Care Home: Orchard Court Residential Home

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What the care home does well What has improved since the last inspection? PCPs (`person-centred plans`) have been introduced. These are in addition to care plans, and are designed to be more accessible to the people who live in the home. They use photos, pictures, and text to tell a person`s life story, explore their present situation, and help them plan their future. Two activity centres have been built in the home`s grounds. Due to open in the next month, one will be used for arts, crafts, and cookery, and the other as a games room. In addition, the `snoozelem` (a sensory relaxation room) has been relocated and improved. Following consultation with the people who live in the home the menu has been extended and more varied meals are now available with plenty of healthy choices. Two activity centres have been built in the garden, a large vegetable garden has been created, and a double bedroom has been turned into two singles to give the occupants more privacy. A new Registered Manager, a qualified nurse, has been appointed. She has substantial experience of caring for people with learning disabilities, having worked in the home 15 years. She runs the home well and has good relationships with the people who live and work there. CARE HOME ADULTS 18-65 Orchard Court Residential Home 3a Orchard Gardens Thurmaston Leicestershire LE4 8NS Lead Inspector Kim Cowley Unannounced Inspection 11th September 2008 11:00 Orchard Court Residential Home DS0000048204.V371422.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 Court Residential Home DS0000048204.V371422.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 Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard Court Residential Home Address 3a Orchard Gardens Thurmaston Leicestershire LE4 8NS 0116 2640086 0116 2697926 orchardcourt@schealthcare.co.uk Not available 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) Active Care Partnerships Ltd Mrs Michelle Rushin Care Home 20 Category(ies) of Learning disability (20), Physical disability (20) registration, with number of places Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Orchard Court can receive residents within the registration categories LD (Learning Disabilities) and PD (Physical Disabilities) The number of persons who can receive residential accommodation at any one time shall not exceed 20. Orchard Court can admit persons of either gender. No person may be admitted to Orchard Court who falls within category PD unless that person also falls within category LD I.e. duel disability. To be able to admit the person, falling in the category SI, named in variation application number 56695 received on 6 October 2003. 13th September 2006 Date of last inspection Brief Description of the Service: Orchard Court is a residential care home that provides care for up to 20 residents with learning disabilities and associated needs, including physical disabilities and challenging behaviour. The home is situated in a purpose-built bungalow. This is divided into three individual units (Cedar, Willow and Rowan), each providing different levels of support depending on residents needs. The home is in a residential cul-de-sac in the village of Thurmaston. It has extensive grounds that are secure and secluded. Weekly fees range from £768 to £2556 depending on care needs. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three of the people living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also met a further seven people who live in the home, the Manager, Administrator, one of the Activities Organisers, and two support workers. Ten people living in the home completed surveys and returned them to CSCI. Most of these were filled in with the assistance of staff. All respondents said they were happy with all aspects of service. Five staff surveys were also completed. All respondents made many positive comments about the home. Some of these are quoted in this report. What the service does well: The entrance to the Orchard Court is welcoming. There are displays of artwork made by the people who live there, photos of day trips and holidays they’ve been on, and a ‘What’s On Today’ board so visitors can see what activities are taking place. The impression given is of a lively home with lots to see and do. The home was purpose-built and is accessible throughout to residents with limited mobility. Bedrooms are personalised and individual to their occupants. All the areas we inspected were comfortable, homely and clean. One of the people who live in the home told us, ‘The cleaner helps keep the place nice and the staff help her. I clean my own bedroom.’ Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 6 Staff have excellent relationships with the people who live in the home. They were observed interacting with them in a warm and positive manner, taking an interest in them, and showing genuine appreciation of them as unique individuals. One member of staff said, ‘Our residents have a real choice in daily life and a real chance to be as independent as possible.’ Two full-time Activities Organisers are employed and activities are run seven days a week. The range of activities is diverse and includes college courses, outdoor pursuits, and in-house hair and beauty sessions. A member of staff told us, ‘The service that is provided for the residents is very good. They go out eg shopping, café visits, bowling, etc, on most days. They are well cared for at all times.’ The Registered Manager, a qualified nurse, has substantial experience of caring for people with learning disabilities, having worked in the home for 15 years. She runs the home well and has good relationships with the people who live and work there. One of the people who live in the home spoke fondly of the Manager and told us, ‘Michelle (the Manager) is funny. She makes me laugh.’ What has improved since the last inspection? PCPs (‘person-centred plans’) have been introduced. These are in addition to care plans, and are designed to be more accessible to the people who live in the home. They use photos, pictures, and text to tell a person’s life story, explore their present situation, and help them plan their future. Two activity centres have been built in the home’s grounds. Due to open in the next month, one will be used for arts, crafts, and cookery, and the other as a games room. In addition, the ‘snoozelem’ (a sensory relaxation room) has been relocated and improved. Following consultation with the people who live in the home the menu has been extended and more varied meals are now available with plenty of healthy choices. Two activity centres have been built in the garden, a large vegetable garden has been created, and a double bedroom has been turned into two singles to give the occupants more privacy. A new Registered Manager, a qualified nurse, has been appointed. She has substantial experience of caring for people with learning disabilities, having worked in the home 15 years. She runs the home well and has good relationships with the people who live and work there. Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 7 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 Court Residential Home DS0000048204.V371422.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 Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. People who want to come to the home have their needs assessed to ensure it is suitable for them. This judgement has been made using available evidence including a visit to this service. Standard 2 was inspected. EVIDENCE: People who want to live at Orchard Court first have a written assessment to see if the home is suitable for them. The Manager completes this, taking into account their views, and the views of their families and any advocate involved. Health and social care staff who are involved in their care are also consulted. This helps to ensure that the home will be able to meet their needs if they decide to move in. They are then invited to visit the home as many times as they like, staying overnight if they wish, until they are ready to move in. The Admission Form is in need of improvement. For example it asks for ‘marital history’, which appears to exclude those in civil partnerships or similar. This should be reworded so that so that non-married couples are given the same recognition as those who are married. It also uses the term ‘war years’ which may be confusing to some, depending on their age and nationality. And there is nowhere to record a person’s sexual orientation. The Admission Form should be updated so it better reflects social diversity. Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. Detailed care plans help staff to identify and meet the needs of the people who live in the home. This judgement has been made using available evidence including a visit to this service. Standards 6, 7, and 9 were inspected. EVIDENCE: All the people who live in the home have care plans. These help to ensure the care provided fits in with their lifestyle and meets their particular needs. The plans cover the health, personal and social needs of the person in question, and their likes/dislikes and preferred routines. They are evaluated at least once a month to ensure the information in them is up to date. Those we looked at contained examples of people improving since being at the home. For example, one person had become more active and social, and another had begun to take an interest in their appearance and was enjoying hair and beauty sessions. Records also showed a person we case tracked moving steadily towards independent living. People’s cultural needs are addressed at Orchard Court. The staff team are multicultural and some can speak a variety of languages. This can help Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 11 communication so, where appropriate, the key worker system matches them up with people from a similar cultural background. Since the last inspection PCPs (‘person-centred plans’) have been introduced. These are in addition to care plans, and are designed to be more accessible to the people who live in the home. They use photos, pictures, and text to tell a person’s life story, explore their present situation, and help them plan their future. Each person who lives in the home has a key worker. Their responsibilities include getting to know the person, finding out their likes and dislikes, and encouraging them to develop interests and take part in activities. Key workers also organise holidays, birthdays and other celebrations, shopping, and hairdressing for the person they key work. The key worker is also the point of contact for relatives wishing to discuss care needs. The Manager told us her staff were enthusiastic about their role as key workers. ‘They can shout as loud as any advocate if they think the person they work with needs something,’ she said. The people who live in the home are encouraged to make decisions and take responsible risks. For example, all go out frequently and use community facilities, but with different levels of staff supervision depending on their needs. This helps the people who live in the home to increase their independence and decision making skills, while at the same time remaining safe. Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. Daily living and social activities enable the people who live in the home to lead full lives and grow in independence. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16, and 17 were inspected. EVIDENCE: The people who live in the home who were able to give their views were enthusiastic about the activities on offer. Comments included: ‘We had a birthday party here with a bouncy castle and a barbecue.’ ‘We go on day trips to the seaside.’ ‘I’m going on holiday to Skegness.’ ‘I go to discos in town.’ ‘I like the hair and beauty sessions here.’ A member of staff told us, ‘The service that is provided for the residents is very good. They go out eg shopping, café visits, bowling, etc, on most days. They are well cared for at all times.’ Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 13 Two full-time Activities Organisers are employed and activities are run seven days a week. Each person who lives in the home has an individual programme of activities and this is evaluated every three months as their interests develop and change. The range of activities is diverse and includes college courses, outdoor pursuits, and in-house hair and beauty sessions. All of the people who live in the home have the opportunity to go on holiday at least once a year. On the day of inspection three of the people who live in the home were on a self-catering holiday in Wales, and two were in Lincolnshire staying in a cottage which the Manager said had excellent facilities for people with limited mobility. Holidays are paid for partly by the Owning Body, and partly by the people who live in the home. Since the last inspection two activity centres have been built in the home’s grounds. Due to open in the next month, one will be used for arts, crafts, and cookery, and the other as a games room. In addition, the ‘snoozelem’ (a sensory relaxation room) has been relocated and improved. The people who live in the home are encouraged to keep in contact with their families and friends through visits and phone calls. Staff offer extra support to those who do not have contact with their families. Relatives get a newsletter from the home every few months. This lets them known what activities people have been involved in, and other news about the home. At the last inspection we asked for the menu to be reviewed and consultation carried out with the people who live in the home, and staff, to see if it could be improved. This has been done and a more varied menu is now available with plenty of healthy choices. This is displayed in the corridor outside the kitchen so everyone can see it. The Manager said staff are working on a pictorial menu, which will make it easier for the people who live in the home to choose what they would like. Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. The people who live in the home have their personal and health care needs met in the way they want by staff in the home. This judgement has been made using available evidence including a visit to this service. Standards 18, 19 and 20 were inspected. EVIDENCE: The people who live in the home are encouraged to be as independent as possible and are supported to care for themselves. For those less able, support and guidance is offered in a sensitive and flexible manner. Care plans provide the information staff need to provide appropriate assistance and alert them to individual’s likes and dislikes. Records showed that the people who live in the home use healthcare services, for example GPs, opticians and dentists, where necessary. When extra support is needed specialist healthcare professionals, for example speech and language therapists, are involved. This helps to ensure the people who live in the home have all their needs met. Only senior staff give out medication and they have been properly trained to ensure they do this safely. When we looked at medication records and care plans we saw that staff monitor the effects of medication to help to ensure it is suitable for each of the people who live in the home. Medication is regularly Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 15 reviewed in conjunction with consultants and GPS to help to ensure it is working effectively and not being over-used. Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. Staff know how to safeguard the people who live in the home and help them express any concerns they might have. This judgement has been made using available evidence including a visit to this service. Standards 22 and 23 were inspected. EVIDENCE: Staff at Orchard Court encourage the people who live in the home and their families to speak out if they have any concerns or complaints. The home’s complaints procedure is displayed in the home in both written and pictorial versions. However staff acknowldege that not all the people who live there can understand it, so they advocate for them if they appear unhappy about anything. Since the last inspection the home has received one anonymous complaint. The home’s Operations Manager investigated this, and produced a detailed report of her findings. Records showed the investigation was thorough and balanced. It showed that complaints are taken seriously at Orchard Court and properly investigated. Up to date policies and procedures are in place to help staff safeguard the people who live in the home. Since the last inspection they have had training from the local authority so they understand social services’ role in any safeguarding investigation. In discussions staff knew what to do if they became concerned abot the well being of any of the people who live in the home Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. The home is community-based, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. Standards 24 and 30 were inspected. EVIDENCE: The entrance to the home is welcoming. There are displays of artwork made by the people who live there, photos of day trips and holidays they’ve been on, and a ‘What’s On Today’ board so visitors can see what activities are taking place. The impression given is of a lively home with lots to see and do. The home was purpose-built and is accessible throughout to residents with limited mobility. Bedrooms are personalised and individual to their occupants. All the areas we inspected were comfortable, homely and clean. One of the people who live in the home told us, ‘The cleaner helps keep the place nice and the staff help her. I clean my own bedroom.’ Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 18 Since the last inspection the following improvements have been made to the home: • • • two activity centres have been built in the garden. a large vegetable garden has been created and the people who live in the home have been growing their own fruit and vegetables a double bedroom has been turned into two singles to give the occupants more privacy All the people who live in the home that we met appeared comfortable with their surroundings. One told us, ‘I like my bedroom because there’s places for everything to go.’ ’ Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. The people who live in the home have their needs met by friendly and professional staff. This judgement has been made using available evidence including a visit to the service. Standards 32, 34 and 35 were inspected. EVIDENCE: Staff have excellent relationships with the people who live in the home. They were observed interacting with them in a warm and positive manner, taking an interest in them, and showing genuine appreciation of them as unique individuals. The home is well staffed with eight support workers and two activity organisers on duty each day plus the Manager, who is supernumerary, and cleaning, maintenance and administrative staff. One member of staff told us, ‘The staffing levels are usually more than enough to meet the individual needs of the clients and that of other staff members.’ Recruitment procedures were discussed with the Manager. She told us that all staff are subject to CRB and POVA checks, and references are obtained. Staff files were sampled and most had the appropriate documentation in place. However, since the last inspection, one member of staff had been employed with references that we considered to be inadequate. This is because one was Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 20 from an ex-colleague, as opposed to a person in a position of seniority to the candidate, and the other gave no indication who the referee was, or their relationship to the candidate. In future staff carrying out recruitment must ensure that references are satisfactory. This will help to ensure the people who live in the home are safeguarded. Staff receive good training opportunities. A comprehensive induction followed by NVQs (National Vocational Qualifications) and short courses provide staff with the skills and knowledge they need to care effectively for the people who live in the home. Orchard Court Residential Home DS0000048204.V371422.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): Quality in this outcome area is good. The home is safe and well managed and the people who live there are involved in the way it is run. This judgement has been made using available evidence including a visit to this service. Standards 37, 39, and 42 were inspected. EVIDENCE: Since the last inspection a new Registered Manager, a qualified nurse, has been appointed. She has substantial experience of caring for people with learning disabilities, having worked in the home for 15 years. She runs the home well and has good relationships with the people who live and work there. One of the people who live in the home spoke fondly of the Manager and told us, ‘Michelle (the Manager) is funny. She makes me laugh.’ A member of staff said, ‘I wish I could put into words how helpful to me and how much support I have received from the Manager.’ An Operations Manager visits the home regularly and writes monthly ‘Regulation 26’ reports, which evaluate how effectively the home is running. Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 22 This helps to ensure that the Manager and staff are following policies and procedures, and have the support and resources they need to provide good care for the people who live in the home. Record showed that various meetings are held at Orchard House to bring people together and share their views about the home. The people who live in the home, relatives, and staff all have the opportunity to take part. The Manager told us that action is taken as a result of these meetings. For example, relatives said they were concerned that staff couldn’t always hear the home’s doorbell. In response the doorbell was adjusted so it now rings both in the corridor and in one of the units. Discussions with the Manager and staff, maintenance records, risk assessments, and Regulation 26 reports, showed that health and safety is a priority in the home. A full-time handyman is employed to maintain the premises. Orchard Court Residential Home DS0000048204.V371422.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 3 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 2 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 Court Residential Home DS0000048204.V371422.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. 1 Standard YA34 Regulation Requirement Timescale for action 11/10/08 18(1)(a)(Schedule All staff must have two 2) satisfactory references in place. This will help to ensure the people who live in the home are safeguarded. 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 YA2 Good Practice Recommendations The home’s Admission Form should be updated so it better reflects social diversity. Orchard Court Residential Home DS0000048204.V371422.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Court Residential Home DS0000048204.V371422.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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