Inspection on 15/09/05 for Ormerod Home Trust

This inspection was carried out on 15th September 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ormerod Home Trust 04/10/06

Ormerod Home Trust 24/09/04

Ormerod Home Trust 18/06/04

Similar services:

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Clover House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Ormerod Home Trust 56 St Patricks Road South St Annes Lancashire FY8 1XN Lead Inspector Mrs Felicity Lacey Announced Inspection 15 and 19 September 2005 10:00 Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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 Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ormerod Home Trust Address 56 St Patricks Road South St Annes Lancashire FY8 1XN 01253 723513 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) Ormerod Home Trust Limited Ms Bonita Green Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: St Patricks Road South provides accommodation and support with personal care for up to 4 adults with learning difficulties. The home is situated in a residential area of St Annes. The property is a dormer bungalow, with full wheelchair access on the ground floor. The service is guided by the policies and procedures of Ormerod, and is one of a group of registered residential services operated by the company. Ormerod is dedicated to the Person Centred Planning approach. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. During the inspection 2 members of staff and a service user were spoken with. Completed questionnaires were received from service users, 3 relatives and a visiting professional. The person centred plans and records maintained at the home were looked at. This is the second annual inspection and those key standards not assessed during this visit have been reported upon at the unannounced inspection. What the service does well: What has improved since the last inspection? What they could do better: The remaining risk assessments and behaviour management plans should be updated and should provide clear guidance for staff members. Risk Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 6 assessments should be considered to ensure that they are still valid and needed. 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. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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 Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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): 2 The practice of the organisation ensures that all prospective service users have information and a planned introduction to the service, which enables an informed decision to be made. EVIDENCE: Since the last inspection the information gathered regarding two service users who recently moved to the home has been organised and reviewed, to enable a care plan to be developed. The temporary manager is in the process of reviewing the risk assessments. Approaches to supporting service users who have challenging behaviours should be clearly explained in behaviour management plans and thorough risk assessments. Currently a new service user is being introduced to St Patricks Road South where he can be with a group of people nearer his own age and who share his interests. This move has been directed by a consideration of the care needs of the service users, and there is a plan in place to ensure that staff are aware of and can meet the care needs of the new service user. All introductions are planned and are paced in line with the individual service users level of understanding, for example the prospective service user has been visiting and is going on holiday with the service users who currently live at St Patricks Road South. The Person Centred Planning approach is well established within Ormerod and this ensures that the service users views and preferences are central to all decisions about choosing to live at St Patricks Road South. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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): 6,7,9 Person centred planning is used to ensure that service users are central to all decisions regarding the support they receive and that plans are reflective of individual needs and aspirations. Individualised procedures which address challenging behaviour should be developed to ensure that service users are positively supported and protected. EVIDENCE: All service users have a care plan and an individual communication passport which records the support and assistance needed in all aspects of daily life. Not all documentation held on file was signed and dated and it was not always clear who had provided information. All service users have a person centred plan and the progress towards achieving the actions identified is now monitored on a monthly basis. Person Centred Planning is being developed at St Patricks Road South as previously it operated as a respite service. The staff are developing the skills to support service users. The information presented at Person Centred Planning meetings is presented in a positive way, using headings such as ‘What we like and admire about…’, and is supported by photos and pictures showing the service users interests and achievements. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 10 Future aims are decided in the meeting with the involvement of all interested parties. All service users need support with decision making and most aspects of daily life, the independence of some service users is limited by the need to balance freedom of choice and health and safety considerations. The temporary manager has reviewed some risk assessments, and has put in place suitable arrangements to ensure that all new and existing staff are aware of risk assessments and strategies in place to address individual behaviours. All individual records have been reviewed and are now in good order. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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): 17 Service users benefit from a nutritious and balanced diet EVIDENCE: Service users are involved in menu planning and food shopping. Service users are able to help prepare meals and snacks. The staff encourage health eating. Service users likes and dislikes are respected at mealtimes. Staff are trained to support a service user who has a PEG feed system. Weight and dietary intake are recorded in line with the individual care plan. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 12 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): 18,20 Progress has been made regarding safe moving and handling practices and this ensures that service users are supported in a consistent manner. Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: A review of occupational therapy needs has been organised since the last inspection visit. All moving and handling techniques are now fully documented and risk assessed. All care plans have been reviewed and updated since the last inspection. Medication is administered according to the policy of the home. Staff receive training in the administration of medication during their induction and have regular updates. Protocols are in place regarding the administration of medication and these are reviewed at each planning meeting. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 13 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 home has a complaints procedure and service users are encouraged to make their concerns known, service users and their supporters are confident that any complaint they may have will be treated with importance. The service users are protected by robust procedures for the protection of adults. EVIDENCE: There have been no formal complaints about the service at St Patricks Road South. The complaints procedure is provided for each service user in an accessible format, using pictures and simple text. The service users have regular opportunities to talk in private with the homes manager. The comments received indicated that the service users were aware of how to make a complaint and confident that every effort would be made to resolve any issue that arose. Ormerod has robust procedures to ensure the adults using the service are protected from abuse. Staff receive training as part of their induction and foundation training, and through the National Vocational Qualification training undertaken, there are also dedicated in house training courses which address Adult Protection. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 14 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): 24,30 The standard of the environment within this home is good providing service users with an attractive and homely place to live. EVIDENCE: The hall and dining room been redecorated. The service users who have recently moved to St Patricks Road South have been involved in choosing the colour schemes for their rooms and accessories. All areas of the home where clean. The staff team are responsible for maintaining the cleanliness of the home and are helped by service users were appropriate. There are infection control procedures in place and protective clothing is provided. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 15 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 The staff group are qualified and experienced and benefit from accessible senior management, they have a good understanding of their roles and offer consistency of care within the home, based on an understanding of good practice. Service users are protected by robust recruitment procedures EVIDENCE: The temporary manager has held regular staff supervision and team meetings, this ensures that the service provided continues to progress and that staff feel supported in their roles. Staff members have access to regular training opportunities and this ensures that practice is based on a good understanding of their role and continually develops. 25 of the staff at St Patricks Road South hold a National Vocational Qualification at Level 2 and the other staff are currently working towards gaining this award. Ormerod has a dedicated training officer who maintains excellent records of training undertaken and identified training needs. All prospective employees are required to fill out an application form and attend for interview. All offers of employment are made subject to the receipt of satisfactory references and Criminal Record Bureau disclosure. Service users are actively supported in being part to the recruitment process. Ormerod Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 16 provides training for service users to enable them to be part of the interview panel and selection process. A number of service users have completed this training and have enjoyed being involved in staff selection. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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): 37,39,42 Service users are consulted about all aspects of the running of the home and their views sought on wider issues, which allows the organisation to continue to develop the quality of the services offered. All aspects of health and safety are monitored and this provides a safe environment in which to live and work. EVIDENCE: The home has been without a registered manager, and her temporary absence has been covered by an experienced manager. Since the last inspection regular team meetings have been held, and on going support has been made available to the staff to ensure that they are supported and motivated in their roles. The service is included in the Quality Network review which is a quality assurance system which fully involves service users. The most recent aspect of this has been a survey about ‘Friends and Relationships’. The quality network system results in an action plan which enables continuous development of the organisation, the priorities for the direction of this development are the result Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 18 of service users views and opinions. Ormerod has recently undertaken a self audit for inclusion in the Lancashire County Council preferred provider scheme. Ormerod is well represented on learning disability and community partnership forums, this involves both service users and staff in making a contribution to wider planning and decision-making. The company has a dedicated health and safety officer who visits regularly to undertake spot checks. The company complies with any recommendations made by health and safety enforcement agencies. There are risk assessments in place for all aspects of the home and hazards and these are kept under review. Staff receive regular health and safety updates and training. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 2 x 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ormerod Home Trust Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 4 x x 3 x DS0000010045.V252194.R01.S.doc Version 5.0 Page 20 YES 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 YA9 Regulation 13 Requirement Risk assessments must identify and as far as possible eliminate unessary risks to the health and safety of service users, also arrangements must be made, by training staff or by other measures, to prevent service users being placed at risk of harm. Timescale for action 04/10/05 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 2 Refer to Standard YA32 YA37 Good Practice Recommendations 50 of care staff should achieve an NVQ level 2 or above in Care by December 2005. The registered manager should achieve a NVQ level 4 in Management and Care by December 2005, or should be registered and working towards these qualifications by September 2005. Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Ormerod Home Trust DS0000010045.V252194.R01.S.doc Version 5.0 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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