Inspection on 14/08/06 for Orchard House

This inspection was carried out on 14th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 26/11/07

Orchard House 11/10/05

Orchard House 04/04/05

Orchard House 06/12/04

Orchard House 06/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Orchard House Weston Drive Market Bosworth Warwickshire CV13 0LY Lead Inspector Rajshree Mistry Unannounced Inspection 14th August 2006 09:05 X10015.doc Version 1.40 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 DS0000001702.V307859.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 Older People. 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 DS0000001702.V307859.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard House Address Weston Drive Market Bosworth Warwickshire CV13 0LY 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) 01455 292988 01455 292988 Mr John William Nunn Mrs Barbara Elsie Nunn Mrs Sharon Heather Turner Care Home 30 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (30), of places Physical disability (5), Physical disability over 65 years of age (5) Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one under the age of 55 years may be accommodated in the home in category PD. Service User Numbers - PD or PD(E) No more than 5 people who fall within categories PD or PD(E) may be admitted in the home when there are already 5 persons within those categories/combined categories already accommodated within the home. 11th October 2005 Date of last inspection Brief Description of the Service: Orchard House is one of fifteen homes, owned by Mr and Mrs Nunn. The Registered Providers set up the Broadoak Group of Care Homes in 1986. Mr and Mrs Nunn are experienced in providing care to people in a residential setting. Orchard House is set on a quiet residential road in Market Bosworth. The home is a modern building set on one level surrounded by beautiful garden area, which is well maintained and enjoyed by residents. The accommodation comprises of single rooms and double rooms all with en-suite facilities. The home’s brochure provides information about the service to prospective and current residents and includes the terms and conditions of the contractual agreement. Information about the home would be made available in other formats if requested. The fees range from a £319 to £520 and may vary in accordance with the assessment of care needs carried out. People that live at the home are responsible for any additional charges such as hairdressing personal toiletries, private chiropody, newspapers, magazines, dry cleaning and homely remedies. The CSCI published inspection report would be available at the home and referred to in the home’s brochure. The people who live there and their relatives would be informed through individually or through the residents meetings at the home. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the home that was concluded with an unannounced visit to the home. Prior to the visit to the home the Inspector spent a day reviewing the previous inspection report, information relating to the home received since the last inspection on the 11th October 2005 and the pre-inspection questionnaire completed by the home. Comment cards were received from five residents and social services that were noted and included into the pre-planning work undertaken. The Commission for Social Care Inspection is inspecting Orchard House against the Care Standards Act 2000. The visit took place on 14th August 2006 from 9.05am and lasted over 6 hours. During the course of the inspection the Inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the Inspector looked at the care provided to four residents living at the home by talking to the residents themselves; talking with staff supporting their care; checking records relating to their health and welfare; viewing their personal accommodation (with their consent) as well as communal living areas. The Inspector also checked other issues relating to the running of the home including health and safety and management and staffing and reviewing the statement of purpose. During the visit the Inspector spoke with and observed other residents in the home, visiting relatives and staff. The Inspector observed care practices when staff assisted residents. The findings from the inspection concluded with a discussion with the Deputy Manager. Comments received in the comment cards from residents indicated that they were generally provided information about the home, were aware of how to complain, having their needs met and felt the home was clean and fresh. Two comment cards received raised issues in relation to the garden area to the rear was not secure, residents should be taken out and stimulated more, the home “smelt” and there was “no-one to welcome them”. These areas were looked at during the inspection and there was little evidence to support the issues raised. These comments and findings were shared with the Deputy Manager at the end of the inspection. What the service does well: The residents live a home that is well decorated, which has a homely and a welcoming atmosphere. The home is spacious, well maintained with inviting Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 6 décor, a range of complimentary furniture and fixtures. Residents move freely around the home and can receive visitors at any time. Residents are offered and provided with a range of social and leisure activities and outings to suit their choice of lifestyle. The externals grounds are well maintained and enjoyed by the residents. There is a good choice of meals daily to suit special dietary needs and snacks and drinks are available throughout the day. Comments received from residents during the visit were positive and complimentary about the staff, the meals and how they are made comfortable. Staff were found to be knowledgeable about the protection of the residents, their individual care and health needs. 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 DS0000001702.V307859.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. Quality in this outcome group is excellent. This judgement has been made using the available evidence including a visit to the site. Residents are provided with detailed information about the home and their care needs are well assessed before they move into the home to ensure the needs can be met. EVIDENCE: The home’s brochure includes the statement of purpose, which sets out the aims and objectives of the service. This information is provided to current and potential resident, which gives the residents an overview of the type of service, the care provided and the facilities. The Inspector spoke to a couple who had moved to the home recently stated that they were given good information about the home and how their individual care needs would be provided. The couple were impressed with the depth of the assessment carried out both within their family home and when they moved into the home. Both felt their views, choice of lifestyle preferences and care needs were recorded accurately. Comments made by the couple Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 9 included: “they knew everything that was needed to know”, the Deputy and the key-worker made moving in process easier and comfortable”. The Inspector checked the four residents care files, including the newer residents. The records showed that detailed pre-assessment of their care needs had been carried out prior to the resident moving into the home, which was followed by a further review once they moved into the home. Additionally, social worker’s assessments and care plans were in on file for residents placed by the social worker. The assessment carried out looked at all aspects of the care needs of the individual resident such as communication, mobility and dexterity and level of mobility with or without aids, special diets, medical history such as stroke, specific health related symptoms, medication and any special needs to support the residents choice of lifestyle. All residents have a signed contract and a statement of terms and conditions contained in their files. The residents spoken with were aware of the content in their files and may look at it if they chose to. The Deputy Manager was confident that the assessment process was the key to making the residents comfortable when they moved in and were re-assured that their care needs and routines would be met. Orchard House is commended for the detailed assessment process and method of reviewing the assessment of the care needs when a resident moves into the home. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents are well cared for having their tailored care needs met that promotes and maintains their independence and lifestyle. EVIDENCE: The care files viewed for the four residents tracked contained individual care plans that were tailored and had the respective risk assessments for resident such as being at risk of falls, moving and handling, where residents are hoisted. The style of the care plans were ‘person centred’, reflecting their preferred daily routines and showing the resident or their family were involved in developing the plan, such as having a cup of tea at 6.30am, doing some gardening with the maintenance person, to fulfil his leisure interest and enjoy going to the shops in the village. The staff spoken with ranged from the Deputy Manager, Senior Carer and Carers, all were familiar to the needs of the residents, their daily routines and their preferred names. Staff record the appointments for the residents, such as hospital appointments, using the diary or and communication book. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 11 Residents spoken with throughout the day and observations made showed how staff treated the residents with respect and dignity in the way staff spoke with them, addressing residents by their preferred name and being courteous and knocking on the bedrooms doors before entering. Other comments received from the residents included: • “staff always wear gloves and aprons” • “use the bath with the hoist and no fear” • “very comfortable with the staff, respectful and cover me up” • “enjoy being able to bath in private knowing that a carer is around, if needed. All the residents have named carers known as key-workers, who are primarily responsible for making sure that their care and domestic needs are provided. Residents spoken with were aware of the name of their key-workers and the key-worker’s name and the ‘service user guide’ brochure are displayed in their bedroom. The newer resident stated that since moving in the optician has visited and gave them a thorough eyes examination, an appointment has been made for the District Nurse to visit on Thursday and due to see the GP from the local surgery. The information received was consistent with the records made in the residents care files. All the care files viewed contained good evidence of the involvement of GP’s District Nurses, chiropodist, and optician. Medication trolley is stored in a locked room and secured to the wall. Only the trained staff are responsible to administering medication which are the Senior Carers, Deputy Manager and the Registered Manager. The storage, administration and recording of medication for three residents tracked were viewed were in good order, auditable and up to date. Residents spoken with indicated they receive their medication on time. One resident stated that he currently self-medicates and arrangements are in place for the resident to keep his medication in his room in the locked cabinet and staff are responsible to ordering repeat prescriptions. The Senior Carer was seen doing the medication at breakfast time and lunchtime in a manner that was respectful and maintaining the residents dignity. Medication for residents no longer at the home is recorded in preparation for returning to the Pharmacist. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14, 15. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents continue to make choices about daily living and offered a variety of meals, a range religious, social and leisure interests that suits their preferred lifestyle. EVIDENCE: The residents are offered a variety of social and cultural activities and interests that have been expressed through individual discussions with the residents and/or through the Residents Meetings. Minutes of the residents meetings were available to view. Residents’ religious and spiritual needs were recorded in their individual care plans. All the care files had the ‘resident profile’, which contained information the resident was prepared to share with the staff. The information in the profile included some details about the resident’s life, hobbies and interests, family, employment and interests, which is useful information as part of the reminiscing. Visitors are made very welcome to the home and residents go out with friends and family. Residents spoken with confirmed that visitors were welcome at the home at any time, often going shopping with relatives or a short walk to the village. The key-workers are responsible to arranging activities in small groups or for individual residents. Staff told the Inspector that sometimes it could be Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 13 difficult to take a resident out, if there are not enough staff available. There is an arts and craft session that takes place on a monthly basis for the residents at the home. The home is planning for the Summer Fete on 2nd September 2006, where the staff will be hosting a range of activities, refreshments for the residents, which is open to the resident’s relatives and friends. Residents spoken with told the Inspector they enjoyed the barbeque in July and had a day out to Bradgate Park and a pub lunch, the previous week. Resident’s religious needs were catered for with Holy Communion services held in the home on a monthly basis and arrangements made for ministers of other faiths to visit as required. The availability of an advocacy service was publicised on the notice board and one resident spoken with was expecting an advocate to visit from Age Concern. Residents spoken with told the Inspector that they are not restricted with timing such as, the time they come for breakfast, how they chose to spend the day to what time they go to bed. All residents spoken with told the Inspector how much they enjoy the food. The cook prepares all the meals ensuring meals are suitable for residents with diabetes. Residents spoken with told the Inspector there are good choices for breakfast, choice of two meals and deserts for lunch and a selection of sandwiches, jacket potatoes, and snacks for tea. Staff were observed serving the meals at the dining tables. Several residents were seen to be enjoying gammon or toad-in-the-hole with cabbage, potatoes and courgettes followed by fruit flan and cream of fresh fruit and cream. The Inspector observed how residents were supported to maintain their own independence by having specially adapted cutlery and plate guards. Several residents liked the idea of being able to choose their meals for lunch and tea for the following day, which was done by the afternoon staff. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents are protected by robust and accessible complaints procedure and by staff trained in the adult protection procedures. EVIDENCE: The residents spoken with were aware of their right to complain if they were unhappy about any aspect of the care and the provisions in the home. The newer residents did complain to the Senior Carer in the morning about the temperature in their bedroom and later the maintenance person seen to attempt to resolve the problem. Other residents spoken with felt safe and confident to complain although indicated that there wasn’t anything to complain about. The complaints procedure is displayed at the entrance to the home and in each bedroom as part of the service user guide. The complaints log viewed showed no complaints were received since the last inspection and the Commission received no complaints. Staff spoken with demonstrated a good understanding of their responsibility and procedures to follow in relation to protection of vulnerable adults and whistle-blowing. Staff files examined contained evidence to show that staff had received training in safe guarding adults and whistle-blowing. The staff knew where to find the home’s policies and procedures including the revised multiagency procedures, which are all held in the office close to the reception. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents’ benefit from having a clean, well maintained, safe accommodation, which individually and collectively meets the residents’ needs. EVIDENCE: The entrance to the home provides the visitors and indication of the entertainment and social events the residents have enjoyed from the photographs displays. The corridors are bright and well decorated and resident’s bedrooms are off the main corridors. The Inspector observed residents relaxing in the lounge after breakfast and appeared to be happy. The Inspector was invited to view three bedrooms of the residents tracked. All the bedrooms were individual in character; well decorated to create a comfortable and homely atmosphere and personalised with the residents’ own belongings and photographs. The newer residents told the Inspector that suitable arrangements were made to enable them to bring some of their own furniture and a private telephone line was installed. All the bedrooms had en-suite Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 16 facilities and found to be clean and safe. Bathroom, shower room and toilets were clean and equipped with hoist and aids and were close to the resident bedrooms. The maintenance person told the Inspector he was responsible for maintaining the external garden and work was in progress to make the rear garden more secure. The laundry room is situated away from the kitchen with a team of dedicated staff responsible for the laundry and cleaning. Orchard House was found to be clean and tidy on the day of the inspection. The key-workers were seen to be collecting the laundry and staff spoken with described the laundry procedure followed for soiled clothes for residents with any type of communicable disease such as MRSA. Carers confirmed they have ample supply of protective clothing to manage control of infection and staff were observed wearing aprons and clothes throughout the day. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Sufficient numbers of trained staff recruited through a robust recruitment process ensure competent staff meet resident’s needs, safely and on time. EVIDENCE: On the day of the inspection, the staffing including the ancillary staff were on duty as indicated by the staff rota viewed. The Deputy Manager is responsible for managing the home in the absence of the Registered Manager. Since the last inspection five carers have been appointed. Orchard House currently has over 75 of the staffing qualified with NVQ in care level 2 and above. Orchard House’s recruitment procedure is good. Three staff files viewed, demonstrated a full and comprehensive recruitment policy with application form, pre-employment checks such as references and confirmation of criminal records bureau (CRB) clearances. The training stated by the staff spoken with was consistent with the evidence found in the staff files demonstrating the induction, training of which some were certified. The training completed by the staff who key-work the residents tracked included fire drill, moving and handling, stroke awareness, safe handling of medication, catheter care, first aid, dementia awareness, safe use of hoist, food hygiene, infection control, adult protection and whistle-blowing and principles of care. Staff spoken with told the Inspector that they do not have staff meeting and records showed staff had appraisal meetings at least once this year. The information received in the pre-inspection questionnaire indicated that further training is scheduled Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 18 for: dementia, food hygiene, moving and handling, first aid and infection control. The residents indicated to the Inspector that staff were always around, appeared to know what to do and “they know more about us than we know about ourselves”. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents’ live in a well maintained home that could be made safer to promote and protect the residents health and wellbeing. EVIDENCE: On the day of the inspection the Deputy Manager assumed the managerial responsibilities in the absence of the Registered Manager. The Deputy Manager confirmed there are clear lines of responsibility and accountability for all the staff at the home. The Deputy Manager demonstrated a positive approach to matching carers with specific skills to key-work residents, ensuring the residents needs are being met safely. There was evidence of the monthly visits carried out by the owners of the home, demonstrating an audit of various areas of the home. Orchard House DS0000001702.V307859.R01.S.doc Version 5.2 Page 20 Orchard House carried out a quality assurance survey in January 2006 and the finding have been shared with the residents and their relatives. The Inspector viewed the finding and noted the topics covered included catering and food, personal care, daily living and areas to improve. The area of improvement has been implemented, which related to the having a choice and variety of meals. A residents meeting was held in June 2006 and the minutes viewed indicated majority of residents and their relatives attended and topics discussed related to all aspects of the home environment and the care such as menus, staffing levels, key working, GP input and fire testing. The next residents’ meeting is planned for September 2006. Residents told the Inspector that all the staff are approachable and have been involved in discussions to ensure they are happy at the home. Residents spoken told the Inspector they are given the option to have keys to their bedrooms. The newer residents spoken with confirmed that they chose to have keys to their bedrooms and have a lockable cabinet to store valuables and medication as the resident manages his own medication. The residents confirmed they manage their own financial affairs with the support of their family and other resident spoken with indicated if they wanted their money to pay for newspapers or hairdresser they usually get the money immediately. The Deputy Manager responsible was aware of the process to protect residents’ money and the residents financial records examined clearly showed the transactions demonstrating there is a clear procedure for handling money was in place. Fourteen staff currently qualified first aiders’ within the home and at least one first aider is on duty at all times. Residents care files contained copies of the risk assessments carried out for mobility, use of hoist, dietary needs and measure to control the spread of infection. The Inspector noticed that the carpet along the corridor to the lounge and dining room was frayed and the metal ridge has been exposed in parts, posing risk to staff and residents walking with or without aids. The Deputy Manager and the maintenance person were aware and the decision to repair or replace the carpet is still pending. The Inspector observed the frequency this corridor is being used by the staff and residents’ walking with or without aids as it is the main thoroughfare. The home has a maintenance person who is responsible for repairing minor faults, who was at the home, and tending to the bedroom reported to be cold. Records relating to health and safety procedures such as regular fire drills and fire alarm tests are completed and were up to date. The domestic staff showed the Inspector the secure storage room for storing the hazardous and COSHH materials. The accident book viewed was consisted with the notifications sent to the CSCI detailing events that have affected the residents’ safety and wellbeing. The Deputy Manager had attended an incident involving a resident the previous day and was in the process of completing a notification to CSCI. Orchard House DS0000001702.V307859.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 1 Orchard House DS0000001702.V307859.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 OP38 Regulation 13(4) Requirement The Registered Person should suitable arrangements make safe the frayed carpet in the corridor along the side of the lounge to eliminate the risk to residents who may trip or fall. Timescale for action 14/09/06 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 DS0000001702.V307859.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 House DS0000001702.V307859.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. 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. 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