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Inspection on 29/09/05 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 29th 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 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

Ormonde is an attractive, clean and peaceful residence, where resident`s spiritual and cultural needs are met. The homes activities are tailor made to meet the needs, preferences and expectations of the residents. The home has an impressive set of policies and procedures, which provide for every eventuality, which may arise. Procedures and policies, which are present at Ormonde, seek to provide an equal service to all residents, staff and visitors at Ormonde, including race discrimination, HIV and Aids and sexuality. Policies and procedures at Ormonde are updated on a yearly basis, which allows for any changes in legislation or social trends. Ormonde provides a good Quality Assurance system, where residents, visitors, families and other professional`s views of the service provided are sought, monitored and acted upon. Residents and one visitor spoken to all say that they are happy with the service provided at Ormonde. Staff are provided with a good training programme, which provides members of staff with the knowledge they need to perform effectively in their work roles.Residents files viewed are factual and provide evidence that residents and families views have been sought. During the inspection a staff member was observed working with a newly admitted resident, who has no verbal communication and member of their family to provide further information about the residents needs to be inputted into their care plan.

What has improved since the last inspection?

One resident has been admitted into Ormonde, who has no verbal communication. There has been a communication board developed, to allow the resident to express their wishes and views.

What the care home could do better:

The conservatory has a step down to enter it. This should provide a ramp to provide access to those residents who use a wheelchair or other walking aid.

CARE HOMES FOR OLDER PEOPLE Ormonde Home For The Elderly 44 Westerfield Road Ipswich Suffolk IP4 2UT Lead Inspector Julie Small Unannounced Inspection 29th September 2005 10:30 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 Ormonde Home For The Elderly DS0000024468.V254622.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 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. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 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 Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 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 provides 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. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on Thursday 29th September 2005 from 10.30 and finishing at 15.30. The inspection was undertaken by Regulatory Inspector Julie Small The homes manager Keith Peck, assisted with the inspection for the majority of the time, the deputy manager Margaret Bloomfield assisted with the remainder of the inspection and received feedback from the inspector. During the inspection the homes policies and procedures, three residents files, three staff records, training records, menu’s and complaints records were viewed. A tour of the building and observation of work practice was undertaken. One visitor, four residents and one member of staff were spoken to during the inspection. The manager stated that service users are referred to, as residents at Ormonde, this term will be used throughout the report. The home is currently undergoing building work on the second floor, with a view to provided an extra three bedrooms. What the service does well: Ormonde is an attractive, clean and peaceful residence, where resident’s spiritual and cultural needs are met. The homes activities are tailor made to meet the needs, preferences and expectations of the residents. The home has an impressive set of policies and procedures, which provide for every eventuality, which may arise. Procedures and policies, which are present at Ormonde, seek to provide an equal service to all residents, staff and visitors at Ormonde, including race discrimination, HIV and Aids and sexuality. Policies and procedures at Ormonde are updated on a yearly basis, which allows for any changes in legislation or social trends. Ormonde provides a good Quality Assurance system, where residents, visitors, families and other professional’s views of the service provided are sought, monitored and acted upon. Residents and one visitor spoken to all say that they are happy with the service provided at Ormonde. Staff are provided with a good training programme, which provides members of staff with the knowledge they need to perform effectively in their work roles. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 6 Residents files viewed are factual and provide evidence that residents and families views have been sought. During the inspection a staff member was observed working with a newly admitted resident, who has no verbal communication and member of their family to provide further information about the residents needs to be inputted into their care plan. 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. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 7 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 Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 8 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): 1, 3, 4, 5 Prospective residents can expect that they will be provided with the information they need to make an informed choice about where to live, and will be provided with an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective residents and their representatives can be assured that they will have their needs assessed and be met. EVIDENCE: The homes Statement of Purpose was viewed, the manager stated that the Statement of Purpose will be updated when an extra three bedrooms are provided, Ormonde is currently undergoing building work on the second floor to provide these three bedrooms. The Statement of Purpose includes, the homes staffing and qualifications, the facilities available in the home, including bedroom sizes, the homes aims and how the home consults with its residents. The Statement of Purpose provides prospective residents and their family with information about what they may expect when using the services of Ormonde. The manager confirmed that they visit prospective residents in their home, to assess their needs and the suitability of the home when an interest in moving to Ormonde has been raised. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 9 Three records of the most recent admitted residents to Ormonde were viewed. The records evidence that needs assessments have taken place. Assessed needs include the health of the resident, mobility, falls, continence, medication, risks, family and friends and interests. One resident record viewed provided an assessment for admission into a residential home completed by a discharging nurse at a hospital where resident was a patient. The residents records viewed evidenced that needs assessments were used in the development of care plans and risk assessments which were present in the records. The homes policies and procedures were viewed, they included procedures for racial harassment and sexuality, showing that diverse needs are identified and will be met by the home. Ormonde provides residential care for individuals of The Brethren, providing for their spiritual and cultural needs. Three staff records were viewed, these showed that staff are provided with a good training programme. The training programme provides staff members with the knowledge they need to provide a service to the residents of Ormonde, which meets their needs. One resident spoken to said that they visited Ormonde for the day prior to moving in. They said that the visit helped them decide to move to Ormonde. The resident said that the manager had visited them in their home and asked about what they needed and how they wished to be cared for. The resident said that they had made the ‘best move’ by choosing Ormonde for their home. The manager confirmed that prospective residents are provided with an opportunity to visit the home before they decide to live there. The manager provided examples of residents who had chosen to visit for coffee, for a meal or for the day. One member of staff was observed to be working with a newly admitted resident, who has no verbal communication and a family member. The staff member showed the resident and the family member the residents care plan and talked about if they felt this met the residents needs, and if they felt anything should be added. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 10 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, 10 Residents can expect that their health, social and personal care needs are set out in an individual plan of care and that their needs are fully met. Residents can be assured that they are treated with respect and their right to privacy is upheld. EVIDENCE: Three residents records were viewed, the records all included individual care plans. The care plans detailed how the staff at Ormonde should meet resident’s needs. Care plans are updated and reviewed regularly and with residents changing needs. Care plans include daily life, personal hygiene, nutrition, medication, manual handling, falls, weight, pressure chart, communication and mobility. Risk assessments are present for aspects of the care plan. The care plans provide details of the resident’s doctor, dentist, optician, chiropodist, and all appointments residents have attended. The care plans also indicate where residents have attended hearing tests. Care plans viewed indicate what name residents wish to be addressed by, for example one resident prefers to be called their middle name, this is recorded in the care plan. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 11 One member of staff was observed to be working with a resident and a family member regarding their care plan, and if they agree with the contents. The resident has no verbal communication; a communication board has been developed to allow the resident to communicate their needs and views. Several residents were observed to be doing an exercise class in the morning of the inspection. A volunteer was working with the residents who were doing gentle stretching to music. The residents were sitting on chairs and raising their legs and arms along with the music. One resident spoken to said they enjoyed the exercise classes and said they do them regularly. Ormonde provides one shared room; a husband and wife currently occupy this. The laundry was viewed during a tour of the building, this provides individual boxes for each resident, for laundered clothing to go into. Each resident keeps a laundry book, where they record what clothing they have sent to the laundry and ‘tick it off’ when each item is returned to them. The manager confirmed that residents also have labels in their clothing, which identifies the owner. Two visitors were observed visiting, one visitor was visiting a family member and one visitor was visiting a friend. One visitor was spoken to and said ‘happy guests, who are well cared for, it’s a good home’. One resident spoken to confirmed that they have many visitors from friends and family, who can visit in their room or in the communal areas. Three residents spoken to stated that their privacy and dignity is respected at Ormonde. One resident said that they receive help with bathing if they request it, and added that the home has a bath which is easy to get in and out of and they do not need help with this, and staff do not come in unless they are called by the ‘pull cord’ provided in the bathroom. Four residents spoken to say that they feel their needs are met at Ormonde, and that they are happy living there. One resident said that they have a chiropodist visit. During a tour of the building the manager was observed knocking on bedroom doors before entering. Residents bedrooms provided a lockable cupboard, to store any personal or valuable items they wish to. Staff records viewed show that staff attend TOPSS (now Skills for Care) induction and foundation training provided by the local authority, and a home induction, which advises staff on how residents should be treated during their time living at Ormonde. Staff and resident interaction observed, proved to be respectful. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 12 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 Residents can expect that their lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents can expect to maintain contact with friends, family, representatives and the local community as they wish. Residents can be assured that they are helped to exercise choice and control over their lives and they will receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The dining room was viewed during a tour of the building; this was a pleasant and clean room, which overlooked the garden. The dining room provided several tables, which offers the residents choice of enjoying their meals on large shared table or smaller tables for two people. The manager confirmed that residents take responsibility of laying the table for each meal. During the inspection it was observed that residents were served with lunch and served with tea, fruit, and biscuits throughout the day. The majority of residents were observed to meet ion the lounge for their tea and biscuits, some residents enjoyed their tea in the conservatory, and some in their rooms. One resident spoken to said they are provided with choice where their food and Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 13 drinks are served and can take them in their room if they wish. Four residents spoken to said that they enjoyed the food at Ormonde and would not change it. One resident spoken to said that meals are very good and that they enjoy them more than if they had cooked themselves. Menu’s were viewed, these showed to be wholesome and appealing. The manager confirmed that menu’s are changed regularly, along with seasons and comments from residents. Past menus were viewed, these are stored in the manager’s office, and these also were wholesome and appealing. Three residents spoken to confirmed that Ormonde meets their needs and expectations with regards to their religious observance. Two residents stated that a speaker is invited to the home every evening to deliver a bible reading. The speakers are invited from The Brethren community and also from the Methodist, Baptist and other Free Church communities. During the inspection residents were observed to undertake morning prayers in the lounge, the manager confirmed that residents take responsibility for leading the prayers, and sort this out amongst themselves. Several residents were observed taking part in an exercise session held in the lounge. A volunteer assisted the residents in gentle stretching to music. One resident stated that they enjoyed this and it is done regularly. One resident spoken to said that they enjoy the activities at Ormonde, they often have games evenings and had recently enjoyed a history exhibition, they showed a photograph of themselves and another resident at the exhibition wearing war head wear. One resident said they own a motorised scooter and can ‘go off to the park, which is beautiful and even go into town if the need takes me’. The resident was later observed to leave the home on their scooter after telling staff they were going to the park. One resident said that the park has a lovely house, which they have visited. One resident was observed to be knitting in the lounge. One visitor was observed visiting a family member and working with a member of staff and the resident on the residents care plan, and one resident was observed visiting their friend. One resident spoken to confirmed that they have visits from friends and family, which they can enjoy, in their room or in the communal areas. Volunteers from The Brethren community or members of the trust, which owns Ormonde, often undertake visits to the home. One resident spoken to said that all the furniture in their room is their own, but the manager had told them that they could use the homes furniture if they wish. The manager confirmed that residents choose if they wish to bring their own furniture to furnish their bedrooms. All bedrooms viewed during a tour of Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 14 the building held residents personal belongings, including photographs, flowers and ornaments, one residents room had several framed tapestries on the wall and one tapestry which was being worked on, the manager confirmed that they had the tapestries hung up for display in their room. All residents spoken to said that they are provided with choice at Ormonde and have regular residents meetings to discuss any issues they wish. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 15 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): 16, 18 Residents can expect that their complaints will be listened to, taken seriously and acted upon and that they are protected from abuse EVIDENCE: The homes policies and procedures were viewed, present are robust procedures for dealing with complaints, aggression from residents to staff, challenging behaviour, record of restraint, confidentiality, money and financial affairs, racial harassment, abuse and whistle blowing. Two staff members spoken to demonstrated knowledge of the protection of residents and the complaints procedure. One resident spoken to said they would go directly to the manager if they were unhappy about something and ‘am sure they would sort it out for me’. The resident also knew whom to approach if they were unhappy with the response they received. During a tour of the building, it was observed that resident’s rooms each held a safe, lockable cupboard where they can choose to store personal and valuable items if they wish. The office held posters which directed staff and residents to report any issues they may be unhappy or concerned about, one poster held information regarding ‘no secrets’, which supports the protection of vulnerable adults. The homes complaints log was viewed; no complaints had been received since the last inspection. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 16 Three newly employed members of staff records were viewed, these held evidence of criminal records bureau checks on each member of staff, and training received by staff which include abuse awareness and adult abuse and neglect training. A record of all staff and their criminal record bureau checks, identification and photographs was viewed, checked and signed by the inspector. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 17 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, 24 Residents can expect that they live in a safe, comfortable and well-maintained environment, which provides sufficient and suitable lavatories and washing facilities. EVIDENCE: Ormonde is currently undergoing building work to the second floor, to provide a further three bedrooms. Residents spoken to confirmed that the building work has provided no disruption to their daily living. One resident stated that the builders do not walk through the home, they come in through the window, and so they are rarely seen. One resident said that when the builders are drilling, the noise is irritating, but this has only happened once, and they finish work at 17.00. There was no indication, other than scaffolding outside the home that building work is being undertaken, the home is kept very clean and tidy. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 18 The manager confirmed that a programme for decoration is in place, and a step leading to the conservatory is due to be replaced with a ramp to provide improved access to residents. Ormonde and its grounds are attractive and well maintained. The large conservatory several comfortable chairs, which allow the residents to enjoy the view if they wish, the garden provides seating areas for residents to use if they wish. Prayers and readings take place in the communal lounge, which is a large attractive room providing comfortable seating. The dining room is also large and attractive, and overlooks the garden. Furnishings and lighting are domestic in character and are sufficient for their purpose. Each bedroom has en suite facilities comprising of a toilet and hand basin. The home provides toilets and bathrooms on both floors. Both showers and baths are provided to meet with resident’s preferences. The home provides walk in shower and bath and a bath with a chair lift. All bathrooms and toilets provide grab rails for resident’s safety and comfort. Ormonde provides a hoist for residents use. The bath on the first floor provides a Jacuzzi effect, one resident spoken to said that they enjoy using this ‘especially with bubbles’. When building work is complete a further assisted bathroom on the second floor will be provided. Ormonde provides a shaft lift, which operates between both floors of the home, and a stairwell, which provides access to residents and their guests. Doorways in the home are of a width which allows those who use a wheel chair to access, one resident currently living at Ormonde uses a wheelchair, they were observed to access the communal lounge and dining room with ease. One resident who uses a hearing aid, confirmed that the home provides a loop system in the lounge area. During a tour of the building, it was viewed that all bathrooms, communal areas and bedrooms provide call systems for residents, which are accessible. One resident spoken to showed the inspector another call system, which can be worn around the resident’s neck. The resident confirmed that they feel safe, and when called staff attend promptly, and ‘it is never too much trouble for them’. All residents bedrooms viewed were clean and comfortable, holding adequate furnishings. The manager confirmed that residents could bring in their own furnishings if they wish, as long as they comply with fire regulation. If residents do not wish to provide their own furnishings, these are provided by the home. One resident spoken to said that all their furniture is their own, but when they were admitted the manager told them that furnishings would be provided by the home if they wish. One resident spoken to said that they had chosen their own décor of their bedroom, prior to moving in to the home and Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 19 said this made them feel valued and more comfortable. All residents bedrooms have a lockable safe cupboard, which is attached to the wall, all rooms held personal effects belonging to residents, such as photographs, memorabilia, paintings, tapestries and ornaments. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 20 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): 28, 29, 30 Residents can expect that they are in safe hands at all times, are supported by the home’s recruitment policy and practices and that the staff are trained and competent to do their jobs. EVIDENCE: Ormonde currently has eleven permanent and five relief staff. Four staff have achieved their NVQ (National Vocational Qualification) level 2 awards and one staff has almost achieved their NVQ level 2 awards, one staff have achieved their NVQ level 3 in care award. One staff has an equivalent qualification as an enrolled nurse. The manager confirmed that one member of staff is due to commence their award and several more staff are on a waiting list. The qualification level at Ormonde has almost reached its target of 50 of staff to achieve at least NVQ level 2 by 2005. Training records viewed show that staff attend their TOPSS (now Skills for Care) induction and foundation training, which is provided by the local authority. The manager confirmed that when staff have completed their workbooks, this would provide 75 of required knowledge evidence for the NVQ level 2. Staff are made aware at the time of recruitment that they will be expected to complete their induction and foundation training and NVQ awards. The home also provides staff with an in-house induction, which provides staff with knowledge of the day-to-day running of the home and the expectations of the staff group. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 21 Three staff records and training records viewed show that staff at Ormonde are provided with a good training programme which provides knowledge for staff to perform their work role and meet residents needs effectively. Examples of training courses provided to members of staff are basic first aid, fire precautions, client handling, dispelling the myths of the funeral profession, adult abuse and neglect, administering medication and moving and handling. One staff member spoken to said that they feel they receive adequate training and would be supported if they wished to attend a particular course. Three newly appointed staff records were viewed, these held two written references, certificates of prior learning, signed terms and conditions of employment, signed policy on accepting gifts from residents, induction plan, application form and a job description. Further records were viewed which held staff members photographs, photographic and address identification and enhanced criminal record bureau checks, these were all signed and dated by the inspector. Volunteer records were viewed, these held criminal records bureau checks, photographs and photographic and address identification. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 22 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, 33, 36, 37 Residents can expect that the registered manager is qualified, competent and experienced to run the home and the home is run in the best interests of residents. Residents can expect that the homes record keeping procedures safeguards their interests and that staff are appropriately supervised. EVIDENCE: The manager at Ormonde has achieved NVQ level 4 in care and in management, including the D32/33 NVQ Assessors award and has relevant experience of management and care. The manager is responsible for the day to day running of Ormonde. The manager confirmed that the manager and staff receive regular updates and training in order to maintain knowledge in their role. The manager was preparing to attend a training session on the afternoon of the inspection regarding cancer care and confirmed recent attendance on treatment of Parkinson’s disease. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 23 Three staff records viewed show that staff are provided with relevant supervision. Two staff members confirmed that they receive regular supervisions on an eight weekly basis and feel well supported; the manager confirmed this. Ormonde provides a good quality assurance system, where residents, friends, family and other professionals views are sought regarding the service provided by Ormonde, via regular questionnaires. The responses are audited and acted upon where necessary, outcomes are provided to residents and others who may be affected by the services provided by the home. The quality assurance records were viewed. One resident spoken to confirmed that they complete questionnaires and feel that they can make a change if they are unhappy by completing them. One staff member stated that residents have regular residents meetings where they may discuss the service they receive. Records viewed were relevant, well kept and maintained. Records were viewed to be stored in a safe place in the office, to prevent those who do not have a need to, do not have access to the records. Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 24 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 3 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 3 X Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 25 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. 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. Refer to Standard Good Practice Recommendations Ormonde Home For The Elderly DS0000024468.V254622.R01.S.doc Version 5.0 Page 26 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. 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