a carer and another is going to Woodlarks camp in Farnham. The home has been raising money for the residents of all three homes to go to Disney World, Florida for Christmas 2005, with various events and projects throughout the year, including a cream tea at Little Orchard as a fund raising event on 29 June 2005. Although a large sum has been raised overall it is not going to be enough and so the trip to Disney World has been shelved for this year. However, it was reported that more individual holidays would be pursued. All service users have family and friends involved. The home actively encourages and supports the service users to maintain family links. Service users spend time with their families in the home and also go to stay with their families. On the day of the inspection one service user had gone to stay the weekend with their parent and another service user was going for the day with a parent. Service users are able to use their own rooms, the dining room or the lounge to entertain guests. Friendships, both in the home and out in the community, are also supported under the same conditions. The home has further developed its newsletter. A copy of the May 2005 newsletter was available, on the day of the inspection. This included a diary of forthcoming events, news items about the residents, articles, quizzes, photographs and visits from local events. The menu is discussed with service users each week. It was reported that they all generally like most food and do not have particular dislikes. As there was only going to be one service user in the home, for lunch, on the day of the inspection, they had lunch at Glyn 6 Dudley Avenue. Residents were given a choice of the main course and were able to choose from a selection for desserts. Residents, spoken to, were very complimentary about the quality and quantity of food provided in the home. One service user has a PEG feed [a system of direct liquid food into the stomach] for which all staff have received appropriate training. A dietician monitors this. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 and 21 The residents’ physical and emotional health needs are being met, with evidence of good support from health care professionals. The home has clear arrangements in place ensuring the medication needs of residents are met and for supporting terminally ill residents in the way they prefer. EVIDENCE: There are risk assessments and manual handling assessments on file for each service user. Service users can choose what time they get up, or go to bed et cetera. Health professionals such as occupational therapists, physiotherapists, speech therapists and dieticians are involved with service users, as appropriate. On the day of the inspection two physiotherapists were in the home. Service users have a multitude of aids and adaptations in place to meet their individual needs, including an electric hoist has been fitted to the downstairs walk-in shower room, which are funded by the registered persons. The home has appropriate policies and procedures for receipt, administration and disposal of medicines. Service users are supported and encouraged in all aspects of individual health care and personal care needs. Medication procedures are appropriately undertaken. Staff have recently had external Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 15 training on medication at Brockenhurst College, which is a ten to twelve course that is to National Vocational Qualification [NVQ] standard level 2. The home has a policy on death and dying, as well as the procedure for staff to follow if a death occurs in the home. All four-service users have the details regarding their wishes concerning terminal care and death recorded. One service user goes regularly to church and another goes occasionally with a parent. The home has a good relationship with the local vicar. Staff have received palliative care training. District nurses and Macmillan nurses came in when a previous service user was dying. Bereavement counselling would be made available, if required. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a satisfactory complaints procedure and an adult protection procedure, to safeguard residents from abuse. EVIDENCE: The home has a full complaints procedure and a copy is given to all residents. Two residents have been given the complaints procedure in pictorial format. There have been no complaints recorded or referred to the Commission. Little Orchard has an adult protection policy. Staff have received training in preventing and dealing with suspected abuse. There have been no incidents of abuse recorded in the home. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30 A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment with appropriate facilities and equipment to meet their needs. EVIDENCE: Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 18 Little Orchard is a large chalet bungalow, which is double glazed throughout apart from the laundry room and activities room. The home has a very attractive garden, Mediterranean in style. The home has a large greenhouse, with a grapevine growing. All the bedrooms are single. There is a large lounge with sliding doors on to a patio. Little Orchard has a large activities room with a sink, cooker for service users to enjoy cookery sessions, a computer and a piano. Service users are able to participate in physiotherapy and enjoy various games. Since the last inspection the home registered two upstairs bedrooms for ambulant service users in the learning disability category. One bedroom has an en suite toilet and shower facility provided as well as a wash hand basin. The other bedroom has a Velux window and has been extended to have a dormer window installed. Although this room does not have en suite facilities the service user would have use of the bathroom, opposite. Suitable locks have been fitted on the upstairs bedrooms and bathroom, since the last inspection. The lino in the hall has been replaced. The inspector was able to tour the building. All the bedrooms are a comfortable size and service users have personalised their bedrooms. All residents have their own single bedroom, which is provided with electric beds, hoists et cetera. Bedroom radiators have been covered. Service users are able to choose their own colour scheme. The home has obtained planning permission to further extend Little Orchard. On the day of the inspection building work had started to provide a new activities room, extended from the existing activities room. The plan is to also to create a new bedroom from the existing activities room, with an en suite bathroom suitable for a wheelchair service user. It was agreed that the inspector would arrange for an application form to be sent for the home to vary their conditions of registration from five to six service users. Little Orchard Road provides sufficient communal space for the permanent service users as well as the day care service user. Little Orchard is a nonsmoking home. Staff are provided with adequate facilities, including a safe place to store personal belongings. The current vacancy upstairs bedroom could be used to provide accommodation for a visiting relative in the case of an emergency. The home was found to be clean and free from unpleasant odours. The laundry room is situated away from the kitchen and food preparation and are sufficient for the number of service users accommodated. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and residents’ health and safety is promoted. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36 Residents are well supported by a sufficient, well-trained and consistent supervised staff team, who offer continuity of care. EVIDENCE: Little Orchard employs a manager and seventeen staff members, and employs staff in sufficient numbers with the complementary skills to support service users’ assessed needs. The home does not use agency staff, but fills last minute gaps in the rota with existing staff. Little Orchard is one of three homes, in the vicinity, owned by Mr & Mrs Hayward. The majority of staff have worked in Little Orchard for some time, providing continuity of care. There is a large pool of staff that work interchangeably at all the homes. Since the last inspection two staff members have left, one to commence nurse training. However, two new carers have been recruited. The inspector was able to view the files of both staff members. Both files contained the relevant required documentation, including a photograph of the staff member. One had a returned Criminal Records Bureau [CRB] check and for the other the home was waiting for its return. They had received a staff contract and had started an induction programme. A job description was available clearly stating their Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 20 duties and role within Little Orchard. The home holds regular staff meetings. The last one was held on 21 July 2005. Eleven staff members for all three homes participated in a deaf awareness course at Little Orchard on 12 July 2005. Six staff members are currently on a medication course with Brockenhurst College, which is to National Vocational Qualification [NVQ] standard. Two staff members are on an NVQ level 3 course. It was reported that two further staff members are to commence NVQ level 3 in January 2006, as the course is full for September 2005. The inspector met a carer who started last month an NVQ level 3 course. They said that they were benefiting from attending the course. Staff have learnt to communicate using British sign language. Staff confirmed that there is a commitment to training within Little Orchard and are encouraged to go on relevant courses. One staff member said, “they are very good here about training”. A system of supervision is in place, which is linked to staff appraisals. There was evidence that staff had received supervision, both individual on a one-toone basis as well as in group sessions. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 and 43 Little Orchard is a well run home by a qualified and experienced manager, who provides effective leadership. Service users rights and interests are safeguarded and protected by the home’s policies and procedures and health and safety measures. EVIDENCE: Mandy Henry is the registered manager. She has worked in Little Orchard eight years and has obtained NVQ level 4 as well as the registered managers award. The manager undertakes periodic training to update her knowledge and skills and communicates a clear sense of direction and leadership through staff meetings, which are held every three months, staff supervision and education. There was evidence of a good team spirit and staff members working well together. The home operates a quality assurance system. There are three monthly service users’ meetings. Service users are actively involved in menu planning, Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 22 activities and holidays. The service users have all got parent involvement and they know what is going on in the home and are in regular contact. There are annual reviews with the service user’s social worker. The home produces an informative newsletter. The home has copies of the policies and procedures and/or codes of practice, which are required. These are reviewed annually. Staff have access to the relevant policies and procedures and are kept up to date through supervision, staff meetings and information put on the notice board. Relevant records were satisfactorily maintained. Service users have access to their records. The fire logbook was inspected and fire safety equipment had been tested and serviced regularly. The home recently had three fire drills in June and July 2005, involving the residents. The health, safety and welfare of residents is promoted and protected by the manager ensuring that Little Orchard is a safe environment to work in, by staff having received current training in first aid, manual handling, infection control, fire safety et cetera. The home has comprehensive risk assessments in place. The fire risk assessment was updated on 30 June 2005, as the home is now able to accommodate service users on the first floor. A fire officer from Hampshire Fire & Rescue Service visited Little Orchard on 22 December 2004 and found that the fire safety arrangements were satisfactory. The home has a current certificate of employers liability insurance. The home has appropriate minibus insurance as well as insurance cover for the business. A firm of accountants in New Milton reviews the accountants annually. Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Little Orchard Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 24 NA 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 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 Good Practice Recommendations Little Orchard H54 S12281 Little Orchard (17 Lavender Rd) V240052 250705.doc Version 1.40 Page 25 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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. 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