Inspection on 04/07/05 for Healey House

This inspection was carried out on 4th July 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

Healey House 16/04/07

Healey House 16/01/06

Healey House 05/11/04

Healey House 23/09/04

Healey House 09/02/04

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 Healey House 1 Oakenshaw Avenue Healey Whitworth, Lancashire OL12 8ST Lead Inspector Christine Mulcahy Unannounced 04 July 2005 10:00 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 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 Stationary 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. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Healey House Address 1 Oakenshaw Avenue Whitworth Healey Lancashire OL12 8ST 01706 759692 01706 759692 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Anna Geraldine Ellis Mr Anthony Patrick Copple Care Home Only Personal Care (PC) 6 Category(ies) of Learning disability (LD) 6 registration, with number of places Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23 September 2004 Brief Description of the Service: Healey House is registered with the Commission for Social Care Inspection to provide care and accommodation to eight younger adults seven of whom have a learning disability and one service user who has a mental illness. Healey House is situated close to the boundary that divides Rossendale and Rochdale. The home is sited on a main bus route and service users can use public transport with staff support if they choose to. Transport provided by Healey House is also available for service users to access facilities in both areas. The home is an end terraced Victorian building that provides spacious accommodation and garden areas. Accommodation is homely and is provided on three levels. Access to the first and second floor is via a staircase. Many bedrooms are on the first floor which provides large single bedrooms. There is a bedroom on the ground floor and two lounges and a dining room. The attic provides space for a recreational area with a football table. The ground floor consists of two lounges a dining area and a kitchen. Confidential information and medication are both stored securely in separate rooms. The home is decorated, equipped and furnished to a good standard. Furnishings are domestic in character. There are enclosed garden areas surrounding the property. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The summary below is an overview of the findings of an unannounced inspection conducted at Healey House on Monday 4th July 2005. The service was inspected against the National Minimum Standards for Adults (18 – 65). Healey House is registered to provide care and accommodation to 7 younger adults with learning disabilities and 1 younger adult who has a mental illness. At the time of the inspection 8 service users were accommodated at the home and the inspector spoke to 5 service users. Throughout the report there are various references to “case tracking” this is a method where the inspector focuses on a small representative group of service users. All records pertaining to these people are examined along with the rooms they occupy. Observations of the care provided are made and the service users are invited to have a discussion with the inspector to discuss their experiences at life at the home. This process is not to the exclusion of other service users who are all involved in the inspection process in various ways. Case tracking was also used as an inspection tool with regard to staff working in the home. This inspection involved discussion with the registered manager, observations of the care staff as they carried out their duties. Notes, discussions with staff and observations, taken from a previous introductory visit made to Healey House on Friday 17th June 2005 are also included in this report. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? What they could do better: A number of policies and procedures at Healey House have recently been reviewed and updated. However there are still a majority of these that need to be reviewed and updated to ensure that service users are protected and reflect safe working practices for staff to follow. Risk assessments were required to be carried out on two areas of the home that could need some building work. Details of this and the intended repair completion date should be included on the homes maintenance programme. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 7 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. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 2 Service users admissions had been based on a full assessment. The home had developed with each service user an individual plan of care based on the assessment. EVIDENCE: Examination of two service user case files confirmed that service users had been referred through care management arrangements. Assessments and management of risk, physical and mental health care, specific condition related needs, specialist input and methods of communication were all sections that made up a comprehensive plan of care. Discussion with service users confirmed they had been actively involved in their admission to the home. One service user said, “ I came to look around here with my social worker before I moved in.” Some assessments had been guided by the Care Programme Approach (CPA) to support those service users who also had a mental illness. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 6, 9 All service users had an individual care plan. Some risk management strategies were agreed and recorded in service users plans. Service users plans of care were reviewed regularly. EVIDENCE: Case tracking confirmed that service user care plans were comprehensive and gave clear instructions on how the care should be delivered. Each care plan included a service user personal profile and addressed areas of care such as routines, likes and dislikes, allergies, health needs, personal hygiene, general health and a section called “how I like things done.” This section described how the service user preferred certain things to be done like being woken up, personal care, help or not with bathing and money, and how he liked to keep his bedroom. Care plans were presented in a style and format appropriate to the needs of service users. Plain English, bold print, photographs and pictures were used where necessary. Care plan outcomes were measured against the care management assessment, case reviews and risk assessments to ensure that as Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 11 far as possible service users reached their potential. Care plans were reviewed regularly with relatives and relevant professionals, and signed and dated by staff. A key worker system was in place at the home. The role of the key worker was to ensure that all service users knew who their key worker was. Service users had a key member of staff to monitor their changing needs, plan daily activities with the service user and liaise with the service users family or representative. The key worker role also gave the individual staff the responsibility of assuming a “buddy role” that focussed on the daily welfare of the service user. Areas such as, ensuring that needs identified on the service user care plan was being met, being aware of the service users need for clothing, shoes and toiletries, and attending health care appointments wherever possible. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 14 This standard was not assessed on this occasion EVIDENCE: Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 13 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 standard(s) YA 19, 20 Service users health needs were maintained. The registered person ensured access to appropriate health care services. The control of medication was well managed promoting good health. EVIDENCE: Service users were registered with a G.P and received regular dental, optician and other health care support were carried out regularly. Case tracking confirmed that input from outside professionals was a necessary part of the care planning process. Detailed records of changes in service user behaviour were kept up to date and staff were encouraged to contribute to these records. From care plans examined it was evident that staff observations and contact with other professionals was relevant. This information was recorded to ensure service users interactions and lifestyle was reflected accurately. Medicines were stored in a locked cabinet in a locked room. The medicines policies, procedures and records ensured service user and staff safety. Medication administration record sheets were used and were seen to be accurate and up to date. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 14 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 standard(s) None of these standards were assessed at this inspection EVIDENCE: Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 15 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 standard(s) YA 24, 30 Facilities in the home met the criteria for its stated purpose. Most areas in the home were safe and well maintained. The home was clean, pleasant, and hygienic. EVIDENCE: The location of the home was suitable for it’s stated purpose. The home is a large end terraced Victorian building with gardens to the front and side. There are car-parking facilities to the front of the building. The home is situated close to local amenities and near a main bus route. Furniture and fittings to the home were domestic in character and of a good standard. A radiator guard had been fitted on a corridor radiator to prevent service users from risk of harm. Some bedrooms had been redecorated and re carpeted. The downstairs bathroom had been fully refurbished to a high standard and provided service users with new bath and shower facilities. The inspector viewed the new laundry room and sluice area that had been refurbished along with the bathroom. It was apparent that the registered Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 16 provider had ensured improvements to the home that met with the details in the Statement of Purpose. A tour of the home showed a good standard of cleanliness and hygiene. The inspector examined 2 bedrooms during the inspection. Both were personalised and close to the toilet and bathroom facilities. The kitchen and dining room area were examined and seen to be clean and hygienic. Building risk assessments were required on two areas of the home to maintain the safety of the building and ensure service users were safe from the risk of harm. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 35 Staff were trained well enough to ensure the needs of service users were met. EVIDENCE: Discussions with staff and case tracking of staff files highlighted that staff had received appropriate training to ensure service user needs were met. Details and training certificates on one staff file examined confirmed that staff had received induction training on the principals of care and caring for people with learning disabilities. Health and safety in social care training, moving and handling, food hygiene, first aid, and risk assessment training were also included in the staff training file to ensure safe working practices and meet the needs of the service user group. One member of staff said, “We have a good staff team and there are lots of training opportunities.” Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 37, 40, 42 The management and staff provide a safe and homely environment for the service users to live in. Some policies and procedures needed reviewing to ensure that service users were protected from risk of harm. EVIDENCE: Service users and staff health and safety was promoted through robust safety procedures and risk assessments. These were examined and seen to be well documented, recorded and available to staff to ensure safe working practices. Systems were in place to ensure that challenging situations involving service users and staff were risk assessed to ensure both were safe from harm. The registered manager showed the inspector copies of recently reviewed policies and procedures and discussed plans for all of these to be periodically updated and reviewed. There was a planned maintenance programme available for inspection and included details of maintenance work around the home. A requirement was made for building risk assessments to be carried out on two areas of the home. Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 19 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 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x 3 x x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Healey House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 2 x 3 x F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 20 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. 1. Standard YA 24 Regulation Requirement Timescale for action Monday 29th August Regulation The registered manager must 23 2(b) ensure that service users are protected from risk of harm by carrying out risk assessments on the following areas of the home. 1) Outside steps leading from the lower car park to the front of the home. 2) Cracks in the wall of the internal brickwork near to the front door. Please include details of how these areas will be repaired, maintained or made safe on the homes planned maintenance programme and forward a copy of the programme to the Commission by the date shown. Regulation The registered manager shall 17 ensure that all records including the homes policies and procedures are reviewed and up dated regularly to ensure safe working practices at the home. 2. YA 40 Monday 29th August 2005 Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 21 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 NONE Good Practice Recommendations Healey House F57 F07 S9602 Healey House V231809 040705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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. 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