Inspection on 07/06/05 for Helme Hall Care Home

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Helme Hall Care Home 17/09/09

Helme Hall Care Home 22/07/08

Helme Hall Care Home 25/07/06

Helme Hall Care Home 10/01/06

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 Helme Lane Meltham Huddersfield HD9 5RL Lead Inspector Karen Summers Unannounced 7 June 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 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 J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 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 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 CRH N 30 Category(ies) of OP - N Older People with Nursing registration, with number of places HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26 January 2005 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 and are located on three floors, all of which are accessed by a passenger lift. The home is situated approximatley half a mile from Meltham Village and five miles from Huddersfield. The bus stops at the end of the drive, which is approximatly a quarter of a mile away from the home. However the local 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 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. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an unannounced inspection at Helme Hall on Tuesday 7th June 2005, commencing at 9.45am, and the duration of the inspection was 4.5 hours. The manager, Mrs P Walker, was present at the inspection. The following methods have been used in the production of this report: sampling of records, care plans, individual discussion with 7 service users, discussion with management and staff, tour of the premises and document reading. 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. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 7 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 standard(s) 3 No service user moves into the home without having had his/ her needs assessed and been assured that those needs will be met. EVIDENCE: Prior to admission Mrs P Walker, manager, or Mr P Hennerssey, proprietor, visits the prospective service user in their place of residence and carries out an assessment of their needs. When carrying out the assessment the service user and where appropriate, his/ her representative (if any) and relevant health professionals have input into the assessment. Once the manager/ proprietor is satisfied that they can meet the service users needs a letter is sent offering them a place at the home. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 8 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 standard(s) 7 - 9 Service users’ receive the level of support they require to ensure that all aspects of their health and social care needs are maintained. There is evidence of good multi disciplinary working taking place. EVIDENCE: Care plans were comprehensive and set out in detail the action that needs to be taken by car staff, to ensure that all aspects of the health and social care needs of the service users are met. The plans included risk assessments that had been reviewed once a month. The identified needs assessment had been reviewed but the date of the reviews had only been recorded when changes had occurred. There should be documented evidence to show that the needs of the service user have been reviewed monthly as well as when changes have occurred. Records examined indicated that service users are getting the appropriated health care as required, and that there is good multi disciplinary working taking place. Two of the service users who were spoken with said that the staff were kind, and that they could not do enough for you. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 9 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 standard(s) EVIDENCE: The outcomes for these standards were not looked at this inspection HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 10 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 standard(s) EVIDENCE: The outcomes for these standards were not looked at this inspection HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 11 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 standard(s) 19 & 26 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 however, the dining room lounge carpet, and the first floor, hall carpet (where the hairdresser works) were showing signs of wear. The replacement of these carpets should be included in the homes refurbishment programme. The premises are kept clean, and staff have training in infection control. The grounds are well maintained, and service users were being encouraged to sit out and enjoy a time in the garden. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 - 30 The staffing levels and skill mix were sufficient to meet the number and needs of service users. Staff are also trained and competent to do their jobs. Service users are supported and protected by the home’s recruitment policy and practices. EVIDENCE: There was a sufficient number of staff on duty to care for the number of service users in the home, and 66 of care staff have achieved an NVQ level 2, or equivalent. In relation to recruitment, the staff files contained the relevant information and documentation. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 38 The home is run in the best interest of service users, and the registered manager ensures so far as is practicable that the health, welfare of service users and staff are promoted and protected. When the emergency lighting is not adequately maintained service users would be further at risk in the event of a fire. EVIDENCE: Service user/ relatives/ friend’s satisfaction questionnaires were circulated in August 2004, and are to be re circulated in August this year. The details and outcome of the questionnaires are displayed in the entrance foyer of the home. Relatives meetings were also started in April this year, however only two people turned attended. The outcome of the questionnaires and meetings are to be published in the service users guide. Staff have attended fire drills and lectures, and the handyman tests the fire alarms and emergency lighting weekly, however when the handy man recently had a holiday the alarms and lighting were not tested. The lighting and alarms should be tested weekly and the information should be recorded. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 14 The emergency lighting records indicated that one of the bulbs had not been working since March 2005, and had not been replaced. The bulb was replaced the day following the inspection. Fire equipment must be adequately maintained. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 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 Standard No 16 17 18 Score x x x x x 3 x x x x 1 HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 16 YES 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 38.2 Regulation 23.-(4)(c) Requirement Make adequate arrangements for the maintenance of all fire equipment. (Including the immediate replacement of emergency lighting bulbs that are not working.) The fire alarms and emergency lighting must be tested/ recorded weekly. Timescale for action Ongoing 2. 38.2 23.-(4)(c) Weekly RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 7.4 19.2 Good Practice Recommendations There should be evidence to show that the service users plan has been reviewed monthly. The replacement of the carpets should be included in the homes refurbishment programme. HELME HALL J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 17 Commission for Social Care Inspection Park View HouseAddress 1 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 J51J01_s59075_Helme Hall_v231509_070605.doc Version 1.30 Page 18 - 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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