Care Home: Cherry Orchard

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Annual service review Name of Service: Cherry Orchard The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Peter McNeillie Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Windsor Road Andover Hampshire SP10 3HX 01264324831 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Miss Tina Samantha Britton Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Hampshire County Council Number of places (if applicable): Under 65 Over 65 0 0 43 43 The maximum number of service users to be accommodated is 43. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Dementia (DE) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Cherry Orchard, a purpose built care home is situated in a quiet residential area on the outskirts of the North Hampshire town of Andover with easy access to the town centre, Annual Service Review Page 2 of 7 local shops and other facilities. The home which is owned and managed by Hampshire County Council is registered to provide accommodation care and support for up to forty three older persons some of whom may have dementia. All residents are accommodated in their own single room organised into one of five small self-contained units, each with their own kitchenette, dining room and sitting room. Accommodation is available on two floors with a passenger lift providing easy access to the upper floor. Aids and adaptations have been fitted throughout the home, to assist residents to maintain their independence and access all communal areas of the building including a central paved courtyard, providing additional seating areas and raised flowerbeds. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service including responses to a CQC satisfaction survey. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what improvements they need to make. Residents in their replies to our survey when asked what the home does well an responded: Gives me a home. Activities. Food. Good Care. Cannot fault them. Service. Care and being looked after. When asked what the home could do better all responses from residents were the same Nothing Staff told us : They were only employed after satisfactory reference and criminal bureau checks (CRB) had been received by the home, they received regular one to one supervision, were satisfied with their training, there were sufficient staff to meet residents needs and they were aware of the policy and procedure to follow should they suspect or witness resident being abused. Health and social care professionals in their responses wrote the home: Listen to their residents. Offer a choice of meals and activities. Monitor the health care needs of residents. Provides activities appropriate to age abilities of residents,. Looks to involve residents and their families in home plans,issues raised and influencing day to day operations. Communicate with other professionals. Good leadership. Staff respond well when we need to challenge and always look to improve and get things right. People are welcome and made to feel at home. There is a good activities programme and people on respite are encouraged to join in. In their AQAA the home told us in relation to promoting equality and diversity within the service they do the following: Within our care planning process, there is an IMPACT assessment tool which records individuals faith, special events/days that are important to the residents, preferred method of worship, special arrangements/practices based on cultural/religious Annual Service Review Page 4 of 7 background around personal care etc. We ensure that individual wishes/preferences etc are written into the individual plan of care. We have ministers, priests and leaders from various denominations who visit the home and conduct religious services, the times of these are displayed and residents made aware where they will take place. Residents can attend the local church of their choice and staff at the home will assist them with making arrangements to get there. If we had an individual with specific requirements or from an ethnic minority, that we do not already have arrangements in place for, we will find out where the nearest place of worship is and assist the resident to access it. We actively encourage the involvement of carers, family, friends and community groups in the daily life of the residents. Where we admit an individual with specific cultural, religious needs, we ensure that staff are adequately informed either through specific training or literature/research, to enable us to meet the needs of that individual. Whilst we apply these policies for both residents and staff, including in our recruitment programme, we do not enquire about the specific gender identity and sexual orientation of the residents and staff, and may not have this information unless they choose to disclose it, or it becomes evident as part of the care planning. All staff have received training in promoting anti-discriminatory practice and challenging inappropriate practice and the management team will challenge any incidents, either from staff or residents where there is discrimination of any type. http:/intranet.hants.gov.uk/adult-services/equalities-2/race-2/impactassessment.htm http:/www3.hants.gov.uk/adult-services/aboutas/departmentalprocedures-main/adults-procedures.htm information available to the public also available in hard copy from Adult Services offices. http:/intranet.hants.gov.uk/adultservices/equalities-2.htm information for HCC The organisations Corporate Equalities Officer, informed by legislation, stakeholder consultation etc, reviews/updates our policy. Staff are updated/trained to ensure knowledge & understanding are maintained. We shall continue to ensure that all new staff receive training & continue to review/amend policy/practice and that all residents are re-assessed should their needs change. In their AQAA the home also told us as part of their ongoing improvement and development thay have, in the past twelve months implemented the following changes: The opportunities created by a change in management have allowed a complete review of practices, to ensure that they still reflect the needs of the residents. Some have changed, some remain valid, all allow opportunity for development. Staff are being allocated specific areas of responsibility to enable their personal development, whilst also providing focus for residents to be involved in specific areas of interest in the home.needs change. Planned future developments include: Changes in practice will need to be reviewed to ensure that they are effective. Further consultation with residents and staff, particularly with the discharge questionnaires as a baseline, will allow us further to develop our procedures and be more responsive to the needs of the residents. The home have shown that they have managed issues well. No complaints have been received by CSCI since the last inspection. They work well with us and have shown us that their service continues to provide excellent outcomes for people who use the Annual Service Review Page 5 of 7 service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 12th October 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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