Inspection on 23/08/05 for Ostley House

This inspection was carried out on 23rd August 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 15/12/05

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 23 August 2005 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 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 F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ostley House Address 355 Abbey Road Barrow in Furness Cumbria LA13 9JY 01229 823566 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Barrow and District Society for the Blind Limited Maureen Dryden Care Home 38 Category(ies) of 36 SI(E) - Sensory Impairment, over 65 registration, with number 36 OP - Old Age of places 2 SI - Sensory Impairment 2 LD - Learning Disability Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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) Date of last inspection 05 October 2004 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 bugalows, which have an emergency call bell system linked to the home. The residents may also visit the home for a meal. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ray Mowat and Jenny Donnelly, regulatory inspectors, completed this unannounced inspection on Tuesday 23rd August. During the course of the inspection, the inspectors met with many of the residents in either their own rooms or the communal areas of the home. They also had lunch with the residents in the dining room. The inspector’s met with two visiting district nurses, in addition to spending time with the manager and deputy on duty and formally interviewing three staff. Resident’s care plans and records required by regulation were also examined. What the service does well: What has improved since the last inspection? What they could do better: The medication procedures observed must be strengthened as identified in the following report. A detailed review of all medication administration procedures and record keeping systems, is needed to ensure the safety of residents at all times. COSHH substances must be securely stored at all times to maintain a safe living environment. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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 standard(s) 2, 3, 4, 5. The admission process is effective and provides prospective residents with clear information and the opportunity to make an informed choice, about moving into the home. EVIDENCE: One resident spoken to described how they had visited the home with a family member, prior to admission on a permanent basis. Another person spoken to had spent time in the home on respite care, which also enabled people to try out the home before making a decision about moving in on a permanent business. The home also provides day care, which can also give prospective residents an insight to life in the home. In addition to Social Services assessments the home complete their own needs assessments, ensuring the home is able to meet individual needs and an appropriate service can be delivered. There was evidence that the home works closely with families and other agencies to obtain pertinent information prior to admission and also on an ongoing basis. Copies of contracts and terms and conditions were held on personal files and had been agreed with and signed by residents or their representatives. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10. Care plan records support and promote independence and ensure healthcare needs are identified and responded to. Practice in relation to medication administration was not in line with good practice guidelines. EVIDENCE: The inspector examined resident’s care plan files, through case tracking three individual files. The plans reflected individual’s needs and ensured healthcare needs are identified and responded to. Two District nurses who were visiting the home were spoken to and confirmed that the home responds appropriately to basic healthcare needs and will liaise with appropriate services as needs arise. Residents confirmed that they get access to their GP or other health services as required and stated that staff are always “respectful and helpful”. Care practices observed ensured individual’s rights and privacy were respected at all times. The inspector observed staff administering the morning medication in the dining room. Breakfast was being served as the senior on duty administered the medication. Medication was emptied from the monitored dosage system into individual pots, these were then placed on the table next to the resident. Staff did not observe the medication being taken and two residents on the Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 10 table adjacent to the inspector’s table, dropped their medication, unbeknown to staff. Once staff had been alerted to the lost medication, they responded appropriately. It became apparent that senior staff are also adding medication to the monitored dosage system, which was recorded on the MAR chart but would not be recorded on the dosette box. In effect this is secondary dispensing, as medication must be administered from the prescribing pharmacists container. The medication stock control record should also reflect all medication as it is received into the home, as opposed to when it is opened. Residents consistently talked about “caring staff”. Staff were seen to respect people’s privacy and the day to day choices they made. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15. People were seen to be leading fulfilling lifestyles, exercising choice and control over all aspects of their lives, with appropriate support. EVIDENCE: Some residents spoken to felt that they needed more stimulation and activities. However there was evidence the home was providing activities in the home on a daily basis, in addition to people accessing community facilities and activities, both independently and supported by the home. There were photographs on notice boards in the lounges, of recent outings and social occasions, which had been enjoyed by residents. The home supports people who want to celebrate birthdays and special occasions, also buying a gift on their birthday. The home was actively promoting and supporting people to maintain their independence and links with family, friends and community contacts. Some residents enjoy the regular church service in the home, whilst others continue to attend the church of their choice. Throughout the inspection there were frequent visitors to the home and residents spoke to the inspector about “visitors always being made welcome” and that some also enjoyed visiting relatives and friends outside the home. The home provides a range of environments in the various lounges, which provides alternatives for residents to choose from. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 12 The inspector’s spent time in the dining room at breakfast and also joined different groups of residents for lunch. Residents make their choices the previous day, which are then served from a hot trolley. The manager was aware of promoting and maintaining independence at meal times, adaptations such as plate guards were used and people’s needs were monitored. Some residents had their meals served to them, whilst others, who were able to serve themselves, were encouraged to do so. Residents spoke about having a good selection of food, which was well presented. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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 standard(s) 16, 17, 18. Resident’s are safeguarded and their rights protected by the home’s policies and practice. EVIDENCE: There have been no recorded complaints since the last inspection. The home’s policies were displayed in the home and also issued to all residents, which was reflected in social work review notes. People spoken to were aware of how to complain and spoke of the manager being “very supportive and approachable” and “always responds quickly when issues are raised”. Training profiles recorded training for staff in identifying and responding to mistreatment and abuse, with refresher training taking place also. The home only holds small amounts of personal finances on behalf of residents, these were sampled and found to be up to date and in order. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26. Ostley House provides a comfortable and safe living environment, which is decorated, furnished and maintained to a high standard. EVIDENCE: Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 15 All aspects of the home have been thoughtfully planned, providing a safe and comfortable environment that is fully accessible to service users. The staff and residents take great pride in the home environment, this is maintained through ongoing repairs and maintenance and a robust cleaning regime carried out by dedicated domestic staff. The home is decorated and furnished to a high standard, both in service users rooms and in the communal areas. The gardens and grounds are well kept with pleasant seating areas enabling service users to enjoy them. The only hazard identified was the storage of floor cleaning fluid in an unlocked cabinet in a toilet area, this was raised with the manager and appropriate action taken. The home has a range of bathing and shower facilities to meet the many and varied needs of service users. 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 was in the process of making improvements to the laundry, which were under way. The manager also described plans for a new activities room to be built at the rear of the dining room, which will be a good addition to the facilities of the home. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. The home has good systems in place to ensure suitable staff are recruited and they receive training relevant to their role and responsibilities. EVIDENCE: In addition to the manager and deputy there is a senior carer on each shift, who will take a lead role in coordinating duties to care staff. Staff spoken to during the inspection said that “supervisory and management support was always available and concerns raised were always addressed”. The recruitment procedures for the home ensure the suitability of staff and the safety of residents with all necessary checks in place. Based on the training records examined all core training subjects were provided in a twelve month period, with the manager and deputies ensuring a thorough induction to the home and its policies and procedures. Training records documented training courses completed, this included training in key areas such as health and safety, manual handling and infection control, which enables staff to maintain a safe environment. The home provides suitable NVQ training appropriate to the role people are undertaking. District nurses spoken to confirmed that they provided training for staff in relation to key areas of their practice when resident’s needs changed. Staff files confirmed that all necessary checks were completed, although a verbal reference taken in the absence of written reference, was not fully recorded. Appropriate contracts of employment and job descriptions provided staff with relevant information regarding their role and responsibilities in the home. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36, 38. The home has a stable management team, which ensures a continuity of care and the efficient management of the home. EVIDENCE: The manager has eleven years experience in the caring field. She had three years experience as a relief manager before becoming a deputy manager in 1998 at Ostley House. She has been in post as manager since November 02. She has gained a Diploma in managing care services and the registered manager award. She works to a clear job description and understands the lines of accountability within the home and the organisation. The manager displayed a high level of competence and knowledge in managing the home. She works closely with her two deputy managers, who were both working towards their registered manager award, which is good practice. In the words of the staff the management team “have a hands-on approach” and “provide support at all times”. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 18 The home completed an annual residents survey in August and is currently compiling the results to be published for all interested parties. Routine safety checks and maintenance were being completed as required, the fire log was up to date and in order and relevant training completed for both day and night staff. Cleaning products were found in an unlocked cupboard in the gents toilet on the ground floor, which must be securely stored at all times. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 x 2 Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 20 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 9 Regulation 13(2) Requirement Timescale for action 26.8.05 2. 38 13 The home must ensure medication is administered in line with good practice guidelines and not left on tables. COSHH substances must be 23.8.05 securely stored at all times. 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. 2. Refer to Standard 9 9 Good Practice Recommendations It is recommended that all medication is administered from the prescribing pharmacists container. All medication received into the home must be recorded in the stock control book. Ostley House F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 21 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 F58 F10 s22621 ostley house v238081 230805 ui stage 4.doc Version 1.40 Page 22 - 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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