Inspection on 02/07/07 for Orchard View (97)

This inspection was carried out on 2nd July 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

Orchard View (97) 15/04/09

Orchard View (97) 03/07/06

Similar services:

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

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

CARE HOME ADULTS 18-65 Orchard View (97) 97 Orchard Hill Northampton Northants NN3 9AG Lead Inspector Stephanie Vaughan Key Unannounced Inspection 2nd July 2007 09:30 Orchard View (97) DS0000066794.V340187.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 View (97) DS0000066794.V340187.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 View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard View (97) Address 97 Orchard Hill Northampton Northants NN3 9AG 01604 416309 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) manager.orchardview@tracscare.co.uk suehullin@tracscare.co.uk Tracscare Group Ltd Mrs Melanie Jane Lennon Care Home 4 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (4) of places Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of MD, Mental Disorder excluding Learning Disability of Dementia, may be admitted to Orchard View unless that person also falls within the category of Learning Disability i.e. Dual Disability (LD) One named person may be admitted to the home with Mental Disorder (MD) and Learning Disability (LD) Date of last inspection 3rd July 2006 Brief Description of the Service: Orchard View is one of five homes within the area that are owned by Tracscare, a Swansea based company. The service is registered to provide personal care for 4 residents with Learning Disability and Mental Health needs. The home offers spacious and well-maintained living accommodation, with safe and pleasant gardens and is in keeping with the local community. The location offers the residents access to local amenities such as shopping and leisure facilities as well as convenient local transport. The current fees range from £1,600 to £2,300 per week, with additional charges for one to one support, day care, hairdressing, personal toiletries, items and equipment. The service makes information available to existing and prospective residents including Commission for Social Care Inspection reports through residents meetings and copies of the report are available on request. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to this statutory inspection, a period of two hours was spent in preparation. This comprised reviewing previous inspection reports and associated requirements and recommendations; the service history and risk assessment. A resident has agreed to act as a link between the Commission and other residents; Comment cards were delivered to the resident for distribution. Three Comment card were received back and these contained favourable responses and have been used to inform the inspection process. Since the last inspection the Commission have received no complaints about the home. However the service has raised one allegation regarding a Safeguarding Adult incident, which is further addressed, in the main body of the report. The Commission have a focus on Equality and Diversity and issues relating to this are included in the main body of the report. The care provided is person centred and the individual plans of care are highly individualised which ensure that Equality and Diversity is promoted. The current residents are all male, within a similar age group, all are white British and conversant with the English language. This site visit to the home was conducted over a period of five and quarter hours during which the inspector made observations and spoke to residents and staff. A limited tour of the premises was conducted which involved viewing the communal areas and a selection of the private accommodation. Case tracking is the method used during inspection where of a sample of two residents were selected and all aspects of their care and experiences reviewed, including individual plans of care and associated documentation. The Registered Manager was not present during this visit, however a senior staff member form within the group was in attendance for some of the inspection. What the service does well: New residents have the right information and are able to visit the home before deciding whether they would like to live there. New residents are supported to settle into their new home. The staff make sure that they have the right information about residents to make sure that they are able to look after them properly. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 6 Each resident can be involved in the development and review of their own plan of care, which set out how the residents are to be looked after and takes into account the residents likes and dislikes. Each resident has their own key worker and there are good relationships between residents and staff. The Residents are supported to mange their behaviour, personal and health care. Residents are able to find part time jobs, attend college and develop their basic skills. The home is near to shops and services, such as local churches, clubs, the gym and swimming pool, which the residents are able to use. Staff support residents to make decisions and to take risks safely, such as the use of bicycles. Residents have a key to the front door and to their bedrooms and their privacy is respected. They are able to make decisions about how to spend their free time and develop their independence. Residents have their own small pets and are supported to care for them. There are regular meetings between staff and resident’s, residents are consulted and are able to participate in decisions about the running of the home and are involved in activities such as the menu planning. Residents have access to the right health care services to make sure that they stay healthy. Staff make sure that residents have their medication safely. Resident say that they feel safe living at the home, they have the right information to help them make complaints if they are unhappy about something. Staff have the right training to make sure that residents are protected from abuse. The home is very well kept, being nicely decorated and it is spacious, comfortable and safe. Residents have their own rooms with ensuite facilities and privacy locks; residents are able to have keys to their rooms. Residents are able to have their own possessions in the home and to put up posters and chose they way their rooms are decorated. The service makes sure that there are the right number of staff, that they have the right checks and skills to look after the residents properly. The Registered Manager has the right experience and training to manage the home properly. All the right checks are done to make sure that the home is safe. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 8 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 (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 9 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): 2,4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents who use the service receive clear information to enable them to make a choice about whether or not they might wish to live in the home. EVIDENCE: Individual plans of care evidenced that prospective residents have preadmission assessments conducted by trained staff to ensure that the service is able to meet the needs of the resident. The service obtains copies of assessments from other specialists and the information is used to inform the development of detailed individual plans of care. Residents confirmed satisfaction with the admissions process, that they had been supplied with information, that they had opportunities to visit the home, meet the other residents and staff before deciding whether they would like to live there. Each resident has access the Statement of Purpose and Service Users Guide; these contain detailed information about the home and some photographic information. Specific information such as the complaints policy is currently Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 10 produced in easy read format, the service is currently reviewing the format of other information to enable it to be more accessible to residents. The existing group of residents are all white British. Each resident has an up to date, appropriate and signed contract in place. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 11 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): 6, 7, & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have control over their lives, which enables them to enjoy a lifestyle that promotes choice and independence. EVIDENCE: Each residents has an individual plan of care, these are based on the preadmission and other specialist assessments. These are person centred and contain detailed instruction to staff about the resident’s health, personal, social and emotional care needs and evidenced regular review. There evidence that residents are able to be involved in the care planning and review process, whenever they wish to be. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 12 There is evidence that residents are supported to make decisions about their lives whenever possible. This includes decisions about their personal appearance, lifestyle and running of the home. Any restrictions place on residents are in their best interests and supported by appropriate risk assessment and the residents consent. The plans contain detailed instruction to staff about the management of residents behaviour which includes information about potential triggers, warning signs and they way that staff should deal with these incidents. Each resident has their own key worker; allocation is sensitive to the residents views and wishes. Residents confirmed that they enjoyed good relationships with their key workers and felt supported by them. Key workers spoken to were able to demonstrate a good understanding of the individual residents needs and spoke enthusiastically about the developments that they wished to implement for the benefit of the residents, including the development of care plans in pictorial format and use of information technology. There is clear evidence that residents are supported to take risks within their lives examples include holding a front door key, domestic activities and using bicycles to access the community. Each activity is recorded in the care plans, and where appropriate residents receive training such as Basic Food Hygiene and cycling proficiency, activities are supported by detailed risk assessments. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 13 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): 12, 13, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to achieve their potential, which enhances their quality of life EVIDENCE: Each resident has a varied and individualised activities programme, which is tailored to his personal interests and development needs. There is evidence that residents are supported to find part time employment, attend local colleges and receive individual coaching in literacy and numeracy skills. Residents are able to access the local community and attend local facilities including churches, shopping and leisure facilities, including the local gymnasium and swimming facilities. They have recently participated in a local Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 14 environmental clean up campaign and residents are supported to maintain links with their family and friends. Residents are supported to access a range of social activities including attendance at local clubs and to socialise with residents form other homes within the group. Daily routines are flexible within the constraints of their pre-planned activities such as employment and college attendance. Residents are able to choose how to spend their free time and have access to keys to their bedroom and front door. Staff were seen to relate well to residents, to refer to them by their preferred form of address and to be respectful of their privacy. Residents are supported to maintain their independence by involvement in domestic activities, which are supported by appropriate training and risk assessment. Individual plans of care evidence that agreements and risk assessments are in place regarding smoking and use of alcohol. Residents have their own pets such as guinea pigs and rabbits and are supported to provide care of these. In addition the residents are currently involved in a ‘chicken project’ and are being supported to build a chicken coup so that they can have their own chickens. Resident’s views are sought on a daily basis and they are also involved in regular meetings. They are able to contribute to the running of the home and by making decisions about their lives. Residents confirmed satisfaction with the food provided at the home, there is a formal menu that demonstrates that residents receive three meals a day and are able to access a variety of snacks. Residents contribute to the menu planning and staff support residents to balance their preferences whilst still achieving a health balanced diet, this has resulted in better outcomes for residents. Residents are able to participate in kitchen activities, including food preparation and have received training in Basic Food Hygiene. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 15 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): 18, 19, 20 & 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have a person centred and detailed plan of care which, demonstrates that they are treated as individuals, that their health care needs are fully met resulting in excellent outcomes. . EVIDENCE: Individual plans of care evidenced that residents are supported to maintain their health and personal care. The plans of care are person centred and provide detailed instruction to staff regarding the residents preferred routines including personal care. Routines are highly individualised and residents have access to prompts in pictorial format within their rooms. Resident’s wishes about the provision of care by a person of the same gender are respected. Residents are able to exercise choice and express their individual personalities through their personal appearance. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 16 Individual plans of care evidence that residents have access to a range of health care specialists including, General Practitioners, Consultants, Psychiatrists, Community Learning Disability Teams, Opticians, Dentists, Speech and Language Therapists and Chiropodists. In addition residents have access to annual health checks, well men’s clinics and receive appropriate advice about health screening and promotion. Staff are knowledgeable about the needs of the individual residents and spend time reading the individual plans of care. There is evidence that staff are well trained to meet the needs of the residents. Residents are assessed and in some circumstances able to self medicate. Medication systems were reviewed and seen to be in good order. There are effective systems in place to maintain an audit trail of medication prescribed, received into the home, administered and disposed of. A review of Medication Administration Records indicated that they were maintained in good order and that the remaining stock corresponded with the recorded balance. Individual plans of care contain a section in which the residents views about aging, terminal care and death are included. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 17 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): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a robust complaints procedure and good staff awareness and attitudes regarding Safeguarding Adults so that residents felt safe and were well protected. EVIDENCE: There have been no concerns about this service since the last inspection. Residents have access to an appropriate complaints policy, which is produced in an easy read format. Residents were able to confirm that they are able to voice their opinions and express their concerns in confidence with the expectation that their concerns will be addressed. There is evidence that the management respond appropriately to complaints that are made and use the information received to improve services to residents. There has been one Safeguarding Adults incident since the last inspection, which involved a resident and a staff member from an organisation outside of the service. There is clear evidence that the Registered Manager has followed appropriate guidelines and had followed up the incident. Residents were able to confirm that they felt safe living in the home and that staff treated them appropriately. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 18 Staff receive regular training in the Safeguarding Adults and are knowledgeable about Safeguarding Adults issues including the associated Local Authority Guidelines. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 19 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): 24 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment is excellent, providing residents with a wellmaintained, comfortable, safe place to live, which meets their needs and lifestyles. EVIDENCE: The environment is suitable for the needs of the residents for which it is registered to provide a service. It is reflective of residents Equality and Diversity and supports their privacy and independence. Orchard View provides a very pleasant, comfortable and safe environment for residents who live there. It is an individual detached property situated in a residential location close to local facilities and transport links. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 20 The home benefits by being located opposite Orchard Hill another home within the group. Residents have keys to the front door and are able to visit other staff and clients independently. The home is decorated and furnished to a high standard. The communal areas are spacious and designed to allow clients to relax and socialise. As the home is new it has been designed to meet the needs of the residents group and there has been little to do regarding the decoration and facilities. However the environment has been personalised by fitting such things as display boards for the clients to show their certificates and putting up pictures of the residents involved in activities and outings. The communal areas are spacious and provide areas for residents to maintain their privacy. Residents have good-sized bedrooms, which are well furnished, fitted with ensuite facilities, safety devices and privacy locks, for which residents are able to hold a key. Residents are able to personalise their rooms with their own possessions and are currently being consulted about their choices for redecoration of their rooms. There are very pleasant and spacious garden areas to the front and rear of the property. Residents are able to access these whenever they wish. Residents have the opportunity to keep small pets such as rabbits and guinea pigs in individual hutches. Residents are also involved in building a chicken coup in the garden to enable them to keep chickens. Although subject to heavy useage both the interior and exterior are well maintained, clean and hygienic no hazards were identified. Maintenance is carried out as required and clients can inform staff of any repairs requires at anytime or if less urgent, or they feel more comfortable at the clients meeting. There are adequate supplies of hot water and staff have a good understanding if Infection Control procedures. Residents stated that they were very happy with the environment at Orchard View and that the location, space and improved facilities had increased their quality of life. They were also able to confirm that the home was always clean, tidy and fresh and that the staff encourage residents them to view Orchard View as their own home. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 21 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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service employs sufficient numbers of inducted and trained staff to ensure that the residents needs are appropriately met. EVIDENCE: Residents and staff were able to confirm that there were adequate numbers of staff working in the home to ensure that resident’s needs were met. Staffing levels are adjusted according to the needs and dependency of residents and additional staff are available to support residents with individual activities and outings at peak times. Current staffing levels, for the existing three residents are two care staff through out the daytime shifts and one waking staff at night. In addition the Registered Manager is available in the home during normal working hours, additional on call staff are also available. There is evidence that staff receive appropriate training, over 50 of staff have completed their National Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 22 Vocational Qualification in Care level 2 and further staff are working towards their National Vocational Qualification in Care level 3. Recruitment practices are good. Clients are encouraged to take part in the recruitment process and are allocated the time to spend time with those being interviewed. This is recorded and their views are taken into consideration. The management are mindful of the need to reflect the age, gender and culture of the existing residents within the staff group. Staff files evidenced appropriate clearances and references are obtained before staff commence employment in the home. Staff have appropriate Work Permits, and contracts are in place, which specify appropriate probationary periods. Staff training is managed well, staff confirmed access to appropriate induction training, which now incorporates the Learning Disability Award Framework. Staff have regular access to mandatory training such as the Fire Safety, Basic Food Hygiene, First aid, Safe Administration of Medication, Safeguarding Adults, Movement and Handling and Control of Substances Hazardous to Health. Staff were also able to confirm that they had received recent training relating to the specific needs of residents such as the management of challenging behaviour, de-escalation techniques, Communication techniques and personality disorder and Autism other training is scheduled for the near future. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 23 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate leadership, guidance and direction means that the home is managed in the best interests of residents. EVIDENCE: The Registered Manager has the required qualifications and level of competence to manage the home well. The Registered Manager has a clear vision of the aims and objectives of the service, communicates a clear sense of direction, and initiates best practice and continuous improvement. The Registered Manager attends regular training sessions and promotes the Equality and Diversity of residents. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 24 Quality assurance procedures are currently being developed by the organisation, which includes a formal review of residents and other stakeholders’ views about the service provided, which is to be used to inform service development. There is evidence that individual plans of care are regularly reviewed and medication systems audited. Regular residents and staff meetings are held to share information and develop the service. The standard of record keeping is good, appropriate accident records are maintained, no hazards were identified and there was evidence that fire alarms are regularly tested and regular fire drills are conducted. Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 25 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 X 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 4 23 4 ENVIRONMENT Standard No Score 24 4 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 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 3 X 3 X X 3 X Orchard View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 26 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 View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 View (97) DS0000066794.V340187.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!