Inspection on 30/04/07 for Ostley House

This inspection was carried out on 30th April 2007.

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 15/12/05

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 30th April 2007 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.V331629.R01.S.doc Version 5.2 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.V331629.R01.S.doc Version 5.2 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 01229 826064 info@barrowblindsociety.org.uk 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.V331629.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 38 service users to include: up to 36 service users in the category of SI(E) (Sensory impairment over 65years of age) up to 36 service users in the category of OP (Old age, not falling within any other category) up to 2 service users in the category of SI (Sensory impairment under 65 years of age) up to 2 service users in the category of LD (Learning disabilities) Date of last inspection 15th December 2005 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. An informative brochure including a service user guide is provided to all new residents, information is also available in the home including the last inspection report. The current fees are £363 per week with additional charges for personal items such as toiletries. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection visit I spent time in different areas of the home talking to residents and visitors. I also joined a group of residents for lunch in the main dining room. I met with the acting manager and senior staff on duty and also talked privately to three care staff. I briefly met with the Responsible Individual for the organisation. As part of the inspection I sent out surveys to residents, relatives and advocates. I received eight surveys from residents and 7 from relatives and advocates. What the service does well: What has improved since the last inspection? The medication procedures that guide staff in the safe handling of medication have been looked at and strengthened to ensure the safety of residents at all times. COSHH substances, which are dangerous chemicals such as cleaning fluids, were securely stored to maintain a safe living environment. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 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.V331629.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to make an informed choice about moving into the home. They are given relevant information and their needs are assessed to make sure the home is suitable. EVIDENCE: There are good systems in place to ensure that the needs of prospective new residents are assessed and recorded before admission to the home. An application/assessment form is used to collect relevant information such as personal details, personal and healthcare needs, hobbies and interests, religion and a brief pen picture. Feedback from one resident confirmed that the process is informative and helped them to make an informed choice. “We came on a visit and were given a copy of the last inspection report together with useful information about how the home is run.” Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 9 The assessments in place identify individual needs this was confirmed by a relative who said “I feel my mother’s needs in every way are cared for regarding her different health care needs”. Once a decision has been made a contract of terms and conditions is agreed and signed, which I examined when looking at personal files. As well as the copy kept on file a copy is also given to the resident or their representative. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some of the recording systems relating to healthcare and medication need to be strengthened, to ensure people receive appropriate personalised support from staff and other agencies when needs arise. EVIDENCE: The home has developed informative care plans that provide staff with information about people’s personal and healthcare needs with basic risk assessments also completed. However it is recommended information in key areas of the care plan, such as a pen picture, could be strengthened and more detailed, to give staff a better insight and understanding of people’s individual needs and preferences. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 11 A weight chart is completed every two weeks and any fluctuations in weight recorded and responded to. The addition of nutritional assessments will ensure health and wellbeing is maintained. Visits to health professionals for routine or one off appointments are recorded to ensure all staff are aware of changing needs. The District nursing team visit the home on a daily basis and work closely with the staff team. There was evidence on file of residents being appropriately referred to a range of healthcare services when needs are identified. The recording of pressure care needs can also be strengthened with introduction of more detailed pressure care assessments. The medication held in the home is securely stored and on the whole the recording systems ensure the safe administration. However there needs to be a review of the system for recording the medication stocks held by the home, to ensure all medication is accounted for when arriving or being returned to the pharmacy. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are leading an independent lifestyle that reflects their social and cultural needs and preferences. Their choices are respected and supported by staff. EVIDENCE: The home has a daily routine where different group activities are offered each afternoon in either one of the communal lounge areas or the dining room. A good range of activities is provided including both sedentary tabletop activities and more energetic activities such as exercising to music. In addition to the group activities provided, people are encouraged to participate in their own interests and hobbies both in the home and in the local community. Some people were seen to be enjoying the company of other residents in one of the lounges, whilst others preferred the privacy of their own room. Staff respected these choices providing unobtrusive support to make sure people were safe and comfortable. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 13 There were frequent visitors to the home during the day who were made welcome in the home. When asked what they thought the home does well one relative said, “they cover every aspect of their needs and welfare and provide social activities and stimulation”. Another said, “ The staff give individual attention and consider people’s wellbeing such as arranging trips and activities”. The home is planning to build an extension, which will include a purpose built day care centre that will be available to the residents of the home. This will enhance the choice of activities available to residents and also provide an opportunity to socialise with people from outside the home. Individual religious needs are catered for with local churches from different faiths visiting the home to hold services, or people attending the church of their choice in the community. I joined three residents for lunch, which was served in the dining room. People were given the choice of two hot meals or a salad. The meals were all freshly prepared, well presented and nutritious. The residents I spoke to were very complimentary about the meals, this was also confirmed by feedback in the resident’s survey. I examined the menus, which were varied and reviewed with residents on a regular basis to reflect individual tastes and seasonal changes. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to ensure residents are safeguarded and their rights protected by the home’s policies and practice. EVIDENCE: There have been no recorded complaints since the last inspection. Residents spoken to said they knew how to complain and felt “confident any concerns will be dealt with promptly”. Feedback from relative’s surveys also confirmed a high level of awareness about the home’s policies and how a complaint or concern would be dealt with. One relative said, “Any issues I raise are always addressed promptly”, another said, “We have a copy of the complaints policy”. The home’s policies are issued to people in the informative brochure when they move into the home as well as being displayed in the home. The home only holds small amounts of personal finances on behalf of residents and there are good systems in place to ensure their safety. Training profiles recorded training for staff in identifying and responding to mistreatment and abuse, there was also refresher training taking place. I met with three staff who all had a good awareness of their role and responsibilities and the reporting procedures in place. One resident in their survey response summed up the fact that people feel safe in the home, “I always feel safe and secure in the home with all the staff”. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Ostley House is decorated, furnished and maintained to a high standard providing a safe and comfortable environment that is suitable to meet the needs of the current residents. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 16 EVIDENCE: The home is decorated and furnished to a high standard, both in service users rooms and in the communal areas. The layout of the home is suitable for the needs of residents, it is safe and accessible and promotes people’s independence. The gardens and grounds are also well kept with pleasant seating areas enabling service users to enjoy them when the weather allows. The residents and staff are proud of their home, with several residents commenting to me about “how clean it always is”. There were no hazards identified during my tour of the building everything was well maintained all the passageways were clear and equipment was stored appropriately. 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 has plans for a new activities room to be built at the front and additional bedrooms being added to the rear this will be a good addition to the facilities of the home once complete. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a well-trained and knowledgeable staff team who are aware of their roles and responsibilities and provide a personalised service to people living in the home. EVIDENCE: Throughout this visit there was a calm and relaxed atmosphere, call bells were answered promptly and people were given unhurried support. Staff obviously had developed good relationships with residents and were aware of their individual needs and preferences treating them with dignity and respect at all times. Roles are allocated to the care staff on a daily basis so that staff are clear about their responsibilities for the day. The staff I spoke to said “the home is well organised” and “we work well together as a team and get on with the residents”. Residents and relatives talked about a “very caring staff team” as one relative put it “they are a very pleasant staff team who provide the best possible care”. Staff receive regular supervision from one of the senior team in the required timescale. This provides staff with appropriate support and guidance and provides them with an opportunity to raise and record any issues or concerns. I examined some of the supervision notes these reflected training and development and good practice issues and were signed by both parties. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 18 I also examined staff training records and talked to staff about training and development opportunities. On the whole there is a good level of training taking place covering both core subjects and some specialist areas. Staff said that “training requests were responded to”, and that they got “good training and support”. Based on my discussions with staff and from examining staff records one area that could be strengthened is Dementia awareness training. It is recommended the home provide training for staff in relation to Dementia awareness. The home’s recruitment policies and procedures ensure people are safeguarded and suitable for their role. All Criminal Record Bureau checks are up to date and staff personnel files included appropriate information as required by National Minimum Standards. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are temporary management arrangements in place with the new staff adjusting to their new role. The home continues to be run in the best interests of residents. EVIDENCE: The Registered Manager is currently absent from the home. The organisation has made interim management arrangements, which involves one of the deputy managers covering the Registered Manager role. Two senior care staff have also been promoted to Deputy management roles to provide support, with additional care staff being brought in to cover them. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 20 There was evidence during this visit that they are managing the home effectively despite feeling they are “in at the deep end”, with key areas such as care plans, staff supervision and other records relating to the running of the home on the whole being kept up to date. The deputy manager and senior staff were “enjoying the challenge” of their new roles and were receiving support from the organisation. An annual survey had been completed earlier in the year with the results being compiled into an easy read report including ‘bar charts’ that reflected the results. These confirmed a very high level of satisfaction with all aspects of the service. As part of this inspection I also sent out surveys to residents and relatives. In total 15 surveys were returned and again reflected a high level of satisfaction. The following quotes support this view, “All of the staff are extremely caring and friendly”. “My relative is very well looked after and cared for by all the staff”. “We are treated with kindness and respect”. Staff receive regular supervision from one of the senior team in the required timescale. This provides staff with appropriate support and guidance and provides them with an opportunity to raise and record any issues or concerns. On the whole the records and procedures in place ensure the health, safety and welfare of residents and staff, however more detailed manual handling risk assessments including a person’s risk from falls need to be completed for all the residents in the home, not just those at a high risk. This is subject to a good practice recommendation. Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 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 Standard No Score 16 3 17 3 18 3 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 X 3 3 X 2 Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 22 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 more detailed nutritional assessments and pressure care assessments are included in care plans to maintain people’s health and welfare. It is recommended a more detailed pen picture/social history is included in all care plans to give staff a better understanding about the person and what is important to them. It is recommended the stock control system for medication be reviewed to ensure all medication coming into or leaving the home is recorded. It is recommended more detailed manual handling risk assessments, including a person’s risk from falls, should be completed for all the residents in the home, not just those at a high risk, to ensure their safety. 2 OP7 3. 4. OP9 OP38 Ostley House DS0000022621.V331629.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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