Care Home: The Orchards

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well Information held in the staff training files shows that the staff team have regular training regarding safeguarding people from abuse, and what to do if abuse is either suspected or alleged. The records held at the home show that there has not been a need to make any safeguarding referrals to the Local Authority, and discussions with some of the staff showed that they had a good understanding of the policies and procedures regarding safeguarding and protection The service has an established complaints procedure, and the records relating to complaints show that none have been received since the last inspection. The manager explained that when people raise issues then these are recorded and dealt with quickly. Information held in people`s files confirmed this, and discussions with people living at the home also supported what the manager had said. The manager explained that when people raise issues, they are told that they can use the complaints procedure, however, people do not as they are confident that the issue will be dealt with appropriately and in a timely fashion. Information held at the home showed that people have care plans that contain details of their assessed needs; details of how these needs are to be met by the staff team and details of any reviews undertaken by the staff in consultation with the person in receipt of the care (or their relative). People living at the home said that they receive personal care and support in a dignified manner. Observations made at the time of our visit supported the view that personal care is offered and delivered in a positive manner and based on people`s needs and abilities. Information held at the home showed that healthcare issues are taken seriously, and that appropriate plans of care are in place. Staff at the home liaise closely with externalhealthcare professionals as and when required. People are supported to attend external appointments, and if required, arrangements are made by the staff for healthcare staff at attend people at the home. People living at the home confirmed that the staff deal with healthcare issues, and said that this is done sensitively and in a timely fashion. We undertook a check of some of the medication held at the home, and found the storage arrangements, the records and methods by which medication is administered to be satisfactory. At the last inspection in 2007 recommendations relating to self-medication and staff training were made, and progress in the areas highlighted has been made. Care plans for people who self-medicate have been reviewed and updated to ensure that they reflect current practice. Regular discussions also take place with people living at the home regarding self-medication and the risks associated with it. Appropriate safety measures and risk assessments were found to be in place to protect and promote people`s welfare, health and safety. The dates of training undertaken by individual members of staff have been included in the training matrix held at the home which now allows for future training needs to be more easily identified. What the care home could do better: We found that standards at the service are being maintained and that outcomes for people remain positive. It was noted that due to the fact that a number of people at the home go out regularly to events and activities, this can out pressure on the staffing levels at the home. Evidence at the home shows that there is a system for monitoring staffing levels and this should be maintained in order to ensure the right numbers of staff are available to meet the assessed needs of people living at the home. The double signing of handwritten entries on medication administration records was identified as a practice the service should adopt. Arrangements should be made for the acting manager`s application to be submitted for registration with the Commission. Random inspection report Care homes for adults (18-65 years) Name: Address: The Orchards 140/142 Birkrig Skelmersdale Lancashire WN8 9HY three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tony Brindle-Wills Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Orchards 140/142 Birkrig Skelmersdale Lancashire WN8 9HY 01695726118 01257450630 theorchards@autismcareuk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dawaking Care Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home The Orchards is a large end terraced house comprising of two properties in the Digmoor area of Skelmersdale. It is close to local shops and amenities. The home has been extended and adapted to provide long term care for seven people all of whom have a learning disability. People are accommodated in single rooms situated on three Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home floors. The home is able to accommodate a person with a physical disability as it provides ramps to the front and rear of the home, a ground floor bedroom and a ground floor shower room. There is a separate kitchen, dining room and two lounges. A well-maintained garden can be accessed through the dining room. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: Prior to our visit, we reviewed all the information we held about this service, this included the last inspection report, any surveys we had received from people with an interest in the service, the services Annual Quality Assurance assessment (AQAA) and any other correspondence such as notifications and complaints (if any). Whilst at the home we had the opportunity to speak to the people living there, speak to the staff and manager, review various documents held at the service, and discuss the progress of the service including progress since the last time it was inspected. None of the areas that we looked at raised any concerns for us and during the course of our visit we focussed on the outcomes for people relating to healthcare, personal care, complaints and protection. The registered manager no longer works at the home. The current acting manager has been at the service for 12 months, and it is her intention to apply to be registered with the Commission. Our records show that we have did receive correspondence from the company regarding the change in manager at the home and appropriate changes to the services certificate have been made. What the care home does well: Information held in the staff training files shows that the staff team have regular training regarding safeguarding people from abuse, and what to do if abuse is either suspected or alleged. The records held at the home show that there has not been a need to make any safeguarding referrals to the Local Authority, and discussions with some of the staff showed that they had a good understanding of the policies and procedures regarding safeguarding and protection The service has an established complaints procedure, and the records relating to complaints show that none have been received since the last inspection. The manager explained that when people raise issues then these are recorded and dealt with quickly. Information held in peoples files confirmed this, and discussions with people living at the home also supported what the manager had said. The manager explained that when people raise issues, they are told that they can use the complaints procedure, however, people do not as they are confident that the issue will be dealt with appropriately and in a timely fashion. Information held at the home showed that people have care plans that contain details of their assessed needs; details of how these needs are to be met by the staff team and details of any reviews undertaken by the staff in consultation with the person in receipt of the care (or their relative). People living at the home said that they receive personal care and support in a dignified manner. Observations made at the time of our visit supported the view that personal care is offered and delivered in a positive manner and based on peoples needs and abilities. Information held at the home showed that healthcare issues are taken seriously, and that appropriate plans of care are in place. Staff at the home liaise closely with external Care Homes for Adults (18-65 years) Page 4 of 8 healthcare professionals as and when required. People are supported to attend external appointments, and if required, arrangements are made by the staff for healthcare staff at attend people at the home. People living at the home confirmed that the staff deal with healthcare issues, and said that this is done sensitively and in a timely fashion. We undertook a check of some of the medication held at the home, and found the storage arrangements, the records and methods by which medication is administered to be satisfactory. At the last inspection in 2007 recommendations relating to self-medication and staff training were made, and progress in the areas highlighted has been made. Care plans for people who self-medicate have been reviewed and updated to ensure that they reflect current practice. Regular discussions also take place with people living at the home regarding self-medication and the risks associated with it. Appropriate safety measures and risk assessments were found to be in place to protect and promote peoples welfare, health and safety. The dates of training undertaken by individual members of staff have been included in the training matrix held at the home which now allows for future training needs to be more easily identified. 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 Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 The double signing of handwritten entries on medication administration records should be adopted as a matter of good pracice so as to promote and protect peoples best interests, health and welfare. The system for monitoring staffing levels should be maintained in order to ensure the right numbers of staff are available to meet the assessed needs of people living at the home. 2 33 Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!