Inspection on 21/08/07 for Orcadia

This inspection was carried out on 21st August 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Orcadia 86 Buxton Road Disley Cheshire SK12 2HE Lead Inspector Ms Julie Porter Unannounced Inspection 21 August 2007 10:00 Orcadia DS0000064895.V336424.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 Orcadia DS0000064895.V336424.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. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orcadia Address 86 Buxton Road Disley Cheshire SK12 2HE 01663 765056 01663 751374 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) Mrs Gillian MacDonald Vincent MacDonald Sally Wheeldon Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - PC, to service users of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories:Learning disability - Code LD The maximum number of services users who can be accommodated is:10 Date of last inspection New service Brief Description of the Service: Orcadia is a privately owned care home that can provide residential care to ten younger adults who have a learning disability. It is close to the centre of Disley where there are some shops, pubs and churches. Orcadia is a two-storey, former private house, with one twin/double and eight single bedrooms. Communal areas include a lounge with a conservatory (which is used as an office), dining and kitchen spaces. There is a shower/toilet on the ground floor and two bathrooms to the first floor. A laundry room is situated in a small cellar area. The home has a large rear garden that is used by service users. The home charges between £343.34 and £1554.74 per week for residential care. This information was provided on the 10 May 2006. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The people who live at Orcadia are called residents throughout this report, as this is how they like to be referred to. This unannounced visit by one inspector, part of the first inspection for this service, took place on 21 August 2007 and lasted five hours. The house manager was told about the findings of the inspection at the end of the visit. This visit was just one part of the inspection. Other information received by CSCI about the home was also looked at. Before the visit, the manager was asked to complete a questionnaire to provide up to date information about the service. During the visit, various records were looked at as well as the house itself. All the residents except one were spoken with, some at greater length than others, and the staff on duty were spoken with. They all gave their views about the way the home is run. These are also included in the report. What the service does well: What has improved since the last inspection? What they could do better: Some repair work is needed in the kitchen to make sure the environment is safe for the residents. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 6 The system to find out what the residents, families and friends and health care professionals think about how the home is run needs to be developed to show how their views are taken into account. 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. Orcadia DS0000064895.V336424.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 Orcadia DS0000064895.V336424.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, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have information available to them and have their needs assessed before they move to the home to ensure that their needs can be met there. EVIDENCE: The statement of purpose (information) for the home has recently been amended to show the changes in the management at the home. The home is registered for ten people and on the day of the inspection nine people were living there. The process of people moving into the home was discussed with the manager who confirmed that following a referral from social services, she would visit the potential resident to do an assessment of their needs. There is document used at the home to record these assessments. The manager confirmed that as part of any assessment, prospective residents would visit the home so s/he could look around, stay for tea and meet with other people already living in the home. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. 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. Changes to residents’ health and behaviour are monitored by the staff and health care professionals to ensure residents get the care/support they need. EVIDENCE: One residents’ file was inspected during the visit and contained information about the persons needs. A review had been done by the local authority in February 2007. A diary is kept of all appointments with doctors, dentists and other health care workers. This showed that the residents’ health is being monitored effectively. Appointments were followed up with the psychiatrist and psychologist. Staff rotas showed that staffing levels had been increased to support this resident and others living in the home. During the inspection visit, the supported employment advisor came to speak with two residents about support for their employment. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 10 Risk assessments contain basic information regarding activities the residents are involved in. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. 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. There is a range of activities available and residents are helped to do things for themselves within their abilities so they can keep control over their daily lives. EVIDENCE: On the day of the visit, residents were seen helping with running the home, according to their individual abilities. Some were seen discussing what shopping they needed, washing up, cleaning their rooms and making their own lunch. Some residents who were less able were encouraged to choose what they wanted for lunch and helped to get a drink from the fridge. Two residents who were spoken with said they would be going to college in September and they were looking forward to learning something new. An activities board was seen in the hall of the home that showed activities for any or all the residents to take part in during the summer break. These included trips out, baking, swimming, walks to the local pub and film night. One Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 12 resident who was spoken with said that the activities had been good but film night could be a “disaster” as not everyone could agree what to watch. Evidence was seen in the home of strong links between all the people living in the home and their relatives or advocates. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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’ health is monitored by staff and they use community health services to make sure that they get appropriate care. EVIDENCE: Staff have worked in the home for a number of years and know the residents well. Staff, including the manager and the owner of the home, were observed during the visit chatting with residents. The atmosphere in the home was relaxed and friendly. Residents appeared comfortable and confident when speaking with all staff and spoke about the jokes and tricks that they play on staff. Care files showed that residents have access to doctors, dentists, opticians and other community health support such continence advice and psychology. All staff who have been nominated to administer medication for residents have received training in medication administration. The home has a policy to cover circumstances where residents can manage their own medication subject to a Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 14 risk assessment. The medication storage and records were inspected and found to be satisfactory. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 15 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. The procedures for complaints and for safeguarding are effective so that residents feel their concerns are listened to and they are safeguarded from possible harm. EVIDENCE: The complaints procedure for the home needs to be updated to reflect the changes in management. The complaints log was inspected and showed a record of verbal complaints made by residents, how these were investigated and how they were resolved. No written complaints have been received by the home. Residents spoken with during the visit knew who to talk with if they were not happy with anything in the home. Further work needs to be done to provide support for those residents who have limited verbal communication who may want to express complaints or concerns. A copy of the Department of Health guidance on safeguarding adults, “No secrets”, was available in the home and all staff have attended training in protecting vulnerable adults. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, clean and fresh so that the residents live in safe comfortable surroundings. EVIDENCE: During the visit the communal areas of the home were inspected and some bedrooms with the residents’ permission. Significant improvements have been made to the home inside and out. The windows and the roof have all been replaced which improves the appearance of the home. The front of the property has been tidied. The bedrooms, bathrooms and lounge have been decorated and new sofas and soft furnishing have been bought which makes the home more comfortable and homely. A couple of floor tiles were cracked in the kitchen; this matter was discussed with the manager who said that they would be replaced. On the day of the visit the home was clean and fresh throughout. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 17 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. Robust recruitment processes are in place and staff receive training so that they support residents safely. EVIDENCE: On the day of the visit eleven people were employed at the home; five have already achieved a National Vocational Qualification (NVQ) in care at level 2 or above and a further four are working towards an NVQ qualification. Since January 2007 staff have received mandatory training covering food hygiene, fire safety, 1st Aid, moving and handling, infection control and challenging behaviour. Two staff personnel files were inspected and contained completed application forms, written references and confirmation that criminal record bureau checks had been received. Since the manager has been appointed she has completed annual appraisals of all the staff. Although there is not a designated training budget for the home, Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 18 the manager was confident that money would be made available to her when training was needed because of changing needs of the residents relating to age and other conditions. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 19 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. The manager is knowledgeable and experienced and there is a structure so that the residents can contribute to make sure that it is run in their best interests. EVIDENCE: Regular resident and staff meetings take place and a sample of these records was inspected. Each year the residents are asked to complete a questionnaire about the service they receive; this now needs to be developed further to include others involved with the residents care, for example doctors and other health professionals, college tutors and families or advocates and used to produce a regular report about the quality of care. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 20 Information provided by the manager on the questionnaire that was completed before the inspection visit indicated that up to date safety certificates were in place for the following: • Gas installation • Electrical wiring • Fire equipment The accident records for the home were checked and were being maintained appropriately. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 21 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 3 2 3 3 3 4 3 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 2 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 Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 YA28 Regulation 23(2)(b) Requirement The broken kitchen floor tiles must be replaced so that the residents live in a safe environment. A system to review the quality of care in the home must be developed to include all interested parties including residents and their representatives. Timescale for action 31/10/07 2 YA39 24 31/12/07 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 Refer to Standard YA22 Good Practice Recommendations The complaints procedure for the home needs to be updated to reflect the current management arrangements so that the complainant knows who to complain to. Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Orcadia DS0000064895.V336424.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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