CQC report explained · a residential care home
What the CQC found at Ormesby House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding systems, suitable risk assessments, enough staff and safe medicines arrangements. The home was clean and infection risks were minimised.
- Effective?
- Good
- People had detailed assessments and care plans. Staff had suitable training and supervision, and people were supported with food, health care, exercise and decision-making.
- Caring?
- Good
- People and relatives described staff as kind and caring. Inspectors saw respectful support that promoted dignity, choice and independence.
- Responsive?
- Good
- Care plans were up to date and staff understood people's communication needs. People took part in varied activities, maintained relationships and had access to complaints information in different formats.
- Well-led?
- Good
- People and staff had confidence in the management. The home used audits, meetings, feedback and partnerships with outside organisations to monitor and improve care.
What inspectors found, October 2019
Ormesby House was rated Good; inspectors found safe, kind and person-centred care, with its rating lower than the previous Outstanding rating.
The inspection was unannounced and took place on 4 September 2019. One inspector and an Expert by Experience spoke with people, relatives and staff. They also checked care records, medicine records, staff files and management records.
The home supported 10 people with learning disabilities and/or autistic spectrum needs. Inspectors found suitable safeguarding, risk assessment, staffing, medicines and infection control arrangements. People received their medicines on time and the building was clean.
People were supported to make choices, stay independent and take part in activities. Inspectors found kind and respectful care, good access to health professionals, and care plans that reflected people's needs.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was lower than the previous Outstanding rating, published in October 2016. The report did not identify any breached regulations.
Choice and independence
People were supported to make everyday choices and develop skills. The care focused on control, independence and inclusion.
“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.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw respectful interactions and support for privacy, dignity and personal preferences.
“We observed positive interactions between staff and people who used the service.” from the report
Activities and community life
People took part in activities such as swimming, horse riding, college, arts and crafts and day trips. They also had opportunities for holidays and community activities.
“People were involved in numerous other activities such as horse riding, trampolining, attending college, arts and crafts and day trips.” from the report
Lower rating than last time
minorThe previous inspection rated the service Outstanding. This inspection rated it Good overall, with Responsive and Well-led also falling from Outstanding to Good.
“The last rating for this service was Outstanding (published 17 October 2016).” from the report
Larger than current guidance
minorThe home supported 10 people in one building, which inspectors said was larger than current best practice guidance. They also said the design and setting reduced the negative impact.
“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.” from the report
- 01How does the home help each person build independence and learn new skills?
- 02How are medicines reviewed, and how could my relative be involved in taking or managing them?
- 03How will you communicate with my relative if they cannot read or write, and which formats will you use?
- 04What activities and community opportunities would be available for my relative?
- 05What changes have been made since the previous Outstanding rating, and why are the current ratings Good?
This was a planned, unannounced inspection that looked at all five CQC questions and both the premises and the personal care provided; the previous inspection was published on 17 October 2016. This explanation was written from the published report of 25 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2016
Rated Outstanding overall; inspectors found highly personalised care and strong leadership, with all other areas rated Good.
This was an unannounced inspection on 23 August 2016. One inspector visited the home, spoke with people, relatives, staff and professionals, observed care and checked care, medicines, staffing and management records.
The home supported nine adults with learning disabilities or autistic spectrum needs. Inspectors found people were safe, treated kindly and supported by staff who understood their needs. Medicines, staffing, risk management, training and healthcare arrangements were found to be suitable.
Responsive care and leadership were rated Outstanding. The home helped people build independence, take part in activities, keep important relationships and communicate their wishes. The overall rating was Outstanding, while Safe, Effective and Caring were rated Good.
Personalised support
Care was shaped around each person's abilities, interests, communication needs and goals. Staff supported people to regain or develop activities and skills that mattered to them.
“People received a highly responsive service that met their individual needs, preferences and aspirations.” from the report
People's involvement
People were involved in care reviews, decisions, meetings and quality checks. The home used pictures, tablets, Skype and communication books to help people take part.
“People were routinely involved in the review of their care packages, making decisions about the service provided and supported to express their views.” from the report
Kind relationships
Inspectors saw staff giving people time, attention and encouragement. Staff knew people's personalities, abilities and support needs well.
“We observed people smiling and choosing to spend time with staff who always gave people time and attention.” from the report
Strong leadership
The manager and provider used audits, feedback, training and outside advice to maintain standards and make improvements. Staff described management as supportive and approachable.
“There was an extremely positive culture within the home which promoted honesty, openness and an application of human rights, diversity and equality during care delivery.” from the report
Safe medicines and risk support
Medicines were stored, recorded and administered safely. Risks were managed in a way that allowed people to make choices and take part in activities.
“Systems were in place for continually reviewing incidents and accidents in order that actions were taken to reduce, where possible reoccurrence.” from the report
Key worker records varied
minorThe quality of monthly key worker reports was not consistent. The manager recognised this and arranged extra support and training, including a practice key worker meeting.
“The quality of the contents varied. The registered manager acknowledged this and made arrangements for further support and training” from the report
- 01How do you now check that monthly key worker reports are complete and consistently useful?
- 02How would you support my relative to communicate choices if they do not use speech?
- 03What activities and independence goals could you support my relative to pursue?
- 04How are staff trained and checked as competent to give medicines?
- 05How would you involve my relative and our family in reviewing their care?
This was an unannounced inspection covering all five CQC questions and the overall quality of the home; the previous inspection on 20 November 2013 found no concerns. This explanation was written from the published report of 15 October 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Ormesby House
2 rated inspections over 3 years: the service has slipped, from Outstanding to Good.
- October 2019Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- December 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
77 live-in carers within about an hour of Surrey
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.