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Care Home: Orchid View

  • Borers Arms Road Copthorne Crawley West Sussex RH10 3LN
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Orchid View is a purpose built care home with nursing registered to accommodate eighty-seven people in the categories old age and dementia. It is a two storey building set in its` own grounds. There is a good sized car park at the front of the home and well tended gardens to the side and rear. The registered manager is Mrs Nirmala Read. The registered provider is Southern Cross (Copthorne) OPCO Ltd. The responsible individual is Mr Mark Cash. Please contact the home for the latest fee levels.

  • Latitude: 51.138999938965
    Longitude: -0.11599999666214
  • Manager: Nirmala Anandi Devi Read
  • Price p/w: -
  • UK
  • Total Capacity: 87
  • Type: Care home with nursing
  • Provider: Southern Cross (Copthorne) OPCO Ltd
  • Ownership: Private
  • Care Home ID: 19584
Residents Needs:
Old age, not falling within any other category, Dementia

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 Orchid View.

Key inspection report Care homes for older people Name: Address: Orchid View Borers Arms Road Copthorne Crawley West Sussex RH10 3LN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Jo Hartley     Date: 2 8 0 1 2 0 1 0 This is a review of 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. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 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. 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 Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Orchid View Borers Arms Road Copthorne Crawley West Sussex RH10 3LN . Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Southern Cross (Copthorne) OPCO Ltd Name of registered manager (if applicable) Nirmala Anandi Devi Read Type of registration: Number of places registered: care home 87 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The mamimum number of service users to be accommodated is:87 The registered person may provide the following category/ies of service only: Care home with Nursing -(N) to service users of the following gender: Either Whose primary care need on admission to the home are within the following catories: Old age, not falling within any other category (OP) Dementia (DE) Date of last inspection Brief description of the care home Orchid View is a purpose built care home with nursing registered to accommodate eighty-seven people in the categories old age and dementia. It is a two storey building set in its own grounds. There is a good sized car park at the Care Homes for Older People Page 4 of 25 Over 65 0 87 87 0 Brief description of the care home front of the home and well tended gardens to the side and rear. The registered manager is Mrs Nirmala Read. The registered provider is Southern Cross (Copthorne) OPCO Ltd. The responsible individual is Mr Mark Cash. Please contact the home for the latest fee levels. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of this inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These include the Annual Quality Assurance Assessment, (AQAA), completed by the home and an unannounced visit to the home which was carried out on the 28th January 2010, over a period of five hours. During the visit we looked at policies, procedures and records kept at the home including staff recruitment and training, residents records and health and safety information. We observed interactions between staff and people living in the home, and visited areas of the home including bedrooms and communal areas. The manger was present throughout the visit and gave assistance when needed. Care Homes for Older People Page 6 of 25 All regulatory activity since the home was registered in September 2009 was reviewed and taken into account including notifications sent to the Care Quality Commission. Residents living at the home and staff assisted with this inspection. Their evidence and information was very useful in compiling this report. This is the first inspection of this service. It was registered in September 2009. The quality rating of this service is Two Star. This means that people who use this service experience good quality outcomes. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? 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. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Orchid View provides information about the home to prospective residents. Assessments are undertaken prior to admission to ensure that the home can meet peoples needs. Orchid View does not provide Intermediate Care, therefore Standard Six does not apply to this home. Evidence: Orchid View has a Statement of Purpose and Service User Guide that are given to new and prospective residents to provide them with information about the home and the services they can expect. At the time of the visit the home had sixteen people living there. We looked at the files of three residents. All three of the files contained detailed assessments for general health and care and also two of the residents had dementia assessments. The Care Homes for Older People Page 10 of 25 Evidence: assessments were undertaken by the home prior to the people moving in so the home could ensure that they were able to meet individual needs. Assessments were also on file from health or social services. The manager told us that assessment is an ongoing process, particularly through the first weeks of someones stay. Assessments included; physical health, mental health, personal interests, characteristics, personal history, bedtime routine preferences, likes and dislikes, any equipment needed, communication, dependency , mobility, nutrition, pressure sores and continence. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Orchid View have a plan of care that documents their individual needs. Health and personal care needs are met by the home. Evidence: The three residents files that we looked at had detailed care plans that were drawn up from the pre-admission assessments. Clear information was given to staff on personal care, likes and dislikes and health care. For example for Mr X the care plan stated that he likes to have salads and fresh fruits with every meal. Mr X told us that he does receive this. Mrs Ys care plan said, I cant always communicate verbally, observe my face for signs of pain e.g. wincing. We saw that care plans have been reviewed monthly. Reviews are recorded and dated so the home can monitor changes effectively. Care plans are updated following reviews if needed. People living at the home have access to healthcare services such as GPs, district nurses and opticians. A visitor told us that the home had arranged for a Care Homes for Older People Page 12 of 25 Evidence: physiotherapist to visit his wife to help with her mobility. Care plans detail the personal care needs of individual residents. There is a focus on assisting people to remain independent through detailing what individuals are able to do for themselves and what they need assistance with. All residents are assessed for the risk of developing pressure sores. One residents file that we saw clearly documented pressure areas, treatment and ongoing wound assessments. Nutritional screening is undertaken when people move into the home. One resident was identified as at risk of losing weight. Records were being kept of food and fluid intake and she was being weighed regularly. All residents are weighed on a monthly basis. We looked at the recording of the receipt, administration and disposal of medication. All records were clearly recorded and up to date. The home has appropriate storage and recording procedures for any controlled medication prescribed. Only qualified nurses administer medication. A resident told us that staff treat him with dignity and respect his privacy during personal care. Throughout the visit staff were witnessed knocking on doors before entering and being respectful to the wishes of the people they were caring for. The home has portable telephones so people can make and receive calls in private. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Orchid View like the food on offer and have a choice of meals. Activities and one to one time with residents are provided. Evidence: Care plans record peoples preferences for things such as their bedtime routines, social interests, religious and spiritual needs and food likes and dislikes. One resident is involved in teaching other residents and staff Greek. Staff have set up a board in the lounge to write up English words and the Greek translation. The resident said that he enjoys doing this as he likes teaching people and enjoys the interaction with residents and staff who want to join in. The home has an activities co-ordinator who arranges group activities and spends time on a one to one basis with individual residents. Activities include puzzles, painting, decorating porcelain masks and quizzes. A trip to the pantomime took place over the Christmas period. All activities and one to one sessions are recorded. Activities on offer for the week are displayed in the hall of the home. The manager told us that she is hoping to increase the hours of the activities co-ordinator to include weekends. Care Homes for Older People Page 14 of 25 Evidence: We saw the menus for the home. Orchid View offers a varied menu that includes fresh fruit and vegetables. On the day of the visit the choices for the main meal were gammon and pineapple or lasagne served with fresh vegetables or salad and new potatoes. The puddings on offer were bread and butter pudding, fruit yoghurts and ice cream. The home provides for people who need specialist diets including a gluten free diet for one resident. Three residents told us that they like the food provided and confirmed that they are able to choose what they wish to eat. Hot drinks are available in the lounge for people to help themselves to. We heard staff trying to tempt a resident who has a poor appetite to eat by offering various choices including light meals and snacks that were not on the menu. We were told by the manager that when the home was opened there was a joint blessing by the Catholic Church and the Church of England. Nuns from the local convent visit the home two or three times a week and visit people who wish to see them. The home is currently organising monthly religious services for residents. The local church also offers support to staff. A visitor to the home told us that he is able to visit at any time and is made welcome by staff. He also said that staff had arranged a birthday party for his wife and the chef had baked her a birthday cake. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents who live at Orchid View or their representatives are able to express concerns, and have access to an effective complaints procedure. Residents are protected from abuse and have their rights protected. Evidence: The home has a complaint procedure, which is outlined in the statement of purpose and displayed in the home. We looked at the complaints record kept by the home. One complaint was recorded. We saw evidence that it had been investigated with feedback given to the complainant within twenty-eight days. All residents and visitors spoken with said they knew who to complain to if they had any concerns. They said they would feel comfortable discussing any concerns with the manager. Staff induction and training records showed that all staff receive training in safeguarding vulnerable adults. Staff spoken with knew the correct procedure to follow if they suspected abuse. Staff personnel files seen during the visit were in good order and held all the required documents including an application form, two written references, enhanced Criminal Records Bureau and Protection of Vulnerable Adults checks. This ensures residents are safeguarded from risk of harm. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Orchid View provides a safe, clean, well maintained environment for people who live there. Evidence: Orchid Court is a new purpose built, two storey home that was registered with the Care Quality Commission in September 2009. The building is light and airy. There is a good sized parking area in front of the home and gardens to the side and rear. On the day of the visit we looked round the home including communal areas, kitchen and a selection of bedrooms. The home is furnished and decorated to a good standard. All bedrooms have en-suite bathrooms/wet rooms and have the aids and adaptations that individuals need. People are able to bring personal possessions with them when they move in, including small items of furniture. The home has several communal areas including smaller, quieter lounges for people who dont want to sit in the main lounge or who want to see their visitors in private. Communal areas and toilets/bathrooms are signposted with pictorial signs to aid people who have dementia who may have lost their reading skills, or people with poor eyesight. The home was clean throughout. Orchid View employs a maintenance man who is also responsible for the health and Care Homes for Older People Page 17 of 25 Evidence: safety checks of equipment and checking that water is at a safe temperature. On the day of the visit one bathroom was out of use due to the water temperature at the outlet being too high. This was being addressed during the visit. The kitchen was clean and organised. The chef told us that the cooker was being replaced as it was not suitable for purpose. The laundry facilities are separate from any areas where food is stored and prepared. There are sluicing facilities for soiled laundry. All surfaces are easy to clean. The home has infection control policies and procedures in place. Infection control training is mandatory for all staff. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff on duty with the appropriate mix of skills to meet the needs of residents accommodated. Residents are supported and protected by the homes recruitment policy and practices. Staff are trained and competent to do their jobs. Evidence: We looked at the staff rota and found that the home has enough staff on duty to meet the needs of the current residents. On the day of the visit there was one trained nurse, three care assistants and the manager on duty. At night there is one trained nurse and two care assistants. The home also employs a chef, kitchen assistant, domestic, maintenance person, an activity coordinator, and an administrator. At present there are only sixteen residents living at Orchid View. The manager said that she only admits new residents when there are enough staff to meet their needs. She said the home is currently recruiting for more staff. One member of staff told us, We have good support from the manager, she has an open door. We have a wonderful team, everyone chips in. Care Homes for Older People Page 19 of 25 Evidence: One of the visitors we spoke with felt that there was not always enough staff on duty and that some staff could not speak English very well. A resident said, The staff are very helpful and friendly. We looked at the recruitment records for four members of staff. They all contained the required employment checks including Criminal Records Bureau and Protection of Vulnerable Adults Checks, application forms with complete employment history and two written references. Records seen showed that all newly appointed staff have undergone an induction programme that includes how to treat people with dignity and respect their privacy during personal care. Records of training provided were also examined and demonstrated that training for all staff has included mandatory training such as fire safety, food hygiene, adult protection and health and safety. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Orchid View is well managed and is run in the best interests of residents. Residents financial interests are safeguarded and their health, safety and welfare are promoted and protected. Evidence: The registered manager is Mrs Nirmala Read. She is a first level nurse and has a seven year history of working in services which required general nursing care. She has completed the Registered Managers Award Level Four and a Dementia Care course. Staff and residents said that they find Mrs Read approachable and helpful. Staff we spoke with said that the manger gives them support when they need it. We looked at staff supervision records and found that they are not completely up to date. The manager is aware of this and said she will address it. The home has an external assessor who visits on a monthly basis to conduct an audit Care Homes for Older People Page 21 of 25 Evidence: of the care and services provided. There is also a quality assurance system in place that seeks the views of residents and their relatives to enable the home to identify any areas that need improving. As this home has only recently opened surveys have not yet been sent. Residents manage their own finances or get help from their relatives. The home keeps detailed records of any accidents or incidents in the home and reports these to The Commission when necessary. The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. Equipment such as boilers, other gas installations and electrical equipment have not needed an annual check yet as the home is newly built. Staff training records and certificates showed that staff have received training in areas such as Health and Safety, Manual Handling, Fire Safety, Infection Control, Food Hygiene and other health and safety subjects. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, 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 Care Homes for Older People Page 24 of 25 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. 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. Care Homes for Older People Page 25 of 25 - 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!

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Orchid View 28/01/10

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