Inspection on 06/09/05 for Ormerod Home Trust

This inspection was carried out on 6th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ormerod Home Trust 13/04/07

Ormerod Home Trust 24/09/04

Ormerod Home Trust 05/05/04

Ormerod Home Trust 11/01/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Ormerod Home Trust 6 Warwick Road St Annes On Sea Lancashire FY8 1TX Lead Inspector Mrs Felicity Lacey Announced Inspection 02:30 6 and 19 September 2005 Ormerod Home Trust DS0000010004.V249862.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 DS0000010004.V249862.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 DS0000010004.V249862.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ormerod Home Trust Address 6 Warwick Road St Annes On Sea Lancashire FY8 1TX 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 Mrs Kathleen Howarth Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate up to 3 adults in the category of learning disability (LD) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 20/07/05 Date of last inspection Brief Description of the Service: Warwick Road is a semi-detached property registered to provide accommodation and support for up to three adults with a learning disability. It is situated in a residential area of St Annes, close to local shops and amenities. The home is domestic in layout and character. The home is one of a number of services provided by Ormerod, a locally based organisation. The home is guided by the policies and procedures of Ormerod and has its own dedicated staff team. Ormerod Home Trust DS0000010004.V249862.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 a relative 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: Medication storage could be improved. Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 6 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 DS0000010004.V249862.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 DS0000010004.V249862.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: There have been no recent admissions to Warwick Road, however the home is guided by the practice of the Ormerod. Information about the home is produced in a picture format and this is complimented by written material. All introductions are planned and are paced in line with the individual service users level of understanding. All service users have contracts. The Person Centred Planning approach is well established within the Ormerod and this ensures that the service users views and preferences are central to all decisions. Ormerod Home Trust DS0000010004.V249862.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): These standards were assessed at the unannounced inspection of 20/07/05 EVIDENCE: Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 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 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 and the service users are keen to watch their weight. Service users likes and dislikes are respected at mealtimes. Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 11 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): 20 The home has sound policies and procedures for the administration of medication. Medication storage arrangements could be improved. EVIDENCE: All staff receive training in the administration of medication. A more robust medicine cabinet being provided could improve the storage arrangements. All service users have their medications reviewed at least annually, or as required. Staff are aware of the contra indications of the medicines used at the home. Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 12 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 Warwick Road. 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 where aware of how to make a complaint and were confident that every effort would be made to resolve any issue that arose. The 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, and through the National Vocational Qualification training undertaken, there are also dedicated in house training courses which address Adult Protection. Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 13 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): These standards were assessed at the unannounced inspection of 20/07/05. EVIDENCE: Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 14 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): 34 Service users are protected by robust recruitment procedures. EVIDENCE: 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 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 DS0000010004.V249862.R01.S.doc Version 5.0 Page 15 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 is managed by an experienced manager who is registered with the Commission. She is currently working towards achieving her NVQ level 4 in Management and Care. Two service users have been involved in the selfadvocacy group which is organised by Fylde and Wyre Advocacy Services. The staff do not attend this group but service users feedback any suggestions that are made. The self-advocacy group also helps service users to build selfesteem and confidence. 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 Ormerod Home Trust DS0000010004.V249862.R01.S.doc Version 5.0 Page 16 development are the result 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 DS0000010004.V249862.R01.S.doc Version 5.0 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 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x 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 x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ormerod Home Trust Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 4 x x 3 x DS0000010004.V249862.R01.S.doc Version 5.0 Page 18 NO 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 YA20 Regulation 13(2) Requirement Medication must be stored securely. Timescale for action 19/11/05 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 Refer to Standard YA37 Good Practice Recommendations 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 DS0000010004.V249862.R01.S.doc Version 5.0 Page 19 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 DS0000010004.V249862.R01.S.doc Version 5.0 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!