Latest Inspection
This is the latest available inspection report for this service, carried out on 21st April 2010. CQC found this care home to be providing an Excellent service.
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.
What the care home does well People who may use the service and their representatives have the information needed tochoose a home that will meet their needs. All new people receive a comprehensive needs assessment before admission. This is carried out by staff with skill and sensitivity. The home consults people using the service about their satisfaction with the service they are receiving. It acts upon the results of consultation with residents and their representatives and makes sure that good practice is modelled and developed throughout. The service has a settled staff group and has the numbers and skill mix of staff sufficient to meet people needs. People who use the service are able to express their concerns, and have access to an effective complaints procedure, and are protected from abuse, and have their rights protected. The management and administration of the home is based on openness and respect, and has an effective quality assurance system. There is strong evidence that the ethos of the home is open and transparent. The views of both people who use the service and staff are listened to, and valued. What the care home could do better: There are no requirements or recommendations from this inspection, however the registered provider/manager must ensure that the home continues to provide a good standard of care. Random inspection report
Care homes for older people
Name: Address: Orchard House Nursing Home 35 Hallmead Road Sutton Surrey SM1 1RD three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Mohammad Peerbux Date: 2 1 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Orchard House Nursing Home 35 Hallmead Road Sutton Surrey SM1 1RD 02086445095 02086414550 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Emma Jane Langbridge Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Stephen Pittman care home 44 Number of places (if applicable): Under 65 Over 65 44 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 44 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 Date of last inspection Brief description of the care home Orchard House Nursing Home is a detached building in a residential area of Sutton, which owes its name to the presence of the orchard to the rear. It is registered as a care home providing nursing for up to 44 people. The majority of these would be over the age of 65 although they are able to provide palliative care for up to eight younger
Care Homes for Older People Page 2 of 10 Brief description of the care home people. Accommodation includes bedrooms on the ground and first floors; there are 22 single and 11 double bedrooms. All have hand basins and five have en-suite facilities. A shaft lift provides access to all floors. Communal areas comprise three lounge diners, which can be divided for differing uses. There is also an additional quiet sitting area. As well as the main kitchen two pantry kitchens are provided which may be available for use by residents. The grounds are wheelchair accessible using a ramp and the garden includes a patio area, lawn and flowerbeds. Fruit trees supply fruit, which is picked and stored for use throughout the year. There is limited off street parking to the front of the property and in the road. Care Homes for Older People Page 3 of 10 What we found:
This unannounced visit to the home was undertaken as a part of the inspection process for the year 2009/2010. In writing the report, consideration has also been given to information received throughout the year such as comments from people who use the service, reports of incidents and complaints. The registered manager facilitated this inspection. Some of the people were spoken to and they commented positively on the care they are receiving. They are all thanked for their time and all of those who provided feedback for their support in the inspection process. A tour of the building was also carried out. All registered adult services are now required to fill in an annual quality assurance assessment (AQAA).It is a self-assessment that the provider (owner) must complete every year. The completed assessment is used to show how well the service is delivering good outcomes for the people using it. Some information from the AQAA is included in the report. Admissions are not made to the home until a full needs assessment has been undertaken. The assessment is conducted professionally and sensitively and involves the individual and their family or representative, where appropriate. Information is gathered from a range of sources including other relevant professionals. Residents and their families are always invited to visit, and potential residents are encouraged to spend at least a day at Orchard House before making a decision so that they can meet other residents and staff, taste the food, inspect the environment, etcetera. Before agreeing admission the service carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. The home has developed a Tips for New Residents and Relatives leaflet, which gives relatives in particular advice about the service and what they can expect during admission. The leaflet is sent to relatives with a letter that assures them that their family member has been properly assessed and a decision has been made that appropriate care can be provided. The home maintains care plans and assessment documents designed to ensure that the expressed needs of residents are met in a focused and individual way, with their rights to individuality and self-expression being protected. The home has a strong belief that it is essential to involve residents as far as possible in the planning of care that affects their lifestyle and quality of life. Residents have a plan that has been agreed with them where they are able to do so. This is written in plain language, is easy to understand and considers all areas of the individuals life including health, personal and social care needs. The plan also includes a risk assessment. Areas have been identified where staff are willing to support residents to take some risks, which may have an impact on their rights. The home actively promotes the residents right of access to the health and remedial services that they need, both within the home and in the community. Residents have good access to healthcare and can expect regular review from the GP, as well as visits from a dentist, optician and chiropodist. Physiotherapy, occupational therapy and speech and language therapy can be arranged, either privately or via the GP as appropriate. The home respects and understands the rights of residents in the area of health care and
Care Homes for Older People Page 4 of 10 medication. Medication records which were sampled were up to date. Items of medications are ordered, stored and disposed of by a designated member of staff who is specially trained to do this. She ensures that there is proper stock control. Staff are aware of the need to treat residents with respect and to consider dignity when delivering personal care. The home arranges for residents to enjoy the privacy of their own rooms. Residents who were spoken to stated that they are happy with the way that the staff deliver their care. One resident stated, I like it here and the staff are always kind and helpful. Observation of the staff team interacting with the residents showed that the carers were mindful how they addressed residents, and they were seen to be polite and friendly. The home has been implementing the Gold Standard Framework for nearly three years, and have regular multidisciplinary meetings to ensure that the needs of all the residents are met as they move towards the end of life. The service has achieved (national) Beacon Status in the Gold Standard Framework and are seen as having reached a standard to which others should aspire. The Commission recognises the good work that goes into achieving this standard and the hard work of management and staff. People using the service are given the opportunity to take part in a variety of activities both within the home and in the community. Some residents are very sociable and like to join in all available activities and chat with other residents in the lounges. Other residents prefer their own company and like to stay in their bedrooms watching television or DVDs, reading, listening to music on iPod stations or radios, surfing the net or receiving visitors. Laptops and iPods are available for the residents to use. Many residents now have email contact with their families abroad. They are also being taught how to use the internet. People who use the service have the opportunity to develop and maintain important personal and family relationships. The service actively supports people to be independent and involved in all areas of daily living in the home. The staff practises promote individual rights and choice, but also consider the protection of individuals in supporting them to make informed choices. The Chef at the home works hard to provide a wholesome, appealing and balanced diet, using fresh produce from the Orchard House garden wherever possible. Meat and eggs are sourced from named farms by a local butcher and fruit and vegetables which cannot be grown at Orchard House are sourced locally by the greengrocer. Food is cooked freshly from scratch and processed and ready-made foods are kept to a minimum. In addition to the Orchard House herb and vegetable garden, some residents have themselves grown lettuces, strawberries, tomatoes and mange-touts in window boxes. The produce is then used by the Chef. The home has an open culture that allows people to express their views and concerns in a safe and understanding environment. The service has a complaints procedure that is clearly written and easy to understand. Unless there are exceptional circumstances the service always responds within the agreed timescale. The service appreciates and recognises that complaints will always occur and rise to the challenge to deal with them quickly and as efficiently as they are able to. All current residents have been registered onto the electoral role and are given the opportunity to vote.
Care Homes for Older People Page 5 of 10 There are policies and procedures for safeguarding people who use the service. We were informed that all staff have had a Criminal Records Bureau check and have received Safeguarding Adults training in the first six weeks of employment. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet their needs. People who live in the home are encouraged to personalise their bedrooms. There is an ongoing programme of refurbishment. The home is kept clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. There are consistently enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The staffing structure is based around delivering outcomes for residents. There are enough qualified and experienced staff to meet the health and welfare of people using the service. Each member of staff has an individual training plan and are expected to achieve at least an NVQ level 2 within a year of employment. The service ensures that all staff within its organisation receives relevant training that is targeted and focused on improving outcomes for residents. Staff supervision is taken seriously to ensure that the staff have the necessary support to carry out their duties. Recruitment procedures are stringent and all checks carried out. The manager has the required qualifications and experience to run the home. She has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. Effective quality assurance and quality monitoring systems, based on seeking the views of residents, are in place to measure success in meeting the aims, objectives and statement of purpose of the home. The annual quality assurance assessment (AQAA) was received on time and contains clear and relevant information. The AQAA lets us know about changes the home has made and where they still need to make improvements. It shows clearly how they are going to do this. Residents have the support of the Staff & Residents Administrator, who works independently of the management to ensure that staff and residents welfare is promoted at all times. The manager meets with the residents regularly over lunch and holds informal meetings on a weekly basis so that any areas of concern can be addressed. Health and safety systems are regularly reviewed and updated. A professional Health and Safety audit was carried out in July and as a result certain risk assessments in the home were updated. An asbestos inspection was carried out and all recommendations were acted upon immediately. What the care home does well:
People who may use the service and their representatives have the information needed to
Care Homes for Older People Page 6 of 10 choose a home that will meet their needs. All new people receive a comprehensive needs assessment before admission. This is carried out by staff with skill and sensitivity. The home consults people using the service about their satisfaction with the service they are receiving. It acts upon the results of consultation with residents and their representatives and makes sure that good practice is modelled and developed throughout. The service has a settled staff group and has the numbers and skill mix of staff sufficient to meet people needs. People who use the service are able to express their concerns, and have access to an effective complaints procedure, and are protected from abuse, and have their rights protected. The management and administration of the home is based on openness and respect, and has an effective quality assurance system. There is strong evidence that the ethos of the home is open and transparent. The views of both people who use the service and staff are listened to, and valued. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
