Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 15/12/05 for Ormonde Home For The Elderly

Also see our care home review for Ormonde Home For The Elderly for more information

This inspection was carried out on 15th December 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 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 home continues to provide a very high standard of care to service users. The home offers a warm and comfortable environment, with a well-trained staff team who provide care in a sensitive and friendly manner. The care is delivered on an individual basis, with service users encouraged and supported to maintain their independence, arrange their own affairs, and follow their own routines. The home is very popular with service users and visitors, and the kindness of staff, and quality and choice of food, were particularly singled out for praise.

What has improved since the last inspection?

The home is nearing completion of the refurbishment of the second floor that will extend the accommodation offered. In the meantime, the staffing levels have been increased to maintain the standard of service due to increasing dependency levels among service users. The home has recently achieved the Investors In People award.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Ormonde Home For The Elderly 44 Westerfield Road Ipswich Suffolk IP4 2UT Lead Inspector Mike Usher Unannounced Inspection 15th December 2005 12:30 X10015.doc Version 1.40 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 DS0000024468.V276420.R01.S.doc Version 5.1 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 Older People. 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. DS0000024468.V276420.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ormonde Home For The Elderly Address 44 Westerfield Road Ipswich Suffolk IP4 2UT 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) 01473 215073 01473 253969 Ormonde Home for the Elderly Mr Keith Peck Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places DS0000024468.V276420.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: Ormonde Home for the elderly was first registered in 1978. The home is owned and administered by The Brethren, a religious charitable non-profit making trust. The building is a large converted Victorian detached house, which overlooks Christchurch Park in Ipswich and the home is reasonably close to the town centre. There are nine single bedrooms and one shared bedroom, with all rooms having en suite facilities. Service users have the use of a lounge, dinning room and a conservatory. The bedrooms are located on the ground and first floors; the home is equipped with a shaft lift. There is limited parking to the front of the property, with on road parking nearby. The large garden to the back of the property is attractive and enjoyed by the service users at the home. DS0000024468.V276420.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second statutory inspection completed in the current inspection year. It focused on staffing issues, the environment, care planning, catering, and service users’ views. The home continues to achieve and maintain a very high degree of compliance with the National Minimum Standards, and the staff and management are to be congratulated on the quality of service provided. 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. DS0000024468.V276420.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000024468.V276420.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 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 will be examined in more detail at future inspections. EVIDENCE: Standards 1, 3, 4, and 5 were looked at in detail at the previous inspection, and were found to be fully met. DS0000024468.V276420.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 The health and personal care needs of service users are well met. EVIDENCE: Care plans are informative and well laid out. Essential information is easily accessed and straightforward, and well balanced. Risk assessments are in place and these cover all the essential areas that would be expected. Action Plans arise logically from the risk assessments, and there are signed agreements with service users regarding subjects such as medication, care plan reviews, and the plans themselves. Care plans are properly individual documents and contain detailed routines and life histories. Where care needs require any unusual tasks or actions (an example being the crushing of medication and mixing with food), these are detailed in the plan and there is a clear agreement signed by the service user. The arrangements for the storage and administration of medication were examined and found to be in good order, other than a small number of missed entries. Where one shift had failed to record administration of medication this had subsequently been noted by management on the records. DS0000024468.V276420.R01.S.doc Version 5.1 Page 9 Service users spoken with during the inspection were very satisfied with the standard of service provided. They found staff to be friendly and respectful, taking care to be sensitive to issues of privacy and individual choice. DS0000024468.V276420.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Service users are well supported in retaining control and choice in their daily lives. EVIDENCE: Service users spoken with during the inspection felt that the home was well set up to meet their needs, and they were able to order their day-to-day lives to suit themselves. Staff were observed to act in a sensitive manner towards service users, being supportive and helpful, but enabling service users to make decisions and control their routines. Visitors are made welcome at all times, and at the time of the inspection a friend was visiting service users, who is a regular visitor to the home. She agreed that the home is well run to suit the needs of the service users and thought the service provided to be “excellent”. The catering was particularly singled out for praise by service users. They described the food as “very good”, with good-sized portions, and plenty of choice and variety. There is always a choice of meals at Dinner and Tea, with both of these meals having a cooked course on offer. Individual preferences are noted and recorded for all meals. Meals are all ‘home-cooked’ using mainly fresh ingredients. DS0000024468.V276420.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 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 will be examined in more detail at future inspections. EVIDENCE: Standards 16 and 18 were examined during the previous inspection and found to be fully met. DS0000024468.V276420.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The home provides a warm and comfortable environment for service users. EVIDENCE: On the day of the inspection the home was clean, tidy and in good order. The building work being carried out on the second floor is well contained – being sealed off from the rest of the home, with building materials entering and leaving the building via a first floor opening. Although some noise intrusion is inevitable, this is well managed and kept to a minimum. There have been no other significant changes to the environment. Service users spoken with during the inspection confirmed that the accommodation is being maintained to a good standard and meets their needs very well. A more detailed inspection of the catering facilities was carried out. The kitchen is large and well equipped, and was clean and tidy. Good stocks of food were in place. DS0000024468.V276420.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 30 The home is well staffed with a competent and sensitive staff team. EVIDENCE: At the time of this unannounced inspection there were two carers on duty, which is the usual number of staff on during the waking day. The continuing rise of service user’s dependency levels has been recognised by the management, and a third carer is on duty in the mornings to assist. An examination of staffing rotas (displayed on the office wall) confirmed that adequate staffing levels are being maintained. The home employs ancillary staff to support carers, and on the day of the inspection a Hairdresser was visiting, using the rear bathroom to provide service users with a hairdressing service. DS0000024468.V276420.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 37, 38 The home is well managed and run in the best interests of service users. EVIDENCE: Mr Peck continues as the manager of the home, though he was not on duty at the time of this unannounced inspection. A Senior Carer, Mrs Thurlow, was in charge on the day, and was able to assist with the inspection. The home has recently received the Investors In People award, which is a significant achievement for a small, independent home such as Ormonde. The home continues to be visited regularly by Trustees who check that the service is being maintained to the required standard. Reports of these visits are sent to the Commission, as required by regulation, and these confirm that essential aspects of the home’s operation are examined, and that the views of service users are a central part of the process. Any problems identified are noted for action by the management. DS0000024468.V276420.R01.S.doc Version 5.1 Page 15 DS0000024468.V276420.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X 3 3 DS0000024468.V276420.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13(2), 17 Requirement Administration of medication must be accurately recorded at all times. Timescale for action 15/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000024468.V276420.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 DS0000024468.V276420.R01.S.doc Version 5.1 Page 19 - 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!