Inspection on 04/10/06 for 58 Ormesby Road

This inspection was carried out on 4th October 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 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 10/02/06

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 Ray Burton Key Unannounced Inspection 4th October 2006 10:00 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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.V315308.R01.S.doc Version 5.2 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.V315308.R01.S.doc Version 5.2 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.V315308.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 residents with Learning Disability 2 of whom have Physical Disability Date of last inspection 10th February 2006 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.V315308.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection covering all of the key standards. It commenced on 4th October 2006 and was concluded on 9th October. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to residents, members of staff and the registered manager. What the service does well: 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.V315308.R01.S.doc Version 5.2 Page 6 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.V315308.R01.S.doc Version 5.2 Page 7 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): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The homes statement of purpose and residents contract provided residents and prospective residents and their families with details of the services provided. The assessment process 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 in-depth multi-disciplinary assessment as well as assessment of need conducted by staff from Ormesby Road. He stated that the prospective residents and their 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 residents to decide if they liked the home and wished to live there. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 8 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 DS0000000121.V315308.R01.S.doc Version 5.2 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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The homes care planning process ensured residents needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead as independent a lifestyle as possible. EVIDENCE: Three randomly selected care plans were examined each 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. Staff recognised the importance of promoting independence whilst ensuring residents safety and wellbeing. Each care plan contained comprehensive risk assessments clearly identifying risk and detailing management strategies to eliminate or reduce the risk. The risk management strategies contained very clear and precise instructions and guidance to staff. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 10 Not all of the residents were able to communicate using speech, however the “communication profile” in each of the care plans showed how alternative means of communication were employed: gesture, signs, symbols, photographs, pointing etc. Staff spoke of the importance of having a good knowledge of each resident and of being able to recognise non-verbal signs that indicated if the resident was unhappy, in pain etc. Conversation with the manager and staff and examination of care plans and associated documents revealed that residents were involved at an appropriate level in the care planning process and were supported to make choices about things affecting their lives. Regular reviews involving the resident, family members and appropriate professionals ensured changing needs were identified and action taken to respond to any changes that might have occurred. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents were treated with respect and 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: Because of their poor verbal skills residents were not able to tell the inspector if they were happy living at Ormesby Road, however there was a relaxed and friendly atmosphere in the home. Residents appeared to be at ease with staff and it was apparent that, when they arrived back at the home from their day placements, they were pleased to see the care workers who were on duty. The rapport between residents and staff was good with residents being treated with respect and addressed politely and appropriately. Staff were observed to knock on bedroom doors and seek permission before entering. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 12 Conversation with staff and examination of daily records and care plans showed residents were encouraged and supported to develop their skills and to lead satisfying lives and to achieve as much independence as possible. All of the residents attended daytime activities in a variety of venues and opportunity was provided for each resident to take part in a wide range of appropriate leisure activities both in-house and in the community: TV and videos, music, shopping at local and town centre shops, swimming, local walks, meals out, visits to pubs and specialist clubs such as The Grenfell and Southlands Centre. There were frequent trips to local places of interest e.g. the coast, cinema and theatre. Staff each week took one resident to the Sunday morning service at the church she had attended before becoming a resident at Ormesby Road. Holidays were customised to meet the needs and interests of the individual resident, holidays this year have included: a theatre break, a holiday in “Emmerdale Country” and “Centre Parcs.” Staff recognised the importance of residents maintaining contact with family and friends and helped them to keep in touch by assisting with telephone calls and sending cards for special occasions such as Christmas and birthdays. The parent of one resident was ill and no longer able to visit her daughter, however staff took the resident each Wednesday to visit her mother in her own home. Although no parents visited the home during the inspection, staff said that relatives and friends were encouraged to visit and were always made welcome. This summer a barbeque had been organised in the garden for residents and their families and friends. Menus and the record of food served showed residents were offered a varied and balanced diet. Alternatives were always available should someone not wish to have the meal of the day. Individual special dietary requirements were catered for. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit. 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: Care plans and conversation with staff showed an awareness of the importance of encouraging and supporting residents to be as independent as possible for their own hygiene and personal care and of ensuring a resident’s dignity and privacy was upheld at all times, particularly when being assisted with personal care. Care plans contained information about the person’s general health, dietary requirements and details of any specific ailment or medical condition. Each resident had his/her healthcare needs addressed by their own general practitioner and other community-based professionals e.g. community and specialist nurses, dentists, chiropodists etc. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 14 None of the residents had been assessed as being able to control their own medication and all medicines were administered according to the homes policy and procedures by staff who had undergone suitable training in the administration of medicines. All medicines were stored securely and appropriate records of administration kept. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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 the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home had a suitable complaints procedure and staff had received training in the protection of vulnerable adults. EVIDENCE: The home had an appropriate complaints procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter had been handled. Records showed the home had not received a complaint in the last 12 months. All staff had received training in the protection of vulnerable adults and were aware of what constituted abuse and knew what action to take should such an incident occur. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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 the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The environment is 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. A tour of the building revealed it to be maintained to a high standard. Décor was pleasant and cheerful. The home was clean and hygienic and free from offensive odours. Records showed that all necessary safety checks were carried out and maintenance of equipment carried out at required intervals. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 17 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 number and suitability of lavatories and bathing facilities met the National Minimum Standard. Sufficient and appropriate specialist bathing facilities were available to meet the needs of residents. Communal areas were light and airy and comfortably and appropriately furnished. Many of the bedrooms had been recently decorated and all were nicely furnished and had been individualised by the inclusion of personal effects such as posters, photographs, CD players, soft toys etc. To the rear of the house was a large and pleasant garden that had been equipped with a summerhouse, barbeque area and garden furniture. A small courtyard garden contained fruit and vegetables that had been grown by residents. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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 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): 32,34,35 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents were protected by a competent staff team and by the homes policies and procedures on recruitment, training and supervision EVIDENCE: On the day of the inspection there were sufficient staff on duty to meet residents’ needs. Staffing rosters showed satisfactory staffing levels were maintained at all times. The home followed the Real Life Options corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of personnel files revealed that information required by Schedules 2,4 & 6 of the Care Homes Regulations 2001 was in place. Training records and conversation with the manager and three members of staff indicated the staff team had the skills and experience necessary to meet resident need. All new staff received a thorough induction and there was a corporate training programme. Training had recently been undertaken in the following areas: Fire Safety, Manual Handling, Food Hygiene, First Aid, Safe Handling of Medicines, No Secrets, Communication, Autism, Epilepsy. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 19 Nine members of staff were qualified to a minimum of NVQ level 2 in Care, two are currently undertaking NVQ level 2 and one level 3. A further five are receiving Learning Disability Award Framework-accredited training prior to progressing to NVQ’s. Supervision records showed that all members of staff received formal supervision sessions on at least six occasions per year. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 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 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): 37,39,42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A well managed home with an enthusiastic and competent staff team. The health, safety and welfare of residents is protected by the homes record keeping and policies and procedures EVIDENCE: The registered manager holds appropriate qualifications in care and management and has many years experience of supporting people with learning disabilities and of managing a residential care service. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 21 Members of staff were enthusiastic about their work and spoke positively about the manager and said he was very approachable and open to ideas. They felt there contribution towards the running of the home was valued and any suggestions they made about how the service could be improved were considered. They said they received regular supervision and were encouraged to undertake training that would aid their professional development and help them to meet resident’s needs. The home had policies and procedures covering all aspects of the management of the home that complied with current legislation and recognised professional standards. Records were kept to safeguard resident’s rights and best interests and to ensure the safe and effective running of the home. These were up-todate and stored appropriately. The manager and staff were aware of their responsibilities under Health & Safety legislation and policies and procedures were in place to cover the health, safety and welfare of residents and staff. Regular checks of the building and equipment were carried out and maintenance and servicing undertaken to ensure a safe and comfortable environment. The home had various systems both formal and informal to measure success in meeting its aims, objectives and statement of purpose and to ensure residents rights and best interests were safeguarded: monthly audit conducted by the Operations Manager, staff meetings, resident reviews, family satisfaction survey, informal feedback from relatives and appropriate professionals. 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations 58 Ormesby Road DS0000000121.V315308.R01.S.doc Version 5.2 Page 24 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. 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