This inspection was carried out on 21st December 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Heathervale Close (11) Hasland Chesterfield Derbyshire S41 0HY Lead Inspector
Judith Beckett Unannounced Inspection 21st December 2005 1400hr Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 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 Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 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. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Heathervale Close (11) Address Hasland Chesterfield Derbyshire S41 0HY (01246) 556647 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) Derbyshire Care & Home Support Limited Mrs Kary Lunn Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Date of last inspection 16th August 2005 Brief Description of the Service: The home is registered for 5 service users with a learning disability. Accommodation is provided on the ground floor and is accessible for wheelchair users. The home has three single and one double bedroom, a large lounge area and kitchen/dining room. A small utility room provides laundry facilities. Staff accommodation consists of a single bedroom/office .The home has a garden to the rear and side of the bungalow providing space for the service users to sit out. Car parking is provided at the front of the property. Service users at the home have a range of needs including mobility difficulties. They are supported to attend day services, college and receive therapeutic treatments. In addition to a lively social life with outings and holidays provided for, the home has its own transport and additional staff are employed to support the mobility of service users and their participation in activities. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 2 hours. The temporary acting manager was not on duty. One member of staff was on duty in the home. two others arrived during the inspection. Three residents were attending day centres and two remained at the home, they had just eaten lunch and were watching television in the lounge. During the inspection a partial tour of the bungalow took place, duty rotas, accident reports and menus were inspected. Residents were spoken to and also the staff members. As all of the standards were looked at on the last Inspection only a small selection were assessed. Some requirements from the last Inspection were outstanding but were being dealt with. The decorator had been booked for early in the New Year to complete the hall and the radiator covers. Quotes had been obtained for two new bedroom carpets. Discussions had taken place with D.C.H.S. over the additional shower room. The manager who had been off sick since December 2004 and had resigned last week. The acting manager was still in post. What the service does well:
The home provides a caring environment for service users. It also benefits from a stable staff team, who work well together helping each other. Due to the small number of residents the staff know them well and there is a friendly atmosphere .The bungalow is a pleasant domestic environment to work in, it is light, airy and well maintained. The residents have the benefit of a minibus to go out in and regular trips are organised, enabling them to lead as full a social life as possible. The home continues with a full training programme for members of staff, this includes Drugs Administration training. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 6 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. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 7 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 Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 A varied and healthy diet is offered to the service users. EVIDENCE: Menus were looked at. These are on a four weekly rota. The staff know service users preferences and alternative meals to the menu are available. All are on normal diets. They are all weighed on a regular basis. The shopping is done by the staff and the service users. There were plentiful supplies of food in the home including fresh fruit and vegetables. The weekly budget had been discussed with D.C.H.S but the staff were unsure of the outcome. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The home has satisfactory policies & procedures for dealing with medicines. EVIDENCE: All medicines are dispensed by the home staff. All staff are studying for the award of Administration of medicines. The medicine cupboard is kept in the kitchen and locked at all times. No controlled drugs are kept in the home. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 27 28 29 30 The standard of the environment within the home is good providing service users with an attractive and homely place to live. EVIDENCE: Some kitchen improvements had been completed but some of the kitchen cupboard fronts are in need of replacement. The home was clean, well ventilated and well lit. The home had a bathroom equipped with handrails and shower. An extra shower would be beneficial in the small toilet area due to the increasing needs of the residents. Painting of radiator covers is required, as is some painting of the woodwork in the hall area. Quotes for two new bedroom carpets had been obtained. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 Service users are well supported by a stable staff team EVIDENCE: Service users are well supported by a stable staff team and staff had completed the acting manager .All mandatory training. Staff spoken to felt that the arrangements for training were good. Observations during the inspection indicated that staff had excellent relationships with service users and were able to communicate effectively with them. During each day two members of staff were on duty plus the acting manager. At night one member of staff is awake and a member of staff sleeps in also. The duty rotas were inspected and it was evident that the acting manager was not receiving supernumerary time, which is necessary for managerial duties. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 42 The home is well managed (by the temporary acting manager) .The appointment of a manager is necessary to provide stable leadership. EVIDENCE: The home is currently without a registered manager. The previous manager had recently left the homes employment and an acting manager has been in place for the last year. It is essential that a new manager be in place as soon as possible, to ensure continuity and maintain standards. The staff accident book and accident report forms for residents were inspected during the visit these contained all necessary information. Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 16 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 2 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X X X 3 X Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 17 Yes Are there any outstanding requirements from the last inspection? 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. 1. Standard YA37 Regulation 18 & 12 Requirement The organisation must review the amount of supernumerary hours the acting manager receives, in order that sufficient time is provided to fulfil managerial duties and obligations. Sufficient staff must be provided to facilitate this. The registered person must appoint a manager for the home and that person must apply to register with the CSCI. An additional shower room must be provided. Kitchen doors require attention Radiator covers and paintwork in the hall requires attention Timescale for action 01/04/06 2 YA33 8 01/04/06 3. 4 5. YA27 YA24 YA24 23(2j) 23(2b) 23(2d) 01/04/06 01/06/06 01/04/06 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. Refer to Standard YA17 Good Practice Recommendations To review the weekly budget for housekeeping in the home
DS0000020011.V275420.R01.S.doc Version 5.1 Page 18 Heathervale Close (11) Heathervale Close (11) DS0000020011.V275420.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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