Inspection on 03/10/06 for 11 Heathervale Close

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

11 Heathervale Close 21/01/09

11 Heathervale Close 21/12/05

11 Heathervale Close 06/12/04

11 Heathervale Close 04/05/04

11 Heathervale Close 05/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Heathervale Close (11) Hasland Chesterfield Derbyshire S41 0HY Lead Inspector Marie Bonynge Key Unannounced Inspection 3rd October 2006 13:30 Heathervale Close (11) DS0000020011.V305021.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 Heathervale Close (11) DS0000020011.V305021.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. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 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 Vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2005 Brief Description of the Service: The home is registered for 5 residents 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. Residents 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 residents and their participation in activities. Information regarding the fees for this home were not provided. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place over one day in October 2006 and lasted for approximately 4 hours. Four residents were accommodated and all of the residents were present during some part of this visit. Two completed resident comment cards were received. Inspection methods used included discussions with three residents, 6 members of staff and the service manager. Records examined included care plans, staff rotas, daily records and some maintenance certificates. A tour of the building took place. What the service does well: 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.V305021.R01.S.doc Version 5.2 Page 6 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.V305021.R01.S.doc Version 5.2 Page 7 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): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and their representatives can be confident that full assessment information is obtained in order to provide a basis for care planning. EVIDENCE: No new residents have been admitted into the home for a number of years. However, assessments were in place for those residents currently accommodated. Comments from two residents and their representatives in completed surveys confirmed that they were asked if they wanted to move to the home and said that they had enough information about the home prior to moving in. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 8 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): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported in making decisions about how their care is to be carried out and are enabled to make choices according to their care plan. EVIDENCE: Comprehensive care plans were in place that identified the individual needs and preferences of residents and identified the necessary action to be taken by staff to meet those needs. Staff were aware of the content of the care plans and used them as everyday working documents. Residents commented that they were supported in making decisions about what they did each day. Discussions with staff demonstrated that they knew the residents well. Comprehensive risk assessments enabled residents to pursue independent life styles within a risk management framework. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 9 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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Appropriate support is given that enables residents to enjoy activities and recreation that suits their individual preferences and lifestyles. Meals are informal and enjoyable. EVIDENCE: Residents attended various day centres and age appropriate activities. These included a local youthclub that one resident was attending on the evening of this visit. Transport was provided by way of a minibus and residents have gone on day trips to a safari park, to local places of interest and shopping. There have been two holidays this year to London and Blackpool. One resident said that they had really enjoyed staying in a hotel and had had a good time. Relatives and friends were encouraged to visit the home and residents were supported to visit friends and family in the community. Christmas, birthdays and other special events were celebrated. Three residents said how much they enjoyed the meals and that they could choose what they liked. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 10 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): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Sensitive and flexible personal support is provided in accordance with the care plan and healthcare needs are identified and met. EVIDENCE: Personal support was provided in accordance with the care plan. Care staff were familiar with the needs of residents and had developed supportive relationships with residents. Regular healthcare checkups and appointments were planned and staff accompanied residents when attending these. Clear records demonstrated that where a change in need was identified appropriate follow up action was taken and the outcome recorded. Residents were reliant upon staff to assist with the administration of medication. Staff had completed a certified training programme regarding the safe handling and administration of medicines. This served to assist in safeguarding residents. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 11 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): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff training, policies and procedures were in place that assisted in the promotion and protection of residents’ rights. EVIDENCE: No complaints have been received by the home or by the CSCI regarding this home since the last inspection. A complaints procedure was in place that was in pictorial form and was appropriate for the residents accommodated. Two residents confirmed in completed surveys that they knew who to approach if they wanted to make a complaint. Policies and procedures in the home regarding safeguarding adults assisted in the protection of residents. Staff have attended training regarding abuse awareness and the procedures to follow if they were concerned about the welfare of a resident. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 12 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, 26, 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A homely, comfortable and personalised environment was provided that suited the needs and lifestyle of those residents accommodated. EVIDENCE: The home was clean, generally well decorated and well maintained. Residents had chosen the colour and lay out of their bedrooms. One resident was clearly proud of the colours and furnishings they had chosen when showing the Inspector their bedroom. The rooms were highly personalised with photographs and belongings of individuals. Equipment had been provided to meet with the complex physical needs of some of the residents such as a specialist bed and wheelchair. Plans were in place to refurbish the kitchen and to provide an additional shower facility. The house is situated on an estate and access to local amenities is good including shops and a park nearby. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 13 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): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff were appropriately trained in order to meet the needs of the residents. EVIDENCE: Staffing rotas and discussions with staff demonstrated that the home was well staffed in accordance with the assessed needs of residents. Additional staffing has been provided in order to provide transport so that residents can participate in the local community. A comprehensive training programme has been provided that staff have attended including the areas of food hygiene, moving and handling, NVQ qualifications and communication. Access to training was said to be one of the best things about the home. Pre inspection information indicated that pre employment checks were made before staff were employed, although very few new staff have started. The staff group was said to work well together and to provide a supportive environment for the benefit of residents. Observations supported this view and demonstrated that residents and staff interacted well with each other. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 14 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Systems were generally in place that contributed to the home fulfilling its stated purpose and objectives and meeting the needs of the residents. EVIDENCE: The acting manager had recently left and the position of Registered Manager was vacant. Management support was being provided by the Service Manager and senior care staff in the home. An advert had been placed for this position and the CSCI had been advised of the interim arrangements. A requirement has been carried forward and the timescale extended in respect of this. Quality assurance systems were in place that took account of residents’ views in the form of resident surveys and reviews of care. The service manager of the company visited the home monthly in order to monitor the quality of the service provided. Staff advised that they enjoyed working in the home and felt that their views were listened to and they were supported in their work. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 15 Systems were in place to support the health, safety and welfare of residents and staff. Certificates of maintenance were sampled and although these were generally satisfactory there was no certificate for the maintenace of electrical systems. A requirement has been made in respect of this. Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 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 3 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 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 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 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 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 YA33 Regulation 8 Requirement A manager must be appointed for the home and that person must apply to register with the CSCI. Previous timescale 01/04/06. A copy of the electrical hardwiring certificate must be sent to the CSCI upon completion of the work. Timescale for action 01/02/07 2. YA42 23 2 c 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 18 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 © 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 Heathervale Close (11) DS0000020011.V305021.R01.S.doc Version 5.2 Page 19 - 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. 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