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Care Home: Orchard House (Sawston)

  • Methodist Homes for the Aged Orchard House 191 High Street Sawston Cambs CB22 3HJ
  • Tel: 01223712050
  • Fax: 01223712052

Orchard House is situated in the village of Sawston, with easy access to local facilities and links to the City of Cambridge. Orchard House provides residential accommodation for up to thirty-five people over sixty-five years of age. Their current registration certificate enables the home to provide accommodation for up to fifteen people with dementia related needs. The home consists of two floors. The upper floor is called Bramley and the ground floor is called Pippin. Five of the thirty-five single bedrooms offer en-suite bathrooms and toilets. Sanctuary Care owns the building and maintains the premises, whilst care is provided by Methodist Homes. The current fees at the home range between £364 and £580 per week. 20 of the 35 beds are block purchased at an agreed price by Cambridgeshire Primary Care Trust, to ensure they are available for people whose care is part funded by the Trust. The other fifteen rooms are charged at varying pricing arrangements. Additional charges are made for chiropody, hairdressing and toiletries. Care Quality Commission (CQC) inspection reports are available at the home and can be accessed through the CQC website.Orchard House (Sawston)DS0000015174.V375483.R01.S.docVersion 5.2

Residents Needs:
Dementia, Old age, not falling within any other category, Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Orchard House (Sawston).

Key inspection report CARE HOMES FOR OLDER PEOPLE Orchard House (Sawston) 191 High Street Sawston Cambridgeshire CB2 4HJ Lead Inspector Don Traylen Unannounced Inspection 19th May 2009 10:30 DS0000015174.V375483.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard House (Sawston) Address 191 High Street Sawston Cambridgeshire CB2 4HJ 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) 01223 712050 01223 712052 home.saw@mha.org.uk www.mha.org.uk Methodist Homes for the Aged Manager post vacant Care Home 35 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (13), Learning disability (1), Old age, not falling of places within any other category (20) Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The minimum daytime staff to resident ratio will be 1:5 for those residents in DE(E) category One named resident under 65 years with dementia (DE) One named resident under 65 years of age with learning disabilities and a diagnosis of dementia (LD) 3rd June 2008 Date of last inspection Brief Description of the Service: Orchard House is situated in the village of Sawston, with easy access to local facilities and links to the City of Cambridge. Orchard House provides residential accommodation for up to thirty-five people over sixty-five years of age. Their current registration certificate enables the home to provide accommodation for up to fifteen people with dementia related needs. The home consists of two floors. The upper floor is called Bramley and the ground floor is called Pippin. Five of the thirty-five single bedrooms offer en-suite bathrooms and toilets. Sanctuary Care owns the building and maintains the premises, whilst care is provided by Methodist Homes. The current fees at the home range between £364 and £580 per week. 20 of the 35 beds are block purchased at an agreed price by Cambridgeshire Primary Care Trust, to ensure they are available for people whose care is part funded by the Trust. The other fifteen rooms are charged at varying pricing arrangements. Additional charges are made for chiropody, hairdressing and toiletries. Care Quality Commission (CQC) inspection reports are available at the home and can be accessed through the CQC website. Orchard House (Sawston) DS0000015174.V375483.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 star”. This means the people who use this service experience good quality outcomes. This inspection was a ‘key’ unannounced inspection that started at 10:30 am and finished at 15:00 pm on 19th May 2009. Approximately 12 people living at the home were spoken and were asked about their care and their experiences of living at the home. Staff were observed for the quality of their interaction and engagement with people throughout the inspection. We toured the building to assess the quality of care and level of interaction and to meet staff, as well as to determine the condition of the environment. Two people’s care plans were assessed. The administration of medication was assessed. Notifications of events sent to the Commission were considered and discussed with the acting manager who was present during the inspection. The recruitment files for two recently recruited care staff were assessed. Three care staff were asked about their training and their awareness of safeguarding people. Training arrangements were assessed. The induction process was assessed and one care assistant was asked about his induction. The home completed and returned an Annual Quality Assurance Assessment (AQAA) prior to this inspection. What the service does well: One person said the home is “excellent, it is very good care” and that it was much better than where he had previously lived. Another person stated he gets the attention and support he needs and the carers, “always help me, they give me help with my medication. I cannot do it myself”. For people moving into the home their admission is planned in an organised manner that ensures people’s needs are satisfactorily assessed and they are encouraged to visit the home before making a decision. Care is well planned and good records are maintained. Staff are polite and were observed to engage with people in a direct way by addressing them by name and in a respectful manner. All care Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 6 assistants wear name badges, uniforms and carry ‘pagers’ to alert them to requests for assistance made by people through the call alarm system. The home is spacious, clean and tidy and well maintained. The home is divided into two units and each have their own kitchen, lounge and bathrooms and this arrangement means people have safe, comfortable and spacious environments. Toilets are supplied with soap dispensers and paper hand towels to reduce any risk of cross infection. The gardens are safe courtyard gardens that people have easy access to. They are inviting and well maintained. A hairdresser visits the home twice every week. A chaplain visits to chat to people and offers a weekly service. A range of suitable activities is planned and there are different activities to suit different interests. On the day of inspection there was a musical event in the afternoon that a lot of people attended. People told us their meals are enjoyable and they have sufficient food and drink offered. The AQAA showed the organisation operates an equalities and diversity policy and provides a range of training topics for all staff. The organisation is keen to offer value for money and uses comments made by people living at the home and their relatives to judge the level of opinion shown in their ‘satisfaction surveys’. Residents and relatives meetings are regularly held on a monthly and a two-monthly basis. What has improved since the last inspection? The three requirements made at the last inspection have been met. The five recommendations that were made have also been acted on. Care plans have further improved. A better record of care needs have been recorded, and include records of fluid and food intake when the home has considered this necessary to record for certain people. The administration of medication had improved and is safely recorded, efficiently administered and appropriately stored. Safeguarding had been further promoted. Information about safeguarding and reporting concerns was available and visible in two parts of the home for all staff and visitors to see. The home has appropriately responded to concerns of potential harm when they have been expected to. Significantly, safeguarding awareness and training have been re-enforced as strong elements of the home’s induction arrangements. The environment has continued to be improved. There were no offensive odours. The ground floor area of ‘Pippin’ unit has been entirely resurfaced with laminated wood. Five rooms were being completely refurbished. Other rooms had been redecorated and fitted with new carpeting, as and when they became Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 7 vacant. The acting manager’s office had been re-organised so that it was a tidy working area and had been redecorated and fitted with modern and secure filing cabinets. An experienced acting manager was appointed in November 2009. She has initiated significant changes to the training arrangements by sourcing a wider range of subjects and encouraging more staff to become trained. The home’s induction training for new staff had been very well re-structured and clearly recorded with competencies assessed. Staff are encouraged to enrol for NVQ level 2 awards in care and to further develop their professional training and undertake NVQ level 3 and 4 awards. The acting manager explained her intention to continue to promote a suitable range of training for staff. Staff reported they felt supported and were pleased the training had been organised. Three staff told us the acting manager “has made big difference”, and “it is much better now, we work as a team”. The various records maintained by the home were current and were presented in a very orderly, neat manner. The acting manager has fully understood the improvements that were needed and has accomplished many of these in a short period of time. Staff and people living at the home spoke positively about her and about the improved atmosphere within the home. There were two notice boards in the corridors near to the main entrance. These boards were posted with information about advocacy services; funding care; safeguarding reporting and Cambridgeshire County Council’s safeguarding annual report; CQC inspection reports; the home’s complaints procedure; a list of relatives and residents meetings and details of Deprivation of Liberty and the Mental Capacity Act. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6, People using the service experience good outcomes in this area. People have the opportunity to visit the home and thatn their needs are adequately assessed. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The assessment information for one person had been comprehensively covered by Mental Health Services and by the home. This person had recently moved into the home and because of his admission arrangement the home assessed his needs when he had moved there. This person was met and it was clear the home’s assessment had comprehensively identified his needs. The home ensures all interested parties can visit the home before any admission is agreed to. Intermediate care is not provided; therefore Standard 6 was not assessed. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11, People using the service experience good quality outcomes in this area. People are assured their care plan is comprehensively recorded and their health and social care needs are satisfactorily met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Care plans had been improved. They have been extended and refined since the last inspection. Two people’s plans had been clearly informed through their assessment details. Overall, they showed clear descriptions and detail of care tasks to be provided. Two people’s care plans showed risk assessments for certain aspects of care, such as nutrition and skin condition. Both care plans had information relating to a range of needs and a support plan for each element of need. The plans contained a record of falls and a related moving and handling risk assessment, detailed elements of managing personal Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 11 hygiene, emotional and behavioural needs and a social history. There was a record when Health Service professional had been involved and the advice given. One person’s care plan included a full description and plan for any necessary mental health interventions and the support that was available. Care plans showed that people were given the opportunity to have their eyes tested on an annual basis. There were written plans about one a person’s wishes regarding her death and whether resuscitation was wanted and how this had been decided and witnessed. Each plan had been updated and reviewed. The home ensures health care by having regular support and contact with the Cambridgeshire NHS, ‘Older Person’s Mental Health Service’ who provide an assessment screening service and continuing support. The home has been the subject of Dementia Mapping that this service carried out. People living at the home have benefited from the training and advice that staff have received as a result of this service being involved. The administration of medication for people prescribed lunchtime medication was observed. The medication administration record (MAR) sheets had been accurately completed and included one person’s controlled drugs. Checks on the amounts of medication, including controlled drugs, showed that there were accurate records and correct amounts of medication held by the home. Medication was safely managed and stored in temperature-controlled rooms. Four people said they were treated respectfully. Staff were seen to knock on people’s doors and were observed to address people by their name and use their name in conversation. At lunchtime it was observed that people who needed assistance were given this in a careful and attentive manner. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, People using the service experience good quality outcomes in this area. People are assured they are free to make choices and receive visitors. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home employs an activity worker who has planned various events for each day of the week. These included a clothing event and an accordion music session on the day of the inspection. A calendar of the activities that had been planned was posted on the noticeboard. The activity worker was arranging for the home’s vehicle to be used more regularly. People receive visitors whenever they like. We saw four relatives, who were regular visitors to the home. People chose whether to attend the planned activities, such as the musician event on the day of inspection. During the lunchtime meal with people in the Bramley unit, it was seen that people made choices about the food they wanted to eat. One person had previously Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 13 suggested serving vegetable on separate plates and this had been done as a standard setting on each table. The tables were laid with clean tablecloths and clean cutlery and jugs of drinks and glasses. There were menus on each table and these were being read and referred to by people when they spoke to staff about their choice of food. We noticed that serviettes/napkins were not on the dining tables. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18, People using the service experience good quality outcomes in this area. People are assured the home has policies and practices in place to ensure they are safe. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a satisfactory complaints policy. Information about making a complaint was posted on two notice boards at different places in the home. The notice boards also had information about safeguarding and about where any person could reports abuse. The acting manager had started a file for safeguarding information that included Cambridgeshire County Council’s 2008 guidelines; their training programme; details about how to report abuse and guidance about making referrals to the Protection of Vulnerable Adults (POVA) list. All staff had received training in safeguarding, which is covered in the induction for new staff and as further training. The home has arranged for staff to become trained in ‘Deprivation of Liberty’ and the Mental Capacity Act 2005. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26, People using the service experience good quality outcomes in this area. People are assure the home is comfortable clean well maintained and has satisfactory equipment to meet each person needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home was clean, odour free and well maintained. The home has an arrangement with the property owner to keep the building well maintained and in a good operative state. Many of the individual rooms and parts of the home such as the corridor, and dining rooms had been redecorated and fitted with new flooring since the last inspection in June 2008. The entire floor in the Pippin part of the home was recently laid in laminated wood. The home had Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 16 sufficient natural light as well as electrical lighting and was generally well ventilated. Thermostatic valves controlled hot water at safe temperatutres. The gardens are safe and secure areas that people could access quite freely and easily. The inner courtyard garden had recently been fitted with raised flowerbeds. One gentleman was using the garden and could access it from one of four doorways that were open. There were adequate numbers of bathrooms and toilets. Each bathroom is a large room that can easily accommodate a hoist or wheelchair and other specialist equipment that is used by the home to assist people to manoeuvre. Bedroom doors were all the same and although a person’s name or a picture indicated some rooms, others were not. The acting manager showed us the signage she is intending to use in the home to indicate toilets and bathrooms and on people’s doors to help them recognise their room. Individual rooms were seen to be comfortable and had been personalised with people’s belongings. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30, People using the service experience good quality outcomes in this area. People are assured staff are safely recruited and receive appropriate training. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The numbers of care staff that we observed were meeting people needs. There was no evidence to suggest that people were left unattended. There were four care staff working on the Bramley unit looking after fourteen people and three care staff working on the Pippin unit looking after a further fourteen people. One of these seven care workers was being used to flexibly cover both units as necessary. One additional member of staff was undertaking his induction. All staff, including the cooks and domestic staff are expected to achieve an NVQ level 2 award in care (or other). Almost all staff have this qualification. An arrangement had been made for more staff to undertake this award. Two staff have NVQ level 3 awards and the acting manager has a Registered Managers Award and two seniors had commenced an NVQ level 4 award in care. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 18 Induction arrangements and training is very good. Staff receive a basic induction for the first five days when they start and this briefly covers the outline of a Common Induction as well as the organisation’s in-house requirements such as fire and safety, time keeping and others. This is followed by the Skills for Care, Common Induction Standards that is arranged over a period of 2-3 months and includes a written schedule for this time. A workbook is used and the manager and other seniors assess competencies. Induction records for two care staff were read. The induction workbooks were full of itemised learning topics and outcomes and had been carefully and methodically assessed for competency. They contained precise times and dates of the training and when competencies were assessed and showed comments and observation carried out as part of this process. The records were well maintained and gave a good account of the level of skill attained by care staff. Further training is encouraged had been arranged and provided for staff. This training included Infection Control, Health & Safety, Food Hygiene, Diabetes, Dementia care, Safeguarding, Deprivation of Liberty, Mental Capacity Act 2005, care planning, administering medication, Parkinson Disease, Palliative care and for staff to be familiar with arrangements and event after death. Some essential and mandatory training is planned to be given on an annual basis, so that staff are kept informed and knowledgeable. The training matrix record is a very informative record of the training each member of staff has received and what is planned for the future. This record showed that all staff had recently received training. Cambridgeshire NHS, Older Persons Mental Health Service, has provided training and support for staff in matters related to Dementia Care. This service is a useful resource that the home regularly access for support and advice. Overall, training is provided through a variety of organisations and methods such as Methodist Homes, Internet based ‘E’ learning, Cambridgeshire County Council and other external training companies. Recruitment records for two new care staff were assessed. Recruitment was satisfactorily managed and was thorough and all records expected by the Care Homes Regulations 2001, were available. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38, People using the service experience good quality outcomes in this area. People are assured the home is run in their best interests. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The acting manager has previous experience as a manager and has been in post since November 2008. She holds the registered Managers Award. Staff told us she leads by example and they understand what roles they are expected to perform. They also said she is very approachable and felt she would be available for them whenever they wanted to speak to her. The acting Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 20 manager has arranged and put into place effective training, good care planning and encouraged a staff team who work together well. Records were well maintained and this made assessing these records an easier task and created a clear audit trail. Further training is encouraged and arranged for staff. Staff are encouraged to develop their skills in the best interests of people living at the home. Two staff said the home is “better now than it has been”. Two people new the manager by name and said she was the “boss”. The home has sought the views of people and relatives by carrying out annual surveys. There is a relative’s communication sheet and a complaints book available to visitors. Residents and relatives meeting are held every one or two months and minutes are kept. One person told us that when new staff start they are introduced. Soap dispensers and paper towels are standard use throughout the home to help control any risks of cross infection. A member of staff told us that dedicated cleaners and laundry workers carry out the cleaning and laundry, leaving them free to provide care. The home does not manage people’s finances. Regulation 37 notifications have been sent to the Commission when necessary. Fire training is provided to all staff. Fire alarms are tested weekly and fire equipment is serviced and maintained in working order. The home has an evacuation plan in case of an emergency. All hazardous substances were kept locked. Hot water temperatures were thermostatically controlled and delivered at safe levels. The home has a range of policies for health and safety and fire prevention and injuries at work. Training in topics relating to health and safety and good hygiene have been provided and planned for all staff on an annual basis. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 3 3 Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP15 Good Practice Recommendations Dining tables should be laid with a serviette/napkin for each person. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 23 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Orchard House (Sawston) DS0000015174.V375483.R01.S.doc Version 5.2 Page 24 - 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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