Inspection on 23/02/06 for Orchard House

This inspection was carried out on 23rd February 2006.

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 01/12/05

Orchard House 26/01/05

Orchard House 08/11/04

Orchard House 20/01/04

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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 23rd February 2006 08:45 Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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.V280374.R01.S.doc Version 5.1 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.V280374.R01.S.doc Version 5.1 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.V280374.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 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.V280374.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection visit to Orchard House within this inspection year. The Inspector recommends that the reader refer to the inspection report dated 1st December 2005 to have an overall view of the key standards assessed within this inspection year 2005/06. This inspection had positive outcomes that observed staff promote clients’ choice and independence and treat clients with dignity and respect. Limited standard were assessed at this inspection as most key standard were assessed at the inspection on the 1st December 2005. The inspection concentrated on outcomes based on clients assessed needs, personal and health care support, and recruitment, training and development of staff. 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.V280374.R01.S.doc Version 5.1 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.V280374.R01.S.doc Version 5.1 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): 2 Service users individual aspirations and needs are assessed. EVIDENCE: Records and discussions with staff identify that the individual service users needs are continually assessed within a structured daily monitoring system that promotes the service users independence and choice. An individual three monthly therapy planning meeting of a service user identified that the service user needed a more structured plan as the service user found it hard to make decisions on the day: a plan of action was in place to promote the service user within his daily decision-making. Records identify that external health and social care professionals are involved in the annual review of the service users needs, and that family members/representatives of the service user attend those reviews. Within the review of the service users needs associated risks are identified and have an action plan in place to minimise the risk. Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): Standard 6 to 10 were not assessed. EVIDENCE: Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): Standards 11 to 17 were not assessed. EVIDENCE: Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): 18,19,20 Service users receive personal support in the way they prefer and require, and their physical and emotional health needs are met. Service users are protected by the homes policy and procedures for dealing with medicines. EVIDENCE: The inspector arrived at this inspection at 8:45 a.m whilst staff were supporting service users with their personal care needs and ensuring the service users privacy was respected. Staff were observed to support and promote the service users independence as the service users took their clothes to the laundry, and then prepared their own breakfast as they discussed their plans for the day. Records made identify service user health care appointments attended and due, and health and social care correspondence identifies that the service users health and social care needs are reviewed and met. Staff administer service users medication as prescribed by the service users GP and as dispensed by the pharmacist in a monitored dosage system. Staff receive in-house training in line with the homes medication policy. Medication in stock matched records kept. Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): Standard 22 and 23 were not assessed. EVIDENCE: Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): 24 Some improvements have been made to enhance the homeliness of the home, with a plan of action in place to address the areas within the home that needs attention to meet environmental standards. EVIDENCE: The home was observed to be comfortable with no offensive odours. A new kitchen has been installed since the last inspection, and the walls have been painted in bright colours much to the delight of the service users. Management within Atlas Project Team Limited confirmed at a previous inspection within one of the other group homes that positive outcomes has been agreed with the landlords to make good the maintenance and décor required for the home to meet the national minimum environmental standard, and confirmed that this is planned to take place within the financial year 2006/07. Management have agreed to forward a copy of the maintenance plans to CSCI. Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): 32,34,35 Management support staff in their training needs to enable them to meet the needs of the service users, and service users are protected by the homes recruitment policy and practices. EVIDENCE: Staff spoke of the process followed when they were recruited that demonstrated a thorough recruitment procedure was followed prior to their employment, and a recruitment checklist alongside individual staff records provides further evidence that the home has a robust recruitment procedure in place. Over 50 of staff have a National Vocational Qualification in care, and staff spoke of feeling supported by management within their training and development needs. Training records and an annual training and development programme identifies that staff receive mandatory/refresher health & safety and specialist training from external training organisations and in-house. Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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): 39 Service users and their representatives’ views are taken seriously within the homes quality assurance and quality monitoring systems. EVIDENCE: Systems are in place that ensures a multi-agency approach is practised on the review of the service users needs and that feedback on the service provided is received at those reviews. Senior management undertake monthly regulation 26 inspections that monitor standards of the service. Regular health and safety audits are undertaken and risk assessments updated. Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 X X X X Orchard House DS0000011365.V280374.R01.S.doc Version 5.1 Page 16 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. 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.V280374.R01.S.doc Version 5.1 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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