Inspection on 16/07/05 for Helene Lodge

This inspection was carried out on 16th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Helene Lodge 21/04/09

Helene Lodge 24/04/07

Helene Lodge 05/01/06

Helene Lodge 31/01/05

Helene Lodge 08/09/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Helene Lodge 115 Talbot Road Bournemouth Dorset BH9 2JE Lead Inspector Marion Hurley Unannounced 16 July 2005 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. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Helene Lodge Address 115 Talbot Road Bournemouth Dorset BH9 2JE 01202 389901 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) Mrs Joan Pauline Stevenson CRH PC - Care Home Only 3 Category(ies) of LD Learning disability (3) registration, with number of places Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 31 January 2005 Brief Description of the Service: Helene Lodge is registered to provide residential care for up to three younger people with learning disabilities. Helene Lodge is a large family home suitably adapted to meet the needs of the family and the service users who all reside there. It is situated within easy walking distance from the local shops at Winton and has access to the main bus routes for other parts of the town. All residents have their own bedrooms, which are individually decorated and styled. One is on the ground floor and the other two on the first floor. The communal space is very generous with two lounges, a large family style kitchen and separate dining room. There is a level garden and patio area to the rear and at the front plenty of off street parking. The home is furnished to a high standard whilst maintaining a comfortable family feel. The providers offer a very high and individualised service to each person living at Helene Lodge ensuring maximum care and independence is maintained according to specific abilities and needs. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Helene Lodge was assessed according to the Care Homes for adults (18-65), National Minimum Standards. The overall time spent to complete the inspection process was a total of nine hours, three of which were spent at the Home. In the course of the inspection two residents were spoken with and the Proprietors who helpfully provided access to all records requested. Helene Lodge is a family style home and from the observations on the day is clearly run and managed for the benefit of the residents residing there. Throughout the inspection there was evidence of the Proprietors and residents working side by side and clearly enjoying each other’s company and contributions. What the service does well: Two residents were specifically asked what they thought the Proprietors did well and what they especially liked about living at Helene Lodge. One person stated they liked “doing things together, it was good fun going to the allotment and helping” another said, “ I like eating the vegetables, they’re nice”. Other comments received were: - “ eating good food” “ going out to Bournemouth, going shopping”. The Proprietors constantly seek the views of the residents and involve and inform them about all aspects of the services and facilities they provide at Helene Lodge. Helene Lodge is a unique service providing a safe and secure extended family style home whilst maintaining professional standards. The record keeping and in particular the residents individual Essential Lifestyle Plans accurately reflect the interests, abilities and aspirations of each person. The Proprietors combine personal beliefs, knowledge and action in the running and management of Helene Lodge basing and valuing the residents at the centre of the service and facilities provided. The Proprietors have an on going commitment to training and are actively involved in developmental work. Maintenance checks and all Health & Safety Issues are regularly reviewed. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 6 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. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the above standards were assessed at this inspection. The key standard will be assessed at the next inspection. There have been no admissions since the last inspection. EVIDENCE: Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 8 • All three residents have detailed Care Plans known as their Essential Lifestyle Plan. Each Plan describes the level of support, services and facilities they may expect and require to meet their assessed and changing needs. The Plans provide a record of the facilities and support provided by the Proprietors. Each Plan is individually written with the resident and their contributions are evident in the Plans which include their involvement in the day to day running of Helene Lodge, offering each person, a level of shared responsibility for the decisions made. Residents are encouraged and supported to make decisions affecting their daily lives, which encourages them to retain as much independence as they wish to. • • EVIDENCE: The records of one resident were read and these addressed all aspects of the person’s daily living needs incorporating both physical and psychological needs. The Plan had been written in a style, which focussed on the resident’s daily routines. The Plan demonstrated how the home was supporting the person to take responsible risks in their daily life. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 10 All residents have annual assessments /reviews which are conducted with their placing / funding Authority and the Home. These meetings always involve the resident and any other significant professionals or people they may like to invite to “their meeting”. Two reviews have recently taken place and one resident was able to confirm the meeting with their social worker. The Plans are regularly reviewed and modified reflecting any changes in the resident’s needs and skills. All the residents living at Helene Lodge are equally involved in the day-to-day decision making and throughout this inspection observations were made of residents being constantly involved in everyday decisions. This is just normal household practise and all the residents appeared quite relaxed and confident to join in the often lively and interesting discussions, which culminated in collective decisions being agreed. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15,16 and 17 • • • • The three residents attend a variety of Day Services and College Classes and work experience placements, these offer appropriate opportunities for personal development and to further independence skills. All three residents enjoy individual lifestyles pursuing activities and interests that are their preferred choice. Residents maintain good contact with their extended families and friends and visitors are always welcome at Helene Lodge ensuring a wide network of social contacts for the residents. All members of the household collectively chose the menu for the week and each person takes it in turn to cook their choice. EVIDENCE: During the course of the afternoon two residents returned from their community activities. One had been attending a Day Service and the other working at Horticultural College. Both chatted through their day over a cup of tea with other members of the household. This informal get together of sharing the days news over a cup of tea reiterates the “ feel good factor” everyone has in this household for each other. The conversations appeared to be very relaxed yet provided relevant information for the Proprietors to Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 12 monitor everyone’s well being. On this occasion four people sat round sharing “their day”. The group explained how sometimes they liked doing things altogether and sometimes they all did different things, which was “ okay”. The wide range of activities is recorded in the diary. Whilst many of the activities are done for pure pleasure and fun there is often a link to the individual’s personal and social development plan and specific goals aimed at achieving greater confidence and independence. The Proprietors are very aware of the “hidden skills” that people can learn and develop through a wide range of opportunities. Recently members of the household joined in the procession at the Verwood Carnival. Two of the people talked about a forthcoming trip organised through the Linking Scheme to the Donkey Sanctuary. Next on the calendar is the annual event run by Millfield School where a wide range of activities including art and craft and sporting opportunities are available. One person said they might try face painting. The local Lyons Club has recently had a barbecue, which they all went to though once there they “spilt up and did their own thing”. Links with family and friends regularly occur and one person described their last bus journey home whilst another catches a local bus to meet up with their family in Poole. The Proprietors have an allotment, which all members of the household enjoy working on, one-person described how they weed and another said they helped with the watering. All the vegetables and fruit grown on the allotment are brought home and used and every member of the household takes is proud of this achievement. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 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 standard(s) 18 ,19 and 20 • • • Residents receive personal support based on their abilities, needs and personal preferences. The records confirm that support is flexible, consistent and responsive to the residents changing needs. Each resident has a Personal Health Care Record, which is a record of appointments, and outcomes with other Health & Social Care Professionals. Medication in the home is handled according to the requirements of the Medicines Act. The Proprietors have a sound knowledge of medicines used in the Home and there are correct safe handling policies and procedures, which afford the residents protection. EVIDENCE: The residents spoken with when asked about managing their personal care and hygiene said, “we get help to do things, they’re very kind”. One person has a personal flow chart kept in their bedroom, which acts as a reminder to ensure they remember to do all the necessary tasks related to their personal hygiene. This list/ routine was drawn up with the Proprietors and resident and seems to work really well as a discreet prompt. The Proprietors confirmed the positive support the residents receive from the Community Nurses who are constructive and work side by side with them and any resident should specific issues arise. One resident self medicates on a Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 14 weekly basis the Proprietors said the arrangements worked well and the records confirmed the management of this medication. The Proprietors have recently completed a training course “Medicine Management in Care Homes”. The G.P. has signed the Home’s “Homely Remedies List” which has details of the use, appropriate safe dosage and any specific precautions when administering homely remedies. Through out the inspection visit the Proprietors were observed to be naturally responding and reacting to the needs and requests of the residents in a sensitive, and patient manner. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 15 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 • • Residents communicate easily with the Proprietors and at every occasion time was given to each person ensuring their wishes/ideas were listen to. Helene Lodge has a complaints policy/procedure, which is explained to everyone making it possible for each resident to raise a concern/complaint directly with the Proprietors or confidentially through the local Advocacy Groups. EVIDENCE: Residents were asked what they would do if they were unhappy about anything or if they had any grumbles and the two specifically asked said they “would tell the Proprietors”. Fortnightly house meetings are held and one took place on the evening of this inspection. Observations confirmed that “ everyone had their say” and there was a very relaxed and happy atmosphere as various agenda items were discussed i.e. the menu, outings. The complaints policy/procedure was reviewed in May 2005 no amendments were required. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,28,and 30 • • • Helene Lodge is a large family style home and is suitable for the needs of the current group of people living there. All members of the household have single bedrooms, which are decorated and personalised according to their individual tastes and interests. There is generous communal space for all members of the household, large lounge, dining room, kitchen and a further lounge mainly used for activities. Residents can enjoy the facilities in these communal areas or equally find a quiet corner if they wish to do so. The home was clean throughout with no evidence of chemical products inappropriately stored. • EVIDENCE: Two bedrooms were viewed with the residents and each was very different reflecting their different personalities and interests. Helene Lodge is well maintained both internally and externally. Since the last inspection all new thermostatically controlled radiators have been fitted and it has recently been painted outside. It is planned to redecorate all the Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 17 resident’s bedrooms during the course of the next few months. Colour charts are already being discussed and at the “ house meeting” it was suggested sample paints could be tested on the bedroom walls. Each resident has a date when his or her room will be decorated. The generous communal space allows ample room for residents to find their own space if they do not wish to be in their bedrooms or with other members of the household. No aids or adaptations are required by any of the residents and all areas are accessible throughout the family home. The gardens are totally accessible for everyone to enjoy and use with several barbecues being lit throughout the summer. The partial tour of the home was conducted with residents who showed their respective bedrooms, bathrooms and other communal areas. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 18 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) No external staff are employed at Helene Lodge. The Home is run and managed by the Proprietors. EVIDENCE: Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 & 42 • • • Helene Lodge is a family style home, which is extremely well run and managed by the Proprietors. This was reflected by the comments received from the residents. Residents’ benefit from the positive and safe atmosphere created at Helene Lodge and as a result feel they can express opinions, which will be listened to and acted upon. The Proprietors ensure safe working practises to safeguard and protect all the members of the household. as far as practical through the professional support they provide and ensuring the environment is maintained to a safe standard. EVIDENCE: The Proprietors are qualified, competent and very experienced and from the evidence and comments received from the residents manage and run Helene Lodge in a very open and straightforward way. All the residents are very fond of the Proprietors and such comments were received “ she’s very kind, he helps me do things, we all go out together.” Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 20 Despite the small family style Home the proprietors maintain a professional approach and this was evident in the quality and detail of the record keeping. All polices and procedures have been reviewed in April/May 2005. Since the last inspection two new ovens have been fitted and a smoke detector replaced. All health and safety monitoring and testing is completed within the recommended timescales and recorded. Self-monitoring is a continual process in a small home with every member of the household involved. Formal house meetings are held fortnightly and minutes from these meetings are recorded. Members of the household belong to Bournemouth Forum and were discussing the process for voting the new committee members at the “ house meeting”. Representatives are on the multi agency Partnership Board. The Proprietors need to consider ways to formally audit the services and facilities offered at Helene Lodge. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 4 x 4 Standard No 11 12 13 14 15 16 17 x 3 3 4 3 4 4 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Helene Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 4 3 x x 3 x D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 22 N/A 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. Refer to Standard 39 Good Practice Recommendations It is recommended a formal and effectyive quality assurance system be established to meausre the success of Helene Lodge. Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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 Helene Lodge D55 S4015 Helene Lodge V230994 160605 Stage 4.doc Version 1.30 Page 24 - 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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