Inspection on 13/12/05 for Hamelin

This inspection was carried out on 13th 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 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

Hamelin 03/01/07

Hamelin 15/06/05

Hamelin 15/12/04

Hamelin 27/07/04

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

CARE HOME ADULTS 18-65 Hamelin Farewell Road Totnes Devon TQ9 5LT Lead Inspector Graham Thomas Unannounced Inspection 13th December 2005 10:00 Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hamelin Address Farewell Road Totnes Devon TQ9 5LT 01803 868971 01803 867565 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) Katherine H L Finnigan The Very Rev Archpriest Benedict Ramsden, Mr Simeon Ramsden, Mrs Lilah Ramsden Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Hamelin provides care and support for up to five people with mental health needs. The home is located in a residential area close to the town of Totnes where all public amenities are to be found. This is one of a number of homes in the South Hams and Plymouth areas owned by the Community of St. Anthony and Elias which for ease of reference will be referred to as “the Community” throughout this report. Service users are provided with a well developed outdoor activities programme as well as arts and crafts programmes staffed by skilled specialists. Support is provided to access ordinary community facilities and engage in personal development through work and education. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The principal focus of this inspection was to monitor progress in respect of previous requirements and recommendations. All five service users were seen during the course of the inspection. Discussion took place with some of the service users, staff and the acting manager. Records were examined including care plans, a sample of medication records and other documents. 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. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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): 3 and 6 Prospective service users can feel confident that the home will meet their assessed needs EVIDENCE: Service users’ individual needs and preferences were clearly identified in the care plans. In discussion, staff and the acting manager demonstrated an understanding of these individual needs and preferences. Activities taking place during the inspection showed that programmes were being followed to suit each service user. Staff were observed communicating very effectively with service users who were treated with the utmost respect. The style, content and pace of interaction further demonstrated an understanding of service users as individuals. Care plans and other documents confirmed the involvement and support of external mental health professionals where required. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 and 9 Service users’ individual needs and aspirations are clearly identified. The safety and wellbeing of service users are protected by adequate systems of risk assessment EVIDENCE: Since the last inspection, the acting manager has reorganised the care plans and instigated reviews for individual service users. In accordance with a requirement made at the last inspection, risk assessments have been produced / updated for individual service users. These were seen in individual care plan files. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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): 11, 12, 13 and 14 Service users are very well supported to pursue a lifestyle which accords with their individual needs and preferences. EVIDENCE: Shortly after the inspection started, two service users went surfing. This is a regular activity in which they have a particular interest. Another service user was later to go to a voluntary work placement which he talked about with evident enthusiasm. He described how this had provided social opportunities and a potential future occupation. Staff stated that he was about to undertake an award-bearing course in horticulture. This was in addition to another academic college course which the service user was pleased to be able to attend. One service user was adjusting to changes in medication after a period of inpatient care. Staff were aware of the implications of this change and enabled this service user to engage in the life of the home at and appropriate pace. A later shopping trip was planned for this and one other service user. One staff member began baking during the inspection which provided a focus of attention and the possibility of some degree of participation for the two service users present. Christmas cards made to a professional standard by service users were seen during the inspection. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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): 20 EVIDENCE: Since the last inspection, recommendations to improve the safety of the home’s system of administering medicines have been put into practice. Patient information leaflets have been acquired for all medicines in use and filed separately for each individual. A list of approved homely remedies has been obtained and checked against individual medication regimes. Medicines which are not supplied in a monitored dosage system are recorded using countdown system to identify easily the number remaining tablets. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 Service users can feel assured that their individual views, concerns and ideas will be listened to and acted upon by the staff of the home. EVIDENCE: In discussion, service users felt that the support they received was in keeping with their needs and aspirations. They felt that they were respected and that staff listened to their concerns and ideas. This was reflected in the care plans, and the activities organised for the day of inspection. The interactions observed between staff and service users were supportive, respectful and enabling. Formal systems for complaints are in place. The acting manager stated that the Community’s quality assurance system was implementing measures to afford relatives and others to provide feedback to the service. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 Service users benefit from a generally comfortable, safe and homely environment. EVIDENCE: Hamelin lies within a short distance from Totnes where all local amenities are available. Externally, work on refreshing the exterior decoration has been partly completed. The home is comfortably furnished in a domestic style and was clean and free from offensive odours on the day of inspection. All areas were well lit and ventilated. The acting manager stated that the kitchen was due for imminent refurbishment and new units were waiting in the garage to be fitted. The fire-safe closure mechanism on the lounge door was in need of repair. This had been identified and the repair requested. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 and 34 Service users are well supported by trained and competent staff. The recruitment procedures of the Community offer adequate protection to service users from potential abuse. EVIDENCE: The formal qualifications of the staff team were not fully inspected on this occasion. However, comprehensive induction training for staff is in place and one member of staff stated that she is currently undertaking an NVQ level 3 award in care. Another member of staff described short update courses he had attended. The acting manager is soon to complete an NVQ level 4 in care and Registered Managers Award. She has applied to the Commission for Registration as manager. The interactions observed during the inspection and evident understanding of individual need demonstrated the competence of the present staff team. A sound recruitment procedure is in place. This involves visiting the home, application, interview and criminal records checks. All staff receive statements of terms and conditions. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 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 Service users benefit from a home which is well run in their individual and collective interests. EVIDENCE: Since the retirement of the previous Registered Manager, an acting manager has been appointed. She is soon to complete an NVQ level 4 in care and Registered Managers Award and has applied to the Commission for Registration as Manager. The evidence cited above suggests that service users are valued and treated with respect. Their views are listened to and their individual needs and aspirations are clearly identified and catered for. The acting manager has implemented the Commission’s requirements and recommendations in a timely manner. The atmosphere in the home was relaxed but purposeful. Staff appeared to be well supported and to be clear about their roles and responsibilities. This demonstrates that service users are benefiting from a well run home. Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hamelin Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000003714.V249788.R01.S.doc Version 5.0 Page 16 No 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. 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 Refer to Standard YA24 Good Practice Recommendations Work on the exterior decoration should be completed Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Hamelin DS0000003714.V249788.R01.S.doc Version 5.0 Page 18 - 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!