Inspection on 01/12/05 for Orchard House

This inspection was carried out on 1st December 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 House 27/02/07

Orchard House 23/02/06

Orchard House 26/01/05

Orchard House 08/11/04

Orchard House 20/01/04

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Hillview Farm

Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Orchard House 31 Hyde End Lane Ryeish Green Reading Berkshire RG7 1EP Lead Inspector Yvonne Souden Unannounced Inspection 1st December 2005 02:30 Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 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 Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 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. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Orchard House Address 31 Hyde End Lane Ryeish Green Reading Berkshire RG7 1EP 0118 988 6029 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) orchard.house@atlas.plus.com Atlas Project Team Limited *** Post Vacant *** Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2005 Brief Description of the Service: Atlas Project Team Ltd are the registered provider for Orchard House, and provide care and accommodation for 4 Young Adults aged 18-65, who have a learning disability with associated challenging behaviour. Orchard House is a large detached house within Ryeish Green close to the amenities within the village of Spencers Wood and the town of Reading. The house is owned by Housing Solutions who oversee the maintenance of the home, as reported to them by Atlas Project Team. The home has a large secluded garden with patio and garden furniture, and a large wooden garden swing to be enjoyed by all in the warmer months. The home has the use of its own vehicles’ and public transport is available. Parking spaces are available to the front of the house; off road parking is also available. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on a Thursday afternoon. On arrival the Inspector observed a hub of activity as clients’ returned from various activities and were busy planning an afternoon activity. The Inspector spoke to one client who spoke about his life in the home and of the plans of care in place to promote his independence. The home does not have a manager at present but the Inspector spoke with staff/senior staff and the regional manager who is currently overseeing the management of the home. What the service does well: 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 House DS0000011365.V271922.R01.S.doc Version 5.0 Page 6 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 Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 7 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 the following standard(s): Standards not assessed. EVIDENCE: Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 6, 7 and 9. Service users are aware of their changing needs, and personal goals are reflected within their individual plan of care. Service users are enabled to make decisions about their lives within a risk management framework. EVIDENCE: Care plans and risk assessments viewed identify the needs of the service users, and have an action plan to meet those needs and minimise risk, whilst supporting the independence of the service user. Positive communication methods within pictorial/symbol format are used to promote the service users independence and decision-making. Service users were observed to be comfortable and at ease with staff as they chose an afternoon activity, and a service user spoke of the choices he is enabled to make as is detailed within his daily activity plan. Staff spoke knowledgeably of the needs of the service users’ as is detailed within the individual service user’s plan of care, thus demonstrating that continuity of care is promoted within the home. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 12, 13, 15, 16 and 17 Service users take part in valued leisure activities with their peer group and within the local community, and are enabled to maintain appropriate personal relationships with family and friends. Service users enjoy a healthy diet. EVIDENCE: On arrival at this inspection service users were busy planning afternoon activities having arrived home from an activity/college/work placement; two service users chose to go trampolining with staff, and one service user chose to go to the local pub with a staff member for a game of darts. Individual activity records show that service users are involved in activities with their peer group and within the community, and from discussions with staff and records seen activities are assessed daily within a risk management framework. It was evident within the home that service users are involved in the running of the home as they make decisions around menu planning and achieving general domestic tasks. Menu plans were observed to be nutritionally balanced and fresh fruit and vegetables was evidently used. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 10 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 the following standard(s): Standards not assessed. EVIDENCE: Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 22 and 20 Complaints are taken seriously and systems are in place to protect service users from abuse. EVIDENCE: The home has a complaint policy and procedure and ensures a log of compliments and complaints is made. The home has received compliments, and has received one complaint since the last inspection that has been resolved. Discussions with staff identify that they are aware of the multi agency policy and procedure for the protection of vulnerable adults and of the homes whistle blowing policy. Staff spoke of training received/planned within Strategies for Crisis Intervention and Prevention (SCIP), Protection of Vulnerable Adults and Anti-Discriminatory Practice; records of training schedules support training that staff confirmed is made available to them. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 12 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 the following standard(s): Orchard House provides a clean, comfortable, safe home and is actively undergoing improvement to enhance the homeliness of the home. Risk assessments are underway to ensure the safety of the service user. EVIDENCE: The home has a positive working relationship with the landlords as work has commenced to ensure the home meets the environmental standards. Plans are underway to install a new kitchen January 2006, and an order of bedroom furniture chosen by some of the service users has been placed with the manufacturer. New bathroom and showering facilities has been installed and plans are underway to redecorate some areas within the home. In general the home was observed to be clean, homely and comfortable with systems in place to ensure infection control and fire safety. The regional manager confirmed that plans are underway to fit thermostatic control valves to all radiators giving the service user control over the amount of heat omitted within their room. The regional manager is reviewing the service users individual risk assessments to include risk of burns/scalds. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 42 and 43 The health and safety of the service user is promoted and service users benefit from a well run home. EVIDENCE: Systems are in place to ensure service users are safe, urgent repair work takes priority with the landlords and records show servicing of equipment is undertaking regularly. Staff receive mandatory training/updated training within health and safety, and fire records identify regular safety checks. Magnetic control devices have been fitted to all fire doors. Individual service user risk assessments that address the risk of scalds/burns are being reviewed by the regional manager as discussed within the environmental section of this report. The regional manager has confirmed active liaison with the landlords to ensure the home meets environmental and safety standards. Atlas Project Team Limited are following recruitment procedures to recruit a new manager for Orchard House, and systems are in place to oversee the management of the home until recruitment of a manager is in place. Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 15 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Orchard House Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000011365.V271922.R01.S.doc Version 5.0 Page 16 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. 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. Refer to Standard Good Practice Recommendations Orchard House DS0000011365.V271922.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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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