Care Home: Orchard End

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Annual service review Name of Service: Orchard End The quality rating for this care home is: The rating was made on: two star good service 2 4 0 3 2 0 0 9 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: Lynne Bennett Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Church Lane Minsterworth Gloucestershire GL2 8JJ 01452750587 01452750752 sally.lorimer@orchardendltd.co.uk www.orchardendltd.co.uk Orchard End Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 12 0 The maximum number of service users who can be accommodated is 12. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category Learning disability - Code LD 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 Orchard End is a residential care home for 12 adults who have a learning disability and additional complex needs. Accommodation is provided in two separate units, one of which is the main house and the other a bungalow. The home is surrounded by large level gardens which are maintained to a high standard. There is also a swimming pool, and a sensory garden built in a Japanese style. Orchard End is situated in a rural environment on the banks of the River Severn approximately 8 miles from the City of Gloucester. The home is one of a number of homes known as Orchard End Ltd owned by C.H.O.I.C.E. Ltd. The home has a Statement of Purpose and Service User Guide Annual Service Review Page 2 of 6 2 4 0 3 2 0 0 9 which is displayed in the house and bungalow. Fees at the time of the last inspection ranged from 989 to 1911 pounds per week. These do not include payments for holidays, hairdressing or toiletries. Annual Service Review Page 3 of 6 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 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. (DataSet) Surveys returned to us by people using the service and from other people with an interest in 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. What has this told us about the service? At the last inspection in 2009 the home was rated as a good service. We received the annual quality assurance assessment (AQAA) in January 2010. This provided considerable information about the service and how they had improved since the last inspection. The AQAA stated, At Orchard End, the service users control their lives, make decisions and choices and are supported to take risks in view of independence. The individuals living in the home direct the service. It stated that equality and diversity was promoted through all aspects of staff work and training, celebrating and promoting peoples spirituality and culture. People continued to be supported to access college, community facilities and social and recreational opportunities. The environment of the home was being adapted to suit the needs of people living there and further improvements to the decor had been identified. People are involved in the choice of colour schemes for their rooms. The home continues to monitor the nutrition of people, offering them a choice of meals which reflect their cultural and dietary needs. The AQAA stated that work was in progress to enable people to complete death and dying actions plans. The home continues to make information accessible to people using objects of reference, pictures and photographs. They are planning to develop this further introducing a pictorial menu board and illustrating policies and procedures. The home continues to safeguard people from possible abuse through robust recruitment and selection procedures, staff training in the protection of adults from abuse and SCIP (Strategies for Crisis Intervention and Prevention) training. The AQAA stated that there had been a Annual Service Review Page 4 of 6 significant reduction in the use of physical intervention. People have also had access to an IMCA (Independent Mental Capacity Advocate) where needed. The home has made referrals to the local adult protection team where appropriate. The home has a robust quality assurance system in place which involves feedback from people living in the home. They commented that they would like more involvement in the choice of people moving into their home as part of the last quality assurance process and so new processes have been introduced whereby they give feedback to their key workers about new peoples transition into the home. The quality assurance process continues to seek feedback from people, their families and external agencies providing feedback to formulate the homes annual development plan. The home had retained their Investors in People Award. A recent environmental health inspection rated them as 4 stars. We received surveys from 3 members of staff. They said, the home does well to provide activities and provides good meals and choice for all service users. They also said there is an open door policy and everyones views are listened to. Staff thought that improvements could be made to the range of activities offered in the home and that changes to the laundry room would enable people living in the home to use the facilities independently. The AQAA stated that the complaints procedure was accessible to people living in the home. They had received 3 complaints. We (CQC) had not received any expressions of concern or complaints. The home has sent us some notifications about incidents affecting the wellbeing of people living at the home in accordance with our requirements. The DataSet indicated that forty two per cent of staff had a NVQ Award in Health and Social Care. Nearly twenty per cent of staff had completed an induction which was equivalent to the Skills for Care Common Induction Standards. Staff continue to have access to a robust training programme and any specialist training is sourced as necessary. What are we going to do as a result of this annual service review? We think the quality of this service has remained the same. Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 24th March 2011. We can however inspect the home at any time if we have concerns about the quality of the service or the safety of people living at the home. Annual Service Review Page 5 of 6 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. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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