CARE HOME ADULTS 18-65
Omnia 50 Sale Road Norwich Norfolk NR7 9TP Lead Inspector
Hilary Shephard Unannounced 6 July 2005 2.30 pm
th 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. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Omnia Address 50 Sale Road, Norwich, Norfolk, NR7 9TP 01603 435621 01603 435621 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) Norwich MIND Sandra Flanagan Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Twelve (12) people with a mental disorder, excluding learning disability or dementia, may be accomodated Date of last inspection 13th January 2005 Brief Description of the Service: Omnia became operational in July 2002 and was registered in December 2002. Omnia has been developed to provide a service assisting and enabling people with mental health problems to lead a more independent and fulfilling life style. Omnia is split into two houses (wings) each accommodating six clients. There is also a range of other facilities, which ensure that the planned skills and personal development programmes can be undertaken in pleasant and wellmaintained surroundings. The third wing of the building accommodates the main offices and outreach team for Norwich MIND. Omnia I55 s27301 omnia v236674 060705 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 carried out over 3 ¼ hours. During this time, 4 out of 12 clients and one member of staff were spoken with in private and a general discussion about the home took place with group of 6 clients. The communal areas of the home were inspected, and evidence was gathered from clients, staff and care files. 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. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 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 standard(s) Not assessed at this inspection. EVIDENCE: Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 8 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 and 7 By being involved with planning their care and by being guided and enabled to make decisions about the care and treatment they receive, clients mental health is improved. EVIDENCE: Clients advised that they planned and agreed their care needs with their key workers, and that this helped them to make decisions about their daily lives. Care plans reflected clients’ needs, and were updated and reviewed as these changed. Clients advised that they were expected to participate in the planned programmes, and could manage their free time as they wished, within the guidelines set by Omnia. Omnia has an admission criterion, which clients must agree to before admission; the home expects clients to participate in planned programmes and to adhere to their guidelines. Clients are aware of these criteria, and were very clear that they understood the guidelines and were happy to be there. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 9 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) 12, 13, 15, 16 and 17 Clients enjoy the planned programmes, particularly cooking; they are enabled to take part in leisure activities and are encouraged to maintain contact with family and friends. EVIDENCE: Clients discussed the programmes they attend as part of their weekly routine and advised that they are taught how to manage money, how to plan menus and to cook meals, they also participate in art classes, photography, local history and yoga. Clients advised that they really enjoyed the programmes, and that their mental health benefited from attending these classes, and also said that Omnia had given them a start, provided support and helped them get better. Clients advised that they attend a gym, and go out to pubs and clubs as they wish, in their free time, but within the guidelines set by the home. Omnia encourages family input and support, and also that of the clients’ friends. Families are involved in planning and reviewing care needs, but ultimately the clients lead this. Restrictions are only placed where clients’ health could be at risk, which is well documented in the care plans. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 10 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) Not assessed at this inspection. EVIDENCE: Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 11 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) 22 and 23 By having a robust complaint and adult protection procedure, with good staff and client understanding, the home does its very best to protect clients from harm. EVIDENCE: Clients advised that they would not hesitate to report any concerns to staff, or the manager. They gave instances of where concerns had been raised and dealt with, and had confidence that they would always be listened to, and that any issues they raised would be acted upon. Staff advised that they had received training in adult protection, and demonstrated a good understating of the reporting procedure. Any clients who may be at risk of self-harming have their needs identified, and plans put in place to minimise the risks. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 12 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) 30 Clients like to keep the home clean and tidy. EVIDENCE: Clients advised that a new cleaning roster has been introduced, so that on set days people had responsibility for keeping parts of the home clean and tidy. They said that this was a good idea and was working quite well, but sometimes not everyone was pulling their weight. The home was reasonably clean and was free from unpleasant odour at the time of the inspection. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 13 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) 33 Clients are currently well supported by adequate numbers of experienced and trained staff. EVIDENCE: Staff spoken with demonstrated a good understanding of clients needs. Clients confirmed that the staff were good and very supportive, and were always available to assist with problems, and gave good guidance and support. This was seen on the day of inspection, as one client became unwell, and was given lots of support by a member of staff, who helped to improve the situation. Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 14 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) Not assessed at this inspection. EVIDENCE: Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 15 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 x x x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x x x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Omnia Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 16 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 Good Practice Recommendations Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich Norfolk 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 Omnia I55 s27301 omnia v236674 060705 stage 4.doc Version 1.40 Page 18 - 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!
