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Inspection on 01/08/05 for Hebron House

Also see our care home review for Hebron House for more information

This inspection was carried out on 1st August 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Hebron House as part of the Hebron Trust is a national resource and offers support to women with drug and / or alcohol problems. The philosophy of the home is to enable women experiencing drug and alcohol difficulties to recover in a homely and therapeutic environment. The recovery programmes for each person is arranged in three phases where they take responsibility for their own lifestyle and work towards complete recovery. The home have a high success rate. One resident said that the home and staff have been `great` throughout her stay and have given her a future. She also said the staff continually help residents to recover their independence and also help with their resettlement in the community and to establish outside links for ongoing support. One member of staff said that the philosophy and management structure of the service provides good staff support which helps them to be confident and competent about their work with the residents.

What has improved since the last inspection?

Some refurbishment work has been carried out including redecoration of sitting rooms ( smoking room) and hallways and replacement carpets on the stairs and hallways. Furniture in the dining room has also been replaced. Mandatory training has been updated including first aid and fire training and health and safety training for all staff. Residents have also attended training sessions in basic food hygiene The Responsible Individual Steve Seedall and the manager Michelle Curtis have attended specialist training on achieving best outcomes for residents and demonstrate this within the service.

What the care home could do better:

CARE HOME ADULTS 18-65 Hebron House 12 Stanley Avenue Norwich Norfolk NR7 0BE Lead Inspector Susan Golphin Unannounced 1 August 2005 st 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. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hebron House Address 12 Stanley Avenue, Norwich, Norfolk. NR7 0BE. 01603 439905 01603 700799 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) Hebron Trust None Care Home 10 Category(ies) of Past or present alcohol dependence (10), Past or registration, with number present drug dependence (10) of places Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to ten (10) female residents may be accomodated who have past or present drug dependence, or past or present alcohol dependence.. Date of last inspection 15th February 2005 Brief Description of the Service: Hebron House offers accommodation to ten women with a drug and/or alcohol dependency. The home is situated on the outskirts of Norwich within easy reach of local amenities and public services. The large family type house comprises of six single and two double rooms and communal sitting rooms and dining room. In addition there is an art/craft room. The main garden to the rear of the premises is well maintained. There is some off street parking space on either side of the premises. The home is supported by local GP practices, community services and other specialist health professionals. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out over 2.5 hours with the manager of the home Michelle Curtis. One support worker and one volunteer support worker and one resident were spoken to during the visit which also included a short tour of the ground floor areas of the home to review the improvements to decoration and carpeting. Feedback to the manager was given at the end of the visit. What the service does well: What has improved since the last inspection? Some refurbishment work has been carried out including redecoration of sitting rooms ( smoking room) and hallways and replacement carpets on the stairs and hallways. Furniture in the dining room has also been replaced. Mandatory training has been updated including first aid and fire training and health and safety training for all staff. Residents have also attended training sessions in basic food hygiene The Responsible Individual Steve Seedall and the manager Michelle Curtis have attended specialist training on achieving best outcomes for residents and demonstrate this within the service. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 6 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. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 standard(s) 3 Residents have a clear contract setting out their own needs and aspiration and agreed support to achieve their recovery from drug /alcohol dependency. EVIDENCE: The contract records were not seen on this occasion, however one resident and one member of staff confirmed that residents are very clear about the service prior to accepting a place. They also are clear about the limitations and restrictions in place which are set as part of the recovery programme. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 standard(s) 8,9, Residents are provided with a therapeutic and structured programme of recovery, which helps to regain their independence and resettlement in the community. EVIDENCE: One resident said that the service had provided her with a future and that the management and staff listen to the residents and have the skills and expertise to tailor the care and support to each persons needs and expectations. One of the staff also confirmed that the service looks at each individual residents needs based on their own risk assessment and in line with the agreed recovery programme. Positive examples of individual support and community activity were provided during the visit. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 standard(s) 11, There are good systems in place for resident consultation and their involvement in the service and their own care. There is range of evidence that indicates that the residents views are sought and acted on. EVIDENCE: It was evident from the discussions on the day that whilst residents live and work within the agreed terms of the recovery programme, they remain central to their own care and actions taking responsibility for their own lives and promoting their own recovery from drug or alcohol dependency. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 standard(s) 18 Residents are supported and assisted with their own lives in such a way which promotes their recovery and emotional well being and ensures that their health care needs are met. EVIDENCE: Staff and residents confirmed that the service gives a high priority to the personal health and well being of each resident. Key staff are allocated to help residents achieve their personal goals and complete their rehabilitation. Residents have the opportunity to improve their physical health with help and guidance on nutrition, medical treatments and exercise such as swimming or aerobics. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 standard(s) Not inspected on this occasion EVIDENCE: Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 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 standard(s) 24 This home presents as a homely and comfortable environment for residents. The standard of décor in this home continues to be improved and refurbished. EVIDENCE: Since the last inspection considerable improvements have been made to the premises in that the hall and reception have been redecorated and stair carpets have been replaced to a good standard. The sitting room used by smokers has also been redecorated and furnishings replaced. The redecoration and reorganisation of the art room will be completed in August. The entrance hall carpet is in need of attention and repair and the metal threshold strip needs securing to ensure the safety of residents and staff. The dining room chairs have been replaced recently, however the carpet is showing signs of serious wear and tear and consideration should be given to replacing the carpet this year. The domestic style kitchen which is used predominantly by residents is showing signs of constant use.. Some of the working surfaces and units are Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 14 worn and split exposing the chipboard which may be difficult to keep clean and hygienic. The compact area would benefit from a review to ensure the best use of the space, which will provide improved storage and working areas. ( see requirements) Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 15 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) 32 The staff have a good understanding of resident’s support needs. This is evident from the positive and open relationships between staff and residents and the maintained links with the service once residents have returned to the community. EVIDENCE: The home has a stable staff group with a wide range of skills and experience in supporting and counselling people with drug and alcohol dependency. The staff role is to support and enable the residents to meet their own needs and regain responsibility for their own lives through the dedicated recovery programme. The manager and the responsible individual for the trust have recently completed specialist training through the Julian Housing Association which looks at ways in which managers and staff can focus more directly on the outcomes of the service for each resident. This training also looks at how the service can set specific goals with those funding placements at the home and itemising whether the goals / outcomes have been met. Through this training the management of the Hebron Trust have been able to identify and recognise other problems that may be associated with a drug /alcohol dependency and work towards accessing the specialists or training opportunities for staff to Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 16 promote and improve their own service and skills. The management are to be commended for this proactive approach to training. Staff and one resident were able to give good examples of staff expertise and support and individual residents’ success and recent achievements. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 17 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) 37.38, 42 The home is well managed and the management team have a clear development plan and vision for the home which is effectively shared with the residents and staff. EVIDENCE: From observations and discussions with residents and staff the home has a comfortable and relaxed atmosphere. The manager is focussed about the aims and objectives of the service and manages the home in such a way which puts residents first and foremost. The kitchen area including work surfaces and units are showing signs of serious wear. Some wooden edges of the units and drawers are cracked and broken exposing the chipboard inside and are difficult to clean and maintain. The kitchen area is compact and would benefit from a review and a refurbishment to promote better storage and working environment for residents. ( see requirement) Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 3 x x x x x x Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hebron House Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 2 x I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 19 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 24 Regulation 23 Requirement The registered providers must continue to implement and complete the refurbishment and redecoration programme for the home. This should also include the repair or replacement of the hallway carpeting, to ensure the health and safety of staff and residents. The registered providers must consider upograding and refurbishing the kitchen area for the home as may be necessary and in consultation with the Environmental Health Services. Timescale for action March 31st 2006 2. 24,42.3.vi 23(a b c)) March 31st 2006 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 32 Good Practice Recommendations It is recommended that the management contunue with the plan to seek training opportunities with other relevant agencies for specialist input relevant to eating disorders and mental health care. Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 Hebron House I55 s27445 Hebron House v237647 UN 140705 Stage 4.doc Version 1.40 Page 21 - 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. 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