Inspection on 05/10/05 for Orchard View

This inspection was carried out on 5th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Orchard View 22/10/08

Orchard View 24/10/06

Orchard View 07/03/06

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

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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 View Orchard View 1 Parsonage Lane Frindsbury Strood Kent ME72 4HP Lead Inspector Sue McGrath Unannounced Inspection 5th October 2005 10:00 Orchard View DS0000063306.V256624.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 View DS0000063306.V256624.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 View DS0000063306.V256624.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Orchard View Address 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 View 1 Parsonage Lane Frindsbury Strood Kent ME72 4HP 01634 725363 01634 725363 The Regard Partnership Limited David Michael Clements Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered in the first instance for four service users, increased numbers to be agreed on a phased basis. First Inspection Date of last inspection Brief Description of the Service: Orchard View is a nine bedded home for service users with a learning disability. It is situated just off a main road in Frindsbury and is not far from the town centre of Strood. It enjoys a reasonable sized lounge and a separate dining area. The kitchen is spacious and well equipped. The home has recently been refurbished to a good standard and had a large rear garden. There is car parking space to the front of the building. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 5th October 2005 between 09.00 and 12.30. This was the first inspection of the home and the main focus of the inspection was on the progress of the home since it started to admitted residents, the general environment and the well being of the two residents at the home. During the inspection documentation and records were read, including care plans. A tour of the building was undertaken and a lot of time was spent with the one resident who was at home at that time. Time was also spent talking to staff and members of the management team. Overall it was a very positive inspection and the outcome for the residents was that they were enjoying a high level of support and were happy at the home. The challenge is to provide this level if service when the home is full. What the service does well: What has improved since the last inspection? What they could do better: Although no problems were found with the medication, it is advised that staff undertake accredited training. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 6 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 View DS0000063306.V256624.R01.S.doc Version 5.0 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 View DS0000063306.V256624.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Prospective residents are provided with the information they need to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. EVIDENCE: The Statement of Purpose and Service User Guide were seen and were found to be comprehensive and detailed. The service user guide was also provided in a pictorial format so that some residents would understand the document more easily. Evidence was seen of in–depth assessments that had been undertaken by the referrals manager of the Regard Partnership and these were detailed and gave comprehensive information on the care needs of the prospective residents. The home had only two permanent residents but discussion with the manager confirmed that it was the intention to offer phased admission to any new resident. On the day of the inspection the home was experiencing difficulties with a new resident who had arrived the previous day. The correct procedure had been followed at the assessment. On admission it became clear that this resident did not want to be at the home. The manager was aware that the placement would be difficult but had put in place measures that he had hoped would ensure a smooth transition of placement. However the resident was clearly unhappy to remain at the home and alternative arrangement was being arranged. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,and 8 Residents benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Residents are properly consulted and involved in the daily running of the home. Residents are enabled to take reasonable risks within the homes risk assessment management strategies. EVIDENCE: The care plans were viewed and found to be detailed and comprehensive. The manager had clearly spent a lot of time drawing up individual service user plans, which gave staff clear guidance on how to care for the residents at the home. Clear objectives, with action and implementation guidance, were given and outcome and evaluations were recorded. Behavioural guidelines were in place as was a missing persons guideline. Both residents had only moved into the home in June this year. Risk assessments were also in good detail. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 10 Two weekly house meeting were held and minutes were recorded. It was noted that appropriate actions had been taken following these meetings. Residents also had monthly key worker meetings. Lengthy discussions with one of the residents confirmed that she felt involved with the home and expected to fully involved with all decision about her personal care and daily life. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 and 17 Resident’s benefit from having the opportunity for personal development with their daily living skills and have appropriate level of leisure activities. Residents benefit from being part of the local community and are supported to maintain contact with family and friends. This ensures they continue to receive stimulation and emotional support. EVIDENCE: The one resident in the home during the inspection explained the use of the activities board and how she filled it in with her preferred activities on a daily basis. All of the activities were in a pictorial form to make choosing easier. The residents enjoyed a wide range of social and leisure activities. The other resident of the home had recently started work at Fort Amhurst as a gardener and was enjoying the role very much. It was hoped that he could increase the number of days he attended soon. This had been arranged since he moved into the home. Both residents were encouraged to make friend outside the home and visitors were welcomed. Both attended social clubs outside the home. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 12 The resident in the home said the food was good and that she had been involved in deciding the menus with the staff. The menus were very flexible according the residents choice but were monitored by the staff to ensure a balanced and nutritional diet was mainly followed. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Residents benefit from receiving personal care in private and enjoy a very flexible lifestyle that reflects the many activities undertaken. Health needs are met and service users have full access to all professional health care services as required. Whilst medication is handled appropriately there is a need to improve staff training in this area. EVIDENCE: The one service at the home said that she was very happy at the home and the interaction seen with staff was very positive. Staff were fully aware of how the residents wanted to be supported with their personal care and gave positive encouragement to ensure that individual daily living skills were promoted. Both residents were registered with a local GP and had full access to dentists, chiropodists and opticians as needed. Referrals had also been made to the Learning Disability Team to cover sex education. The home uses the nomad system of medication administration and records seen were satisfactory. The issue of staff training for the administration of medication was discussed and advice was given over further training needs. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 14 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 23 The home has a clear complaints procedure and residents are aware of how to complain. The home’s Adult Protection Policy and Procedures protect residents from abuse. EVIDENCE: The home had a comprehensive complaints system in place and had adopted Kent and Medway Adult Protection Procedures. There had been no complaints since the home started operating in June 2005. Staff spoken to displayed a good understanding of the above procedures and the resident spoken to also confirmed she knew how to complain and who to complain to. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 15 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 Residents benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. EVIDENCE: The home had recently been refurbished and was now clean, comfortable and homely. Some bedrooms were viewed and were clean, comfortable and had all the necessary equipment and fittings. The lounge area looked comfortable and well equipped. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 16 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): 31,33, 34 and 36 The residents benefit from being cared for by staff who have a good understanding of their needs and receive regular supervision. EVIDENCE: Staff spoken with were knowledgeable about the needs of the two residents in the home and were clearly committed to providing a good service to them. With only two residents in the home at present the staff ratio was high, the manager was aware that this level needs to be monitored closely when more residents were admitted. Job descriptions for all staff were seen. One staff file was viewed and found to contain all the necessary employment checks including enhanced CRB’s. Induction training had been completed and were to ‘Skills for care’ standard and were workplace specific and linked to NVQ core units. The manager explained the process of supervision and a matrix was viewed that indicated all staff were supervised on a regular basis. One staff member confirmed that she had received supervision three times since June 05. Copies of the General Social Care Council Guidelines and Codes of Practise was available in the home for the staff. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 17 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 and 38 The residents benefit from living in a home where the manager is competent, enthusiastic, experienced and has a clear vision for the home. EVIDENCE: The manager had started working towards his RMA award and clearly had experience of working with this client group in a managerial position. He was enthusiastic and was able to communicate a clear sense of direction and leadership for staff and residents to understand. He was very open and positive throughout the inspection. Orchard View DS0000063306.V256624.R01.S.doc Version 5.0 Page 18 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 3 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Orchard View Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X X X DS0000063306.V256624.R01.S.doc Version 5.0 Page 19 NA 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. 1 Standard YA20 Regulation 13(2) Timescale for action The registered person shall make 30/11/05 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. In that training for staff must be accredited. Action plan required Requirement 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 View DS0000063306.V256624.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 View DS0000063306.V256624.R01.S.doc Version 5.0 Page 21 - 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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