Inspection on 19/10/06 for Orchard Manor Transition Service

This inspection was carried out on 19th October 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 Manor Transition Service 12/09/07

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Orchard Manor Transition Service Manor Road, Fenny Lane Meldreth Royston Hertfordshire SG8 6LG Lead Inspector ALAN BUTTERY Unannounced Inspection 19th October 2006 10:00 Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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 Manor Transition Service DS0000067372.V303089.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 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 Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard Manor Transition Service Address Manor Road, Fenny Lane Meldreth Royston Hertfordshire SG8 6LG 01763 268000 01763 268099 chris.callaby@scope.org.uk www.scope.org.uk SCOPE 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) Miss Christine Callaby Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection First since registration Brief Description of the Service: Orchard Manor provides a service specifically aimed at Young adults leaving education. They are currently registered for 20 people, although plan to extend this at a later date. The service offers structured opportunities to learn and develop a variety of skills, as well as taking part in a range of social and leisure activities. The service provides support to a range of service users with complex health and physical care needs, and currently charges fees ranging between £1753 and £3108 per week, depending on the assessed needs of the individuals and the level of support required. The service is based in Meldreth, close to the Cambridgeshire/Hertfordshire border, but within easy reach of all amenities. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service was first registered in April 2006, and a variation increasing the number of service users approved in October 2006, and this was a key unannounced inspection, and the first undertaken. Although now registered for up to 20 service users, they are currently well under capacity. During the inspection a number of service users and staff were seen, and their views and comments are reflected in the report. What the service does well: What has improved since the last inspection? This was the first inspection since the service was registered in April this year, and therefore there are no noted improvements. It was however pleasing to note that the comments of the inspectors during the registration process were noted, and acted on. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Detailed information is obtained for anyone moving into the service to ensure their needs can be met. EVIDENCE: During the inspection, the service’s admission procedures were discussed in detail with the manager of the service. Before any new admission takes place, an initial visit usually takes place involving the service user/family/social worker, and this is followed by a detailed assessment visit, which often involves an overnight stay. Once a package of care and the necessary funding agreed, confirmation is sent to the service user in writing, and details of when the service user will move in agreed. On the day they move to the service, all the relevant paperwork, care plans etc are completed. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8 and 9 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Care plans provide detailed information to ensure staff are able to support service users in all areas of their lives. EVIDENCE: As indicated earlier, detailed assessments are prepared prior to the service user moving to the service, and on the day of admission, care plans are prepared, which are constantly evaluated over the first three months the service user is in the home. The service endeavours to include and involve service users in all aspects of the home and their care, this can present challenges with those who are unable to communicate verbally, but the staff team have a wide range of communication skills, which was evident when observing them with service users. As part of the care planning, detailed generic and individual risks assessments are undertaken, and again these were seen during the visit. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 10 Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16, and 17 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The service promotes personal and community development in all areas. EVIDENCE: The service provides facilities for young adults with profound levels of disability to continue to develop within a structured setting, as well as being able to take part in leisure and cultural pursuits. This is achieved through individually centred plans, looking specifically at the wishes of the service user, and using a variety of methods and settings. Service users are encouraged to learn and develop new skills through a daily programme, established as part of the package, and which offer both vocational and leisure activities, and in addition a range of leisure pursuits are available at weekend and during the evening. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 12 The service uses local facilities such as shops, restaurants, theatres and the cinema, swimming, local pubs and riding centres and have transport available. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Care plans ensure personal support is provided in a way that suits the individual. EVIDENCE: Personal support needs, together with physical and emotional health needs are detailed in the care plans discussed earlier, and care staff all receive detailed training to ensure these needs are met. The service uses two local GP practices, and already has a good rapport with them, and the services of local district nurses are also used. Dieticians from Addenbrooks hospital are providing support and advice and providing staff training. The service users are all individually assessed to clarify their ability to self medicate, but at the present time none of the service users in the home are able to manage or administer their own medication and staff therefore support them with the medications they need to take. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 14 All staff have received training in administering medication, and the medication is all appropriately stored. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure service users are safe, and concerns listened to and acted upon. EVIDENCE: This is a new service, and their local complaints policy is based on Scope’s national policies on complaints and adult protection. There have been no complaints received by the service since it was registered in April, and none received by the commission. All new staff receive an initial one days training in adult protection issues, with regular updates. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The service offers a clean and homely environment for service users, equipped to a high standard. EVIDENCE: The complex work undertaken on the premises has just been completed, and the environment offers a well-equipped and comfortable setting for the service users living there. Particular care has been taken to provide a setting that is as domestic as possible, and all the bedrooms have access to en suite facilities. The standard of decoration and equipment is high, and service users are able to personalise their rooms, and choose colour schemes. The environment was very clean, with no offensive odours, and service users spoken with on the day were very happy with their new home. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Recruitment policies ensure staff are fit for their role and competent, and regular supervision maintains standards. EVIDENCE: The staff team assembles all have the required skills and competence to meet the needs of the service users in the home. During the inspection, several of the staff on duty demonstrated their high level of commitment to the service users, and were seen to interact in a very appropriate manner. The homes recruitment policy was discussed, and staff files examined indicated that all the required procedures are followed. A detailed training plan is in place and evidence of the training that has already taken place as well as that planned was discussed with the manager. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Policies and procedures ensure staff and service users are not placed at risk. EVIDENCE: The home is well managed, and the management team were all seen interacting with the service users already resident. It was also particularly good to see that senior management knew service users individually, and took time to stop and talk with them. Service users and families are involved in regular reviews, and an annual quality assurance survey undertaken, together with monthly management visits and reports. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 19 All the necessary health and safety policies and procedures are in place, and staff all receive the required health and safety training, and on site maintenance staff are available to deal with any issues that arise quickly. Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 20 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Orchard Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 21 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 Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Manor Transition Service DS0000067372.V303089.R01.S.doc Version 5.2 Page 23 - 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. 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