Care Home: Orchard Care

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What the care home does well Orchard Care provides a warm homely domestic setting for people to live. Support for the people using the service is provided on an individual basis. There is a person centred planning approach to care planning and each person is allocated a key worker. People who use the service have a full assessment of their needs carried out prior to admission to Orchard Care to ensure the service can meet their needs. People using the service were observed by us to be well cared for and independence is encouraged within a framework of risk assessments. The people using the service are enabled to maintain friendships and family relationships. There have been no complaints made to the service and we have received no complaints. The financial procedures were checked during this inspection and it was established that robust systems are in place; cash is balanced and records maintained. Arrangements are in place for meeting the health and personal care needs of people using the service.The people using the service live in a clean and comfortable environment. Staff have good relationships with the people using the service. Staff demonstrated a good understanding of the needs of people using the service. The manager has systems in place to ensure that the Home is managed safely. The manager monitors the quality of the service delivered. What has improved since the last inspection? Medication training is now carried out on a regular basis. All mandatory training is completed. The home has a Fax Machine. CARE HOME ADULTS 18-65 Orchard Care 202 Weston Road Meir Stoke-on-Trent Staffordshire ST3 6PE Lead Inspector Kathryn Marks Unannounced Inspection 12th August 2008 09:30 Orchard Care DS0000008320.V370044.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 Care DS0000008320.V370044.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 Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard Care Address 202 Weston Road Meir Stoke-on-Trent Staffordshire ST3 6PE 01782 342123 01782 595654 orchardcareltd@aol.com 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) Orchard Care Mrs Carol Ann Forys Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: Orchard Care is a large two storey detached house situated in a residential area of Weston Coyney. The Home is registered with us to care for four younger adults with a learning disability. At present there are four gentlemen living at Orchard Care. The property is situated on a main road with access to the rear of the property. The gardens are spacious, secure and well maintained and there is a patio area with ample seating and private lawned area. The inside of the property is homely and domestic in character and each person has a single bedroom. There are a selection of communal rooms, which means that the people using the service can have some private time if they wish, or entertain their visitors. The Service Users Guide told us that the weekly fees range from £1452.21 to £1650.00. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is Two Star. This means that the people who use this service experience good quality outcomes. This unannounced key inspection was carried out on the 12th August 2008 by one inspector who used the National Minimum Standards for Care Homes for Younger Adults, (18-65), as the basis for the inspection. On arrival there were four staff at the home; the Care Manager, deputy manager, and two support workers. The four people who use the service were at home. The Care Manager provided written information regarding staffing, staff training, menu and dietary provision that was also observed by the inspector to be in place at the home. On arrival at Orchard Care the people who use the service were deciding with staff what they were going to be doing this morning and whom they were doing it with. Arrangements for the day were discussed with us to avoid disruption to the people using the service, enabling them to continue with their plans. We spoke to all people using the service; one of them for some time and we reviewed two people’s records in detail. We discussed the food provided and looked at the menus. We also looked at the Annual Quality Assurance Assessment (AQAA) this is a self-assessment tool, and had been completed and sent to us prior to the Key Inspection. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment, which focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We had requested the AQAA at short notice and would wish to thank the proprietor and care manager for the prompt return of this document. Requirements made at the previous Key Inspection have been complied with. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 6 Information we received from relatives of people using the service during telephone surveys were as follows: ‘My relative using the service is very happy at the home’. ‘We received enough information about the service prior to our relatives admission’. ‘Really pleased with the way X has developed since being at the home’. ‘Communication could be better at times’. ‘Staffs take service users on holiday and look after them really well’. ‘There are very high standards at the home’. ‘Appointments are always kept and all people using the service are treated in the same manner’. ‘Likes home visits but is ready to go back to his home’. ‘Get on well with the staff and there is always someone to talk to’. ‘Good relationships with staff’. ‘Know how to make a complaint, would talk to staff’. ‘People using the service are known in the local community and use its facilities’. ‘The consistency of management enables a good standard of life for people using the service.’ What the service does well: Orchard Care provides a warm homely domestic setting for people to live. Support for the people using the service is provided on an individual basis. There is a person centred planning approach to care planning and each person is allocated a key worker. People who use the service have a full assessment of their needs carried out prior to admission to Orchard Care to ensure the service can meet their needs. People using the service were observed by us to be well cared for and independence is encouraged within a framework of risk assessments. The people using the service are enabled to maintain friendships and family relationships. There have been no complaints made to the service and we have received no complaints. The financial procedures were checked during this inspection and it was established that robust systems are in place; cash is balanced and records maintained. Arrangements are in place for meeting the health and personal care needs of people using the service. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 7 The people using the service live in a clean and comfortable environment. Staff have good relationships with the people using the service. Staff demonstrated a good understanding of the needs of people using the service. The manager has systems in place to ensure that the Home is managed safely. The manager monitors the quality of the service delivered. 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 Care DS0000008320.V370044.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 Care DS0000008320.V370044.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): Standard 2 was reviewed at this visit. Quality in this outcome area is good. People who wish to move into the home receive all the information that they require and they are assessed so that they can be assured the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service Users guide is available in the home and clearly displays the current fees charged. The AQAA we received prior to the inspection told us that the registered provider and manager complete pre admission assessments for people wishing to use the service and, if possible their advocate. Staff told us that the last admission was two years ago when a full assessment of needs including specialist needs was carried out. We looked at the assessment and all relevant persons involved in the care of the person using the service were involved in the assessment process. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 10 Pre-admission visits were made to the home including overnight stay to familiarise the person using the service with the home and other people living there. Care plans were compiled and agreed with the person using the service and a key worker was allocated. This means that they could be assured that the home could meet their needs before they moved in. We talked to the person using the service who told us he liked living at the home. This person appeared relaxed and comfortable with staff and other people using the service. Survey Information from a relative of a person using the service told us that they had received enough information about the service prior to the admission. Orchard Care DS0000008320.V370044.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): Standards 6, 7 and 9 were reviewed at this visit. Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role where able to do so in planning the care and support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that the Home uses the person centred planning approach. It also told us that key worker meetings are held every two months to discuss all the needs and wishes of the people using the service. We were told that people participate in house meetings providing them the opportunity to contribute to the day-to-day running of the home and the development of policies and procedures. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 12 The AQAA also told us that all people have risk assessments, which enable activity rather than restrict it. Annual global assessments are completed with all the people using the service. We reviewed two care plans in detail. They are in a modular format and offer detailed information about past history, family and friends. Care plan 1 is an active daily care plan, which is in continual use. Care plan 2 contains information about health care, assessments, reviews, meetings and all personal and social support. The care plans are compiled with the person using the service and all persons involved with the care of that person. Care Plans are communicated verbally to people using the service. One person uses makaton to communicate, and some staff are trained to use makaton. If a person has behavioural difficulties, any restrictions in place as a result are explained and agreed with them. We saw this detailed in care records. We saw risk assessments in place on care records and the Care Manager and Deputy Manager have a sound awareness of Health and Safety. This means that the staff have the information they require to support the people using the service safely. One person using the service confirmed to us that they knew a personal file is kept relating to them. People using the service were observed to be making choices and where unable to do so, they were assisted by staff. Each person has an allocated key worker. The key worker asks direct questions based on their knowledge of the individual. Staffing is used flexibly at the home to provide a choice of activities for the people using the service. Staff at the home manage the finances of the people using the service. Individual finances we checked were in order and cash balanced with records maintained. Survey Information received from a relative of a person using the service told us that they are really pleased with the way their relative has developed since being at the home. One person also told us that communication could be better at times. Orchard Care DS0000008320.V370044.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): Standards 12, 13, 15, 16, and 17 were reviewed at this visit. Quality in this outcome area is good. The people using the service are given every opportunity to enjoy fulfilling lives and relationships with others. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that the people using the service use the local college, community centre, local sports club, that staff are trained in person centred active sport and that the routine of the house is developed and reviewed continually in order to encourage independent living skills opportunities. We were also told that people are supported to do their own shopping, go to local pubs, restaurants, cinema, sports centre, and swimming. People take a Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 14 least 1-week holiday a year. Holidays have been taken abroad as well as in Britain. The AQAA told us that a daily occupation plan is in place to support people in their chosen lifestyle. Flexible meal times are arranged with dining arrangements based on the individual’s choice and to suit that person’s daily activity. Staff told us that the people using the service do not currently have any external educational involvement. We saw activity plans. They can change dependent on the choices of the people using the service. Numeracy, literacy, arts and crafts are all arranged at home. People like going to the Consall Valley nature reserve. They also told us that they visit the pub, go shopping and to the theatre, play darts, go canoeing and swimming. One person told us that he sees his Mum often and likes phoning her. People using the service shop in the community for fresh produce and are known and assisted in local shops. All people using the service use public transport and have bus passes. The home has its own vehicle. There is no charge to the people using the service for petrol. Equality and diversity is promoted at the home with everyone having the same choices and assisted where necessary to make choices. Friends and families are made welcome and encouraged to visit the home. There are three rooms for communal use and all people using the service have a single bedroom. There is a choice at mealtimes, including visual choices, and where people wish to eat a meal. One person using the service has been to Minorca for a week supported by two staff. One person is involved in Special Olympics training. One person is being enrolled at college in September. We saw people using the service going out to the shops, sometimes with staff support and sometimes supporting each other. Survey Information received from relatives told us that staff take the people using the service on holiday and look after them really well. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 15 Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 16 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): Standards 18, 19 and 20 were reviewed at this visit. Quality in this outcome area is good. The home meets the health and personal care needs of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that risk assessments and care plans are in place identifying the needs and preferences of people using the service. We were told that staff are trained in the administration of medicines and that the 2 monthly key worker meetings include discussion about healthcare support. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 17 We were also told that the people using the service are registered with a local general practitioner, have full use of local healthcare services and that the home has a medication policy. The information in person centred plans told us that the people using the service are given support and assistance in the way they prefer. Healthcare records identify personal needs and preferences. There are occasions when individuals do state a preference of carer and if able staff would facilitate this. Healthcare is managed with the assistance of staff and individuals go to the local health care practice. We found that all staff administering medication have been trained to do so. Medication is stored appropriately and a monitored dosage system is used. There were no controlled drugs at the time of the inspection. None of the people using the service currently self-medicate. Survey Information from relatives of people using the service told us that ‘The people using the service are very happy at the home’. ‘Appointments are always kept and all are treated in the same manner’. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 18 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): Standards 22 and 23 were reviewed at this visit. Quality in this outcome area is good. People who use the service are able to make complaints and are safe guarded by the homes procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that the home has a complaints procedure and a vulnerable adults policy and they have not received any complaints. Individual communication reviews take place to ensure people are aware of the complaints procedure. We were also told that staff receive training in the protection of vulnerable adults and abuse. The AQAA also told us that the home has a system for safe storage, monitoring and recording of people finances. We saw a detailed complaints procedure that identifies the steps to be followed if someone is not happy with the service and wishes to make a complaint. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 19 There is a complaints book in which to record any complaints. The last recorded complaint was in June 2006. There was a record of the complaint and the action taken. There have been no complaints made to the home since the last inspection and we have not received any complaints about the service. The staff told us that they have tried to use pictorial formats for different areas, including complaints and food choices, however the people using the service have not understood them. Therefore procedures are now verbally explained. There is a protection of vulnerable adults procedure in the home and regular staff training is provided, to ensure that they know how to keep people safe. Criminal Record Bureau and Protection of Vulnerable Adults checks are carried out prior to employment, which means that the people using the service can be confident in the staff supporting them. Survey information from relatives told us that people know how to make a complaint. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 20 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): Standards 24, and 30 were reviewed at this visit. Quality in this outcome area is good. The design and layout of the home enables people using the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that the home is a domestic type dwelling within the community. We were told that the use of the communal rooms is assessed and altered to reflect the changing needs and wishes of the people using the service. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 21 Observations of Orchard Care whilst chatting to the staff and people using the service were that the home is suitable for its stated purpose and nicely decorated. There is a homely environment and the home is within easy reach of local town. Orchard Care is located in a residential area and unidentifiable as a care home. We saw that the house was clean and odour free. All of the people using the service have a single bedroom of generous size. There are no en/suite facilities but all bedrooms are close to bathrooms/toilets. Survey Information from relatives told us, ‘There are very high standards at the home’. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 22 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): Standards 32, 34 and 35 were reviewed at this visit. Quality in this outcome area is good. A well-trained and consistent staff team support the people using the service and keep them safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that there are clear job descriptions and an internal training programme, which includes person centred active support. Training is also provided in values and attitudes, management of challenging behaviour, manual handling, management of potential and actual aggression, autism, fire prevention, food hygiene, administration of medication, basic first aid, first aid, learning disabilities framework award and NVQ 2, 3, and 4 in health and social care. We were told that the Home has sound recruitment practices and that Criminal Records Bureau, (CRB) checks and two references are obtained for all potential staff. The recruitment procedures include a second interview for applicants Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 23 who have a successful first formal interview, where the applicant spends time under supervision, with the people in the house. This allows an assessment to be made of their suitability and an opportunity to assess the people’s reaction and how comfortable people using the service are with the applicant. Discussions during the inspection confirmed the above. We saw two staff files and were able to confirm that two written references are obtained prior to employment and that CRB and Protection of Vulnerable Adults checks are carried out. We saw the training records and the service has an on-going staff training and development programme. There are currently six staff who have obtained National Vocational Qualification Level 2 or above. Survey Information from relatives told us that they, ‘Get on well with the staff and there is always someone to talk to’ and that they have, ‘Good relationships with staff.’ Relatives also said, ‘The consistency of management enables a good standard of life for the people using the service’. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 24 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): Standards 37, 39, and 42 were reviewed at this visit. Quality in this outcome area is good. People using the service are safeguarded by competent management systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA we received prior to the inspection told us that the registered manager is an experienced registered nurse for people with a learning disability. It also told us that regular training is provided, internal service reviews are held and that service user surveys are assessed. We were also told that each Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 25 person has an annual person centred plan and that policies and procedures are reviewed bi annually with the people using the service and staff. The AQAA told us that the records are stored securely and that the registered manager provides manual-handling training to staff and fire instruction is given every two months in addition to yearly accredited training. Two yearly first aid training is provided for all staff. The Home has a servicing programme, which includes gas and electric services. We were told that there are policies in place relating to finances, concerns and complaints and risk assessments relating to money management. Risk assessment training is provided to comply with a health and safety statement. The staff are supported with team building training and there is a quality assurance system. The registered manager, Carol Forys is experienced and is currently completing her Registered Managers Award. She has 13 years experience of working with people with a learning disability. The Manager is only responsible for Orchard Care. Quality Assurance is assessed via an analysis of in house questionnaires and feedback from staff and people using the service. Person centred plans are in place for all people using the service and form part of the quality audit. The proprietor is going to review the quality assurance system to ensure that it monitors all national minimum standards. We saw that there is an on going planned programme of maintenance. Health and Safety training is carried out at the home and staff records are kept of training received. Safe working practices are in place and there is safe storage of hazardous substances. The homes fire risk assessment was seen and discussed with the proprietor and deputy manager. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 26 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 4 3 X 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 27 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 Refer to Standard YA39 Good Practice Recommendations Review Quality assurance to ensure that quality assurance monitoring is in place for all national minimum standards. Orchard Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Care DS0000008320.V370044.R01.S.doc Version 5.2 Page 29 - 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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