Inspection on 15/11/05 for Helen Ley Court

This inspection was carried out on 15th November 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

Helen Ley Court 03/11/08

Helen Ley Court 16/11/06

Helen Ley Court 16/06/05

Helen Ley Court 09/03/05

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

CARE HOME ADULTS 18-65 Helen Ley Court Bericote Road Blackdown Leamington Spa Warwickshire CV32 6QP Lead Inspector Sheila Briddick Unannounced Inspection 15th November 2005 10:30 Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Helen Ley Court Address Bericote Road Blackdown Leamington Spa Warwickshire CV32 6QP 01926 331550 01926 888972 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) Multiple Sclerosis Society Carol Stevens Care Home 10 Category(ies) of Physical disability (10) registration, with number of places Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The MS Society must amend the Statement of Purpose, Service Users Guide, and other documentation to show the change of ownership, and the change of Responsible Individual. These amendments must be made within three months of the date of registration. 16th June 2005 Date of last inspection Brief Description of the Service: Helen Ley Court is a purpose-built home for 10 service users with physical disabilities who have Multiple Sclerosis. The building is owned by Orbit Housing and Helen Ley Centre is responsible for the management and upkeep of the home. The home has a shared entrance with Helen Ley House. Service users are accommodated in self-contained apartments with en-suite toilet and bath. There is a shared lounge/dining room that can be partitioned off to make two separate areas. There is a main kitchen where all meals are prepared. There are extensive gardens for the Centre and a private courtyard for the service users of Helen Ley Court. The home is situated on a country road between Leamington Spa and Kenilworth, amid fields and sports grounds. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 15th November 2005 between the hours of 10.30am and 3.30pm. During this time the inspector had the opportunity to meet with the residents, observe the interactions between residents and the people caring for them, tour the home and examine documents relating to the residents and management of the home. The inspector joined residents for the lunchtime meal. Two staff members and the registered manager were involved in the inspection process and their views, and those of residents spoken with are included in this report. What the service does well: What has improved since the last inspection? What they could do better: Residents were asked if the service could do things better or differently and in general all were more than satisfied with the service provision. Opportunity is available for discussion on service improvement at resident meetings, which are held monthly, service users were familiar with the complaints procedure and felt confident that any suggestion for service improvement could be discussed with the manager and action would be taken. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 6 Staff spoken with and the manager for the home feel that leisure activities in the community should be accessed more readily and continue to consider options available to do so. Good practice recommendations were discussed with the manager regarding record keeping, refurbishment and decision-making. 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 Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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 Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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 and 7. There is a clear and consistent care planning system in place that adequately provides staff with the information they need to satisfactorily meet resident’s needs. The views of residents in their care planning and the service provision are actively sought and acted upon. EVIDENCE: Three care plans were examined and the views of the residents involved were sought. Care plan programmes were clear and well documented. Staff spoken with said that these were understood and easily accessible to them. Residents spoken with were familiar with care plan agreements and satisfied that staff understood how their individual needs were to be met as agreed. Draft care plans, as identified through the assessment process, are monitored during the three month trial period for new service users. Good practice recommendations regarding dating draft care planning were discussed with the manager. There is significant evidence on care plan records to show that changing needs are regularly reviewed and amended appropriately. The advice of specialist services is sought as part of this process and this includes dementia care specialists and mental health services. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 10 Residents spoken with were confident that their views regarding their care and the service provision are listened to and acted upon. Residents are kept informed of service development at monthly meetings and confirmed that this includes, staffing and staff training. Staff demonstrated the importance of involving residents in the decision making process. Care plan records show that multi-disciplinary working is taking place during the assessment of changing needs with resident’s family members being involved in decisions being made when necessary with the permission of the resident. Residents would be supported in the process by advocacy services if this were necessary. The implications for the service and decision making process through the introduction of the Mental Capacity Act were discussed with the manager and good practice recommendations were made. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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): 13 and 16 The people living in this home are supported to maintain their independence and live meaningful lives according to their personal choice, aims and aspirations. EVIDENCE: Residents discussed arrangements in place for accessing banking facilities, health services, shopping and attending a place of worship in the local community. Due to the distance of these from the home access has to be by taxi or car either independently, with family, friend or staff support. Care plans identify the support required to meet preferred needs and this includes arrangements for getting medication from the local pharmacy. Access to the community for leisure is accommodated with staff support when required. The manager and staff are actively considering further development in leisure activity provision although residents spoken with were satisfied with current arrangements. The staffing rota is flexible to meet individual and collective needs in the evenings and at weekends. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 12 The preferred daily routines of residents is identified on their care plan, this includes cleaning, laundering and meal preparation in their room. Residents spoken with were satisfied that staff understood their individual preferences and that independence was fairly well promoted. Residents confirmed they are asked if they wish to have a key for their room although one resident was not sure if they had been asked. A good practice recommendation regarding choices made being recorded on care plans was discussed with the manager. Each resident lives in their own bed-sit accommodation but can access shared areas of the home when they choose. Staff were seen to respect residents privacy by knocking on doors to rooms before entering. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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): 19 Personal support is offered in such a way as to promote and protect resident’s privacy, dignity and independence. EVIDENCE: Care plans clearly identify the health care support needs of each resident and these are reviewed with them as need to change. This has included changing care needs through the progression of dementia and being supported to maintain independence in managing their own medical conditions where feasible, and this has included being able to self medicate, and access the GP surgery. Service users are supported to access all NHS health care facilities in the locality and staff support is offered when necessary. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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 The appearance of this home creates a comfortable and homely environment for the people living there. EVIDENCE: At the time of the inspection visit the premises were safe, comfortable, bright, cheerful, airy and clean. All residents spoken with expressed satisfaction with the standard of the environment and of their own particular living unit. Comments regarding the standard of the environment on residents included, there is a very good housekeeper here, my room is cleaned once a week and the daily cleaning routine is okay. Furnishings, fittings and equipment in the home are of good quality and compatible with the needs of the people living there. Residents are able to bring their own furniture to their living units when they move in. There is a redecoration programme in place and the manager has plans for this to include refurbishment of the shared bathroom. This bathroom currently does not promote a welcoming environment for residents to use and is not satisfactorily meeting their needs. A good practice recommendation was discussed with the manager regarding the replacement of a carpet in a residents living accommodation that is showing signs of wear and tear. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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): 35 The home has an effective staff team who listen to residents, understand their needs and have opportunity to develop and maintain skills. EVIDENCE: Two staff were interviewed during the inspection visit. Both staff commented that training opportunity had recently increased and that the training accessed was of good quality and appropriate to their role and responsibility. This included Disability Awareness, Dementia Care Awareness, Medication Administration and Protection of Vulnerable Adults (POVA). The staff had recently had a training needs appraisal and said that the manager also discussed training opportunity outside of the appraisal system. There continues to be an active NVQ programme in place with 60 of the staff team having achieved an NVQ qualification. The registered manager is closely involved with the Warwickshire Partnership Board and seeks training opportunity for the staff team through the Board. Residents spoken with said that training appeared good and was discussed with the manager at resident meetings. Residents felt that new staff coming to the home were supported well to develop skills necessary to meet resident’s needs. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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): 39 and 42 The systems for resident consultation in this home are good with a variety of evidence that indicates that residents views are both sought and acted upon. People are living in a safe environment where their safety is promoted and protected. EVIDENCE: Residents spoken with had been involved in making decisions regarding their care and in day-to-day issues of the service provision. This is being completed individually and at regular resident meetings. The Multiple Sclerosis Society completes Quality Audits of the service annually, which includes seeking the views of residents and staff of the service provision. Staff views for this year have been sought. The views of residents will be sought and a Volunteer has been identified to support individual residents requesting support with completing the survey. The manager said that the results of the survey and action to be taken following the survey are to be forwarded to the Commission for Social Care Inspection. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 18 Staff working in the home said that they had received training in safe working practice which included, Moving and Handling, Fire safety, First Aid, Food Hygiene and Infection Control. There is written evidence of safe working management in the home through the safe storage of hazardous substances, maintenance of electric equipment on a regular basis, regulation of water temperatures including regular monitoring and control of risk to Legionella, risk assessment and security of the premises. The registered manager demonstrated a commitment to health and safety and of ensuring compliance with relevant legislation and regulation. Residents spoken with said they felt safe in the home and that staff had a good understanding of maintaining the safety of residents, especially when moving and handling with hoisting systems. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Helen Ley Court Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000063465.V264789.R01.S.doc Version 5.0 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 4 Refer to Standard YA6 YA7 YA16 YA24 Good Practice Recommendations It is recommended that all care planning documentation, including draft documents, be dated. It is recommended that the Registered Manager becomes familiar with the Mental Capacity Act through training opportunity. It is recommended that discussions with service users regarding their choice ton have a key or not to their room is recorded and dated on the care plan. It is recommended that the carpet with cigarette burns be replaced with suitable flooring that meets the needs of the resident using that living unit. Helen Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Ley Court DS0000063465.V264789.R01.S.doc Version 5.0 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. 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