Inspection on 22/07/08 for Helme Hall Care Home

This inspection was carried out on 22nd July 2008.

CSCI found this care home to be providing an Excellent service.

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

Helme Hall Care Home 17/09/09

Helme Hall Care Home 25/07/06

Helme Hall Care Home 10/01/06

Helme Hall Care Home 07/06/05

Helme Hall Care Home 26/01/05

Helme Hall Care Home 04/08/04

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Snydale Care Home

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Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Helme Hall Care Home Helme Lane Meltham Huddersfield West Yorkshire HD9 5RL Lead Inspector Karen Summers Key Unannounced Inspection 22nd July 2008 08:45 X10015.doc Version 1.40 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 Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Helme Hall Care Home Address Helme Lane Meltham Huddersfield West Yorkshire HD9 5RL 01484 850165 01484 854339 info@helmhall.com 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) Helme Hall Ltd Mrs F Simpson (not yet registered) Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP; and Dementia - Code DE 2. The maximum number of service users who may be accommodated is: 46 25th July 2006 Date of last inspection Brief Description of the Service: Helme Hall Care Home provides nursing and personal care for up to 46 older people. The accommodation is over three floors, all of which are accessed by a passenger lift. The home, which has recently been extended to provide further accommodation for people receiving personal care, has also had more areas provided in the grounds where people can sit out in the warmer months of the year and enjoy the surrounding views of the countryside. There is ample parking to the rear of the building, and for ease of access a ramp leading to the entrance. The home is situated approximately half a mile from Meltham Village and five miles from Huddersfield. The bus stops at the end of the drive, which is approximately a quarter of a mile away from the home. However the local community bus will drop passengers off and pick them up at the home by prior arrangement. The local church, shops and public house are within five minutes drive. Fees at the home start at £ 425 - £650 per week. Items not covered by the fee include: Hairdressing, chiropody, and newspapers/ magazines. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is three star. This means the people who use this service experience excellent quality outcomes. This report refers to an inspection, part of which included an unannounced visit to the home on the 22nd July 2008, commencing at 8.45 am, and the length of the inspection was 9.5 hours. There were 39 people living at Helme Hall on the day of the visit. As part of the inspection in order to provide information to help us form judgments about how the service is run, the manager was asked to complete an annual quality assessment document. This she did, and the document provided the Commission for Social Care Inspection (CSCI) with a lot of information about the way the home is run, and what they hope to achieve in the future. During the visit we spoke with members of staff and people who receive care to obtain their views. We also looked at a sample of care records, staff recruitment, and training records, quality assurance audits and looked around the home. To enable people who use the service to comment on the care it provides, we sent surveys to people living at the home, and their next of kin. We would like to thank all the people who gave feedback about this home, and would like to thank the Manager and staff for their co-operation throughout the inspection process. What the service does well: Feedback from people living at the home spoken to on the day of this visit was positive. Surveys sent to relatives asked if the care home meets the needs of their relative/ friend, and without exception everyone responded, “Always”. Relatives also said that their relative received the care and support they needed, and that they receive the medical support that they need. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 6 Staff were observed to maintain the privacy and dignity of people, and approached and spoke to people in an appropriate manner. The atmosphere in the home was calm and relaxed with friendly staff going about their work in a competent manner. 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. The summary of this inspection report can be made available in other formats on request. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are assessed prior to them moving into the home and are able to visit the home to establish whether or not it is the right place for them. EVIDENCE: The information received from the home prior to inspection said that people are only admitted after a full assessment to ensure that their needs can be met. The Manager also said that people are encouraged to visit and look round the home to see if it is the right place for them, and this was also confirmed by a person living at the home and their relative. People living in the home also said that they received enough information about the home before they moved in so they could decide if it was the right place for them. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s care plans outline the level of support and care each person requires in ensuring their health and welfare needs will be met. The recording and administration of medication is satisfactory. EVIDENCE: Surveys sent to relatives asked if the care home meets the needs of their relative/friend, and without exception everyone responded, “Always”. Relatives also said that their relative received the care and support they needed, and that they receive the medical support that they need. A visiting relative spoke of the care and kindness of the staff and how their mum had settled into the home. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 10 Three people’s care records were looked at in detail and the documentation identified the care needs, and the level of support the person requires. Risk assessments had also been completed and included the risk of falls. There were also movement and handling assessments, nutritional assessment, skin integrity, social interests, religious and cultural needs, and people’s likes and dislikes recorded. There was evidence that the care plans are updated monthly or as the needs of the person change. The healthcare needs of people are met. Evidence was seen of involvement from people’s doctors, physiotherapists, opticians, dentists and other healthcare professionals where needed. Three relatives said that they were kept up to date with important issues affecting their friend/ relative. People who use the service confirmed that they receive the medical support they need. The care plan documentation and records were discussed with the Operations Manager and the Manager in detail, and although the records in some areas need to be more detailed, staff are committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. Where there have been areas for improvement previously the service has always recognised them and managed them well, and the Operations Manager assured us that the short falls in the care plan recording would be addressed. On the day of this inspection, samples of three people’s medication were checked. The storage, administration and recording of the medication were done correctly, and should a person wish to self- administer their medication; there is a risk assessment and documentation. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are good, varied and served in a pleasant environment. EVIDENCE: The home has a full time activities person who works Monday to Friday each week. There was evidence in the records to suggest that the services offered to people ensure that they can get involved in activities and events that match their preferences, and satisfies their social, cultural, religious and recreational interests and needs. Records were also seen of the activities that take place and include, flower arranging, card games, dominoes, bingo, reading, quiz’s, reminiscence, listening to entertainers singing. Unfortunately the documentation as to how often people were involved in activities had been completed ad hoc and it was discussed on the day with the activities person the need to record peoples involvement. At the time of the visit people were involved in flower arranging in the morning, and a visiting entertainer was Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 12 singing to people in the afternoon. Staff were also sat talking to people and generally passing the time of day. People who use the service said that there were activities that they could take part in, and that activities did take place daily. One person also said how they enjoyed the trips out of the home, including a recent outing to the local supermarket cafeteria for a cup of coffee. The Manager said that several people order weekly newspapers and that the home also has daily papers delivered, and this was confirmed by one of the people living there. The library visits every six weeks, and they deliver large print books, and for those people who have sight impairment taking books are delivered. The home also has people who visit and read to the people who live there People commented on how they enjoyed their meals, and the menus offered variety and choice of wholesome food. The manager also said that food preferences and specialised diets are taken into consideration when planning the menus. A relative commented that the food was good and that visitors are always welcome. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: The complaints procedure is usually displayed in the entrance of the home however; the area is currently being decorated. The Operations Manager said that the procedure would be returned to its usual place following the redecoration, and he also confirmed that the procedure continues to be given out to people with the home’s brochure. Without exception, all relatives said that they knew how to make a complaint and would know who to complain to. The policies and procedures regarding protection of people are satisfactory, and training records showed that staff have regular training in this area. Further training is planned for today 22nd July and August this year. Without exception all staff said that they would know what to do if someone wished to make a complaint, and they were also aware of the Whistle Blowing procedure. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a homely, comfortable and clean environment. EVIDENCE: As part of the inspection a tour of the home was conducted which included the communal areas, a number of peoples bedrooms, and the laundry. Since the last inspection the home has had a building extension to provide further accommodation for people receiving personal care. The building is of a good standard and in keeping with the existing parts of the home. In the existing parts of the home a number of areas had been tastefully redecorated, re-carpeted and had new furniture purchased. There was also evidence of a redecoration programme and the Operations Manager confirmed that work would continue to upgrade the home. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 15 People living in the home commented on how nice their bedrooms were, and one person said that Helme Hall was their home. Visitors to the home said that they were always made welcome, and for the hospitality of visitors the Operations Manager was discussing providing facilities to enable people to help themselves to beverages when they visit. Hanging baskets, which were an array of colour, complement the exterior of the property, and people were seen to be enjoying the newly created paths and patio areas within the grounds. There continues to be a large car park area for people who are visiting the home, and a separate parking area for staff. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported by qualified, competent and experienced staff and in sufficient numbers. Staff have had all the necessary checks before working with people so that they are kept safe. EVIDENCE: The information received from the home stated they are staffed efficiently to meet the needs of the people in their care, and evidence confirmed this when we looked at the duty rotas and spoke with staff. People who use the service also said that there were staff around when they need them and this was evident on the day of inspection. Evidence was seen to suggest that care staff are encouraged to have an NVQ level 2 in care, and the manager confirmed that eighty three percent of care staff have the qualification. Staff recruitment files of three members of staff were looked at in detail and they contained the required information and employment checks. These checks are necessary to help protect people from potentially unsuitable staff. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 17 The staff that were spoken with confirmed that they had received induction training when they came to work at the home, which provides them with knowledge and skill to look after people in their care. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager ensures so far as is practicable that the health, safety and welfare of people and staff are protected. The home is run in the best interest of people who live there. EVIDENCE: The manager has is an experience nurse, and she has almost completed the Registered Managers Award. To ensure that the home is run in the best interest of people who live there, satisfaction surveys are sent out twice a year. The Manager said that surveys Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 19 are in the process of being sent out, and when returned would be collated and displayed on the notice board in the entrance of the home. For those people who wish, small amounts of personal money are held safely at the home and receipts and records were seen. There was evidence in the staff training records that they have regular supervision and staff also confirmed this. One member of staff said that the training was relevant to the role, and that everyone receives an induction programme. Routine health & safety checks and maintenance checks are carried out and appropriate records were seen of those looked at. Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Helme Hall Care Home DS0000059075.V368735.R01.S.doc Version 5.2 Page 23 - 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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