Inspection on 14/06/05 for Orchard Court Residential Home

This inspection was carried out on 14th June 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 Court Residential Home 13/09/06

Orchard Court Residential Home 18/10/05

Orchard Court Residential Home 17/02/05

Orchard Court Residential Home 18/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Orchard Court 3A Orchard Gardens Thurmaston Leicestershire LE4 8NS Lead Inspector Kim Cowley Unannounced 14 June 2005 10:00 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 Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Orchard Court Address 3A Orchard Gardens Thurmaston Leicestershire LE4 8NS 0116 2640086 0116 2697926 None Active Care partnerships Limited 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) Vacant Care Home 20 Category(ies) of LD Learning Disability(20) registration, with number PD Physical Disability(20) of places Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 12.02.05 Brief Description of the Service: Orchard Court is a residential care home that provides care for up to 20 resdients with learning disabilities and associated needs, including physical disabilities and challenging behaviour. The home is situated in a purpose-built bungalow. This is divided into three individual units (Cedar, Willow and Rowan), each providing different levels of support depending on residents needs. The home is situated in a residential cul-de-sac in the village of Thurmaston. It has extensive grounds that are secure and secluded. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 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 that took place on a weekday. The inspector met with four residents, the Manager, and three of the care staff. The premised were toured. Care records were examined. Two service users’ comments cards were returned and both respondents said they felt well cared for and safe. There were no requirements outstanding from the last inspection, and no new requirements were made. The staff team and the programme of activities provided for residents are commended. What the service does well: Orchard Court has a lively and busy atmosphere. On the day of inspection two residents were at college, four at day centres, and two at a local café. Others were taking part in activities in the home including crafts and beauty therapy. The home ’s two full-time activities organisers are responsible for planning on and off-site activities for residents. A seven-seater minibus and insured staff cars are available to take residents out and about. Care records showed that residents are treated as individuals and encouraged to be independent and to make choices. Each resident has a key worker who is responsible for finding out their likes and dislikes, and encouraging them to develop interests and take part in activities. The key worker is also the point of contact for relatives wishing to discuss the care of individual residents. Two full-time cooks provide a varied and wholesome diet with plenty of choice. The residents the inspector talked with all indicated that they liked the food. The premises are comfortable, homely, and well decorated and maintained. All areas are accessible to residents with limited mobility, and a range of aids and adaptations are available to assist them in their day-to-day lives. Bedrooms are personalised and individual to each resident. One resident said ‘I like my bedroom very much.’ The home is non-smoking. Residents who smoke do so in the gardens. The staff team are friendly, helpful, and enthusiastic about the work they do. Those interviewed said they were committed to enabling residents to live more independent lives. Staff were observed interacting with residents in a warm and positive manner. Staff turnover is low, enabling residents to receive continuity of care. Discussions with the Acting Manager and staff, maintenance records, risk assessments, and Regulation 26 reports, showed that health and safety is a priority in the home. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 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 Court C51 C01 S48204 Orchard Court V222673 140605 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) 2, 4 New residents are thoroughly assessed and have a three-month trial period at the home to make sure it is suitable for them. EVIDENCE: Prospective residents are fully assessed by social services and staff at the home prior to admission. Following this, they have a three-month trial period. In this time their needs are re-assessed and their risk assessments re-visited and amended to reflect any changes in their lifestyles. Towards the end of the three-month period a staff meeting is held to consider how well the resident’s needs are being met. Further meetings are held to discuss progress until the resident is settled in the home. Records relating to a recent admission were examined. These were of good quality and indicated that substantial efforts had been made to involve the resident and their family in the assessment process. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 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) 6, 7, 8, 9, 10 Care plans are of good quality and show residents being treated as individuals and encouraged to be independent. The key worker system is effective and gives residents the opportunity to have intensive one-to-one support from specific members of staff. EVIDENCE: Care plans are based on residents’ social work or care management assessments. They are compiled in consultation with residents, where appropriate, and with any professionals/family/friends involved in their care. Five residents’ files were inspected in detail. They contained up to date information and had been regularly reviewed. Appropriate care plans and risk assessments were in place, and there was evidence that residents’ general health care needs were identified and met. Records also showed that residents are encouraged to make choices and be independent and active. Each resident has a key worker. Their responsibilities include getting to know the resident, finding out their likes and dislikes, and encouraging them to Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 10 develop interests and take part in activities. Key workers also organise holidays, birthdays and other celebrations, shopping, and hairdressing for the resident they key work. The key worker is also the point of contact for relatives wishing to discuss the care of individual residents. Information on residents is kept securely in accordance with the Data Protection Act. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 An extensive programme of on and off-site activities is provided for residents. Relatives are kept informed of each resident’s progress and the activities they have been involved in. Two-full-time cooks provide a varied and wholesome menu with plenty of choice. EVIDENCE: The home’s two full-time activities organisers are responsible for planning on and off-site activities for residents. On the day of inspection two residents were at college, four at day centres, and two at a local café. Others were taking part in activities in the home including crafts and beauty therapy. Case records showed that all residents participate in a wide range of activities. The programme of activities is commended. A seven-seater minibus, which belongs to the home, is used for transport. In addition some staff are insured to take residents out in their cars. Four drivers are on duty every day so residents can get out and about. The Acting Manager said ‘Sometimes everyone is out in the minibus and in cars and only the managers are left in the home. We’re very keen on getting the residents out into the community.’ Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 12 Service users are encouraged to maintain family links and to communicate with their families and friends through visits and phone calls. Staff offer extra support to residents who do not have contact with their families. Relatives get a newsletter from the home every few months. This lets them known what activities residents have been involved in, and other news about the home. The home employs two full-time cooks. Menu records were examined. They showed a varied and wholesome diet being offered with choices, including a vegetarian option, at every meal. Breakfast is served from 7.30am to 8.30am, lunch from 12.15pm to 1.15pm, tea from 5pm to 5.30pm, and supper at 10pm. The residents the inspector talked to said they liked the food. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards will be inspected at the next inspection. EVIDENCE: Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 14 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 will be inspected at the next inspection. EVIDENCE: Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 15 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, 30 The purpose-built premises are homely, well decorated/maintained, and accessible. All areas inspected were clean and tidy. EVIDENCE: The premises are comfortable and homely. All areas inspected were well decorated. The home was purpose-built and is accessible throughout to residents with limited mobility. A range of aids and adaptations are available to assist residents in their day-to-day lives. Bedrooms are personalised and individual to each resident. Staff have put a lot of thought into making each one suitable and pleasant for the occupant. Records showed that the premises are properly maintained with all servicing and checks up to date. This was an unannounced inspection and the home was clean and tidy throughout. The home employs one part-time (30 hours per week) housekeeper who works to a schedule designed by the Acting Manager. All care staff carry out light housework in conjunction with residents, where possible. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 16 Since the last inspection the main kitchen and the reception area have been refurbished. The home is non-smoking. Residents who smoke do so in the gardens. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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 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, 36 The care staff team are well trained and supported, and able to provide continuity of care for residents. The home is well-staffed enabling residents to receive one-to-one support. Staff are friendly and enthusiastic about the work they do. EVIDENCE: The care staff team consists of the Acting Manager, Deputy, seven senior support workers (three of whom are registered mental health nurses), 14 support workers, and two activities organisers. Records showed that staff turnover is low. The home has its own bank staff and does not use agency staff. Staffing hours exceed the recommended minimum by over two hundred hours per week. Staff receive a week of induction followed by a three-month probationary period to ensure they are suitable for the home. All unqualified staff are studying for their NVQ Level 2. Every member of staff has an annual appraisal and a supervision session every two months. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 18 The staff team are friendly, helpful, and enthusiastic about the work they do. Those interviewed said they were committed to enabling residents to live more independent lives. Staff were observed interacting with residents in warm and positive manner. The staff team are commended. The Acting Manager said that if a member of staff is particularly good at something, for example relaxation techniques or hair and beauty, they are encouraged to run sessions for residents where their skills can be utilised. Two staff are qualified CPI (‘Crisis Prevention Intervention’) trainers. They train other staff in this method of intervention which is used to support residents with challenging behaviour. Residents are risk assessed to see if CPI is suitable for them. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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 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, 40, 41, 42 The home is well run by the Acting Manager, and the Owning Body provides additional support and guidance. The health and safety of residents and staff is central to all activity in the home. EVIDENCE: At present the home does not have a Registered Manager, although the Owning Body intend to out a member of staff forward for registration by August 2005. The Acting Manager currently running the home is energetic and enthusiastic. She is committed to Orchard Court and its residents and staff team. All staff interviewed praised the Acting Manager and commented on her dedication to the home. Regulation 26 reports indicate that the home is well supported by the Owning Body. Regular audits are carried out to ensure staff are following the correct policies and procedures, and all records are accurate and complete. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 20 Discussions with the Acting Manager and staff, maintenance records, risk assessments, and Regulation 26 reports, showed that health and safety is a priority in the home. Orchard Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x 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 4 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 4 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Orchard Court Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 3 C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 Page 23 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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 Court C51 C01 S48204 Orchard Court V222673 140605 STAGE 4.doc Version 1.30 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. 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!