Inspection on 21/07/05 for Orchard Cottage

This inspection was carried out on 21st 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

Orchard Cottage 24/05/06

Orchard Cottage 04/01/06

Orchard Cottage 25/08/04

Orchard Cottage 18/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Orchard Cottage Orchard Cottage 25 Orchard Grove Orpington Kent BR6 ORX Lead Inspector Monica Hanscomb Unannounced 21 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. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Orchard Cottage Address Orchard Cottage, 25 Orchard Grove, Orpington, Kent BR6 ORX 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) 020 8464 3333 London Borough of Bromley Ms Susi Hall Care Home 4 Category(ies) of Learning Disability registration, with number of places Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 2 service users may have a sensory impairment - imposed 13 February 2004 Date of last inspection 03/05 Brief Description of the Service: 0rchard Cottage is a large older style two story detached house providing care and accommodation for three adults with learning difficulties. However Orchard Cottage is now undergoing a full refurbishment and the three service users and the staff members have moved into temporary accomodation whilst the refurbishment is being carried out. The purpose of this inspection was to ascertain whether thr health and saftey of the service users was compliant with the Care Standards Act. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection at the temporary home of the service users whose own home is being totally refurbished. The inspector found the service users very happy and comfortable in their new home. Every member of staff was helpful and cheerful and responded to the service users. All service users had risk assessments undertaken for areas such as bathrooms, stairs, kitchens, gardens, hot water systems so they were able to take action to prevent service users suffering any mishaps. What the service does well: What has improved since the last inspection? What they could do better: . Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 6 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. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 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 Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 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) These standards were not assessed at this unannounced inspection EVIDENCE: Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed at this unannounced inspection EVIDENCE: Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 10 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, Despite having to move houses the service users are still able to continue the lifestyle which has promoted a high standard of care and activities. EVIDENCE: The service users still have the opportunities for personal development in the temporary home as they are still able to continue all the activities they previously undertook before they moved. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 11 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. The home provides a high standard of personal and healthcare support. EVIDENCE: Although the service users have moved to the Bromley area the doctor, dentist, chemist have continued to give the service users the benefit of their services. One service user had to go into hospital as she was very ill and all the staff took turns to stay with her so that they could interpret for her when medical staff asked her questions. All staff received the congratulations and thanks for their help from the hospital staff. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 12 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) These standards were not assessed at this unannounced inspection. EVIDENCE: Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 13 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) 24,25,27,30. The temporary home is enjoyed by residents and staff and it provides a safe environment for all who live and work within the home. EVIDENCE: Although this home is a temporary one the service users feel very comfortable and at home. Their bedrooms are very personalised with all their possessions around them. The service users are very proud of their rooms. The service users live in a very homely, comfortable and safe environment. There are sufficient toilets and bathrooms to meet the needs of all service users. The home was clean and tidy at the time of the unannounced inspection Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 14 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) 36 Staff received training so they can meet the needs of the service users and are able to support them to achieve a high standard of care. EVIDENCE: The staff working at the home are very attentive to the needs of service users especially as they are working in a temporary home there are always two staff on duty when service the service users are in situ. At night there is a waking night staff on duty in case the service users wakeup and need help. All staff receive induction training before commencing work with the service users and have more training as and when required. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 15 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) 40,42, The manager and staff place the service users best interests at the forefront of their care. EVIDENCE: The service users best interests are always in the forefront of their care. When talking to one of the residents she stated she likes living at the temporary home and showed the inspector where she had planted some flowers in pots to make the garden look nice .Before and after moving, risk assessments had been undertaken on all areas in the home such as going up and down the stairs, all areas where hot water is involved, a no smoking policy and having waking night staff on duty. Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 x x x x x Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Orchard Cottage Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x 3 x 3 x G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 17 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 Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Sidcup Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Orchard Cottage G51-G01 S38246 Orchard Cottage V224981 2107-05 Stage 4.doc Version 1.30 Page 19 - 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!