Inspection on 16/06/05 for Helen Ley Court

This inspection was carried out on 16th June 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 15/11/05

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 CV32 6QP Lead Inspector Sheila Briddick Unannounced 16 June 2005 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Helen Ley Court Address Bericote Road Blackdown Leamington Spa CV32 6QP 01926 331550 01926 888972 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) Multiple Sclerosis Society Ms Carol Stevens PC 10 Category(ies) of PD 10 registration, with number of places Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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. Date implemented: 1st January 2005 Date of last inspection 09 March 2005 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 E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over six hours and was unannounced. A tour of the premises took place and staffing and care records were examined. Service users, relatives and staff were spoken with during the inspection and their views are included in this report. What the service does well: What has improved since the last inspection? 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. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 6 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 Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 7 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) 2 There is a clear, consistent needs assessment and care planning system in place that adequately provides staff with the information they need to satisfactorily meet service user needs. EVIDENCE: Service users were spoken with and three care plans examined. Service users confirmed that staff had spoken with them about what they liked and what made them happy when they came to live at the home. They said that staff have informed me if some things are not safe for me to do and staff have gone out of their way to help me and are geared up to meet my special needs. A relative spoken with said that their family member had settled in well and that staff are managing care needs well and decision-making and communication here is good. In the short time new service users had been living in the home care plans had been established. There was evidence that staff had been given written need to know information on the day the service users had been admitted to the home. Risk assessment and care planning had been completed for all activities with new service users. This included catheter care, moving and handling, tissue care, mobility needs and dietary needs. The lifestyle needs and interests of the service users had also been identified and discussed with them to identify how these would be best met. Staff spoken with demonstrated the importance of involving not only the service user but with their permission, family members, friends or advocates in the assessment and care planning process. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 8 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) 9 The people living in this home are supported to take responsible risks based on effective risk management strategies that are agreed and recorded on the individuals care plan. EVIDENCE: Three care plans were examined on this occasion. Care planning programmes for all service user activities are assessed for risk and strategies put in place, which includes guidelines for staff to follow, to minimise any identified risk. Service users spoken with said that staff informed them if activities were not safe reminding me about safety. Service users spoken with were aware of the responsibility staff have in keeping people safe especially when moving and handling service users. Staff spoken with were able to demonstrate how they assess the risks for service users and identify strategies to minimise the risk. This included moving and handling and health-care monitoring. Staff said that risks are discussed with service users and that every one is involved in identifying the strategies to minimise the risk, including the service user. Service users spoken with said that independence is encouraged and this included being able to access the community independently for social activities and health-care needs. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 9 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) None of these standards were assessed on this occasion. The five standards assessed at the last inspection were all met. EVIDENCE: Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 10 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) 19 The health needs of service users are well met with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: On all care plans seen there were care programs in place to meet the identified needs of the individual. This included continence management, catheter care, tissue care and mobility needs. There is significant evidence that care programs are reviewed on a regular basis and that the support of specialist services is readily available, this includes GPs, specialist consultants in Multiple Sclerosis, dentists and district nurses. Service users confirmed that they are able to attend their medical practice independently when able and that the doctor will visit them at home when necessary. Service users were complimentary of the staff support they had received to maintain links with their own GP during extended stays on a short-term basis in this home, stating that the home’s GP and my GP services have worked well together to meet my needs. Staff spoken with confirmed that they had good professional working relationships with the GP services. Relatives spoken with felt that the service was caring for their family member well and this included meeting their health care needs appropriately, and that the care was second to none. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 11 There are procedures in place for monitoring the changing needs of service users this includes regular reviews of care needs, and discussion at team meetings and at exchange of staff teams for each shift. Service users spoken with had a high regard for the service provision and staff knowledge in meeting their specific needs regarding Multiple Sclerosis. Service users felt that this was what the home did especially well stating that the service is geared up to meet my specific needs, staff know and understand M.S.. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 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) 22 The home has a satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. EVIDENCE: There is an established complaints policy and procedure and service users spoken with knew how to access this. Service users said that they felt listened to and that if they were not happy about something they knew whom they could speak to. There are systems in place for service users to talk individually with staff when they have concerns and to be able to voice their concerns at group meetings. Two separate meetings are available for service users where concerns can be discussed, one is a formal meeting where minutes are taken and the other is a more informal where service users are able to air their views with each other about living together. An informal meeting was taking place on the day of the inspection and service users spoken with were making their own choices as to whether they would be attending the meeting. Service users said that they had a good manager who wanted to know from them how things should be done and that they were able to sit and talk together with the manager. Staff spoken with said that they try to resolve complaints quickly and confirmed that service users can speak with their key worker to view concerns on an individual basis or meet together at either of their meetings. Relatives spoken with had no concerns about the service and knew they would be able to talk to staff or the manager if they had. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 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) These standards were not assessed on this occasion. The two standards assessed at the last inspection were met, one of which exceeded the standard. EVIDENCE: Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 14 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) 33. The staff working in this home have a very good understanding of the service user support needs, this is evident from the positive relationships, which have been formed between the staff and service users. EVIDENCE: Sufficient staff were on duty at the time of the inspection to meet service user needs. Service users and their family members made positive comments regarding the availability of staff to meet their needs. During lunchtime it was observed that individuals had the appropriate support necessary to meet their needs. There is some agency staff being used to support staffing levels, as there are currently two vacancies. Service users confirmed that the registered manager endeavours to use the same staff from the agency as part of providing a consistent service of service users. Service users spoken with understood that the use of agency staff was sometimes necessary and had high regard of the agency staff who were working in the home. Staff spoken with said that although agency staff are used this does not affect the effective team working. The registered manager ensures that all criminal record bureau checks have taken place prior to any agency staff coming to work in the home as part of ensuring that service users are protected from harm by the people working with them. Confirmation of the Criminal Record Bureau reference number is not recorded on staffing records. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 15 Examination of care plans and discussion with staff evidenced that advice and guidance is sought from specialist consultants, including physiotherapy, occupational therapists and psychologists to support the assessed health care needs of service users. Staff spoken with said they had regular team meetings when they looked at how they could improve their practice. Continuous improvement was observed as being on the agenda for the next team meeting. Service users, their relatives and staff all felt that communication was good in the home. Effective communication skills were observed throughout the inspection visit, this included communication between service users and staff and between relatives and staff. Residents spoken with said that, the staff listen to me and personal care is second to none. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 16 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) These standards were not assessed on this occasion. EVIDENCE: At the last inspection visit an external health and safety audit was being completed. The registered manager stated that there were no requirements identified during the audit. A copy of the audit will be forwarded to the Commission when it is published. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Helen Ley Court Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 18 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 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. Refer to Standard 19 34 Good Practice Recommendations It is recommended that service users decision regarding their attendance at routine health care screening sessions is recorded on their care plan. It is recommended that the registered manager makes a written record of the reference number of all agency staff Criminal Records Bureau check. Helen Ley Court E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 E53 S63465 Helen Ley Court V234353 160605 stage 4.doc Version 1.30 Page 20 - 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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