Care Home: Ormidale House

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What the care home does well This home provides a homely, clean and safe environment for the people who live there. There are good arrangements for making sure that the home is well maintained and decorated on a regular basis. Assessments are carried out to make sure that the home only admits people whose needs the staff can meet. There are very detailed plans to show the staff how each person needs and wants to be supported and staff keep useful records to show how each person is making progress. The staff make sure that people`s health needs are met and keep good records to show that staff help people to attend appointments outside the home. People are encouraged to take part in making decisions about their lives and the running of the home. They are told how to make complaints and when they make comments about wanting or needing change, staff help this to happen. The manager takes an active part in the life of the home and knows each person well. There is a stable staff team made up of people who are well qualified and who receive ongoing training so that they can provide a good level of support to the people in the home. What has improved since the last inspection? The manager has met all the requirements and acted on the recommendations made in the last report. Many areas of the home have been decorated since the last inspection. The home has had a new roof and new windows. The care plans are more detailed and better organised. The staffing arrangements have improved so that there are more staff who are better qualified. What the care home could do better: The home has made some progress on providing signs and other information in picture form as well as in writing. The manager plans to develop this so that the all information for people living in the home is available with pictorial support. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ormidale House 41 Woodgreen Road Wednesbury West Midlands WS10 9QS     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Ormidale House 41 Woodgreen Road Wednesbury West Midlands WS10 9QS 01215560567 01215560567 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Chuhan Limited care home 11 Number of places (if applicable): Under 65 Over 65 2 0 learning disability physical disability Additional conditions: 5 4 The outstanding requirements from previous inspections are addressed within stated timescales as detailed in the action plan provided by Mrs Freeman, signed by her and dated 10th October 2005. Date of last inspection Brief description of the care home Ormidale House is a large detached house on the main road from Wednesbury to Walsall. It is on a dual carriageway, a few hundred yards from junction 9 of the M6 and there are a number of local shops and pubs located close by. There are parking facilities for a limited number of cars at the front of building. Bedrooms are located on the ground and 1st floor. It has two shared bedrooms. There is a bathroom on the ground floor and a shower room on the 1st floor. There is no lift available but a stair lift has been fitted. A smoke room is provided for service users separate to other facilities. Lounge and dining facilities are sited within one main area and the dining area has views of the rear of the property. To the side of the property there is an outbuilding, which is currently used as storage space. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We carried out this inspection in order to check that the home had met the requirements of the last report. We also measured the performance of the home against the key National Minimum Standards. Before the inspection we sent questionnaires to the people who live there and to the manager so that he could provide us with information about how the home has been running during the past year. We arrived at this home on a weekday morning without telling anyone that we would be visiting that day.We toured the building and met some of the people who live there. We looked at information provided to us by the manager before the inspection and we examined a sample of records about the people in the home, the staff, health and safety and quality monitoring. We looked at the records of the administration of medication. We went back to the home another day and spoke to some of the staff and Care Homes for Adults (18-65 years) Page 6 of 29 people who live there. We used our findings to write this report. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Adults (18-65 years) Page 8 of 29 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may choose to live in this home are provided with good information and have their needs fully assessed before they are offered a place. Evidence: The Statement of Purpose and service user guide to the home provide useful information about the home for people considering moving in and their relatives. The manager told us that he is improving these at the moment and adding pictures to make them easier to understand for some people. No one has recently moved into the home. We looked at a sample of files, and found that they contained the necessary assessments before each person was admitted, including assessments by health and other professionals and the managers assessment of the needs of the person considering moving into the home. The manager uses the information from the assessments to decide whether or not the home would be able to meet the persons needs. This includes considering how the person may fit into the group of people who already live there. Once a person is Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: offered a place, plans are made so that they can be introduced to the home gradually. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: We looked at sampled files and looked at the care plans which the manager has developed using the information gained through the assessments. These are detailed and provide staff with clear information about how to support individuals. The plans contain evidence that people have been consulted about the type of support which they prefer. The plans are well organised and are broken down into sections which show the specific support needed at, for example, different times of the day, or when undertaking various personal care tasks. They are written on the computer so they are clear to read. Each page has the basic details of the person at the top so that the reader can be sure that they are reading the right plan. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Staff provide people with choices about their lives and decisions are recorded in files. We saw agreements where people had indicated who they wanted to be involved in their care planning. When people have no relatives or close friends whom they want to involve, they are helped to find and advocate who will help them to voice their opinions. At the bottom of each sheet in the care plans there are pictorial indications about whether or not the person concerned has understood the contents. We saw risk assessments on files and these show how people are supported to take reasonable risks so that their ability to have new experiences is not restricted unnecessarily. There are records of the measures taken in various circumstances, such as when there are trips outside the home, to minimise the risks to each person. Staff demonstrate a commitment to enabling people to participate in a range of activities of their choice. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in appropriate activities and to maintain links in the local community. They have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: We sampled the files and found that people are supported to take part in a variety of activities. The majority of people in the home have the opportunity to attend day centres. Younger people take part in access to work courses. All people at the home have the choice of whether or not to go out each day. Some people are above retirement age and prefer to stay at home most days. They were watching DVDs and playing darts on the day of the inspection. We saw pictures on the walls of people enjoying celebrations such as birthdays and Christmas. There was a birthday party on the day of the inspection and people were loooking forward to karaoke. The manager Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: told us that in the evenings, some people, particularly those who are older, prefer to spend time watching television or generally relaxing rather than going out. There are occasional trips to the pub but people often ask to come back to the home after one drink. There are annual holidays to resorts which the people choose. People are encouraged to maintain friendships and relationships with family members and other people in the community and in the home. The files contain details of people who are important to each person and staff explained how people are supported to have visitors. Staff make sure that each person follows a routine of their own choice. They provide support when this is needed but they also respect peoples privacy. As people returned to the home from day centre on the day of the inspection, staff reminded them about the party and some decided not to join in straight away. Staff made sure that people were where they felt comfortable. The four weekly menus show a variety of food. There are pictures of food so that people can see the choices available. They are reviewed every three to four months and people are consulted about any changes which they would like to make. Peoples specific needs in terms of their health, culture and preferences are recorded. We saw nutritional assessments and weight charts. Staff try to encourage and support people to reach a healthy weight, but they respect peoples right to choose what they eat. Staff prepare the food and they told us that they help people to develop skills in this area by involving them in preparing some food. People also set tables and help to clear up. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are protected by the homes practices in dealing with medicines. Evidence: We sampled peoples records and found that they contain good details of peoples personal and health needs and how these need to be met. There are suitable assessments on file in relation to peoples likelihood of developing pressure sores, their manual handling needs and their nutritional needs. Staff displayed a good understanding of various peoples needs and the specific support which they need. There are records of involvement with various health professionals. Staff accompany people to appointments so that thay can provide support with communication if necessary, to ensure that information is conveyed accurately. We saw information on files which indicates that people are supported when medical issues are followed up at hospitals or with specialists. We also found good examples of staff providing emotional support to people on an ongoing basis and at times of crisis, for example at times when relatives may be ill or after a bereavement. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: There are suitable arrangements for the storage of medication and the system is audited in a regular basis by the pharmacist. Staff are trained to administer medication and the records which we sampled were appropriately completed. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has systems to make sure that the views of the people who live there are listened to and acted upon and for providing them with protection. Evidence: There is complaints procedure and details of how to complain are included in the Statement of Purpose and service user guide. We saw staff asking people how they were. People indicated in their questionnaires that they would know how to complain and they told us in conversation that they would tell the manager if they were unhappy. There is a record of complaints received by the home, but there are no entries. The manager told us that there have been no recent complaints. There are procedures for protecting people from abuse and whistleblowing and the records show that staff have been trained in this area. Staff confirmed that they had received training and said that they would report anything suspicious to the manager or the owner. Only a few of the people living in the home manage some aspects of their money, such as paying for their trips and meals out. The home keeps money on behalf of service users and there are good systems to make sure that all money is properly accounted for. Some of the people living at the home are under the appointeeship of the local authority and as such their money is regularly checked to make sure everything is in Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: order. Other people have their money managed by their families. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at this home live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. Evidence: We toured the building and found that all areas appreared to be clean with no unpleasant odours. The bedrooms were all different with personal items which reflect the interests and priorities of the people who use them. The manager told us that most areas have recently been decorated and pointed out many new items of furniture. There are specialised items where required, such as specific beds to meet peoples needs. The manager told us that the bedroom which is not being used at present will be decorated to the taste of the person who plans to move in. There is a sheltered garden with furniture. The manager told us that people make use of this in the Summer and sometimes eat meals out there. Since the last inspection, the home has had new windows and a new roof. There are good arrangements to make sure that the possible spread of infection is controlled. These include the arrangements for staff to take the laundry round the side Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: of the house to the machines, rather than walk through the living room and past the kitchen door. We saw supplies of plastic gloves and aprons for staff use and all staff receive training in this area. The home has received a gold award from the local environmental health services. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: We looked at two sampled care staff files which confirmed that staff are recruited through a standard process which includes taking up references and checks through the Criminal Records Bureau and the Protection of Vulnerable Adults list. New staff receive induction training in basic areas such as first aid and infection control. They work with more experienced staff until they are considered capable of undertaking tasks on their own. The records show that 70 per cent of the staff have completed NVQ level 2 and the remainder of the staff are due to complete this in the near future. All of the night staff have completed level 3. This means that the staff team are competent to undertake their roles. Staff told us that they receive good access to courses which are helpful in their work. In addition, staff have received training in several areas relevant to their jobs such as the administration of medication and the manager told us that there are plans to provide training in death and dying, additional training in nutrition, records and record Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: keeping and the implications of the Mental Capacity Act. We discussed the changing needs of the people in the home as they age and the manager is aware that staff will need to train in areas relevant to older people. This will make sure that the home can continue to meet the specific needs of the people who live there. The rotas show that there are sufficient numbers of staff on duty at all times. Since the last inspection there is more support for care staff in the form of domestic staff and a laundry assistant. There are better arrangements for the night time as more experienced staff work on these shifts and the manager supports them by being on call. Staff are able to go out with people who live in the home and to provide a good level of support to those who remain in the home. Staff told us that they are well supported by regular supervision and staff meetings and we saw records of these. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home benefit from from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The manager is well qualified to undertake his role. He is supported by a staff team who seem to work well together. Staff told us that this is a good place to work and they enjoy their jobs. The owner visits the home regularly and plays an active part in making sure that the home has the necessary resources. There are systems for monitoring the quality of care at the home and for identifying areas in which further development is needed. This includes questionnaires for people living in the home and records of their views and opinions as part of the care planning process. There are meetings of people who live in the home so that they can express their views and the records show that they are consulted about food and activities. The manager provided examples of changes which had been made a a result of peoples Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: views being expressed, such as the venue for the next holiday. Before the inspection, the manager provided us with information about the servicing of equipment in the home and the safety checks such as those on fire detection systems. We checked a sample of these against the records of the home and found that there are good arrangements for making sure that all people who use the building are kept safe. Staff receive training in safe working practices and there is a good system for reporting accidents. Care Homes for Adults (18-65 years) Page 26 of 29 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 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, Care Homes 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 28 of 29 Helpline: 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 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. 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