Inspection on 18/04/07 for Orchard View Care Services

This inspection was carried out on 18th April 2007.

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 17/10/05

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 18th April 2007 10:00 Orchard View Care Services DS0000040398.V331298.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 Care Services DS0000040398.V331298.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 Care Services DS0000040398.V331298.R01.S.doc Version 5.2 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 881093 lynmatthews@tiscali.co.uk Mrs Lynda Ann Matthews Mrs Lynda Ann Matthews Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 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. 17th October 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 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 is equipped as an activities and day centre room. There is a separate secure office building for administration. The manager has also started to create a sensory garden and safe walk leading to a seating area with a willow backdrop. Access to the property is level and easily located with parking spaces to the rear of the activity centre. The Home have their own minibus. The average cost of care is £862-1500 per week at the time of inspection. Additional costs, not covered in the fees, include private chiropody, holidays, some public transport contributions, personal clothing, hairdressing and personal items such as toiletries and magazines. Previous inspection reports are available in the Home. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday 18th April from 10.0015.00. There are currently 5 residents living at the Home and one vacancy. Prior to the inspection a pre-inspection questionnaire was sent to the manager. This provides additional useful information prior to the inspection to aid with inspection planning. The inspector also sent satisfaction surveys in order to obtain their views of the service provided, to relatives, health care professionals, residents and staff. Responses were received from 3 relatives, 4 staff, 3 health professionals and x residents. All comments were very positive. The inspector was able to spend time with the manager, spoke to three staff members and took lunch with 3 residents, one prospective resident who was visiting for the day and two clients who attend the day centre service. The Home provides extra staff to run the day centre. The inspector had a thorough tour of the Home and was able to look at relevant records such as staff recruitment files, care files, training records, medication records and policies and procedures. What the service does well: The Home provides a very individualised service, which focuses on person centred care to ensure that residents are able to choose how they wish to spend their day in a safe environment. All staff are trained in a wide range of relevant skills and are able to attend specialist training relating to current residents’ needs. There is a stable staff group who enjoy their work and know the residents well. Medication is well managed with excellent records and reviews of residents’ medication involving the multidisciplinary team. Staff receive regular training in this field and are knowledgeable about individual medication, side effects and homely remedy administration. The Home provides a wide range of opportunities and activities. Residents are able to attend the day centre if they wish where they can mix with peers or they can choose to do other activities as they wish. The Home regularly reviews the suitability and enjoyment of each activity relating to individual residents and allows for safe and proportionate risk taking. Residents are enabled to be involved in the community and attend a range of community activities with family and friends very much involved in residents’ lives. Residents also have roles within the Home and enjoy contributing to the day-to-day running such as cleaning, cooking, administration and residents’ meetings which ensure that their voices are heard, recorded and comments acted upon. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 6 The Home has an excellent Health and Safety system including link staff and very robust checks involving CRONER, which is a company, which helps Homes maintain high standards of Health and Safety. Meals are well managed encouraging choice and flexibility with a nutritious and varied diet. 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 Care Services DS0000040398.V331298.R01.S.doc Version 5.2 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.V331298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home’s assessment process ensures that prospective residents’ needs and individual aspirations are thoroughly assessed prior to admission so that the Home are sure that they can meet them. EVIDENCE: Three care files were looked at and all assessments prior to admission were extremely detailed and individual to the prospective resident. The Home also feels that it is important for a prospective resident to come and spend a lot of time with current residents and staff to ensure that they are comfortable with other residents and visa versa. They then meet all the staff and start to build a rapport prior to moving in on a permanent basis. Information is sought out by the Home from the relevant multidisciplinary team and care managers and progress on the prospective residents’ visits to the Home are discussed in staff meetings such as how they may settle in and what their likes and dislikes are. The prospective resident is also included in any decisions at all times. One such resident has been visiting the Home for one day a week as part of the assessment process and was visiting on the day of the inspection. They seemed very comfortable at the Home, interacting with Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 9 staff and other residents and doing activities, which they liked. They told the inspector that they were happy and it was clear that staff were already knowledgeable about their individual needs. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 10 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 excellent. This judgement has been made using available evidence including a visit to this service. Care plans reflect residents’ needs, interests and aspirations; ensuring that staff have the information they need to meet residents’ needs with a strong commitment to encouraging and safely developing residents’ independence and choice. EVIDENCE: One of the main philosophies of the Home is that the residents are in control of their lives. Staff said that they were there to support decisions in a safe way. Staff communicate with residents using recognised methods and non-verbal skills and are devising a communication board using pictures. A new resident is bringing their own communication board, which staff are already aware of. Objects of reference are also used for some residents to aid their ability to choose. There are clear boundaries in the staff/resident relationships, which show respect between them. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 11 The three health professional survey responses were all positive about the level of choice given to residents to be able to live the life they choose at the Home. One commented that the residents’ choices were considered first and that the Home tried to achieve this unless there were any real risks attached to the choice. Three care plans were looked at and are clearly focussed on individual residents’ needs with care planning including the residents and advocates where able. All plans were up to date and in the appropriate format and staff were aware of who was a residents’ key worker and their role. Two residents enjoyed going out to a fast food restaurant with each other and had clearly had a good time on their return. They then chose what they would do that afternoon. All plans included detailed risk assessments relating to health and choices. For example the Home uses privacy key cards for residents’ rooms and the front door, which has access to the main road. The back door is always freely open. Residents have had training in using the keys and also show staff that they want to go in their rooms. This ensures that residents have privacy when in their rooms and reduces the risk of the road without having to lock the front door. The Health and Safety system records risks making it clear which activities ‘present no greater risk than those associated with life in general’ so that risk taking is assessed proportionately looking at benefits and real risk. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 12 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, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Links with the local community, peers and residents’ families are excellent; supporting and enhancing residents’ social and educational opportunities. Meals are well managed offering choice, flexibility and a nutritious and varied diet served in an appropriate way to meet individual needs. EVIDENCE: The Home runs a day care centre in the activities building adjacent to the Home. There is a day care co-ordinator and residents are able to take part in a wide range of activities with peers or they can choose to do other things. There is a day care programme detailing many activities such as market gardening, swimming group, horse riding, country walks, community skills, cooking and art and drama. Residents are able to choose what they would like to do and the staff monitor residents’ behaviour to ensure that they are enjoying any Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 13 sessions. Staff also take residents out on regular one to one sessions such as shopping or for coffee. Two residents had been out that morning with a staff member to do something they liked and some residents were going out in the afternoon. Other residents had enjoyed skittles and a drink in the pub that morning together and told the inspector about it. Family and friends are very important to the manager and all but one resident is able to see their family regularly. The Home also seek out other advocates such as care managers, who are encouraged to visit. One care manager has just visited from out of county. Relatives are involved in reviews. One resident showed the inspector a photograph album of visits and activities. Residents enjoy a healthy and varied diet, which takes into account their choices. The menu is a three-week rota, which can be flexible including take away nights, trips to restaurants and pubs and residents’ likes and dislikes are clearly recorded. Residents have regular input in compiling the menu. The inspector took lunch with residents who all had individually tailored meals and condiments with seconds as they liked. There was a lovely happy atmosphere with residents then helping out in the kitchen or relaxing watching television or walking in the garden. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical and emotional health needs of residents are well met and regularly reviewed by the Home involving the multidisciplinary team as necessary. Medication arrangements are well managed ensuring that residents are safe. EVIDENCE: There is a key-worker system in place, which means residents have a named carer to oversee their care planning and delivery. The three health professional survey responses all felt that the Home sought health advice appropriately and met residents’ health care needs. One commented that the Home was caring and supportive with the residents’ positive well-being reflected in the fact that residents were settled and needed less medication. They also felt that the Home clearly understood the importance of relating the environment and staff attitudes when managing Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 15 challenging behaviour rather than focussing simply on residents’ behaviour. This is commendable. Two other health professionals commented that the Home offered an excellent care service with a happy, relaxed atmosphere and that residents were content, happy and interacting with other residents and staff. Care plans clearly showed how residents like to receive personal care. Most residents like to indicate to staff when they want assistance and when they don’t. The staff were observed giving care in a person centred way and there was an excellent rapport between staff and residents. Healthcare needs are well documented including triggers in relation to challenging behaviour with clear action plans. Any incidents are recorded sensitively and reviewed. Thought is given to privacy at all times and the manager and staff were able to discuss how they tailor care giving for individual residents. Training in health care topics is given and the staff are observant to any indications that a resident may need specialist health care working on a ‘better to be safe than sorry’ policy. The Statement of Purpose clearly states that the Home is a Home for life unless needs cannot be met and the manager explained how relevant health professionals are contacted. A resident has recently had a very through review with an appropriate outcome focussing on the resident’s best interests. A District Nurse visits the Home 3 times a week and the manager is currently accessing equipment through the mobility centre and pressure care aids. Medication administration, storage and training was excellent. Staff have all been trained using the NOMAD system doing a 12 week course. One staff member showed the inspector the records, which were all correct including very detailed records about homely remedies and ‘as required’ medication. There is a policy that staff must assess and use other measures before using this medication and then talk to the manager if it is needed. Staff were aware of side effects of medication and regularly review residents’ prescriptions calling the GP for a review as necessary. The review by the pharmacist recently commented that they ‘were impressed’ with the Home. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. The Home has excellent systems in place which ensure that residents and protected and that there views are listened to and acted upon. Policies and procedures ensure that residents are safe and well protected from harm or abuse. EVIDENCE: The Home has not received any complaints within the last 12 months. All comment cards stated that relatives knew how to make a complaint and that they had had no reason to do so. Residents are regularly shown the complaints’ procedure in appropriate formats and can use happy and sad drawings to indicate any worries. Staff also observe non-verbal language. All staff have attended Protection of Vulnerable Adults training and were aware of how to access POVA services and reporting procedures. The Home has a good past record of alerting the multidisciplinary team promptly of any concerns. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 17 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. Residents live in a homely, hygenic and safe environment that promotes independence. EVIDENCE: As the Home is small there is a friendly, homely atmosphere. Health professionals also commented that the atmosphere was homely and secure. The Home now has a new car park, which makes it easier for residents’ family and friends, health professionals and day care clients to visit. The kitchen, lounge/diner and hallway have recently been decorated Residents have access to all areas of the Home. There is a large outside space, which includes a shaded seating area. Residents were doing activities outside at the table during the inspection. One area is to be a sensory garden with a seating area and willow surround. Various separate Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 18 areas allow residents to have privacy outside if they wish some quiet time as well as a well stocked activity centre. Residents can meet with friends and relatives in a variety of areas. The Home is very well maintained and clean. Staff assist residents to help with the cleaning if they wish and the infection control policy is clear. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 19 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. Residents are supported by an effective, competent and experienced staff team with good recruitment practices. Minor improvements in record keeping would ensure that good practices are evidenced. EVIDENCE: The Home has a Registered Manager, Deputy Manager, Senior Carer and an administrator. There are 16 care staff in total. Fifteen staff have a current First Aid certificate, which ensures that residents have access to emergency treatment at all times. There is a no lifting policy which states clearly how staff are to manage various incidents. The staff are working towards achieving the required numbers of staff who hold a National Vocational Qualification at the Home and this is nearly completed. Three staff training files were looked at and all were very prganised and included thorough induction programmes over 12 weeks based on Skills Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 20 for Care. This can be topped up to National Vocational Standard and includes fire procedures, lifting, breakaway training, supervision, admissions, values and clinical care information and behaviours. All staff receive the good practice manual and handbook. Previous staff training includes relevant topics such as all mandatory training and Food Hygiene, Breakaway techniques, epilepsy care and counselling and communication skills. Future training is booked to continue the staff programme. The Home usually books external trainers who can then tailor training to current residents. Health professionals commented that care staff had the right skills and experience to support individual’s social and health care needs and one said that staff would seek advice if they lacked any particular knowledge. Three staff recruitment files were looked at and all contained the correct information. Two staff had had their Criminal Records Bureau disclosures returned a little while after they had started work but staff and the manager confirmed that they had not been involved in lone working until the CRB had been received. One staff member is under 18 years and does not do personal care or work alone anyway. This was clear in their supervision records. It was recommended that the file clearly states that these staff are not lone working. One reference was returned after the staff member started work but the administrator and manager both were able to confirm that a verbal reference was taken and that there were delays for legitimate reasons in obtaining the written version. It was recommended that the verbal references are clearly recorded. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 21 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 excellent. This judgement has been made using available evidence including a visit to this service. The Home is managed safely, effectively and efficiently with the focus on residents’ wellbeing at all times. EVIDENCE: The Home is very well organised and there is an administrator based in the well equipped outside office where residents also come and help out. One resident loves to stick on stamps. The manager is very competent and is able to describe a clear vision of the Home showing that the Statement of Purpose reflects how the Home is run. The Home’s focus is very resident focussed, individualised and promotes residents’ independence. The Home strives for continuous improvement within a family atmosphere. All staff said that they Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 22 ‘loved’ their jobs, one having had a change in career saying that the Home was excellent and supportive. Polices and procedures are written clearly and staff were aware of their content. Supervision sessions include competencies, strengths and weaknesses, relationships and teamwork. Staff meeting minutes are very detailed and occur on a very regular basis with excellent attendance. The Home had a Health and Safety department visit recently and a risk audit was completed, which required no further action. The Home has recently renewed the electrical wiring certificate. The Home have an extensive Health and Safety system, which is monitored by an external company annually who give advice on maintaining a high standard. The manager showed the inspector how the Home is checked regularly by at least two sources. One staff member is a Health and Safety link worker and ensures that all mandatory training is done. The Fire training and checks are very thorough and discussed in staff meetings. The fire officer has recently visited and staff enjoyed learning about the evacuation procedure and use of fire fighting equipment. Fire doors have appropriate closers as necessary for safety and access as residents wish. The Home has a clear Quality Assurance system, which includes formally asking for the views of residents, relatives and health professionals on an annual basis and auditing the results. One health professional had recently entered ‘excellent’ on all aspects of the Home’s care service commenting that’ they provide an excellent service in a very challenging area’. The Home are currently putting together an audit of the replies, which they will then action as necessary. Three residents’ financial files were looked at. There is a robust system and records were very detailed to ensure that residents’ monies are safeguarded. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 23 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 4 4 x 5 x 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 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 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 4 x Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no 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. Refer to Standard YA34 YA34 Good Practice Recommendations It was recommended that the staff recruitment files clearly states when staff are not lone working due to age or waiting for receipt of a satisfactory CRB. It is recommended that the verbal references are clearly recorded. Orchard View Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Care Services DS0000040398.V331298.R01.S.doc Version 5.2 Page 26 - 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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