Inspection on 07/03/06 for Orchard View

This inspection was carried out on 7th March 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 found no outstanding requirements from the previous inspection report, but made 2 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 05/10/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Alison Spreadbridge Unannounced Inspection 7th March 2006 12:00 Orchard View DS0000063306.V285338.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 View DS0000063306.V285338.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 View DS0000063306.V285338.R01.S.doc Version 5.1 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 9 Category(ies) of Learning disability (9) registration, with number of places Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2005 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.V285338.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the March 2006 between 12 noon and two forty five during which time a tour of the home was made some service users and staff were spoken to and some documentation inspected. At the time of the inspection five service users were resident in the home. The service users are aged between eighteen and twenty eight years of age. The Manager and staff team are working to ensure the service users receive the care and support they need. What the service does well: What has improved since the last inspection? What they could do better: The manager and the staff need to ensure that the service users care plans and risk assessment continue to meet the assessed needs of the service users. The home must ensure the correlation of the care plans, risk assessments, staff training and the homes policies and procedures as a way forward in developing this new service. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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.V285338.R01.S.doc Version 5.1 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.V285338.R01.S.doc Version 5.1 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): 1,2,3,4,5 Service users are provided with the information they need prior to moving into the home. EVIDENCE: The quality in this outcome area is good. The service users are provided with a written contract which is give to them and kept in their rooms. It was suggested that a copy be given to the young person and the original kept in their files as some of the young people have challenging behaviour and the documents could be accidentally damaged if left in service users rooms. On speaking with service users they said they liked living in the home and particularly liked their bedrooms and the activities. The pictorial service users guide has been updated and is now available to service users. Some of the service users care plans were seen, they included assessments made prior to moving into the home and there was evidence that they are being reviewed. Service users assist staff in personalising their files. The staff need to develop approach to recording information to ensure the daily recording in service users daily diaries match the identified needs in the service users care plans. Prospective service users and their representatives are invited to visit the home prior to taking up occupancy. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): 6,7,8,9,10 Each service user’s needs are assessed prior to moving into the home and are regularly reviewed. Service users are encouraged to make individual choices wherever possible. EVIDENCE: The quality in this outcome area is good. The home has only been open since last June. Each service user has a care plan which includes their assessed needs. There is evidence to show that these are beginning to be reviewed on a regular basis. Each service user has a allocated key worker who assists them through the review process. The service users are able to help with the running of the home and take part in the daily cleaning of the home. While their participation in life skills is commendable this should not be should not be taken to excess and be predominant or in place of more organised activities. Some of the service users are able to go out to the local shops on their own. Service user have their own personalised file and day book. Information on the service users is kept confidentially. On inspection it was clear that activities Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 Page 10 are taking place and service users spoken to were aware of their programme of care. House meetings are being held and the young people take turns in leading the proceedings. The meetings are minuted. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): 11,12,13,14,15,16,17 The service users are encouraged to take responsibility for themselves and participate in the running of their home. EVIDENCE: Quality outcomes in this area are good. The service users are encouraged to develop their skills and have the opportunity to take on outside organised activities. The service users go to classes for computer skills, tramplining, arts and crafts, drama club and youth club. One of the service users is working one day a week, and one service user is attending school. Wherever possible the service users are encouraged to maintain family links, and if required are assisted to travel to their homes.. The service users are encouraged to participate in the selection and preparation of the daily meals. Training service users in food hygiene might be a further developmental opportunity. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 Page 12 The fortnightly house meeting provide a forum where service users can participate in the running of the home. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): 18,19,20,21 Service users have access to all local health services. EVIDENCE: Quality outcomes in this area are good. The service users are registered with the local general practitioner and dental practice. The staff have received training in the administration and storage of medication. The homes policies and procedures on the handling and administration of medication are in place. The manager is in the process of preparing a document, which will ensure the wishes in respect to death and dying are recorded in service users care plans. The manager is aware that staff may need support when dealing with this sensitive issue with service users The service users care plans reflect their assessed needs in respect to their health and wellbeing. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): 22,23 Service users are aware of the complaints procedures. EVIDENCE: Quality outcomes in this area are adequate. The complaints procedure is set out in the pictorial service users guide. The service users and their families are also supplied with the address of the Commission if they fail to gain a satisfactory answer from the home or the provider. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): 24,25,26,27,28,29,30 The service users have the benefit of living in a house, which has been refurbished to a good standard and has a homely feel. EVIDENCE: Quality outcomes in this area are adequate. The house is welcoming and comfortably furnished. Service users have their own rooms, which they have personalised to their liking and clearly show their interests and hobbies. There are sufficient toilets and bathrooms. It is proposed to decorate one of the single toilets in the near future. The home was seen to be clean and tidy throughout. Service users are encouraged to assist with the cleaning as a means of developing their skills and moving towards independence. The home ensuresthese activities remain balanced with other activities undertaken by the service users. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): The staff team has only been together for a short time and is working hard to ensure service users are supported according to their assessed needs . EVIDENCE: Quality outcomes in this area are adequate. The staff team have only been together for a short time. Staff are supporting service users with daily household tasks and life skills. The service users were seen to feel confident in approaching staff with any general requests and concerns they might have. Staff have recently received training in supporting service users with their medication. They have also received training in health and safety, food hygiene, first aid and manual handling. The staff team would benefit from further support to ensure the training they have received is put into practice when recording information in the service users care plans, risk assessments and the homes policies to ensure the best outcomes for service users. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 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): 37,38,39,40,41,42,43 The management must ensure staff understand their roles and responsibilities to service users when faced with challenging behaviour. EVIDENCE: Quality in this outcome area is adequate. The staff and the homes management are coming together as a team. While it is recognised that the home has the benefit of a new staff team, some training is required to ensure the staff can meet the challenges the service users are presenting. During the inspection it was noted that following a recent incident in the home the response from staff and the sanctions applied seemed excessive. The incident was brought to the attention of the homes manager the sanctions were immediately removed and the service user informed. The manager was able to evidence that policies and procedures are in place to ensure service users rights are respected. The homes documentation is being reviewed as part of the annual audit Staff said the home carries out a health and safety audit on a regular basis. Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 Page 18 Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 Page 19 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 3 2 3 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 2 3 3 3 2 2 3 3 Orchard View DS0000063306.V285338.R01.S.doc Version 5.1 Page 20 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 30/04/06 30/06/06 1. 2 YA19 YA35 12 (1) 18 (1) The registered provider must ensure that service users emotional needs are met. The registered provider must ensure that staff have the guidance and training they need when working with service users RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA21 Good Practice Recommendations A record of service users wishes in respect to death and dying are recorded. 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