Latest Inspection
This is the latest available inspection report for this service, carried out on 13th May 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Orchard House Nursing Home.
Annual service review
Name of Service: Orchard House Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 4 0 2 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: Tobias Payne Date of this annual service review: 0 4 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Grosvenor Road Mablethorpe Lincs LN12 1EL 01507472203 01507473248 juliet@orchardhouseltd.wanadoo.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynn Marie Bennett Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Orchard House Nursing Home Ltd Number of places (if applicable): Under 65 Over 65 52 0 52 0 52 0 The maximum number of service users who can be accommodated is 52 The registered person may provide the following category of service only: Care Home with Nursing - Code N 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 - Code OP Dementia - Code DE Physical Disability Code PD Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: We had been informed that following a management review the service had appointed Lynn Bennett General Manager as acting manager and she has applied to us to be registered. In addition a Clinical Lead nurse has been appointed. Annual Service Review Page 2 of 7 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 0 4 0 2 2 0 0 9 Orchard House Nursing Home is a large detached residence with a new extension situated in large grounds. The grounds are largely laid to lawn and there are pleasant and landscaped seating areas for the people who live in the home. The home is situated 500 yards from the town centre of Mablethorpe and there is good access to public transport and local community facilities. The home provides nursing and personal care to 52 older people and has nine beds, which may be used for younger adults who have a physical disability. Accommodation is provided on ground and first floor levels and there is a passenger lift. There are 44 single and 3 double bedrooms provided, 9 of which are en-suite. There are a variety of lounges, a large dining room and conservatory. The home is appropriately adapted to meet the physical needs of older and disabled people including lifting appliances and assisted bathing. In March 2008 they opened a new self contained 10-bed Bramley Suite offering person-centred care to people with a dementia. It has its own communal areas, separate staff, conservatory and enclosed safe patio for people to sit. The statement of purpose states that the homes aims are to provide an ever improving and caring service within the community that reflects their commitment to treat people as individuals The fees at our inspection visit on the 4/2/2009 ranged from £351 to £452 a week for people with a contract with care funded by Lincolnshire County Council. For those people who were self funding fees ranged from £414 to £528 each week. Extras were for hairdressing which ranged from £6 to £25, chiropody £7, toiletries and personal newspapers and magazines. Information about the home including a copy of the last inspection report, the statement of purpose and service users guide can be obtained from the management of the home. 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. 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. What has this told us about the service? The acting manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and and very detailed and gave us all the information we asked for. It told us that they continue to ensure that wherever possible prospective people are assessed in person by the Director of Operations and Training or General Manager and a written assessment of person centred care needs made. If an emergency admission is requested or a visit to assess is not possible due to distance an assessment of care needs form is sent to all the relevant agencies involved in the prospective persons care and then they are examined by the Director of Operations and General Manager to establish that the service can meet the persons needs. All prospective admissions to the Bramley Dementia Suite are assessed by the Director of Operations and Training. On admission a key worker is assigned to each person. The acting manager told us that the care plans are updated on monthly and three monthly basis with full annual review. They ensure that the person and family are included in the review process. They ensure that comprehensive risk assessments are carried out for nutrition, tissue viability, continence, moving and handling, use of bed rails and bumpers and lap straps. All people are registered with local doctors and they work closely with district and specialist nurses. They arrange yearly hearing and eye tests. Over the last year they have registered all people with the new local dentistry service that works within the local doctors surgery. They also have an activities coordinator who works 23 hours a week which allows the home to improve the peoples leisure and recreational activities. Each person has an individual social profile. They have also have two lovebirds and access to Assisted Pet Therapy Dog. They have held coffee mornings in the Bramley Suite and the Main Orchard House. They also provide a Annual Service Review Page 4 of 7 monthly newsletter which is delivered to each room and available at reception. Concerning the environment, they have installed hand sanitising stations around the home, refurbished one of the bathrooms, redecorated 8 bedrooms, fitted new carpets in the staff room and in reception and provided new lounge chairs and curtains. They have increased car parking, improved signage in the home and carried out an infection control audit. They have installed a stair lift and opened a shop located in the sun lounge that stocks sweets, toiletries, stockings, tissues, cards, stationery and cosmetics. Over the last year they have reviewed the management structure for the home. They have a General Manager who is currently going through the process of becoming the Registered Manager. In addition they have employed a Clinical Lead Nurse who is responsible for clinical and care issues, nursing criteria, care plans and induction monitoring of the nurses and care staff. We looked at the information in the AQAA and our judgement is that the care home is still providing a positive service and that they know what further improvements they need to make. The acting manager told us that they intend to develop a talking version of their brochure and want to provide information in Braille documentation on request. They also are developing a web-site for the home as this will increase accessibility of information for all prospective people coming to the home and their family and friends. They also want to continue to apply to pursue the Gold Standard Framework for Palliative Care and are aiming for accreditation in September 2010. This process has enabled the service to continually audit as well as improve their practise and further improve their already very good links with local doctors, district nursing and palliative care team. They also wants to further develop the Deprivation of Liberty Safeguards into their assessment and care planning and evaluation process. This will involve the training of staff. We did not on this occasion send out any surveys but we have no evidence to show that the people living in the home are not being cared and supported by staff who are skilled in delivering care. Staff continue to be recruited correctly with a check by the Criminal Records Bureau. Staff continue to receive an induction training programme. Their training has included mental capacity and deprivation of liberty safeguards to identify and protect the peoples rights and choices. They have increased the number of staff with nationally recognised National Vocational Qualifications to 83.3 with 8 of caring staff training for NVQ 2 and 28 of housekeeping staff having NVQ 2 in Housekeeping. Training over the year has covered dementia awareness, safeguarding adults, health and safety, first aid, fire prevention, moving and handling and infection control. There is an established quality assurance system which includes internal audits of food, activities, care records and medication. They also carry out an annual survey to obtain the views of the people living in the home. They also received 3 stars excellent rating from Lincolnshire County Councils Quality Assurance Dept following an inspection. The home continues to let us know about things that have happened over the last year and they have shown that they have managed issues well. They and us have received no complaints over the last 12 months. We were made aware of a safeguarding adults issue which was investigated by Lincolnshire County Council and found there was no
Annual Service Review Page 5 of 7 evidence to support the allegation. What are we going to do as a result of this annual service review? The information we have tells us that the service continues to provide positive outcomes for the people who use the service. We are not going to change our inspection plan. The next inspection of the service will be based on the Fees and Frequency Regulations (2007) and the assessment of risk. Annual Service Review Page 6 of 7 Reader Information
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