Background to this inspection
Updated
25 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector and an Expert by Experience who was a person who has personal experience of caring for someone who uses this type of care service.
Service and service type
Ormesby House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with the parents of one person who lived at the home. We spoke with four members of staff including the registered manager, and care workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
25 October 2019
About the service
Ormesby House is a residential care home providing personal care to ten people with learning disabilities and/ or Autistic spectrum needs primarily under aged 65 years of age in one adapted building. The service can support up to ten people.
The service operated in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was a large home, bigger than most domestic style properties. It was registered for the support of up to ten people. Ten people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The service had suitable safeguarding systems in place, and staff had received training about recognising abuse.
Appropriate risk assessment procedures were in place so any risks to people, staff or visitors were minimised.
Staff were recruited appropriately. Staffing levels were satisfactory, and people received timely support from staff when this was required.
The medicines system was well organised and staff received suitable training. People received their medicines on time.
The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised.
The service had suitable assessment and care planning systems to assist in ensuring people received effective and responsive care.
Staff received induction, training and supervision to assist them to carry out their work.
People received enough to eat and drink. Some people were involved in food shopping and cooking for the household.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People received support from external health professionals and were encouraged to live healthier lives.
People said they received support from staff which was caring and respectful. Care promoted people’s dignity and independence. People were involved in decisions about their care.
People had the opportunity to participate in activities and to spend time with the wider community.
People felt confident raising any concerns or complaints. Records showed these had been responded to appropriately.
The service was managed effectively. People and staff had confidence in the registered manager.
The manager was able to demonstrate the service learned from mistakes to minimise them happening again.
The service had suitable systems to monitor service delivery and bring about improvement when necessary.
The team worked well together and had the shared goal of providing a good service to people who lived at the home.
The service worked well with external professionals, and other organisations to provide good quality care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Outstanding (published 17 October 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.