Inspection on 28/03/08 for Helen House

This is the latest available inspection report for this service, carried out on 28th March 2008.

CSCI found this care home to be providing an Good service.

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

Helen House 24/02/06

Helen House 21/06/05

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Helen House Helen House Raby Hall Raby Hall Road Bromborough Wirral CH63 0NN Lead Inspector Mr Paul Kenyon Unannounced Inspection 28 March 2008 08:30 th Helen House DS0000060941.V354217.R01.S.doc Version 5.2 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 Helen House DS0000060941.V354217.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 Adults 18-65. 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. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Helen House Address 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) Helen House Raby Hall Raby Hall Road Bromborough Wirral CH63 0NN 0151 334 7510 john.alkins@was.demon.co.uk Wirral Autistic Society John Alkins Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th November 2006 Brief Description of the Service: Helen House was previously registered as part of the Raby Hall registration but is now registered separately and runs as an independent unit. The home provides accommodation and care for up to twenty adults who have a learning disability, specifically, autistic spectrum disorders. The home provides accommodation in single bedrooms, with three service users having individual flatlets with their own bedroom, lounge, kitchen and bathroom. The home is on two floors and all service users accommodated on the first floor are fully mobile and able to access this area via the stairs. The home provides a large lounge / dining room with an additional seating area in the foyer. All service users are given the opportunity to learn and develop new skills through the day services. Some facilities for day services are within the Raby Hall complex but some are at the Industrial Training Units at Grisedale Road. Transport is provided to the day services. The home is set in extensive, well maintained grounds. Fees vary from individual to individual depending on the level of support they require. Fees charged per week typically range from £878 to £904. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience Good quality outcomes. This was the first key inspection this inspection year (April 2007 to March 2008) and was unannounced. The inspection included a tour of the buildings as well as examination of a number of records relating to the support of individuals living at Helen House, interviews with these individuals and interviews with staff. All comments made by those who use the service and staff are included within this report. National Minimum Standards for younger adults were used to assist in measuring the quality of support provided by the agency. A document known as an Annual Quality Assurance Assessment (AQAA) was completed by the home prior to the inspection and information has also been used to assess the quality of support provided. What the service does well: Service users benefit from having their needs identified prior to them coming to live at Helen House. Service users benefit from having their needs included in a plan of care that is regularly updated taking their views in account where possible and the views of their families. Service users are able to make decisions as far as possible about their daily lives and have any risk associated with these activities taken into account. Service users are able to spend their time as they wish through structured day activities or in the wider community. Service users are able to maintain links with their families and friends. Service users have their rights respected and have their nutritional needs met. Service users are supported in a manner they prefer and have their heath needs met. The management of medication is safe. Service users and their families are able to make complaints if they wish and have the information available to do this. Service users are protected from abuse through policies and procedures as well as the recruitment process Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 6 Service users live in a comfortable and pleasant environment, which is hygienic. Service users are supported by staff who are trained to do their job. A qualified and experienced individual manages the service. The service strives to ensure that the views of all concerned about the quality of support provided is obtained. The health and safety of service users and staff is promoted. The nature of the disability of service users is such that it is not always possible to get an idea of their experiences. Two service users were able to provide views and these included: ‘I have lived here a long time-it is very good-I watch the TV, mix with everyone, go out on the bus or for walks, go into Bromborough, go to a social club every Wednesday-they have a disco. I have a bus pass but do not use it often, would like to get out more but don’t always have drivers. I go to day services and work on computers-enjoy it-I have meetings with the staff and everyone else. I handle my own money, and medication as well-I try to make an effort to help with cleaning my room and housework-keep in touch with family and friends-if I was not happy I would talk to the staff-in the past they have helped me out I feel safe here-staff are very good and help whenever they can’ ‘I came here 4 years ago-like the staff here, go to day services and work in the gardens-would like to go to Blackpool on holiday-have been before- I go out on the bus-keep in touch with my family-I like living in my flat-staff help with my money-have a computer in my flat-happy here-I like to cook-like it’ Staff comments included: ‘I am aware of care plans and personal centred planning. I am a keyworker for two clients and know what that role involves; I have received all mandatory training and have got my NVQ Level 2. ‘ Managers are supportive and have a good rapport with them-they take consideration when staff have been through stressful events-the best thing is that people are put first-cannot thing of any thing that needs improving’ ‘With training, we have had the lot, the place is brilliant and really good’ ‘We get loads of support, managers are helpful and I feel safe’ ‘The best thing is that it is homely and we do everything together, we eat together and service users help with meals there is no ‘us and them’ Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 7 ‘I cannot think of anything that needs to improve, training is received across the board, staffing is fine-it is a pleasant place to work and well run, management are approachable’. What has improved since the last inspection? 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. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs identified prior to them using the service. EVIDENCE: Only one individual has been admitted into Helen House since the last inspection although this person had been receiving support with the Wirral Autistic Society for some time. An assessment relating to the person’s needs had been provided by the service as opposed to the Local Authority given that the initial assessment would have been completed prior to care home regulations. Evidence is available, however, that Local Authorities are involved in annual reviews along with service user and families. There is evidence of an annual review for this person in August 07. The assessment was completed by a previous keyworker and involved reference mainly to the social functioning of the individual and independent living skills. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs summarised in a plan of care, which is reviewed regularly and enables staff to meet the needs of individuals. Service users benefit from having the risks they face in daily living identified and reviewed and are involved as much as possible in making decisions about their lives. EVIDENCE: Four care plans were viewed. All care plans include a person centred approach so that service users will benefit from having their individual needs identified. Seemingly there was little evidence that service users can agree their plans. This is because of the communication needs of individuals. The annual review, however, includes the involvement of their representatives (i.e. family). Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 11 Care plans are subject to regular review and all these have been held within the past six months. Care plans include reference to a person centred plan and outline those needs that are significant to that person. In respect of decision-making, forms have been devised with the involvement of service users. These have been completed and evidenced in care plans and signed by service user or their representative. The decision making consent form covers areas such as medication, finances, independent or support required in the community and possession of keys to living areas. An advocacy group have been involved with one service user in the past and this person was supported to use this although advocacy services in the area are limited. Discussion with two service users confirmed that they have access to monies although in the case of one, more support with monies is needed although an overall view was formed that when money is needed it is available for activities etc. Service users confirmed that they have meetings with staff on a regular basis as a group. A discussion with the manager also confirmed this. One service user believed they were sometimes useful while the other service user did not give a view. Risk assessments were seen for four service users. Risks cover a number of areas in activities and in daily living. For example reference was made in one care plan relating to a service user about a wish to self medicate. This has been included. All risk assessments sampled have been reviewed during the past twelve months. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from being able to pursue education during the day as well as accessing the wider community. Service users are able to maintain links with their family and friends and have their rights respected. The nutritional needs of service users are met. EVIDENCE: Interviews with two service users were held. Both attend day services in the week. Both stated that they enjoyed this and had specific activities relating to computers and gardening. One individual has a one to one with staff and is able to access the wider community on other occasions. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 13 One interview suggested that the individual goes out to local shops and facilities and that he enjoys attending a social club each Wednesday. It was stated that they would like to get out more but that this is dependent on whether there are enough drivers. The availability of more drivers is recommended in this report. The service has access to minibuses yet an issue does arise as to whether there are enough qualified drivers to enhance activities out in the community. There is evidence that residents do have bus passes. One person confirmed this but it was suggested that they did not use this as much as they wanted. The location of the service is such that it is not situated in a built up area and that transport is needed to access local facilities in the nearby district of Bromborough. Service users are supported with activities at all times and this was evidenced through discussion with staff, service users and through the examination of records. There is evidence of family involvement. One individual stated that they maintained contact with their family through the phone and visits. Another had contact with their family and provided evidence of them having written to their family. There is evidence of regular visits to the service by families and family involvement with care plan reviews and other reviews. There was evidence throughout the visit of staff asking service users if it was agreeable for staff and/or the Inspector to enter their rooms and in all cases where it was not convenient, decisions were respected. Where possible service users have their own keys yet this is included within risk assessments if risk of this is involved. Staff were observed throughout the inspection to speak with service users in a dignified and respectful manner. The nature of the disability of some service users is such that they prefer to be alone as opposed to being in company and this was respected. Others preferred to be with staff or to sit in communal areas and again were free to do so. Service users confirmed through interviews that they are involved in some household tasks although ancillary staff are available to assist with this. Service user involvement is limited to assisting with sorting laundry or assisting in tidying their rooms. No service users require any aids or adaptations. A menu is available although the staff team stated that the contents of meals are relayed verbally to service users given that this is more appropriate to the communication needs of the majority. Cooked meals are provided throughout the day as well as hot drinks. There is some limited involvement with service users assisting in the preparation of meals and this is included as part of the risk assessment for individuals where kitchen facilities can pose a threat to their health and safety. The service employs a cook and food stocks are delivered from a local supermarket. The kitchen is a clean, well-equipped and organised facility. Food stocks are sufficient. There was evidence that one individual has a food tolerance issue and that stocks of food where in place to assist with this. There was evidence that these food products have been obtained for this person and are stored separately. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 14 A large dining area is available adjacent to the kitchen and staff confirmed that staff sit with service users during meals. The care plans sampled did not indicate that service users needed assistance with eating meals. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported in a manner they want with their independence taken into account. Service users have their health needs met and medication is managed safely EVIDENCE: The level of consent of service users for their level of support was provided through interviews with two service users and general observations. The inspection coincided with the early morning where routines were being followed in respect of personal hygiene. Observations noted that there was an emphasis on prompting individuals and service users co-operated with this. This continued later in the day with service users again being prompted into certain daily activities as opposed to be directly led. No individuals require directly transferring physically given that all are fully mobile independently. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 16 Service users confirmed that they are happy with staff ‘they are very good, help me whenever they can, I only have to ask’. Interviews with one service user noted that some degrees of concentration was required by the individual in maintaining that social contact and that support was required from staff who supported this person throughout. A keyworker system is in place, three staff confirmed that they are aware of what the role entails. Four care plans sampled noted that an ongoing commentary is provided of health appointments Examples included: GP appointments, medication reviews, blood tests, dental appointments, opticians appointments, community nurses visits, chiropody visits and other hospital visits linked to the health needs of each person. There was evidence that all individuals are registered with a Doctor and access mainstream medical services. Records indicated that service users are reliant on staff to attend appointments with them as well as record progress in health needs through daily records and health appointment sheets. All medication is securely stored in a purpose built room although a new room is being created for the storage of medication, which will be larger. All service users reliant on staff to administer medication with the exception of one person who self medicates (this was confirmed by them) and this process has been risk assessed. For those who do not self medicate, this is also included in risk assessments and is reviewed when the assessment is reviewed. Training records suggested that staff have drug awareness training although the administration of medication does tend to be limited to senior staff. This was confirmed through interviews and discussions with staff. All medication is included within a monitored dosage system (blister pack). Medication administration records are appropriately signed and records of homely medications are also maintained. Care plans include a list of medications prescribed and in some instances where medication when needed (PRN) is given, again records are maintained. All medication received by the staff is signed for and a disposals book is in operation. In those instances where medication is given, Doctors have a role in reviewing such medications and evidence was provided through records to confirm this. No controlled medications are prescribed at present. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse. Service users and their relatives have the information they need to make a complaint. EVIDENCE: A complaints procedure is available. Interviews with two service users noted that they would tell the staff if they were not happy with something. One stated that he did not have any complaints yet had raised issues in the past which he considered staff listened to and acted upon. The complaints procedure includes reference to the Commission for Social Care Inspection. Only one complaint received since last key inspection from a relative in January 2007. The complaint was recorded and action taken recorded. Complaint forms enable scope to adapt practice to enable complaints to be learnt from. The complaint referred to an alleged assault by one service to another although this was not witnessed and could not be upheld. Despite this, care practice was altered to ensure that these two individuals are not left unsupervised together. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 18 Helen House management take the approach that all assaults between service users and treated as an adult protection referral and as a result, there have been a number of referrals since the last key inspection. The service has built up a relationship with the safeguarding team in the local authority and all incidents are logged. Evidence was also available that the management team will meet with the safeguarding team to discuss issues every two months or so. One allegation of assault is ongoing and subject to Police investigation. This has been referred to the appropriate Authorities. The personnel department is aware of the Protection Of Vulnerable Adults register and have used this although not relating to Helen House. Policies and procedures are in place relating to staff involvement in the financial interests of service users as well as whistle blowing. These are included within a staff handbook. Staff interviews confirmed that there is a need for physical intervention and this was reflected in the Annual Quality Assurance Audit submitted by the home prior to the inspection. Training and induction records also confirmed that staff receive training in physical intervention although this is not confined to the intervention but in techniques to prevent such incidents occurring in the first place. Staff have had training in protection of vulnerable adults and this is included as ongoing training as well as in induction. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained and hygienic environment. EVIDENCE: A tour of the building was undertaken. An on-site maintenance department does all repairs and repairs are prioritised. Accommodation is split into a number of areas with three self-contained flats available for those individuals who receive a one to one support. A tour of bedrooms noted that each room is personalised reflecting the wishes and interests of individuals. Corridor areas tend to be stark in appearance. It is recommended that these are brightened up. Some minor decorative issues should be attended to, for example, a ceiling in one bathroom and ripped upholstery on a chair. The building is designed so that access to areas that pose a risk to individuals are limited. Staff are able to access these areas by using keys and swipe cards. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 20 Generally the building is well appointed. No Close Circuit Television systems are in place. All areas of the home are accessible given that all individuals are mobile and therefore there is no need for a passenger lift. Laundry facilities are available and staff are assigned to this area. Facilities are separate from food preparation and storage items and hand wash facilities are located throughout the building. The laundry is well equipped. There is no evidence of any offensive odours in any areas. Training records suggested that staff receive infection control training. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the recruitment process and are supported by well-trained staff. EVIDENCE: A sample of four personnel records was examined. All records are maintained in the head office of the service in Bromborough and are secure. The service has a personnel department. All files met the National Minimum Standards and regulations. Training records were examined for new staff. An induction process is in place and this covers ‘mandatory training such as: introduction to autism, report writing, health and safety, food hygiene, first aid, manual handling, fire awareness, drug administration, equal opportunities, communication in autistic spectrum disorder, deaf awareness, non violent crisis intervention and adult protection. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 22 A training programme has been devised for 2008. This includes the above topics but in addition to this, refresher courses and epilepsy. The training programme and induction programme demonstrates a structured approach to supporting staff. Interviews with staff members were held in respect of training. All confirmed that they had received regular training and that training in adult protection and non-violent intervention had been provided. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support from a service that is managed by an experienced and qualified individual. The health and safety of service users is promoted. Service users benefit from a quality assurance system that should be extended to include the views of their families. EVIDENCE: The Manager has worked with Wirral Autistic Society for a number of years and has undergone the registered manager process. He has obtained a National Vocational Qualification Level 4 qualification as well the registered managers award. He has received training as updates through the training programme as well as seminars through training linked to managers. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 24 A management structure is in place with a Deputy Manager and Team Leaders. All staff commented that this team were supportive and in situations where staff had been involved in physical intervention, they had provided staff with a break afterwards from a stressful situation. Supervision of staff takes place as well as annual appraisals. These were confirmed in staff interviews. Staff meetings also take place. Senior Manager visits from the Society occur on a monthly basis. Service users confirmed that they meet with staff. It is recommended that a more formal structured quality assurance process is devised to elicit family views via a questionnaire. This is done verbally at present. Staff consented to being interviewed by the Inspector and inspector had the opportunity to visit all areas of the building and have access to service users. The Manager co-operated fully throughout. All requirements from last key inspection were addressed. In respect of health and safety, training records indicated that staff receive training in respect of manual handling, infection control, fire awareness, food hygiene and first aid. This was also confirmed through interviews with three staff members. Water temperatures are tested weekly. Some temperature control valves are in place. Portable electrical appliances were last tested in April 2007 and are due for retesting in April 2008. Electrical and gas certificates are retained by the maintenance department and were completed in 2004 and 2007 respectively. The control of substances hazardous to health are recorded on data sheets and these were viewed. Fire extinguishers have been visually checked and fire alarms and detection systems are regularly checked. Fire extinguishers have been serviced. The home has a number of window restrictors and these are tested on a weekly basis to ensure they are not broken. Security is in place and certain areas such as the kitchen and medication areas are only accessible via a swipe card or key given that these areas pose a risk to service users. These cards and keys were seen in operation during the visit. General risk assessments are in place and are reviewed. Recent ones devised related to: use of bleach, activities, security, expectant mothers and medication. Risk assessments are updated when needed and accompany service user risk assessments as outlined in Standard 9 of this report. Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 26 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 2 3 4 Refer to Standard YA13 YA24 YA24 YA39 Good Practice Recommendations The service should ensure that they have sufficient drivers on duty to enable service user activities in the community to take place Any furniture with ripped upholstery should be removed Efforts should be made to brighten areas such as corridors and bathrooms The consulting of relatives on the quality of support provided by Helen House should be more formalised through the use of questionnaires at least on an annual basis Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 01772 730 100 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. Extracts may not be used or reproduced without the express permission of CSCI Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 28 Helen House DS0000060941.V354217.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!