Inspection on 10/02/06 for 58 Ormesby Road

This inspection was carried out on 10th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

58 Ormesby Road 30/09/08

58 Ormesby Road 04/10/06

58 Ormesby Road 12/08/05

58 Ormesby Road 27/09/04

58 Ormesby Road 27/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 58 Ormesby Road Normanby Middlesbrough TS6 OHS Lead Inspector Joanna D White Unannounced Inspection 10th February 2006 12:10 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 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 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 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 Adults 18-65. 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. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 58 Ormesby Road Address Normanby Middlesbrough TS6 OHS 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) 01642 463549 www.reallifeoptions.org Real Life Options Mr Richard Linton Care Home 6 Category(ies) of Learning disability (6), Physical disability (2) registration, with number of places 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 residents with Learning Disability 2 of whom have Physical Disability Date of last inspection 12th August 2005 Brief Description of the Service: 58 Ormesby Road offers long term care to younger adults with learning disabilities. The house stands in its own private garden and is situated close to all local amenities. Accommodation is provided in single bedrooms on two floors. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 10th February 2006 and commenced at 12 10pm and concluded at 16 20pm. The inspector spoke to the registered manager, three members of staff, one student nurse, a visitor and two residents and audited policies and procedures; two care plans, and training and maintenance records during the inspection. There was also direct and indirect observation. The registered manager was very welcoming of the inspector and was professional, very knowledgeable and helpful. The discussion, which took place between the registered manager and the inspector throughout the inspection, was very constructive and the manager positively received any areas identified for further development. This was a very positive inspection. What the service does well: The home was comfortable and homely and had a welcoming atmosphere. The staircase was in the process of being decorated. All of the bedrooms were adapted to meet the needs of the service users and were personalised to reflect their individual interests. There was a large garden area. The Care plans were detailed reflecting the changing needs of the residents. There was evidence of regular reviews and the residents were involved in numerous activities both outside of and within the home to meet their needs hobbies and interests. There was evidence of both individual, and group supervision as well as regular team meetings. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 6 The staff were observed to be highly motivated and committed to the needs of the residents whom they knew very well. They were able to interpret for the inspector, the views of the residents whom had poor communication skills. One member of staff who spoke to the inspector said the home was very well run. What has improved since the last inspection? 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. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not examined during this inspection. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 The residents are supported to take risks as part of an independent lifestyle EVIDENCE: The staff who spoke to the inspector said it was very important to promote the residents independence whilst taking responsible risks which were informed by discussion in team meetings, talking to the resident themselves involving the residents family members, speaking to any other professionals involved as well as within the context of the residents’ individual plan and the homes risk assessment and risk management strategies. Detailed risk assessments were evident in the Care plans the inspector audited to make sure the residents had as independent a life style as possible, which included bus procedure; out in the community; Tuesday night procedure; Thursday night procedure; and Friday night procedure. A member of staff told the inspector she regularly took one of the residents out. However, she was very aware the resident could wander into the road if not constantly supervised at the bus stop. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 10 Another member of staff said they got to know the residents very well, which helped them to identify any risks both inside and outside of the home. A relative said, “ My son is quite happy. He has a good social life and has become more independent. He has improved 100 with the care he receives.” Another resident was picked up from the home by friends and taken to the local church. She/he was then picked up from the church by a member of staff and returned to the home at the end of the church service. The homes ‘Taking risks as part of living an ordinary life’ was audited. Each care plan the inspector audited contained the details which would be required if a resident was missing to ensure a prompt response to any unexplained absences. The homes procedure for missing persons was also audited. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The resident’ rights are respected and responsibilities recognised in their daily lives. EVIDENCE: A resident was feeling unwell during the inspection and the staff were observed by the inspector to ask permission before they entered her/his room and to talk to her/him continually to make sure she/he was all right. The care plans, which were audited, were both person centred and contained various information about the most appropriate ways to communicate with the residents who did not use words to talk or who had difficulties in communicating with words eg makaton; by pictures; using a communication dictionary, objects of reference, etc which made sure the residents were consulted and their rights respected. In addition the staff that spoke to the inspector said observational skills were also very important to identify how the resident was feeling. A member of staff confirmed it was important for the residents to have established routines which prevented them from becoming upset eg breakfast 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 12 cereal and toast etc were presented in the kitchen the same way every morning which made sure the residents were able to make an informed choice about what they would like to eat. The member of staff also said each resident had an identified key worker and the residents could speak to a member of staff in private. The registered manager who spoke to the inspector confirmed all of the residents had an advocate. The inspector audited the homes value of privacy, dignity choice fulfilment rights and independence policy and procedure. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not examined during this inspection. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 The residents are listened to and the home’s staff and the registered manager take their views seriously. Written procedures were in place, which promoted the welfare of the service users EVIDENCE: There has been one complaint regarding the home in the last twelve months. The visitor who spoke to the Inspector stated that he had never had to make a complaint but was confident that should he need to do so it would be dealt with appropriately. The registered manager confirmed there was a complaints policy and procedure in place, which outlined the stages the complainant should take to make a formal or informal complaint. There was a policy and procedure for staff to follow should they receive a complaint. There was evidence in the training files that the staff had received training in abuse and the protection of vulnerable adults. The staff that spoke to the Inspector confirmed they had received training and were aware of what action to take should they become aware of any form of abuse towards the Residents. The home had a copy of the No Secrets Protection of Vulnerable Adults Teeswide Guidance. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not examined during this inspection 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not examined during this inspection 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 42 The views of the residents are actively sought to underpin all self- monitoring, review and development by the home. The manager ensures as far as reasonably practicable the health safety and welfare of residents and staff EVIDENCE: Two members of staff who spoke to the inspector confirmed the residents had recently attended two consultation events one held in Durham and one held at the home where they had an opportunity to state their views and be clear about what they wanted. One of the decisions they reached was because there was so much happening over Christmas they should have a party in January. A newsletter, which details what was discussed, was then available for all of the residents. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 18 Plans are now being made for an Easter event. The manager confirmed self-monitoring of each residents file within the home was undertaken. A monthly report on behalf of the registered provider was available dated 19 01 2006. The family satisfaction survey was in the process of being updated and the results of the 2003-2004 survey were available. There was no copy available of the annual quality assurance report. The registered manager confirmed this was an area he was planning to develop further. The Homes Health and Safety Policies and Procedures were audited. The training print out confirmed staff had received the Mandatory training in Health and Safety. The registered manager said the training officer was visiting the following week to set up a computerised training database. The Homes Maintenance Records were examined. Risk assessments were in place and reviewed regularly for the products, which were used within the home. Records showed that regular checks and servicing of equipment was undertaken. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X 2 X 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 20 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. 1. Standard YA42 Regulation 13 The registered manager must take immediate action to make the area safe where the hot water pipe covering was observed in the downstairs bedroom to be coming away from the wall exposing a hot water pipe. 10/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations The registered manager should ensure a copy of the Homes Annual Quality Assurance report is forwarded to the Commission for Social Care Inspection. 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 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 58 Ormesby Road DS0000000121.V273396.R01.S.doc Version 5.1 Page 22 - 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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