Care Home: Orchard House

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Annual service review Name of Service: Orchard House The quality rating for this care home is: The rating was made on: two star good service 1 7 0 9 2 0 0 8 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: Laurie Stride Date of this annual service review: 1 8 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 4 Orchard Road Havant Hampshire PO9 1AU 02392475038 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Ms Margaret J Tompkin Number of places (if applicable): Under 65 Over 65 15 15 0 0 0 15 The maximum number of service users to be accommodated is 15 The registered person may provide the following category 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 category: Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) Old age, not falling within any other category (OP) 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 House provides residential accommodation for a maximum of fifteen older people, of either sex, with mental health problems. 1 7 0 9 2 0 0 8 Annual Service Review Page 2 of 7 The home is a detached building situated in a residential area of Havant and has benefited from several improvements to include expanded car parking and garden area. Accommodation is provided for by way of eleven single bedrooms, one of which has an en-suite facility, and two double bedrooms. There is a lounge/day room and a separate dining room, and seating is provided in the large landscaped garden. The home is within walking distance of the town centre, where the residents can access the local shops and amenities, and access public transport. 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. 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? The homes annual quality assurance assessment (AQAA) 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 some of the further improvements they need to make. For example, enabling staff to spend more time with each resident to assist in giving the resident more time to do tasks for themselves. The service is working on a system to make sure that residents clothes do not get mixed up in the laundry process. The home also plans to introduce a book/reading club, suggested by staff members, to stimulate conversation. The AQAA told us that all the fire doors have been upgraded to meet fire standard requirements and the home has plans in the next twelve months to have the home re-wired to ensure all electrical products can be used safely. The AQAA also said that there are plans to encourage staff to do more training both internal and external. Ten of the fifteen permanent staff members are qualified to NVQ level 2 or above in health and social care. The last key inspection report identified that the home did very well at providing a flexible and varied activities programme to suit the needs and capabilities of people who use the service. One recommendation was made that the manager and staff revisit the safeguarding procedures to make sure that everyone has a clear knowledge and understanding of their roles within the procedure. The AQAA stated that firm procedures are in place to protect people from abuse and that these are reviewed regularly. The home has received eight complaints, all of which were resolved within a 28 day timescale. There has been one safeguarding issue that the manager reported Annual Service Review Page 4 of 7 appropriately to Adult Services. For this annual service review we received comments through our survey questionnaire from five of the people who use the service, who had been assisted in completing the survey by a relative or spouse. We also received comments from a social care professional who has contact with the service. People who use the service told us that they received enough information to help them decide if this home was the right place for them, before they moved in. Three people indicated that they have been given written information about the homes terms and conditions of residence. One person said they have not and the other did not give an answer. All told us that they always receive the care and support they need. Four said that the staff are always available when they need them. The other person said they usually are. Three indicated that the staff always listen to what them and act on what they say. The other two people said they usually do. All said that the home always makes sure they get the medical care they need. Three told us that the home usually arranges activities that they can take part in if they want. The other two people said the home always does this.Three indicated that they always like the meals at the home. The other two people said they usually do. All said there is someone they can speak to informally if they are not happy. All told us thay know how to make a formal complaint. Four people said that the home is usually fresh and clean. The other person told us it always is. We asked what does the home do well. One person wrote Orchard House is friendly and caring. It keeps families informed in all aspects of care, etc. Families are encouraged to be involved. Another person told us Good food. The home/staff are friendly and approachable. It is a home not an institution. Another person said Everything! The home is a home from home. Mums needs are catered for in a kind anf friendly way. She is very happy here. Mum always looks smart as do all the other residents. We are all made welcome, a tray of tea and biscuits is supplied and we are able to use a room to have 1:1 time. This is the best place Mum has ever been in. The staff always keep us informed about any changes in Mums care or medication. Nothing is too much trouble and we have never been concerned about Mums care. The staff are friendly and kind and interested in us as a whole family. We asked what could the home do better. One person told us Nothing. Another person said More stimulation of the residents would be nice. Comments we received from a social care professional indicated that the homes assessment arrangements always ensure that accurate information is gathered so that the right service is planned for people. The professional told us that peoples social and health care needs are always properly monitored, reviewed and met by the service. They also confirmed that the home always seek advice and act on it to meet peoples needs and improve their well-being. They said that the home supports people to live the life they choose wherever possible and always respect peoples privacy and dignity. They indicated that the homes managers and staff usually have the right skills and experience to support peoples care needs. The professional told us that the service always responded appropriately if they, or another person, have raised any concerns. Annual Service Review Page 5 of 7 We asked what does the home do well and the social care professional wrote This service advocates on their clients behalf to a very high standard. The home appears very well informed with regard to ensuring client well being. They always visit their client in hospital if they are admitted and ensure that their well being is not only monitored in their home setting but also when they are not in their own environment. This is particularly important to clients who have a dementia diagnosis. 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 9th September 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. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. 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