Inspection on 21/11/06 for Helebridge House (2006) Ltd

This inspection was carried out on 21st November 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Helebridge House (2006) Ltd Helebridge House Hele Road Marhamchurch Bude Cornwall EX23 0JB Lead Inspector Mike Dennis Key Unannounced Inspection 21st November 2006 09:30 Helebridge House (2006) Ltd DS0000067926.V318546.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 Helebridge House (2006) Ltd DS0000067926.V318546.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. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Helebridge House (2006) Ltd Address 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) Helebridge House Hele Road Marhamchurch Bude Cornwall EX23 0JB 01288 361310 Helebridge House (2006) Ltd Lorraine Anne Morris Care Home 5 Category(ies) of Learning disability (5), Physical disability (1) registration, with number of places Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of service users not to exceed a maximum of 5 Date of last inspection None Brief Description of the Service: Helebridge House provides residential accommodation and personal care for up to five adults with a learning disability. Current service users are, by chance, all male. The home aims to support the service users in learning social skills and functional ability. There is a good emphasis on individual care and development as well as the wider aspect of group living/family life. Service users are enabled to seek leisure and work opportunities outside the home. Links with family and friends are maintained. Regular support and contact with relevant other agencies (such as their Social Worker) are in place. Fees are currently £320/week Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 21st. November 2006 over a 6 hour period. The home was registered to Mr. And Mrs. Morris on the 23rd. August 2006. This is the first key inspection under their ownership. The current occupants have been in residence for many years and are well settled. The inspector conducted the inspection in the presence of Mr. and Mrs. Morris and two service users. Full co-operation was afforded. All key standards were inspected and positive discussions took place with the service users present. Records and policy procedure documents were accessed. The home was seen to provide for the care and wellbeing of the service users. The registered providers have made a good start in managing this home. What the service does well: What has improved since the last inspection? This is the first inspection since the new providers bought the home. Indications are that they have settled in well. Various changes/improvements to the environment are underway. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 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 Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Providers have produced a statement of purpose, which incorporates the service user guide. Service users needs have been assessed. It is not clear that written contracts of care are in place. EVIDENCE: The Statement of Purpose and Service Users Guide contains the information required by this standard and the relevant regulations. All service users have been assessed to ensure their needs and aspirations are being met. The assessment process involved the service user, management of the home and social services. The registered providers are aware of the process to be followed in respect of pre-admission assessment for any new service users coming into the home. Evidence could not be produced to indicate that current Contracts of Care are in place. It is possible that this documentation may still be in the hands of solicitors following the purchase of the home. The registered providers have agreed to ensure that contracts of care are in place and available in the home. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 9 Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care are in place for each individual service user. The service user is able to undertake activities within a risk management framework. The service user makes decisions on his lifestyle and is involved in setting personal goals with assistance from the registered providers EVIDENCE: Each service user has an individual plan of care which has been developed through the home’s own assessment. The plans are reviewed regularly by the registered providers and also by the placing authority from time to time. Improvement will be achieved by the inclusion of goal setting and any required action. There is evidence that the service users have input to their plans and Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 11 are able to express views as to their wishes with regard to lifestyle with support from the registered providers. Activities are undertaken within a documented risk management structure. The needs of the service users are kept under review and changes responded to. Risk assessment forms a part of this process. The service users have a full activity programme which includes attendance at day centres/work placements on a formal basis as well as partaking in everyday family life to include their own interests and hobbies. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users experience a stimulating and varied lifestyle both within the home and outside in the wider community. Support systems are in place to allow appropriate leisure activities and relationships. Service user’s rights are respected and appropriate relationships sustained. A healthy and fulsome diet is provided. EVIDENCE: Staff undertake and/or arrange activities with service users both individually and as a group. Some are involved in following interests of their choice which may include visits to college, day centres and work placements. The Registered Providers are committed to facilitating and maintaining these opportunities. Family support is encouraged and communication with friends and relatives is seen as important. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 13 The home is quite well known in the local community and also at other venues that are frequently visited. Service users therefore have a network of contacts within the community. All meals are home cooked utilising fresh produce. The record of actual food provided indicates a wide and varied choice. Nutritional needs are met and likes and dislikes catered for. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 14 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. 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 this service. Service users receive personal support that preserves their privacy and dignity. Physical and emotional health needs are met. Medication is administered according to the homes policies and procedures EVIDENCE: There is a strong ethos of personal support and preservation of privacy. Service users are enabled to utilise all facilities to screen and monitor their health but all present as healthy and well in most respects. The new registered providers have installed an extended “call bell” system to include pressure mats. Medication practises are satisfactory. Polices to back up these practices are in place and administration records were correct. Staff have received accredited medication training and the pharmacist visited on the 14th. November 2006. Service users confirmed that they had regular access to services such as G.P., dentist optician and chiropodist. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 15 Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 16 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. 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 this service. Service users are listened to and the home is pro-active in obtaining their views. Any form of abuse is not tolerated EVIDENCE: Service users have, and are encouraged to voice their opinions at all times to include areas of dissatisfaction. Complaint procedures are available and service users are aware of their rights and the process to follow as confirmed to the inspector. A record of any complaints is kept. Policies and procedures concerning Abuse are in place and the Registered Provider demonstrated a full understanding of actions required and what constituted the various forms of abuse. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. EVIDENCE: The inspector toured the building and spoke with service users. Since the new registered providers purchased the home on the 23rd. August 2006 changes have been made. Certain areas have been refurnished, some decoration has been achieved and various mobility and safety aids installed. A security system to protect entry to the building is planned. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 18 Individual bedrooms are of a good size, individually furnished and well presented. All are very different in content and reflect the interests and hobbies of their particular occupant. Bathroom facilities are satisfactory. Communal spaces are well presented, comfortable and homely. The kitchen and laundry areas were quite satisfactory for a home of this size. The garden is spacious and provides for additional interests for some service users. All areas of the home were found to be clean and hygienic. The service users spoken with expressed satisfaction with their accommodation and the facilities provided. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 31 to 36 are not directly applicable as the home is run and managed by the registered providers. Where volunteers are used on occasion, they have been properly vetted. EVIDENCE: The staffing of this home consists:- the Registered Providers, supported when necessary, by other family members in the role of volunteers. Those working in the volunteer role have had or will have full criminal records checks before being allowed to undertake duties. The registered providers demonstrated a good knowledge and experience in dealing with the service user group. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All of the service users accommodated are well settled and enjoy full lifestyles. Their views and opinions are taken into account. The home’s policies and procedures and procedures are in place The health, safety and welfare of the service user is promoted and protected EVIDENCE: Service users live as part of an extended family and are fully involved in day to day life. The home is managed in their best interests. The home’s written Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 21 policies and procedures comply with current legislation covering the topics set out in Appendix 2 of the National Minimum Standards for Younger Adults. These policies now require updating and review to reflect changes made due to new ownership of the home. The home ensures that the health, safety and welfare of service users and staff are promoted and protected as far as is practicable. Records were available for inspection. Mrs. Morris is an experienced care home manager who has achieved her Registered Managers Award. Mr. Morris has extensive management skills and a particular expertise in matters relating to health and safety. Service users stated that they are consulted by the registered providers and have a say as to how the home is run. They also expressed satisfaction with the new registered providers. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 22 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 2 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 2 X 3 X Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 23 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 YA5 Regulation 5 Requirement You are required to have a contract of care, in respect of each service user, in the home, available for inspection. Service users must be aware of, and have access to this document. Timescale for action 28/02/07 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 2 Refer to Standard YA6 YA40 Good Practice Recommendations It is recommended that goal setting and action planning is included in the care plans. It is recommended that all policy and procedure documentation is reviewed to reflect the new ownership of the home. Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Helebridge House (2006) Ltd DS0000067926.V318546.R01.S.doc Version 5.2 Page 25 - 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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