Inspection on 25/07/06 for Helme Hall Care Home

This inspection was carried out on 25th July 2006.

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

Helme Hall Care Home 17/09/09

Helme Hall Care Home 22/07/08

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

Similar services:

Snydale Care Home

Abbey The

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Helme Hall Care Home Helme Lane Meltham Huddersfield West Yorkshire HD9 5RL Lead Inspector Karen Summers Unannounced Inspection 25th July 2006 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.V297016.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.V297016.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 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 Patricia Walker Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Helme Hall is a converted, stone built, detached building set in its own extensive grounds. It provides nursing care for up to 30 elderly service users. The service users accommodation has been created from the original building and bedrooms are located on three floors, all of which are accessed by a passenger lift. 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. There is a large patio area decorated with flower tubs and hanging baskets, and also a sheltered lawned area where service users may sit. There is also a flood lit car part to the rear of the home, and for ease of access a ramp leading to the entrance. Fees at the home start at £ 475 - £550 per week. Items not covered by the fee include: Hairdressing, chiropody, and newspapers/ magazines. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection, which included an unannounced visit on the 25th July 2006, and the duration of the inspection was 7 hours. There were 27 service users in residence on the day. Mrs Patricia Walker, manager, was present throughout the inspection. The following areas were looked at and have been used in the production of this report; a sample of records, care plans, medication, individual discussion with seven service users, two members of staff, tour of the premises and document reading. To reflect the views of those who use the service, satisfaction questionnaires were sent to: 10 service user, 6 were returned; 9 relatives/ advocate/ friend, 5 were returned, GPs 2, both were returned. The inspector would like to thank those who contributed to the inspection process, and also thank Mrs Walker, her staff and service users, for their time and hospitality on the day of inspection. What the service does well: What has improved since the last inspection? The grounds are well maintained, and service users were sat out enjoying the newly created patio area, which was array of colour with flower tubs and baskets. One of the service users said that he enjoyed sitting out on the patio. The car park has been resurfaced, and made larger, and a separate parking area made for staff. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 6 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. Helme Hall Care Home DS0000059075.V297016.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.V297016.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2-5 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. No service user moves into the home without having had his/ her needs assessed and been assured that those needs will be met. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: Prospective service users and their relatives are encouraged to have a look around the home, and spend some time there before deciding to move in, and service users are admitted following an assessment of their needs. They also receive a letter confirming that the home can meet their needs. Without exception, all service user questionnaires stated that they receive enough information about the home before deciding it is the right home for them. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 9 Service users are provided with a statement of terms and conditions at the point of moving into the home, or contract if purchasing their care privately. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. The service users’ health, personal, and social needs are set out in a plan of care, and they receive the level of support they require to ensure that those needs are maintained. Service users are protected by the home’s policies and procedures for dealing with medicines. Service users are treated with respect. EVIDENCE: Care plans were of a good standard and set out the action that needs to be taken by care staff, to ensure that the needs of the service users are met. The daily record was also comprehensive and referred to the identified needs. The questionnaire returned from one of the GPs commented that the home was superb, matron excellent and the friendly staff. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 11 One of the relative questionnaires stated that her mum had progressed enormously since at the home. “The atmosphere was lovely; the staff were respectful, and warm and friendly to residents” “Don’t think mum could be in a better place.” The service users also confirmed that the staff were excellent, nothing was too much trouble, and they were always patient and kind. Medication housekeeping was of a good standard; should a service user wish to self- administer their medication, there is a risk assessment and documentation. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, religious and recreational interests and needs. Service users are encouraged to maintain contact with family and friends, and they visit on a regular basis. Service users also receive a varied, appealing balanced diet, which is suited to individual assessed needs, and in pleasant surroundings. EVIDENCE: A dedicated activities person is employed and activities take place Monday to Thursday 10am until 12mid day, and then 2pm until 4pm, and on a Friday take place between 10am and 4pm. Activities include; beauty therapy, crafts, flowers arranging, planting of bulbs, individual activities, going out for a walk, attending local school productions, going to church and many more. In addition to this entertainers are booked to visit the home monthly. A people Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 13 carrier car has also been purchased and residents enjoy the opportunity to go out and visit places of interest. Daily newspapers are provided by the home, and service users can order their choice of newspapers and magazines, and this was confirmed by one of the service users. The library visits 4 – 6 weekly, and provides both talking, and large print books. For the visually impaired the home has a hand held magnifying glass and a full page magnifying glass. The local school children also visit several times a year to read to the service users. Service users are encouraged and supported to keep in contact with their friends and relatives, and visitors are always made to feel welcome. Service users commented on how they enjoyed the food, and the menus offered variety and choice of wholesome food. Food preferences and diets are also taken into consideration when planning the menus. Questionnaires from service users indicated they generally liked the meals at the home. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and their relatives can be confident that their complaints will be listened to, taken seriously and acted upon in a timely manner. Service users are protected from abuse. EVIDENCE: There is a complaints procedure which specifies how complaints may be made, and with an assurance that they will be responded to within a maximum of 28 days. There is also a whistle blowing procedure, and staff have abuse awareness training. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a homely environment and well-maintained environment. The premises are clean and systems are in place to control the spread of infection. EVIDENCE: The general decorative condition of the home was of a good standard, and there was evidence that there is a programme of routine maintenance and decoration of the premises. The premises are kept clean, and staff have training in infection control. The grounds are well maintained, and service users were sat out enjoying the newly created patio area, which was array of colour with flower tubs and Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 16 baskets. One of the service users said that he enjoyed sitting out on the patio. All the service users questionnaires said that the home was fresh and clean. The car park has been resurfaced, and made larger, and a separate parking area made for staff. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing levels and skill mix were sufficient to meet the number and needs of service users. Service users are supported and protected by the home’s recruitment practices. Staff are also trained and competent to do their job. EVIDENCE: There was a sufficient number and skill mix of staff on duty to care for the number of service users in the home. Three out of four relative’s questionnaires stated that there were always sufficient numbers of staff on duty. 50 of care staff have an NVQ level 2 or equivalent. The registered person operates a thorough recruitment process, ensuring the protection of service users. Staff confirmed that they had had induction training within 6 weeks of their employment, and were able to say what the induction included. The information was also recorded in the staff training files. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 18 Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35 & 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service users benefit from the management approach of the home and the registered manager ensures so far as is practicable that the health, safety and welfare of service users and staff are protected. Service users are safeguarded by the accounting and financial procedures of the home. Staff are appropriately supervised. EVIDENCE: Mrs P Walker, the manager has commenced a combined registered managers’ certificate, and an NVQ level 4, and she hopes to complete the qualifications early next year. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 20 Six monthly satisfaction questionnaires are done for relative and service users, and the most recent ones which were done in June 06, are in the process of been collated. When they have been completed, they are displayed on the notice board in the home. Relatives and service users meeting also take place and minutes are recorded. The owner also completes a monthly audit of the home. He also visits the home a minimum of three days a week. Staff meetings take place between 4 – 6 weeks and the manger and owner are present. Service users personal finances were inspected and found to be correct. Routine health & safety checks and maintenance checks are carried out and the appropriate records are kept. The supervision of staff takes place a minimum of six times a year, and appropriate records are maintained. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 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 2 X 3 X 3 X X 3 Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 22 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. 1. Refer to Standard OP31 Good Practice Recommendations Standard 31.2 - The manager should have an NVQ level 4 in management and care or equivalent. Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Helme Hall Care Home DS0000059075.V297016.R01.S.doc Version 5.2 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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