Inspection on 10/05/05 for Orchard View Care Services

This inspection was carried out on 10th May 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 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 Care Services 18/04/07

Orchard View Care Services 17/10/05

Orchard View Care Services 11/10/04

Orchard View Care Services 20/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Orchard View Care Services Southview Station Road, Bow Crediton EX17 6HX Lead Inspector Rachel Doyle Announced 10 May 2005 th 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 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 Stationary 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 Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Orchard View Care Services Address Southview Station Road Bow Crediton EX17 6HX 01363 881093 01363 881141 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lynda Matthews CRH PC Care Home providing Personal Care 6 Category(ies) of LD Learning Disability [6] registration, with number of places Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11th October 2004 Brief Description of the Service: South View is a large detached bungalow situated on the outskirts of the village of Bow, which is about seven miles from Crediton. There are currently six service users in residence. There are six single bedrooms, one on the first floor. There is a large and well kempt garden to the rear of the house with beautiful rural views and an outbuilding, which equipped as an activities room. There is a separate secure office building for administration. The manager also has plans to create a sensory garden. Access to the property is level and easily located but parking space is very limited. The Home have their own minibus. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on Tuesday 10th May from 10.00-14.00. The inspector was able to spend time with the owner, deputy manager, two staff and 5 residents. One resident was in hospital being assessed on the day of the inspection. During the morning the residents went for a walk out to the local shops and on their return the inspector joined them for lunch, which they had helped to prepare. They were excited as Tuesday was disco night and later in the afternoon they were getting ready to go and pick up some friends in the Home’s minibus. What the service does well: What has improved since the last inspection? The manager and staff have open routes of communication and this has now been formalised into regular staff supervision sessions. The Home has done a lot of work with the residents towards the My Life, My Plan scheme whilst they are waiting to continue with the care managers. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 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. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5 The Home’s Statement of Purpose and Service Users’ Guide are very good and provide residents and prospective residents with details of the service and the Home offers visits so that an informed choice can be made. Individualised contracts need to be explained and agreed with residents and/or relatives. EVIDENCE: The Home has devised an excellent Statement of Purpose and Service Users’ Guide in widget form, which includes all the required details. Assessments in all care files were detailed and the staff talked to relevant health professionals and relatives to ensure that the Home can meet residents’ needs prior to admission. The manager described how one prospective resident came to visit the Home on a few occasions with their relatives and stayed for a weekend at first before deciding on moving in. Staff were very knowledgeable about all the residents and their care needs. All residents have a copy of the Home’s statement of terms and conditions within their Service Users’ Guide but they have not gone through the individual details with staff to ensure that the statement is understood. The manager said that they had not as yet sent a copy to relatives but would do so. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 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 standard(s) 6,7,9 Care plans reflect residents’ needs, interests and aspirations; ensuring that staff have the information they need to meet residents’ needs. There is a strong commitment to encouraging and safely developing residents’ independence and choice. EVIDENCE: Residents are central to the development of individual care plans and are very involved in the care planning process along with relatives and care managers. Residents were seen to consistently make their own decisions and were helping around the Home and choosing their own food and shopping. Risk assessments relate directly to the care plans and residents are able to take risks with the full support of staff. One resident now is able to be independent at a day centre. Residents have personal goals and document their own achievements in a personal folder with pictures and photographs. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12, 13, 15, 16, 17 Links with the local community, peers and residents’ families are good; supporting and enhancing residents’ social and educational opportunities. The meals and mealtimes offer flexibility, choice and variety to residents. EVIDENCE: Residents take part in a wide variety of activities and are encouraged to use the local facilities such as the shops, cafes, swimming pool, ten-pin bowling and outside entertainment. Two residents enjoy attending a horticultural scheme and all activities are reviewed fully in the residents’ care files. Staff are aware of residents’ personalities and likes and dislikes and they are respected. Residents also visit drop-in centres to see their peers who also are invited to the Home’s weekly disco. There is clear information in the plans about family links and what the residents like to do when they see their families and it is clearly documented when one resident decided not to go home as often. The manager uses outside agencies to discuss any consensual issues and said that the Home had good relationships and support from families. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 11 The inspector had lunch with two staff, the manager and deputy manager and five residents. Residents had helped with the preparation and shopping and discussed the cheese, which they like to buy from a farm shop. There is a varied and healthy choice menu rota, which is very flexible to suit what residents may fancy to eat on the day. Staff also look out for non-verbal behaviour , which may indicate when a resident doesn’t like something. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18, 19, The physical and emotional health needs of residents are well met by the Home involving the multidisciplinary team as necessary. EVIDENCE: Staff were seen to assist residents in a sensitive manner and were very aware of helping residents to keep clean and looking good. One resident enjoys pampering sessions. The manager is very aware that there is a connection between emotional, physical and challenging behaviour and staff keep records to ascertain any patterns or pain. There are routine GP visits and staff explained various ways in which residents may communicate that they need help. One resident was having their medication assessed in hospital at the time of the inspection. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 22, 23 The Home has excellent systems in place which ensure that residents and protected and that there views are listened to and acted upon. EVIDENCE: The Home has a good complaints procedure and staff are aware of the contents. Residents also have a copy in widget form in the Service Users’ Guide and 2 residents were able to say that they knew about it and w\ho to talk to if they had a problem. Staff explained various ways in which they communicate with residents and felt that they would be ware if anything was wrong. There have been no complaints since the last inspection. Staff are very aware of the Protection Of Vulnerable Adults and all staff have recently received training and were able to discuss the issues in depth. Staff also said that they had learnt a lot from their NVQ training and complete random competency quizzes at staff meetings. The Home has an excellent POVA policy and previous incidents have been addressed in a very thorough, resident-focussed and professional manner. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 30 The manager and staff team work together with residents to ensure that the Home is clean and hygienic. EVIDENCE: All areas of the Home were clean and hygienic. Residents are encouraged to take pride in their surroundings and have fortnightly one-to-one sessions with their keyworker to tidy their rooms and assist with household chores if they want to. There are infection control and COSHH policies and residents were helping to tidy up after lunch on the day of the inspection. The Home smelt fresh and pleasant. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36 An effective, competent and experienced staff team supports residents although documentation of staff training does not fully clarify staff expertise, which could compromise consistency of care. EVIDENCE: Staff were aware of their responsibilities and roles and are proud to wear the Home’s T-shirts when they go out with residents. All staff and the manager were very clear about residents’ needs. There is one new carer at the Home who had received a full induction. The Home are currently interviewing for one carer and residents will be involved in the choice. The Home has a good staff team with a low staff turnover and no recruitment problems, which enables consistency of care. Staff were able to show that they had benefited from doing the NVQ qualification and were pleased with their additional knowledge. All staff but two have achieved the NVQ. Competencies are looked at within regular staff supervision. The manager said that the Home offers staff a wide range of training other than mandatory and outside speakers have been arranged in the new activities room. Staff have individual staff training files but these are not kept up to date. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37. 38, 39, 40, 41, 42 The Home is managed effectively, efficiently and safely and standard are reviewed to ensure that high quality care is maintained for residents. EVIDENCE: There is a structured management arrangement ensuring that there is a clear sense of direction for staff. The management approach appears to create an open, positive and inclusive atmosphere within the Home and staff and residents were relaxed and happy during the inspection. Two residents were able to indicate that they liked living at the Home and there had been many positive responses from relatives. Formal quality assurance and monitoring systems have been developed to ensure that good quality care is given consistently including, staff team building, regular house meetings and good relationships with relatives, individual reviews, staff training and supervision and a detailed complaints Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 17 procedure. Part of the staff induction is to read all the Home’s policies and this is then signed off. These have been well indexed for easier use. Health and safety issues are addressed using good policies and mandatory training is up to date. Risk assessments were comprehensive and the Home will amend one regarding hot water from hand basins although the risk is already informally addressed. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 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 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Orchard View Care Services Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 19 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 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. 1. 2. Refer to Standard 5 35 Good Practice Recommendations It is recommended that individualised contracts are explained and agreed with residents and/or relatives. It is recommended that all individual staff training files are kept up to date to ensure that staff receive at least five paid days of relevant training. Orchard View Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Care Services D54 D06 S40398 Orchard View V216314 100505 Stage 4.doc Version 1.30 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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