Inspection on 17/10/05 for Orchard View Care Services

This inspection was carried out on 17th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10/05/05

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 Devon EX17 6HX Lead Inspector Rachel Doyle Unannounced Inspection 17th October 2005 11:00 Orchard View Care Services DS0000040398.V251897.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 Care Services DS0000040398.V251897.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 Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Orchard View Care Services 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) Southview Station Road Bow Crediton Devon EX17 6HX 01363 881093 01363 881141 Mrs Lynda Ann Matthews Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Bedroom six will be registered on the condition that any fire authority recommendations which may be made in the future following consultation between the Building Control Department and the Fire Authority are met. 10th May 2005 Date of last inspection 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 DS0000040398.V251897.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 17th October 2005 at 11.00. One staff member and one resident were at the Home on the inspector’s arrival with the other 4 residents returning at lunchtime from a walk and coffee out with 2 other staff members. One resident is currently being assessed in hospital. The Registered Provider kindly arrived and spent some time with the inspector to look at documents. The inspector was able to spend some time alone with a resident in their room, talk to a staff member in depth and look at any relevant paperwork. The Home were very welcoming. A District Nurse was visiting the resident during the inspection. This report focuses on the remaining key standards only and this report should be read in conjunction with the previous report. What the service does well: What has improved since the last inspection? What they could do better: Accident and incident recording needs to be clearer with discussions and actions taken and written with a resident focussed view. The Abuse policy was looked at in depth and needs to be slightly adjusted to emphasise its relation to the Alerters’ Guide procedures. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 6 Unfortunately the fire equipment checks were overdue but this was partly due to a change in equipment service provider. The manager ensured the inspector that this would be followed up as a priority. 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 DS0000040398.V251897.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 Care Services DS0000040398.V251897.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): 5 Each resident has an individual statement of terms and conditions ensuring that they are able to make informed choices. EVIDENCE: The Home ensures that all residents and relatives are aware of the contents of their individual contracts, which detail the Home’s statement of terms and conditions. It was discussed that the Home does not need to have them signed but that relatives and representatives have a copy of the contents. The manager said that the staff team had gone through the contracts with each resident as their capabilities allowed. One resident appeared to indicate that this was the case and a staff member also confirmed this. Orchard View Care Services DS0000040398.V251897.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, 8, 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: One care plan was looked at in depth during the inspection relating to the resident at home. All other care plans have been looked at regularly during inspections. The Home continues to move forward with the My Life, My Plan initiative. The plan also includes details of identified goals and activities with input from the resident. The plan is clear and able to be read with the resident using widget and large print. Health and social care records are clear and the staff member was obviously well informed of the residents’ needs and history. There was excellent interaction between the resident and staff member with respect for any decisions made about how they spent their day and explanations of any restrictions, which were recorded. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 Links with the local community, peers and residents’ families are good; supporting and enhancing residents’ social and educational opportunities. EVIDENCE: The residents have individual activity folders, which include weekly activity plans and records. Activities are planned as residents wish and include scenic drives, walks on Dartmoor, cooking, arts and crafts, local visits, parks and swimming baths, beaches and discos at the Home with peers. Reference is givent o likes and dislikes and there are photographs showing residents clearly enjoying household chores. The District Nurse praised the Home saying that it was very nice and that they try to maintain residents’ independence especially when there are health issues. During the inspection the resident was able to potter about doing what they wanted in their room or watching their favourite music on the lounge television and dancing. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 11 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 The physical and emotional health needs of residents are well met by the Home involving the multidisciplinary team as necessary. EVIDENCE: The residents were all seen to be treated with respect and in a way, which matched their communication methods. The nurse saw the resident in private in their own room. Records showed that health care needs are well met and one resident is currently undergoing assessment in hospital but is due to return to the Home soon. The manager said that the staff have been supporting them during their stay with frequent visits. The staff were well aware of any health needs and were caring for the resident well in relation to this with attention paid to any emotional needs. The inspector looked at the medicine administration records. There were no problems and record keeping and records and storage were satisfactory. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 12 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): 23 The Home has excellent systems in place which ensure that residents and protected and that there views are listened to and acted upon. Improvements could be made in ensuring that the details of the procedure are clear. EVIDENCE: Most staff have had Protection of Vulnerable Adults training and some were about to attend a session. The Home has an excellent POVA policy and previous incidents have been addressed in the past in a very thorough, resident-focussed and professional manner. Although the Home has a good policy it could be misleading as to the procedure for investigation and reporting if these details are not included in conjunction with the Alerters’ Guide. The staff member was aware of what constituted abuse. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 13 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 Residents live in a homely, comfortable and safe environment with bedrooms that promote independence. EVIDENCE: The Home has 5 bedrooms on the ground floor and one bedroom on the first floor. This decoration was chosen by the resident prior to their admission. The Home is well furnished and in a beautiful setting with the back patio doors from the lounge and one bedroom leading out onto the patio and garden with wide countryside views. There is a large longe with a table big enough for communal meals. All residents’ rooms are well personalised and homely. There are appropriate furnishings to suit each resident and a good number of bathrooms and toilets with suitable adaptations. The inspector looked in every room and found the Home to be clean with the staff member cleaning on arrival with the resident’s involvement. 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. Outside there is a new large activity room, which is used for weekly disco nights and other activities. The Home now has developed plans with a specialist designer for the proposed sensory garden Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 14 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): 33, 34, 35 Residents are supported by an effective, competent and experienced staff team with good recruitment practices, other than photographic identification in all files,that protect residents. EVIDENCE: All staff have done or are in the process of gaining NVQ qualifications. They do the Care Practices Course as part of the NVQ with an assessor visiting the Home. The Home have sufficient staff to provide a high standard of care. The senior carer is leaving and the Home were interviewing that afternoon. There is generally a low staff turnover. The Home does not use agency staff. Staff training files are being updated but showed recent training in a variety of topics such as Manual Handling, Autism, Health and Safety and Food Hygiene is booked. The staff member said that they had done more training at the Home than anywhere else they had worked. They felt that there was good support for NVQ and were getting on well with it. There is an excellent induction scheme, which all staff undergo on recruitment. Two recruitment files were looked at in depth and contained all the required documents except photographic identification. This has been made a recommendation as there was a note to chase up staff to provide these in the files. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 15 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): The Home is managed safely, effectively and efficiently. Improvement could be made in accident/incident records. EVIDENCE: All aspects of the Home environment were safe and there were relevant risk assessments in place for the environment and individually. All staff have completed mandatory training. Fire equipment is usually kept well maintained with regular checks but this is now overdue. The manager will ensure that this is attended to as the equipment service provider has recently re-structured. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 16 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 x x x x 3 Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Orchard View Care Services Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x DS0000040398.V251897.R01.S.doc Version 5.0 Page 17 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. 1 2 3 Refer to Standard YA23 YA34 YA42 Good Practice Recommendations It is recommended that the Abuse policy is slightly adjusted to emphasise its relation to the Alerters’ Guide procedures. It is recommended that the manager follows up staff to ensure that all staff recruitment files include photographic identification as a matter of priority. It is recommended that accident and incident recording is clearer with discussions and actions taken included and that they are written with a resident focussed view. It is recommended that fire equipment checks are regularly undertaken. Orchard View Care Services DS0000040398.V251897.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Exeter 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 DS0000040398.V251897.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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