Inspection on 12/08/05 for 58 Ormesby Road

This inspection was carried out on 12th August 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

58 Ormesby Road 30/09/08

58 Ormesby Road 04/10/06

58 Ormesby Road 10/02/06

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 0HS Lead Inspector Ray Burton Unannounced 12 August 2005 10:00 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 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 Stationary 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 B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 58 Ormesby Road Address Normanby Middlesbrough TS6 0HS Telephone number Fax number Email 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 Real Life Options Mr Richard Linton Care Home 6 Category(ies) of LD Learning disability (6) registration, with number PD Physical disability (2) of places 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/9/04 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 B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on 12th August 2005 with an additional visit to the home on 20th September 2005. What the service does well: What has improved since the last inspection? It was pleasing that all of the issues raised during the previous inspection had been addressed. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 6 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 B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4,5 The homes Statement of Purpose and residents contract provided residents and prospective residents with details of the services provided. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: There had been no recent admissions to the home however examination of case files indicated that, prior to admission, a comprehensive multi-disciplinary assessment had taken place to ensure the home could meet the needs of the prospective resident. It was apparent that consultation with relatives had been an important part of the pre-admission process and that careful matching had taken place to ensure that all persons living in the house were compatible. The manager said that any future admissions would be preceded by an indepth multi-disciplinary assessment as well as assessment of need conducted by staff from Ormesby Road. He stated the prospective resident and his/her family would be invited to visit the home to meet current residents and staff. Overnight stays would also be encouraged, followed by a trial period that would give time for the new resident to decide if they liked the home and wished to live there. Also, during the trial period, the home’s ability to meet the needs of the new resident could be determined. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 9 Each resident had been provided with a contract in a user-friendly format that included pictures. Relatives had been involved in the drawing up of the contract. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6,7,8 The homes care planning process ensured resident’s needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead an independent lifestyle, within the context of their individual plan. EVIDENCE: Each randomly selected care plan was well organised and provided a comprehensive, up-to-date and detailed picture of the resident and his/her needs, aspirations, likes and dislikes. Assessments had been carried out and action plans devised to cover all areas of daily living and personal need, including social need. Regular reviews and constant monitoring and reassessment ensured changing needs were identified and met. The level of disability of residents living in the home severely limited their active participation in the care planning process or in the day-to-day running of the home. However it was evident, from examination of care plans and associated documents and through conversation with the manager and staff, that all residents were supported to make choices and to be involved in the decision-making process at an appropriate level. Staff encouraged them to take part in simple daily activities, e.g. tidying their room and helping to make their bed. Where residents were unable to verbally communicate, the 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 11 “Communication Profile” in each of the care plans showed how different means such as signs, symbols, signing, pointing, simple gestures and leading by the hand were used to aid understanding. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 11,12,13,14,15,17 Residents were presented with opportunities to lead fulfilling lives and were encouraged and supported by staff to take part in appropriate leisure activities in the home and the local and wider community. Staff encouraged and assisted residents to maintain family and friendship links. EVIDENCE: Care plans and daily records revealed that residents were encouraged and supported to achieve maximum independence, subject to their individual plan and risk assessments. The plans showed how they were presented with opportunities to maintain and develop their social, communication and independent living skills. Specialist support was given by: speech therapist, physiotherapist and other appropriate professionals when required. All of the current residents attended daytime activities at a variety of venues: Resource centre in Middlesbrough, Day Care Centre in Skelton, Church hall in Ormesby. A wide range of leisure activities was offered, with each resident having a programme of activities suited to their individual abilities and wishes. In-house activities such as TV, video and music were available to residents. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 13 In addition local community facilities such as shops, public houses, Southlands Centre were accessed. The house car enabled residents to enjoy the facilities offered in the wider community and frequent visits were made to places of local interest such as parks, the coast, theatres, town centre shops etc. Staff recognised the importance of residents maintaining family and friendship links and helped them to keep in touch by assisting with telephone calls, sending cards for special occasions such as birthdays and Christmas. Although no relatives visited the home during the inspection, staff said that family members maintained regular contact, were frequent visitors and showed a keen interest in the progress of their family member. The manager and staff said that relatives and friends were encouraged to visit and were always made welcome at the home. Menus and the record of food served showed residents were offered a varied and balanced diet. Alternatives were available should someone not wish to have the meal of the day. Individual dietary requirements were also catered for. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18,19,20,21 Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate healthcare professionals provided advice and support. EVIDENCE: Conversation with members and staff and examination of care plans and daily records indicated awareness of the importance of providing personal care in a sensitive and flexible manner, and of consulting with residents and supporting them to maintain as much control over their own lives as possible. Constant monitoring of health was undertaken and healthcare needs addressed by residents own general practitioner and other community based professionals e.g. community and specialist nurses, dentist, chiropodist etc. None of the residents had been assessed as being able to control their own medication. All medicines were stored centrally in a secure facility and administered according to the homes policy and procedures by staff who had undergone suitable training in the administration of medicines. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 15 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 standard(s) These standards were not assessed during this inspection. EVIDENCE: 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 16 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 standard(s) 24,25,26,27,28,29,30 The environment was good, providing residents with an attractive, comfortable and well-maintained place in which to live. EVIDENCE: Number 58 Ormesby Road was originally a lodge for the nearby Normanby Hall. The building has been converted and extended so that it now provides comfortable and pleasant accommodation that is conveniently situated for all local amenities such as shops, public houses, churches and the public transport system. The internal and external fabric of the building was maintained in good condition, décor throughout the house was pleasant and cheerful. Furniture was domestic in design, suitable for purpose and in keeping with the character of the property. All necessary areas of the building (including the kitchen) were accessible to residents, subject to individual risk assessments. Communal areas were light and airy. Bedrooms were comfortably and appropriately furnished and had been individualised by the inclusion of personal effects such as pictures, photographs, ornaments, TV, CD player etc. One bedroom had an en-suite facility, all other rooms had a wash hand basin. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 17 No specialist disability equipment was required to meet residents current needs, however constant monitoring and reviews ensured that any change in their physical needs would be recognised and appropriate action taken to ensure they could be met. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. First floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the home. The numbers and suitability of lavatories and bathing facilities met the National Minimum Standard. The home presented as being clean, hygienic and free from offensive odours. It was observed however, that the floor covering in the ground floor bathroom was stained – this should be replaced. To the rear of the house was a large pleasant and private garden that had been equipped with a summerhouse, barbeque area and garden furniture. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35,36 The home has a robust recruitment procedure, an effective training programme and all staff received good management support and supervision. EVIDENCE: Three members of staff were interviewed during the inspection; each spoke enthusiastically about their work and said they received good management support and training to enable them to meet resident need. They confirmed that prior to commencing employment they had been required to attend an interview and provide references and evidence of any qualification gained. They said that they had not been allowed to start working at the home until a satisfactory Criminal Records Bureau check had been undertaken. Each displayed a suitable knowledge of individual residents, their needs and how they could be met. Examination of personnel records and staff interviews confirmed that prior to commencement of employment staff underwent an external four-day induction course. Ongoing training was provided in: Health & Safety; Manual Handling; First Aid; Safe Handling of Medicines; Food Hygiene; Epilepsy Awareness; Abuse, including No Secrets ands Whistle Blowing; NVQ levels 2 & 3. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 19 All staff received regular formal supervision that exceeded the National Minimum Standard of six times a year. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed during this inspection. EVIDENCE: 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 58 Ormesby Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? 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 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. 1. Refer to Standard 27 Good Practice Recommendations The stained floor covering in the groundfloor bathroom should be replaced. 58 Ormesby Road B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit B, 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 B51-B01 S121 58 Ormesby Rd V244382 120805 Stage 4.doc Version 1.40 Page 24 - 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!