Inspection on 15/12/05 for Ostley House

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.

Other inspections for this house

Ostley House 30/04/07

Ostley House 23/08/05

Ostley House 05/10/04

Ostley House 14/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Ostley House 355 Abbey Road Barrow-in-Furness Cumbria LA13 9JY Lead Inspector Ray Mowat Unannounced Inspection 15th December 2005 08.00 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 Ostley House DS0000022621.V262804.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. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ostley House Address 355 Abbey Road Barrow-in-Furness Cumbria LA13 9JY 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) 01229 823566 www.barrowblindsociety.org.uk Barrow and District Society for the Blind Limited Mrs Maureen Dryden Care Home 38 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (36), Sensory of places impairment (2), Sensory Impairment over 65 years of age (36) Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 people over 18 years of age with a learning disability and a visual impairment (LD)(SI) 23rd August 2005 Date of last inspection Brief Description of the Service: Ostley House is a residential care home that is registered for thirty eight mainly older people, most of whom have a visual impairment. Two younger people with visual impairment and learning disabilities also live there. The home is owned and operated by Barrow and District Society for the Blind. It is situated in a residential area of Barrow-in-Furness about two miles from the town centre. It is a large detached Victorian style house, on three floors, with four purpose built ground floor extensions. The buildings are set well back off the road amidst pleasant landscaped gardens. These are fully accessible by ramped paths. There is a passenger lift that serves all floors. Bathrooms have been specially adapted with a range of aids and adaptations. To the rear of the home are five sheltered housing style bungalows, which have an emergency call bell system linked to the home. The residents may also visit the home for a meal. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place at 8am on 15th December 05. I spent time with many of the residents during the day joining them for breakfast, lunch and also during activities. I also spent time with residents relaxing in one of the shared lounges or in their own rooms and met with relatives visiting the home. I had a meeting with the manager and deputy manager and also met with three of the care staff on duty, as well as talking to staff as they went about their duties. What the service does well: What has improved since the last inspection? What they could do better: Ostley House provides a good consistent service, maintaining a good quality of life for the residents. It is recommended more detailed information is recorded on personal files, particularly in relation to specialist needs people have. Please contact the provider for advice of actions taken in response to this Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ostley House DS0000022621.V262804.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 Ostley House DS0000022621.V262804.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. There have been no changes to the admission and assessment process since the last inspection, when these standards were met. EVIDENCE: The home provides an informative brochure, including a statement of purpose and service users guide, to prospective residents and their representatives. Visits or short stays are encouraged to ensure people have all the relevant information they require to make an informed decision about moving into the home. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 9 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. On the whole personal and healthcare needs are well documented and responded to, however information about some specialist needs and how they should be responded to need to be strengthened. EVIDENCE: Care plans are developed for each individual, from the initial assessment completed by the manager and deputy and the social worker if appropriate. This provides staff with relevant information to support people in their preferred manner. A daily report is also completed that records significant events and ensures a continuity of care. There was evidence of care plans being reviewed on a monthly basis with significant events and any actions required being recorded. This information makes sure staff are kept up to date with people’s changing needs. Risk assessments are also held on file and kept under review. They encourage and support independence, including a risk assessment for self-medication and a record of falls and preventative measures. Medical records were examined and found to be up to date and accurate. Since the last inspection medication procedures have been reviewed in line with Royal Pharmaceutical guidelines. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 10 Personal and healthcare needs were monitored on a daily basis and through the monthly review process, so that people receive appropriate services. There was evidence that people were accessing a range of healthcare services as needs arose. A visitor I spoke to confirmed, “staff are always aware of my relatives needs”. Staff showed respect to residents when they were talking to them or supporting them with a task. They obviously had developed good relationships and talked naturally with them as they went about their duties, also sharing a joke, which residents appreciated. One resident said “they always have time for us you know”. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 11 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. The home supports people to lead an independent lifestyle. A good range of activities is provided in the home and in the community. EVIDENCE: A programme of forthcoming events is displayed on the notice board, these are discussed with residents to gauge their interest and finalise arrangements. A good range of activities was planned both in the home and in the community. This included, a coffee morning, going out for a Christmas meal, library visits, Christmas party, visits from the local school choirs and the vicar. Residents I spoke to during the day had obviously enjoyed recent activities and were looking forward to future planned events which they were aware of. Based on the information in care plans and my discussions with residents, people were accessing the community independently when they were able. There were frequent visitors to the home throughout the day, I managed to speak to two visitors who were “very happy” with the service provided by the home. Regular church services are held in the home as well as people going out to church. I was present whilst breakfast was served and joined the residents for lunch in the dining room. The meals were freshly prepared and people were offered appropriate choices, which provided a nutritious and varied diet. Individual Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 12 tastes were catered for and all the residents I asked about the food were complimentary. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 13 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. Resident’s are safeguarded and their rights protected by the home’s policies and practice. EVIDENCE: These standards were assessed and met at the last inspection. The home continues to ensure residents are protected from abuse and their concerns are listened to. There were no recorded complaints since the last inspection. Residents and family members felt the home provides a safe and secure environment. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 14 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. Ostley House continues to provide a safe and comfortable living environment, which is decorated, furnished and maintained to a high standard. EVIDENCE: Since the last inspection new flooring has been fitted to some corridors and the corridors decorated. All parts of the home are decorated, furnished and maintained to a high standard. The home has a range of bathing and shower facilities to meet the many and varied needs of residents. All the resident’s rooms have a lockable space and residents have personalised their rooms with furniture and equipment of their choosing. The home was clean and hygienic throughout with no malodours. The home has plans to provide en-suite facilities in another five rooms, once this has been completed, there are plans to extend the home on the ground floor to create an activity room, to enable the home to provide a greater range of activities for the residents. An application for variation will be forwarded to the home. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 15 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, 29, 30. The home provides an adequate number of suitably trained staff to meet the needs of residents. EVIDENCE: The home has a sound training infrastructure in place including NVQ training at different levels, equivalent to people’s roles. Staff spoken to had received appropriate training to guide and support their practice, including both core subjects and specialist areas. A good example of this was recent training relating to people with ‘low vision’, which staff had found particularly useful and informative. Based on discussions with residents and staff and through examining the staff rota there were sufficient numbers of staff on duty at all times. Staff were aware of their role and responsibilities and had been provided with relevant information when they were appointed, including a job description and contract of employment. The home has robust recruitment procedures in line with good practice, with all necessary checks and references completed. CRB disclosures were up to date for all staff and volunteers. The supervisory and management staff provide clear guidance and support, working closely with the care staff, to ensure a good quality and continuity of care. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 16 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, 34, 35, 36, 37, 38. The manager and senior staff ensure the home is managed effectively and efficiently at all times. EVIDENCE: The manager works closely with the deputy managers and senior staff to maintain the smooth running of the home. The manager has a very ‘hands on’ approach and has a good understanding of the needs of residents and staff. The manager, as described by residents and staff “is very open and you can talk to her about anything”. It was evident she has earned the respect of residents, their families and the staff team. A comprehensive consultation exercise was completed with all residents and a detailed report of the outcomes was produced. This confirmed a high level of satisfaction with the service provided by the home. The home has sound accounting and financial procedures in place that safeguard residents. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 17 The manager takes responsibility for the formal supervision of all the staff, with the two deputy managers providing support and guidance to staff in her absence. The records examined during the inspection were up to date and accurate. There were no obvious hazards noted during the inspection, with the home having good systems in place to maintain a safe environment. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 X 4 4 3 3 3 3 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 19 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. 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 OP7 Good Practice Recommendations It is recommended specialist needs such as a visual assessment are included in care plans. Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Ostley House DS0000022621.V262804.R01.S.doc Version 5.0 Page 21 - 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. 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