Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Ormerod Home Trust 3 Margate Road St Annes Lancashire FY8 3EG The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Plant Date: 2 7 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Ormerod Home Trust 3 Margate Road St Annes Lancashire FY8 3EG 01253723513 01253723514 SSharples@ormerodtrust.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Ormerod Home Trust Limited care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 3 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home Margate Road is a care home providing 24-hour personal care and accommodation for three adults 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-term placements and is committed to the person centred planning approach. The fees vary according to the assessed needs of each person at the home. Care Homes for Adults (18-65 years) Page 2 of 8 What we found:
At the last key inspection in June 2007 this service was given an excellent 3 star quality rating. The purpose of this random inspection was to look at the quality of outcomes across all areas to ensure that the high standards identified in the report of June 2007 were being maintained. The assessment information regarding an individual who has been admitted to the home since the last key inspection was viewed. A full assessment of this persons needs had taken place and this was supported by assessment documentation from the social worker. Risk assessments had been carried out, with good plans then put in place regarding how any risks were to be managed. Risk assessments address taking medication, moving and handling and risks associated with seizures. These risk management plans ensure that staff are working in a consistent manner and help to maintain the safety of the person concerned. The records for this person show that the speech and language therapist had been involved and that a full service review took place a few months after moving into the home and that this involved family members. Records regarding health and personal care were viewed in relation to two people living at the home. Care plans are in place and these are being reviewed regularly. These provide good information regarding how practical and personal care needs are to be supported. Each person also has a person centred plan, focusing on the individuals strengths and goals. Each person has a key worker who keeps records of how staff are working toward the goals identified and the progress being made. Each person also has a communication profile, detailing how the individual expresses themself. The speech and language therapist had recommended that objects of reference were used for one person and staff explained how these were used to aid communication. Familiar objects, such as a spoon to represent meal times and a tambourine to represent a drama class, are used as prompts to aid understanding of what is going to happen. Health action plans are in place, giving good information regarding how health care needs are to be met. This includes details of the support required if attending health appointments or in the event of admission to hospital. These ensure that support is provided in an individual and personalised way. Staff keep good records of all health care appointments and their outcome. Records are also kept of weight, continence and seizures as appropriate to the individual concerned. This means that any changes can be identified and responded to. The medication records for one person were viewed and had been completed correctly. Medication is safely stored. One person uses bed rails to prevent falls from her bed and the use of this equipment was discussed. A risk assessment is in place and it was confirmed that the manufacturer will be carrying out checks on the equipment to ensure that it is safe to use. Advice was given regarding the risk assessment being reviewed, should the bed or mattress be replaced. Care Homes for Adults (18-65 years) Page 3 of 8 Each person has a weekly activity programme. These are displayed using pictures and symbols in order to help people to understand the events of each day. Photos of staff are displayed, so that the people living at the home know who is coming on duty each day. During the visit one person enjoyed chatting to the inspector and happily looked at photographs and information within her file. This person had recently had a person centred planning meeting when photographs had been used to show the events of the past year. These occasions clearly celebrate strengths and achievements. People are involved in a range of activities, including drama classes, eating out, shopping and drives out. One person has been supported to get her own adapted car via the motability scheme. Activities within the home, such as baking, also take place. Neither the home or the commission have received any complaints since the last key inspection. A copy of the complaints procedure was seen on an individuals file. Symbols are used to help people to understand how they could raise any concern they may have. The people currently living at the home have relatives who would advocate on their behalf if necessary. There are good systems in place for the protection of those living at the home. Spending money is securely held and each person has their own account book. One of these was viewed and showed that regular checks are made. The home is well maintained and nicely decorated. The large kitchen, the ramped entrance and the decked area in the garden mean that people who use wheelchairs have good access within the home. There is a large shower room on the ground floor and some changes have been made to the tiling to allow easier access to the shower area. There have been no new staff appointed to the team. There are always at least two staff on duty during the day and evening, as there was on the day of this visit. Rotas show that there is a staff member on duty throughout the night. The staff member spoken to confirmed that regular staff meetings, supervisions and appraisals take place. This is a good way of monitoring performance and identifying any training issues. All but one of the team have achieved NVQ (national vocational qualification) level 2 or above. Ormerod provides excellent training for staff, with a rolling programme of essential health and safety related training, plus other courses arranged for staff. The registered manager maintains high standards at the home and information is maintained in an organised manner. Quality monitoring is given a strong focus. Regular checks and audits take place and feedback is sought from people living at the home and their relatives. The process of person centred planning also allows good opportunity for all those involved in supporting an individual, to give feedback about the service being provided. What the care home does well:
Care Homes for Adults (18-65 years)
Page 4 of 8 Person centred care is well established at the home. Good monitoring, recording and staff training ensure that people receive a high standard of personal and health care support. Excellent training opportunities are provided for staff and the majority of the team are qualified. This means that the people living at the home are supported by competent and skilled staff. The supervision and appraisal systems help to maintain these high standards and form an important part of quality monitoring at the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
