Care Home: Ormerod Home Trust

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What the care home does well There is a very high standard of health care support. Good record keeping, contact with other professionals and individual protocols for specific areas of health care, all help service users to remain in the best possible health. Staff work very hard to maintain this high standard. There are good systems in place to help all stakeholders to raise concerns or share their views. Any such concern is taken very seriously. The provider organisation has developed an ethos of encouraging feedback about the service and where necessary, using this feedback to make improvements. What the care home could do better: This inspection focused on the personal and health care received and on the systems used to manage any complaints and the protection provided to service users. No areas for improvement were identified. Random inspection report Care homes for adults (18-65 years) Name: Address: Ormerod Home Trust 3 Margate Road St Annes Lancashire FY8 3EG three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Plant Date: 2 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Ormerod Home Trust 3 Margate Road St Annes Lancashire FY8 3EG 01253723513 01253723514 SSharples@ormerodtrust.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Jayne Louise Morris Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ormerod Home Trust Limited care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home Margate Road is a care home providing 24-hour personal care and accommodation for three adults with learning disabilities. The home is situated in a residential area of St Annes; it is domestic in character and in keeping with the local community. It is within easy reach of community amenities and transport links. There are two ground floor bedrooms. The service is guided by the policies and procedures of Ormerod and has a dedicated staff team. The home provides long-term placements and is committed to Care Homes for Adults (18-65 years) Page 2 of 10 2 7 1 1 2 0 0 8 Brief description of the care home the person centred planning approach. The fees vary according to the assessed needs of each person at the home. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: This inspection did not look at all the National Minimum Standards for care homes for adults, but focused on the standards relating to personal and health care, complaints and protection. These are important areas of service delivery which directly relate to the outcomes experienced by those living at the home. Time was spent talking to and observing staff carrying out their duties and certain records were examined. Care Quality Commission surveys were received from two members of staff. The Annual Quality Assurance Assessment (AQAA) completed by the manager of the home, also provided some useful information. This is a self assessment focusing on how well positive outcomes are being achieved for people using the service. Information from these documents is included within this report. At the last full key inspection in April 2007 Margate Rd was awarded an excellent 3 star quality rating. A short inspection in April 2008 and a review of the service in April 2009 found that the service continued to provide excellent quality outcomes for service users. The three people currently living at the home all require a high level of support with their personal care. Each person has a care plan which identifies needs and guides staff as to how these are to be met. Records show that these are regularly reviewed and updated when necessary. The staff team has remained stable, with the two members of staff on duty during this inspection visit both having worked at the home for some years. This stability, along with the key worker system help to promote consistency in the way that support is provided. Files contain details of preferred routines and the communication profiles give good information regarding how those who dont use words to communicate show pleasure or displeasure, which helps staff to deliver extremely personalised care. Times for getting up and going to bed are flexible and vary according to each days planned activities and the preferences of the individual. Activities such as swimming, sensory drama and aromatherapy help service users to maintain good physical and emotional health. An all female staff team means that service users are supported by staff of the same gender and this helps to promote the dignity of the ladies living at the home. Each person living at the home has a moving and handling risk assessment. The training matrix for the staff team shows that all staff have undertaken moving and handling training and that this is regularly updated. This helps to ensure that staff have the necessary skills to work safely and protects both staff and service users. Specialist aids and equipment are in place where needed. One person has a specially designed chair and for another individual there is a monitoring system for when she is in her bedroom, so that staff can respond quickly should she have a seizure. This also means that staff do not have to disturb her during the night, to check that all is well. This equipment was installed after full consultation and agreement from the next of kin. At the time of this inspection visit the main bathroom was being redesigned and refurbished to provide a wet room and incorporate a raised toilet which will be more suitable for the needs of those living at the home. Individuals are supported to choose their own clothes. A member of staff explained how one person responds if she is happy and likes a particular colour or item of clothing, this Care Homes for Adults (18-65 years) Page 4 of 10 being endorsed by the information within her communication profile. One person does not really like shopping for clothes if the shops are busy and this is accommodated by ensuring that shopping trips take place during quiet periods. It was also explained that staff will guide individuals to choose appropriate clothing that will promote the dignity of the individual and be suitable for their lifestyle. The people currently living at the home all have specific health care needs. Files contain good information including health action plans and guidance regarding the support required should hospital admission be required. A member of staff explained how one service user had received 24 hour support from Ormerod staff when they had to spend time in hospital last year. This helped to reduce any fear or anxiety for the service user and staff were also able show hospital staff how the person communicated. Records show that staff keep good records of how each person is and how they have spent their time each day. This helps for any changes to be spotted and responded to. A member of staff gave examples of where staff had noticed changes in behaviour and had arranged health appointments, which had resulted in service users receiving appropriate treatment. This shows that staff know service users very well, can spot any changes and can then advocate on their behalf. Staff keep good records of any health care appointments, including appointments with the GP, chiropodist, dentist and optician, meaning that any health problem and its treatment can be easily tracked and monitored. Records relating to weight, continence and seizures are maintained according to the needs of each service user. For one person a seizure management plan is in place, helping to ensure that staff respond in the agreed way. The speech and language therapist has been involved with another person, to offer guidance regarding difficulties with swallowing, which is built into her plan of care, showing that guidance from other professionals is sought and then adhered to. The medication and associated records for one person were viewed. Medication is safely stored and is dispensed into pre packaged blister packs by the pharmacist. Patient information leaflets are kept, giving information about how each medication should be taken and any potential side effects. Staff confirmed that they had received medication training, including training regarding a specialised administration method necessary for one person at the home. The training matrix shows that all the team have received this training. The medication administration record viewed had been completed correctly. Staff work closely with each persons GP and regular medication reviews take place. One person requires medication to be administered quickly under certain circumstances and this medication is stored in a locked container in her bedroom for ease of access by staff and there is a protocol in place for taking this medication with the person when they go outside the home. The two members of staff who completed CQC surveys both confirmed that the training they have received provided appropriate knowledge about health care and medication for the people they support and that they have enough support, experience and knowledge to meet the different needs of those who live at the home. A complaints procedure is in place, with a version available, which uses pictures and symbols in order to make the process of raising a concern easier for those living at the home. This is aimed at encouraging individuals to raise any concern, including anything Care Homes for Adults (18-65 years) Page 5 of 10 they are not happy about even if this is not directly related to the service provided. The three people living at the home all have specific communication needs. Each person has a communication profile which includes details of how they express feelings and emotions. Staff have got to know each person very well and are able to interpret any changes in behaviour or signs of unhappiness. Good contact is kept with relatives, who would advocate on the persons behalf if necessary. Records are kept of all family contact and these were seen in individual files. Feedback surveys are regularly sent to relatives, who are also invited to attend person centred planning meetings, giving good opportunities to share views or concerns. Records are kept of any concern raised and the action taken. The CQC received one concern during the last year, which was also raised with the provider organisation Ormerod. Although this did not directly relate to the care of those in the home, steps have been taken to address the issue raised and records relating to this were viewed. This response shows that Ormerod take any concern very seriously and do all they can to address matters. The two members of staff who completed CQC surveys both confirmed that they would know what to do if someone raised a concern about the home. Policies and procedures are in place regarding; abuse, protection and whistle blowing. Information in the AQAA confirms that all policies have been recently reviewed to ensure that they remain up to date and provide relevant guidance for staff. The training matrix shows that an excellent training programme is provided, which addresses, safeguarding vulnerable adults, understanding challenging behaviour and managing risk. All of the staff team have achieved NVQ (National Vocational Qualification) level 2 or above and issues of vulnerability and protection are addressed within NVQ programmes. Previous inspections have shown that robust recruitment procedures are in place, which include a check against the nationally held list of people who have been deemed unsuitable to work with vulnerable people. Information in the AQAA confirms that all staff have had satisfactory pre employment checks. All those currently living at Margate Rd require support from staff to manage their money. The records for one person were viewed. These show that all income and expenditure is recorded, receipts are gained and the records and cash held are regularly checked and monitored by a senior member of staff. These checks help to ensure that money is being spent appropriately and provide protection against any misuse of funds. What the care home does well: There is a very high standard of health care support. Good record keeping, contact with other professionals and individual protocols for specific areas of health care, all help service users to remain in the best possible health. Staff work very hard to maintain this high standard. There are good systems in place to help all stakeholders to raise concerns or share their views. Any such concern is taken very seriously. The provider organisation has developed an ethos of encouraging feedback about the service and where necessary, using this feedback to make improvements. Care Homes for Adults (18-65 years) Page 6 of 10 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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. 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