Inspection on 02/05/07 for Orchard House Nursing Home
Also see our care home review for Orchard House Nursing Home for more information
This inspection was carried out on 2nd May 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
It is judged that outcomes for the people who use this service are excellent in many areas and this was further confirmed by comments received from residents in the home and their relatives both prior to the inspection and during the visit. The home continues to provide extremely comfortable wellmaintained accommodation for its residents and all of those spoken with expressed their appreciation of the staff saying, " how lovely" they were, "they were very obliging" and " how well looked after they felt". Activities for residents are varied and innovative providing both mental and physical stimulation for them. Music plays a very important role in the daily life in the home and Matron plays the organ and guitar at various events. Song sheets have been compiled of both hymns and popular songs and others are added to them at the request of residents. It is hoped that these will be bound into folders in the future. Spiritual needs are also given a high priority, some residents are able to attend local churches while other are visited in the home. Consideration has been given to those faiths about which care staff may have a limited knowledge and explanations of resident`s beliefs have been added to care plans in some cases. A varied and nutritious diet provides daily interest. Many favourable comments were received about the food and the chef is always available to talk to residents about their preferences. Menus are currently being revised along with cards identifying resident`s particular likes and dislikes.Comprehensive pre-admission assessments ensure that potential residents healthcare needs can be met. As many people who are thinking of moving into the home are too frail to visit first, an album of photographs illustrating some aspects of life there is taken along to show them. It includes samples of menus, pictures of staff members and of various activities that have taken place. The pre-admission assessment then forms the basis for future care planning which is undertaken to a very high standard and reviewed regularly. Residents or their relatives would be encouraged to participate in this process.Staff training is given a high priority in the home for both trained nurses and care staff and staff development is encouraged. There has been particular emphasis on training in issues around palliative care with the home participating in the community programme The Gold standard Framework. This focuses on providing best quality care for people in the final stages of their lives and for their relatives. Orchard House Nursing Home DS0000019111.V338898.R01.S.doc Version 5.2 Page 7Records, which provide evidence of the homes commitment to the health and safety of residents and staff, are all in order and quality assurance systems are in place to allow residents and their families the opportunity to influence the running of the home.
What has improved since the last inspection?
Since the last inspection the home has continued with its refurbishment and redecoration programme. Thirteen bedrooms and three toilets have so far been finished. One bathroom has been replaced with a shower room as several residents find this much easier if they have impaired mobility. A previous visit from the Environmental Health Department noted that much of the kitchen equipment was very old and made it very difficult to keep the area clean. In response to this a new modern kitchen has been installed. A new Service User Guide has been put together and each resident has a copy in their bedrooms. It is very attractively presented to provide a lot of information about the home and could be updated or amended as necessary. One resident explained how informative and useful it was saying, "it represents the place very well "
What the care home could do better:
Overall this home operates to a very high standard and no issues of concern were noted. Two recommendations were made at this visit. The home has benefited from a completely new kitchen since the last inspection however, it was recommended that a screen should be purchased for the kitchen window so that the window can be left open without flies coming in especially during the hot weather. There is no first aid kit in the kitchen. In order that all accidents are properly dealt with and recorded and any faulty equipment attended to, kitchen staff have to see a trained nurse if any accidents occur. While the theory behind this is acknowledged there were some concerns about the practicalities of this procedure and it is recommended that a basic first aid kit should be in the kitchen area.