Care Home: Orchard Mews

What the care home does well Promotes a homely, warm and secure place for people to live, giving them room tomove around and spend time privately. Works with a range of healthcare professionals to support the people they are looking after and to help them with behaviours that may challenge the normal daily routines. Tells the Commission for Social Care Inspection about events that affect the health and well being of people who live in the home. Provides residents with a stimulating enviornment, activities and social events that they enjoy. What the care home could do better: Make sure that staff follow proper procedures for the safe ordering, receipt, administering and disposing of medication. This will help to keep people who live in the home safe and well. Make sure that residents can easily have a cold drink if they wish and that the crockery and cutlery they use is clean and appropriate. This will make people feel they are at home and well cared for. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Orchard Mews Bentinck Road Elswick Newcastle Upon Tyne Tyne & Wear NE4 6UX two star good 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Elaine Charlton Date: 1 2 0 1 2 0 0 9 Information about the care home Name of care home: Address: Orchard Mews Bentinck Road Elswick Newcastle Upon Tyne Tyne & Wear NE4 6UX 01912734297 01912734284 orchardmews@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Healthcare Services Ltd care home 39 Number of places (if applicable): Under 65 Over 65 24 15 dementia old age, not falling within any other category Conditions of registration: 0 0 One named Service Users is in category MD(E). No further admissions are to take place in this category without the prior agreement of CSCI if the Service User leaves, CSCI are to be informed. One named Service Users is in category DE. No further admissions are to take place in this category without the prior agreement of CSCI if the Service User leaves, CSCI are to be informed. Date of last inspection Brief description of the care home Orchard Mews is found at the bottom of Bentinck Road in Elswick, Newcastle upon Tyne, and provides care and support for up to 36 older people, some of whom may have a dementia. Bedrooms are at ground, first and second floor levels. All bedrooms Care Homes for Older People Page 2 of 10 Brief description of the care home have an en-suite shower and toilet and some on the ground floor have a door that opens out into the enclosed courtyard. The home is in the heart of the local community with easy access for people who want to visit. There is a car park to the side of the home and also on-street parking. The home has a statement of purpose and service use guide that give people information about what they can expect if they move into the home. Copies of CSCI inspection reports are also available. Care Homes for Older People Page 3 of 10 What we found: This random inspection was carried out as a result of CSCI receiving an anonymous letter of concern about the quality of care people who live in the home were receiving. During our visit we walked around the home and talked to people who live there and the staff. All the residents were nicely dressed, clean and tidy, and some were having their hair done. The hair dresser visits the home each Monday, and people are keen to use her services. Staff were seen knocking on bedroom doors before they entered, asking people if they needed help to move from one room to another, and whether they wanted a drink or not. The home works closely with the Castleside Unit where they are able to get advice and support to help them care for people who may behave in a way that challenges normal daily routines. They have a named nurse they can make contact with as and when they need for advice or support. The deputy manager had completed a training the trainer qualification so that she can deliver and certify challenging behaviour training. We saw an example of the questionnaire staff complete. They also get a certificate to say the have completed the training. The home has the use of a mini bus for one week in every five. We were told that during the winter they take people out for half days so they can get more people out and about. In the summer people can enjoy longer trips. One lady said she liked going to Whitley Bay and the promanade. During the last few months there has been a Halloween Party and buffet, entertainers, Christmas buffet and party and Christmas lunch. Staff dressed informally on Christmas day to create a more relaxed atmosphere for residents. An activities organiser works in the home for twenty hours a week. We saw her doing glass painting with a group of six residents. We talked to the ladies who were doing the glass painting and they were clearly enjoying themselves. We were shown one of the ceramic plates that residents painted before Christmas. We were told that these were given to relatives for Christmas presents. Staff also produced 2009 calendars for families with their relatives picture on it instead of Christmas cards. The home has contact with two local colleges, the football team of one wears shirts sponsored by the home, and an Advocacy Group, SEARCH. A lady from SEARCH visits the home each week and gives residents hand massages. The home also receives support from different churches, and promotes tolerance between different faiths, beliefs and cultures. We heard some very sensitive conversation between the manager and deputy about peoples beliefs and faiths and Care Homes for Older People Page 4 of 10 how everyone works together. The home was awarded a certificate from the Castleside Unit who had been into the home for Danzon sessions. It stated that the certificate was for taking part with excellence. All residents got a Christmas present of toiletries whhich were nicely presented in clear celophane tied with ribbon. The organisation uses the Nutmeg System for menu planning. A four week menu is in operation. The lunch choice on the day of the inspection should have been Shepherds Pie or Chicken pasties, beans, carrots, new potatoes. Chef told us that he had made a mistake with the meat order so the actual choices were chicken pie or broccoli bake. One lady was having fish as she usually prefers a different choice to the menu. Staff hadnt recorded this on the menu choice sheet. Chef was making jam tarts for afternoon tea which were to be served with a cream topping. We sampled the broccoli bake at lunch time. It was hot and tasty and had been fortified with cream. The manager told us they had been having problems with the dish washer and some crockery had not been properly cleaned. The engineer had been out to look at the machine and things were said to be improving. We saw blue plastic cups, that were meant to be used with blue jugs for the medication round, in general use. The deputy manager said she would remove these back to the treatment room and use better glasses for residents at meal times. Residents on top floor can have drink at any time as there is access to a small kitchen. Cold drinks are sent up to the first floor at 10:00 and 14:00. The morning coffee trolley starts downstairs about 11:00. We talked to the manager about whether jugs of juice could be left in sight of residents so they could help themselves if they wanted or ask staff if they felt thirsty. The organisation has a comprehensive policy and procedure for handling complaints and the manager is available to talk to residents, relatives or other concerned people. No complaints had been received by the home. All but seven staff have completed training in safeguarding adults. Those who have not done the training are booked to attend in the near future. Bedrooms can be found at ground, first and second floor levels. We looked into seven bedrooms during our tour of the premises and found them all to be clean, tidy, warm, and comfortable. People can bring personal items into the home with them. On the ground floor there is a memorobelia room, this is lovely and gives access to the enclosed courtyard where there is a fish pond, fountain and raised flower beds. Some ground floor bedrooms have their own doors that also open out onto this area. Care Homes for Older People Page 5 of 10 All the bedrooms in the home are for single occupation, with an ensuite shower and toilet. There are communal spa bathrooms on the ground and first floors. The lift, first and second floors can only be accessed by using a coded key pad. This means that people who live in the home and have a dementia like illness are safe when they move around. We heard different music or television programmes on each floor. One lady said she liked to listen to the music during the day and watch the television at night. The Hollywood lounge on first floor was created from a double bedroom. There were lots of Hollywood pictures on the walls. As well as the themed lounges, there are additional lounges on each floor. Corridors are nicely decorated with tactile boards and pictures all around, some thought given to both the ladies and gentlemen when this was done. One board inlcuded tools and paint brushes and another was of different locks. We spoke to the laundry assistant and housekeeper. The laundry is on the top floor. It was seen to be busy but organised. There are two washing machines and two dryers. The washing machines can be programmed to do different washes and red bags are used for incontinent laundry. Domestic and laundry staff are completing a National Vocational Qualification (NVQ) in support services, and are also having infection control training. The manager is waiting for the results of an examination so that she can deliver health and safety awareness training. We were told that when raffles take place in the home as part of fund raising activities a list of prizes are put up on the notice board and then another is put up after it has been drawn with the names of winners next to the prize they have won. Manager is progressing her application to register with CSCI. All accident forms were seen to be fully completed. The manager prepares a monthly summary of accidents and then a quarterly one that goes to the organisations headquarters. There had been no missing person incidents. Throughout the visit relationships between staff and residents were seen to be friendly, warm, sensitive and appropriate. One carer was heard asking a lady if she was all right walking to the lounge on her own or did she need assistance. We saw no evidence during the inspection to support the concerns raised in the anonymous letter. We did issue an immediate requirement for the safe handling of medication as tablets were found left on a table in the ground floor dining room for a lady to take later and another resident was seen with a tablet on her lap. What the care home does well: Promotes a homely, warm and secure place for people to live, giving them room to Care Homes for Older People Page 6 of 10 move around and spend time privately. Works with a range of healthcare professionals to support the people they are looking after and to help them with behaviours that may challenge the normal daily routines. Tells the Commission for Social Care Inspection about events that affect the health and well being of people who live in the home. Provides residents with a stimulating enviornment, activities and social events that they enjoy. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. 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 1 9 13 Staff must follow proper procedures for the safe ordering, receipt, administering and disposing of medication. This will mean that people who live in the home are kept safe and well. 19/01/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 1 15 Residents should have easy access to cold drinks when they wish. This will mean that they can have a drink when they want and not have to ask staff or wait for the trolley. Residents should be provided with clean crockery and cutlery at all times so that they are sure items have been properly washed. The blue plastic cups should be removed to the treatment room and more suitable ones made available for residents to use. This will mean they can see what they are drinking and that suitable glasses are being used. 2 20 3 20 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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!