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Inspection on 16/06/05 for Ormerod Home Trust

Also see our care home review for Ormerod Home Trust for more information

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The person centred planning approach has been introduced to Margate Road over the past few years and has been developed to ensure that the service user is central to all decision making and achievements are recognised. The use of digital photography and video have helped the service users to communicate their experiences, and provide a permanent record for the service user of their daily life. This approach has enabled the service users to make positive choices in all areas of their lives, for example service users have taken up new hobbies, have been involved in local community activities and have had opportunities to realise personal ambitions. The staff maintain clear records, which note the progress, made by each service user towards achieving their individual plans. Good records are maintained with regard to personal health. The home has well established links with health support services and the staff make every effort to ensure that service users have full access to the health services they need. The service users spoken with and observed, appeared to be confident and enjoyed good relationships with the staff of Margate Road. The staff working at the home have developed relationships and understanding of the service users over time, and staff members felt that Ormerod was a good organisation to work for, and this is reflected by the low turn over of staff at Margate Road. Ormerod is active in promoting positive stories and celebrating the successes of the service users they support. The service users have made good links with the local community, and enjoy using local facilities for example, the YMCA. The service users are encouraged to develop their skills, and express their views, one way this is achieved is through the `Advocacy Group`. The Ormerod provides regular training opportunities for all staff, and also for service users, for instance some service users have taken part in recruitment and selection training to enable them to be part of the process for interviewing new staff.

What has improved since the last inspection?

The physical environment has been improved by the decoration of the front lounge. All doors are now fitted with appropriate locks. The development of meaningful ways to help the service users understand the home has continued, for example by the use of photos to show which staff are going to be working at the home. The staff continue to be motivated and inventive in the ways in which service users are supported to be fully involved in plans which effect their lives. The home has now acquired patient information leaflets for all medicines being used by service users. Ormerod as an organisation has continued to be active in the local community and has been involved in a number of events that have led to the development of community services.

What the care home could do better:

The service offered at Margate Road continues to develop and is reflective of the ethos of the Ormerod to assist service users to gain maximum independence.

CARE HOME ADULTS 18-65 Ormerod Home Trust 3 Margate Road St Annes Lancashire FY8 3EG Lead Inspector Felicity Lacey Unannounced 16th June 2005 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. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ormerod Home Trust Address 3 Margate Road St Annes Lancashire FY8 3EG 01253 723513 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) Ormerod Home Trust Limited Miss Jayne Louise Morris LD 3 Category(ies) of LD 3 registration, with number of places Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15 and 24/09/04 Brief Description of the Service: Margate Road is a care home providing 24 hour support, personal care and accommodation for three service users with learning disabilities. The home is situated in a residential area of St Annes, it is domestic in character and in keeping with the local community. It is within easy reach of community amenities and transport links. There are two ground floor bedrooms. The service is guided by the policies and procedures of Ormerod and has a dedicated staff team. The home provides long tem placements and is commited to the person centred planning approach. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place unannounced. During the inspection 4 service users (3 of whom live at Margate Road) and 3 staff members were spoken with. The person centred plans and records maintained at the home were looked at. Time was spent observing the workings of the home and how service users were supported by staff members. The building was toured as part of this inspection. What the service does well: The person centred planning approach has been introduced to Margate Road over the past few years and has been developed to ensure that the service user is central to all decision making and achievements are recognised. The use of digital photography and video have helped the service users to communicate their experiences, and provide a permanent record for the service user of their daily life. This approach has enabled the service users to make positive choices in all areas of their lives, for example service users have taken up new hobbies, have been involved in local community activities and have had opportunities to realise personal ambitions. The staff maintain clear records, which note the progress, made by each service user towards achieving their individual plans. Good records are maintained with regard to personal health. The home has well established links with health support services and the staff make every effort to ensure that service users have full access to the health services they need. The service users spoken with and observed, appeared to be confident and enjoyed good relationships with the staff of Margate Road. The staff working at the home have developed relationships and understanding of the service users over time, and staff members felt that Ormerod was a good organisation to work for, and this is reflected by the low turn over of staff at Margate Road. Ormerod is active in promoting positive stories and celebrating the successes of the service users they support. The service users have made good links with the local community, and enjoy using local facilities for example, the YMCA. The service users are encouraged to develop their skills, and express their views, one way this is achieved is through the ‘Advocacy Group’. The Ormerod provides regular training opportunities for all staff, and also for service users, for instance some service users have taken part in recruitment and selection training to enable them to be part of the process for interviewing new staff. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 6 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. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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 Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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) These standards were not assessed at the time of this visit. EVIDENCE: Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9 The service users at Margate Road are fully involved in the drawing up and achieving of their individual plans, the person centred planning approach is used to achieve this, this ensures that service users are encouraged to make their views understood and that they are in control of decisions about their lives. The service users at Margate Road are active in shaping their own lives and their independence is valued and promoted. EVIDENCE: Person Centred Planning files are maintained by each service user with the support of their keyworker. The file uses photos, programmes, tickets and other ways to provide an on going record of the events of the service users daily life and their experiences. The individual plans are supported by individual assessments, which are completed form the perspective of the service user, these record the level and type of assistance needed by the service user in all aspects of daily life. Each service user has a ‘communication passport’, which helps staff to understand and build up knowledge of the ways service users communicate their preferences and feelings. Risk assessments are completed to ensure that that a balanced decision can be made between health and safety considerations and independence, these are reviewed regularly. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 10 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 The lifestyles of the service users are reflective of their individual preferences and support needs, this means that continuous personal development is promoted. Links with the community are very good and support and enrich service users’ social and occupational opportunities. EVIDENCE: Service users are supported to develop independence skills and communication skills, this was demonstrated by individual care plans and the way in which staff members communicated with each service user. The service users at Margate Road are supported to enjoy the activities they choose and are encouraged to try new activities, for example service users have recently been attending ‘Fun Pod’ at the local YMCA, this provides an opportunity to try out a wide range of sports. Each service user has an individually designed programme of activities during the week, which reflects that person’s interests, these include attending Music Appreciation, Aromatherapy sessions at the local parish rooms, Arts and Crafts, visiting local shops and amenities. Ormerod is involved in the local Learning Disability Partnership board, and has been active in organising and being a partner in initiatives which have Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 11 contributed to community links and social inclusion. A recent event celebrated positive stories and achievements, this was attended by service users and local community groups and organisations, and received coverage in the local and national press. Family links are supported and facilitated by the staff of Margate Road, contact is promoted through visits, phone calls and text messaging. Some service users have daily contact with family members and others enjoy regular visits. Service users are involved in the preparation of meals and their individual preferences are recorded and respected. Service users are supported in following a healthy diet. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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 standard(s) 18, 19 The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The staff have a good understanding of the service users’ support needs, this is evident from the positive relationships, which have been formed between the staff and service users. EVIDENCE: Health needs are closely monitored and clear records maintained. Service users are supported in accessing health services, and this was demonstrated by a recent change of GP, as it appeared that a better service could be obtained for the service user. The local Community Nurse for Learning Disability has been actively involved in the support of service users. The recordings at the home show a sensitivity to, and understanding of, service users’ health needs. Over the past year a number of community initiatives have been instigated and supported by the Ormerod, including a ‘Sports and Healthy Living Taster Day’ which was held at various locations around the borough. The aim of the day was to provide access to and the opportunity to participate in sport and leisure activities, and provide information relating to healthy living advice and choice. This event has helped to inform the borough Sports Development Officer and has contributed to the activities offered in the locality. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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 standard(s) These standards were not assessed at the time of this visit. EVIDENCE: Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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 standard(s) 24,25, 26,28 The standard of the environment within this home is good providing service users with an attractive place to live. Individual bedrooms are decorated to reflect service users preferences and lifestyle choices creating comfortable private accommodation. EVIDENCE: The environment is well maintained, the service user bedrooms are reflective of individual taste and are considered the service users private space. Service users are proud of their own rooms, and choose to spend time in them in line with their support needs. All bedrooms have now been fitted with locks. The lounge is currently being refurbished. There is a pleasant back garden which is well used by service users. Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed at the time of this visit. EVIDENCE: Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 16 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 at the time of this visit. EVIDENCE: Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 17 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 x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x x Standard No 11 12 13 14 15 16 17 3 3 4 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ormerod Home Trust Score 3 4 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 18 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 Ormerod Home Trust F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 F57 F09 S10062 Ormerod Home Trust V220081 080605 Stage 4.doc Version 1.30 Page 20 - 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!