Care Home: Orchard Lodge Nursing Home

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What the care home does well There has been little turnover of staff over the past year, which helps, for relationships between residents and staff to develop and enables staff to have a good understanding of the needs of people living at the home. This was confirmed through looking at staff records and talking to people during the visit. One resident spoken to said, "The girls look after me well" Another said, "There is always pleasant staff around the place". A relative spoken to said, "The same staff seem to know what the resident`s need with being here a while". A staff member wrote, "It`s great we work well as a team with little change of staff". Another said in a survey returned, "We have a good understanding of the needs of resident`s". Staff at the home have good access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. Staff comments included, "My induction was brilliant" and "The last care home I worked for would not support me to do Level 3 National Vocational Qualification (NVQ), here they are putting me on the course. I am chuffed". One relative spoken to said, "They appear well trained and competent". Two of the staff members have been picked to receive an award for training and the home have been praised for the training courses they provide. One staff that has been picked for an award said, "I am delighted it`s nice to be recognised for something". Both resident`s and relatives spoken to said they enjoyed the quality and variety of food being provided and the activities being organised. We talked to the chef and staff about the quality of food and comments included, "I try and use as much fresh fruit and vegetables as possible". Also " I can cater for any diets, Diabetics, liquidised foods and religious choices if required". Comments from residents about the food were, "The food is excellent" and "Good choice of meals". One relative visiting the home was spoken to and said, "I visit regularly and they always give me lunch and it is lovely". The home employs an "Activities co-ordinator" which works well and ensures the interests of residents and social preferences are identified and people are able to enjoy what activities they like to do. One resident said, "The music dance class every week is fun", another said, "I enjoy any trips out". We spoke to a lady entertainer who visits every week to provide music entertainment for the residents and she said, "I have been coming here for a number of years and really enjoy it, they care extremely well for the resident`s. They are lovely caring staff". Routines in the home appeared relaxed with people being allowed unrestricted access to all communal areas. One relative said, "I work out of town and have to visit at funny times sometimes but that is never a problem". What has improved since the last inspection? We looked at staff training records and found that all care staff have completed a recognised qualification in care ensuring staff have the confidence and ability to provide the care and support for the residents. The manager spoken to said, "We now have 100% who have completed National Vocational Qualification (NVQ) to level 2". The owner and manager are always improving forms and systems to make them more detailed or easier to follow, ensuring the care is consistent and continues to improve the home for the residents. The manager said, "We look to improve the care records of resident`s to make them easier to follow for the staff". What the care home could do better: Some of the bedroom furniture is in need of replacing and upgrading to make the rooms more pleasant and comfortable to live in. We looked at staffing rotas and found that between the hours of 6pm and 8pm a small increase of care staff should be on duty to ensure enough personnel are available to support and care for people and able to manage if any problems occur during that period. A relative spoken to said, "At times it seems they could do with more help". The manager should, in addition to the established training programme, explore the possibility of training courses relating to caring for people with physical disabilities to enable staff to be more confident and competent when helping residents. CARE HOMES FOR OLDER PEOPLE Orchard Lodge Nursing Home 601-603 Lytham Road Blackpool Lancashire FY4 1RG Lead Inspector Kevan Royston Unannounced Inspection 26th June 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Orchard Lodge Nursing Home Address 601-603 Lytham Road Blackpool Lancashire FY4 1RG 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) 01253 345623 01253 344033 david@dmarrs.wanadoo.co.uk Dharma limited Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (6) of places Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 44 service users to include: Up to 44 service users in the category OP (Old Age, not falling within any other category) Up to 6 service users in the category PD (Physical Disability) 5th July 2007 Date of last inspection Brief Description of the Service: Orchard Lodge Nursing Home is registered as a care home that provides nursing and can accommodate 44 service users. The home is situated in the south of Blackpool, in a residential area within close proximity of local amenities. The accommodation is on two floors and a lift facilitates access to all areas There are garden areas to the front and rear that are attractive and accessible to wheelchair users via a ramp. Communal space is accommodated in three lounges and a dining room and a smoking lounge is provided separately. Twenty-three of the bedrooms are single and six shared ten of which have an en-suite facility. The home provides a passenger lift and aids and adaptations to promote independence. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The ranges of fees are, £300.51 - £470.00 per week. Additional charges are for hairdressing £5.00 and chiropody £7.00. Orchard Lodge Nursing Home DS0000006068.V366219.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 stars. This means the people who use this service experience good quality outcomes. This unannounced visit was part of the key inspection process and took place on the 26/06/08 and lasted 6.5 hours. We spoke to a group of resident’s sitting in the lounge area, six individually, seven staff members, two relatives visiting the home, the manager and the owner. Staff, resident’s care, maintenance and financial records were looked at during the site visit and a full tour of the premises was undertaken with the manager. As part of the inspection process we talked to people using the service and asked staff about those people’s needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to residents, relatives and staff for their views on how the home is run. The response was good; we received 11 from resident’s, 8 staff and two from relatives. Comments were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. What the service does well: There has been little turnover of staff over the past year, which helps, for relationships between residents and staff to develop and enables staff to have a good understanding of the needs of people living at the home. This was confirmed through looking at staff records and talking to people during the visit. One resident spoken to said, “The girls look after me well” Another said, “There is always pleasant staff around the place”. A relative spoken to said, “The same staff seem to know what the resident’s need with being here a while”. A staff member wrote, “It’s great we work well as a team with little change of staff”. Another said in a survey returned, “We have a good understanding of the needs of resident’s”. Staff at the home have good access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 6 from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. Staff comments included, “My induction was brilliant” and “The last care home I worked for would not support me to do Level 3 National Vocational Qualification (NVQ), here they are putting me on the course. I am chuffed”. One relative spoken to said, “They appear well trained and competent”. Two of the staff members have been picked to receive an award for training and the home have been praised for the training courses they provide. One staff that has been picked for an award said, “I am delighted it’s nice to be recognised for something”. Both resident’s and relatives spoken to said they enjoyed the quality and variety of food being provided and the activities being organised. We talked to the chef and staff about the quality of food and comments included, “I try and use as much fresh fruit and vegetables as possible”. Also “ I can cater for any diets, Diabetics, liquidised foods and religious choices if required”. Comments from residents about the food were, “The food is excellent” and “Good choice of meals”. One relative visiting the home was spoken to and said, “I visit regularly and they always give me lunch and it is lovely”. The home employs an “Activities co-ordinator” which works well and ensures the interests of residents and social preferences are identified and people are able to enjoy what activities they like to do. One resident said, “The music dance class every week is fun”, another said, “I enjoy any trips out”. We spoke to a lady entertainer who visits every week to provide music entertainment for the residents and she said, “I have been coming here for a number of years and really enjoy it, they care extremely well for the resident’s. They are lovely caring staff”. Routines in the home appeared relaxed with people being allowed unrestricted access to all communal areas. One relative said, “I work out of town and have to visit at funny times sometimes but that is never a problem”. What has improved since the last inspection? We looked at staff training records and found that all care staff have completed a recognised qualification in care ensuring staff have the confidence and ability to provide the care and support for the residents. The manager spoken to said, “We now have 100 who have completed National Vocational Qualification (NVQ) to level 2”. The owner and manager are always improving forms and systems to make them more detailed or easier to follow, ensuring the care is consistent and continues to improve the home for the residents. The manager said, “We look to improve the care records of resident’s to make them easier to follow for the staff”. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Orchard Lodge Nursing Home DS0000006068.V366219.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 Lodge Nursing Home DS0000006068.V366219.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people are met. EVIDENCE: We looked at assessment information of three people admitted to the home and all had full assessment information including their religious/cultural and relationship needs. The assessment had identified the nutritional needs of the people and risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards. Staff members on duty confirmed they had access to this information and were fully aware of the health and social care needs of the people living at the home. One staff member wrote in a survey, “We ensure all information is taken prior to people living here”, And another said, “We like visits from families and the resident to see if they like the place”. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 10 Residents spoken to and surveys returned confirmed they were happy with the care being provided and their needs were being met. One resident said, “My family came here after it was recommended, “ Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, people’s welfare is closely monitored and health needs were met. EVIDENCE: We looked at individual records for three resident’s kept for each person with a plan of care setting out the action that is needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the people living at the home were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and improvements have been made to the recording of resident’s care to ensure all information is contained on file allowing staff to follow any action needed or any care that needed monitoring. Care plans were up to date and regular reviews taking place with involvement of the residents and relatives where possible with good information of care provided ensuring the welfare and general wellbeing of residents is continuously monitored. One relative spoken to said, “No problems if my mum is ill they keep me informed of any doctors or Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 12 hospital visits”. Residents spoke well of the care provided by staff at the home, comments included, “They cannot do enough for you”, also, “They look after me well”. One resident wrote, “The care provided and the way they watch over us is very good”. Records examined confirmed risk assessments have been completed and are reviewed every two months or when required. They are updated reflecting any changes that may have occurred individually and in the environment ensuring the resident’s safety and protection is a priority. One staff member spoken to said, “We update risk assessments every two months unless changes occur”. The records of one resident confirmed a healthcare problem had been identified and the doctor called, action had been taken and recorded by the home to ensure the person received the appropriate level of care. We were able to observe medication practices at breakfast and lunchtime, which was found to be safe and good records had been kept ensuring residents health, is maintained. The procedures for medication on the three resident’s case tracked were examined and discussed with a nurse on duty and confirmed safe practices taking place ensuring the protection of the residents. We asked about medication training for staff and the response from a nurse was, “Only nurses give out medication”. One staff member spoken to also confirmed, “The pharmacist visits annually and the nurses administer medication”. At the time of the inspection controlled drugs were being administered, discussion with the nurse and examination of records, storage and handling of medicines confirmed good systems are in place with experienced trained nursing staff to ensure good practice and the health of residents is maintained at all times. We observed during the visit people’s dignity and privacy being respected ensuring residents are treated as individuals and with respect. This was confirmed by watching staff knocking on doors before entering rooms, helping with meals sensitively, medication and the way staff talked to the residents. One relative spoken to said, “I see my mum in private and always notice how well they talk to my mum and show her a lot of respect”. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: We spoke to residents, care staff, the cook and had a look around the kitchen/ dining room during breakfast and lunch. People spoken to confirmed they enjoyed the quality and variation of food provided by the home. The staff member responsible for the preparation of meals was able to confirm they had information about people with special diets and personal preferences to ensure people receive a nutritious balanced diet. Comments about the quality of food were positive and included from residents, “If I don’t eat my food they always ask me why and make sure I am ok” also, “Good choice of meals”. One relative wrote, “The meals seem nice when I visit at mealtimes”. The cook said, “”I try and use as much fresh fruit and vegetables as possible”. Staff members were observed being very attentive to the needs of people during meal times making it a pleasant atmosphere. As a course of good practice the home employs an ‘Activities Co-ordinator’ ensuring the interests of residents and social preferences are identified and Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 14 people are able to enjoy what activities they like to do. Residents spoken to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. One person said, “Last week we went out for the day”. An entertainer visiting the home was spoken to and said, “They really enjoy the music dance class”. We looked at some of the residents rooms and found personal belongings are allowed into the home to provide a homely atmosphere for each individual. A relative spoken to said,” Aunties room is nice with some of her own furniture around”. A staff member said, “We encourage residents to bring personal items in the home”. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: Orchard Lodge has a detailed complaints procedure, which is made available to all residents and relatives on admission and contained in the Statement of Purpose and Service User Guide. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. One resident said, “Never had to complain but would certainly do so if I needed to”. A relative spoken to during the visit added, “I know the route to follow if I had a problem”. There have been two safeguarding adults complaints made to the Commission for Social care Inspection (CSCI) since the previous key inspection and this resulted in a random inspection being undertaken to the home to look into any possible breaches of the Regulatory Regulations and National Minimum Standards. As a result the complaint was unsubstantiated. The second complaint was investigated by Social services again the complaint was unfounded. An open approach to encourage comments through resident and staff meetings and daily discussions goes some way in ensuring that concerns are Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 16 addressed prior to them becoming formal complaints. The manager said, “This system works well”. The home has a procedure in place for dealing with allegations of abuse. All staff have received training in the protection of vulnerable adults and discussions with staff confirmed they had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members spoken to said, “I covered safeguarding adults and complaints issues on my NVQ training”. And another said, “The owner has provided in-house abuse training”. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the building found the home to be clean and tidy so residents live in pleasant clean surroundings. One resident said, “The place is never dirty”. Another resident commented, “The staff are always cleaning. We spoke to the person in charge of the maintenance and examined records of repairs, which are kept, and he said, “I check the maintenance book daily and repair anything that needs attention”. Some of the bedroom furniture is in need of replacing and upgrading to make the rooms more pleasant and comfortable to live in. The manager said, “Yes we are replacing furniture and redecorating rooms as an ongoing programme”. The home has a variety of communal spaces, which encourages independence and freedom to associate with Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 18 persons of their choice or have somewhere to go to be quiet other than their bedroom. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are robust ensuring suitable staff are employed. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: Staffing levels were sufficient for the number of people living at the home. However we advised the manager that between the hours of 6pm and 8pm a small increase of staff would be beneficial for the residents to ensure enough personnel are available to support and care for people and able to manage if any problems occur during that period. One relative spoken to said, “I come sometimes and think the girls are a little bit pushed”. One resident spoken to said, “There is always pleasant people around if you need help”. Records show all staff members have access to a structured training and development programme and records were available of staff training ensuring the people in their care are being supported by a well trained and competent staff team. In addition the home has to be commended for 100 of staff members have achieved National Vocational Qualifications (NVQ) to level 2 ensuring people are in the safe hands of qualified and competent staff. The home is registered to accept a number of people who have a physical disability and during the site visit we found a number of people who fall into this Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 20 category are living at the home. We advised the manager in addition to the training programme it would be beneficial to explore the possibility of training courses relating to caring for people with physical disabilities so that staff have the competencies and knowledge to support people who fall into this category. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. All staff members spoken to said they had recently completed a dementia awareness course. One relative spoken to said, “They appear well trained”. We looked at staff records and confirmed the home has thorough and robust systems in place for recruiting staff members ensuring the protection of people living there and only competent staff are employed. One recently employed staff member spoken to said, “I had to wait until all my checks to be completed before I started work”. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and has policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: The home owner is a qualified nurse and has the necessary qualifications, skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. At the time of the visit the owner has put forward an application for the acting manager to apply to be registered with Commission for Social Care inspection (CSCI). The relatives of people surveyed before this visit were very positive in their comments about the service being provided and how the home is run by the Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 22 owner, manager and staff. One wrote, “The home is run well”. Residents spoken to about how they thought the home was run responded with, “We are supported well by Layla and the staff”. And, “We all get on well”. We looked at records of residents and found they are comprehensive, well written and up to date ensuring the correct information is available and health; social and welfare needs are continuously monitored. Examination of records confirmed regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Residents and relatives spoken to confirmed they are consulted about changes taking place in the home and were well informed about events being organised. Records show the owner and manager has good systems to gather staff, residents’ and relatives’ views to enable ongoing improvements to the home. Staff and resident meetings are held regularly and recorded ensuring their views are discussed and implemented if agreed it would improve the running of the home. Relative surveys are sent out every six months as a quality assurance system to gather the views of friends and relatives to ensure they feel the home is run smoothly, and any suggestions to improve the home are taken seriously. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 23 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 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 24 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. Refer to Standard OP27 Good Practice Recommendations 1 2 OP30 The ratio of care staff should be dertermined by the needs of the residents and consideration should be given to increasing the number of staff on duty between the hours of 6pm & 8pm The manager should consider the provision of specific training in relatuion to the care of people with a physical disability. Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Regional Contact Team 3rd Floor Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Orchard Lodge Nursing Home DS0000006068.V366219.R01.S.doc Version 5.2 Page 26 - 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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