Inspection on 24/02/06 for Helen House

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Helen House 06/11/06

Helen House 21/06/05

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 Helen House Helen House Raby Hall Raby Hall Road Bromborough Wirral CH63 0NN Lead Inspector Andrea Morris Unannounced Inspection 24th February 2006 12:30 Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Helen House 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) Helen House Raby Hall Raby Hall Road Bromborough Wirral CH63 0NN 0151 334 7510 Wirral Autistic Society John Alkins Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: Helen House was previously registered as part of the Raby Hall registration but is now registered separately and runs as an independent unit. The home provides accommodation and care for up to twenty adults who have a learning disability, specifically, autistic spectrum disorders. The home provides accommodation in single bedrooms, with three service users having individual flatlets with their own bedroom, lounge, kitchen and bathroom. The home is on two floors and all service users accommodated on the first floor are fully mobile and able to access this area via the stairs. The home provides a large lounge / dining room with an additional seating area in the foyer. All service users are given the opportunity to learn and develop new skills through the day services. Some facilities for day services are within the Raby Hall complex but some are at the Industrial Training Units at Grisedale Road. Transport is provided to the day services. The home is set in extensive, well maintained grounds. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 4.5 hours. A tour was made of the unit and also of the swimming pool and gym area. Then inspector spoke with the duty manager for the site. A sample of client care files was examined along with medication documentation. The policies and procedures were examined also. The inspector looked a staff rotas and training received by staff working within the unit. What the service does well: What has improved since the last inspection? What they could do better: Care files are needing to be reviewed on a regular basis to ensure care is appropriate. Fire safety precautions must be adhered to so to ensure safety for all clients and staff working on the unit. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 6 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. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3, 4, 5 The manager or a suitable designated person assesses all potential clients; this helps to ensure the needs of each client can be met. EVIDENCE: The statement of purpose is maintained and no changes have had to be made. Copies are available upon request. The service user guide is also available upon request and contains all the necessary information as required. All potential clients are assessed prior to admission. The process takes place mainly over a period of time but that is dependent upon the client and their own individual needs. Clients who are able are encouraged to visit the unit as often as determined necessary to assess the suitability of the placement. All clients admitted to Helen Unit are in receipt of a written contract. This details the terms and conditions of residency. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9, 10 Care files are well formulated to ensure clients needs are met, however not all care files are reviewed to ensure care is maintained accurately. EVIDENCE: Care plans are formulated for each individual client. Where applicable signatures are obtained from families and if appropriate the client also. Care plans were noted to be individual and personalised to reflect the needs of each client. Care plans detailed the clients’ likes and dislikes. They also gave detailed information on how to provide the appropriate care to each client. Management of behaviours is also included in the care files; this is particularly relevant as not all clients can express their needs verbally. However it was noted that care files are not being reviewed on a regular basis this is necessary to ensure all clients’ needs are being maintained. Each client has relevant risk assessments in place to help promote safety. Clients are able to attend meetings if they choose this allows them to express their own opinions in their care and lifestyle. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 10 Confidentiality is maintained. All staff during the induction period receives training on confidentiality. Any concerns are addressed during supervision and staff meetings as needed. All information relating to client care is stored in locked cupboards and access is for staff only. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 11 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, 14, 15, 16, 17 Clients are encouraged to lead a lifestyle that is socially and emotionally balance to ensure they lead fulfilling lives. EVIDENCE: Those clients who are able are encouraged to participate in work placements. Staff provide support to each client as required. Day services that some clients are participating include pottery, horticulture, music and Physical Education. Individual programmes are created for each client and are reviewed as necessary. The site has its own gym and swimming pool for clients to use with the appropriate supervision from qualified staff. Clients are also involved in the local community; staff encourage clients to participate in activities such as shopping, attending the local cafes and pubs and going to restaurants. This assists in developing social skills in all clients. There is access to the homes minibus; clients are able to go on regular outings to local events and other attractions outside the immediate area. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 12 The home operates an open visiting policy. Due to the clients busy schedule many visitors will ring to ensure their relative is available for visitors. The home actively involves and encourages families to participate in clients care. Mealtimes in the week are structured around the daily work schedule, at weekend mealtimes are relaxed and times vary accordingly. Meals are well balanced and preferences are catered for as necessary. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 the following standard(s): 18, 20, 21 Medication is recorded accurately; this assists with promoting safety for clients. EVIDENCE: Clients privacy is maintained at all times, clients who are able are given a key to their own room. All bedrooms are singular. Staff follow the policy detailed for entering a clients room, all staff knock prior to entering. Staff obtain consent as necessary prior to assisting clients. Medication was examined and found to be recorded correctly; all documentation was maintained to a good standard. One client self medicates and staff ensure his safety through risk assessments and checking his stock levels at regular intervals. The home has an adequate policy and procedure in relation to care of the dying client. It is recommended that staff receive training in this area to ensure good practice is maintained. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 Complaints are well managed and documentation ensures all complaints are listened too and action taken appropriately. EVIDENCE: The home has an adequate complaints procedure that ensures all complaints received are investigated and records maintained. A copy of the complaints procedure is available upon request or can be found on the homes intranet. The complaints procedure contains details on how to contact the Commission for Social Care Inspection if required. All complaints received are documented and action taken recorded appropriately. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. Staff receive adult protection training during their induction period. Some staff has received further adult protection training also. The home policy on adult protection is adequate and contains all the necessary information to ensure client’s safety is maintained. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 28, 30 The unit is well maintained and provides a safe and comfortable environment for all clients living within it. EVIDENCE: The unit is well maintained and kept in a good state of repair. The dining area has been re-furbished and the lounge area provides adequate space and comfortable sitting for all clients. Each client has their own room, which is personalised with their own effects. The home encourages clients to bring in objects from home to assist with them settling in. Clients are able to access their rooms as they choose. There are 3 self-contained flats also within this unit, clients live with the support of staff and they maintain the flats with assistance. The flats seen were found to be appropriately furnished and contained the necessary equipment to promote safe living. The unit was found to be well maintained and clean. Staff encourage clients to participate, as they are able. Clients are encouraged and supported by staff to maintain their own rooms to a good standard. All areas of the unit were found to be clean and free from unpleasant odours. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 16 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): 31, 32, 33, 35, 36 The manager is experienced and provides leadership to staff, this assists to promote good standards of care. EVIDENCE: The staff rotas were examined and found to be appropriately staffed, as necessary additional staff are brought in. Due to some clients needs staff are divided into teams to provide continuous care for a particular client. The home does not use agency staff on a regular basis. The manager is experienced and holds the NVQ4 in management. Many staff have completed their NVQ programme in care and those staff who are yet to are encouraged to participate as soon as they have completed the 6 month induction period. Staff undertake a variety of training programmes these include first aid, moving and handling, managing behaviour, autism and medication the list is not exhaustive and staff are in receipt of training on a regular basis. All staff receive supervision with the manager or senior staff member on a regular basis. Records are maintained to a good standard. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 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, 38, 40,42 The unit is maintained to a good standard, however fire doors being wedged open could place clients at risk. EVIDENCE: The unit is well managed and the current manager provides guidance and leadership to staff members. Meetings for staff are held on a regular basis and all discussions are recorded and notices as needed placed up on the staff board. Clients also have the opportunity to attend regular meetings and minutes are maintained. Due to all clients being out at the time of the visit, the inspector was not able to speak with individual staff members or clients. The homes policies and procedures are maintained and reviewed on a regular basis. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 18 It was noted during the tour of the unit that several fire doors were wedged open; this practice is not safe as the protection from potential fire is not provided if designated fire doors are kept open. Helen House DS0000060941.V285753.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 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 N/a 27 N/a 28 3 29 N/a 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 N/a 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 N/a 3 3 3 3 N/a 3 N/a 2 N/a Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 20 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. 2 Standard YA6 YA43 Regulation 15(2)(b) 23(4)(a) Requirement Timescale for action 30/03/06 The registered person shall keep the clients plan of care under review. The registered person shall take 30/03/06 adequate precautions against the risk of fire. 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 YA21 YA23 Good Practice Recommendations It is strongly recommended that all staff receive annual training in adult protection. It is recommended that staff receive training in care of the dying client Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Helen House DS0000060941.V285753.R01.S.doc Version 5.1 Page 22 - 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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