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Inspection on 31/01/06 for Helmsley Road Short Break Service

Also see our care home review for Helmsley Road Short Break Service for more information

This inspection was carried out on 31st January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Helmsley Road provides a professional and caring service; there are many excellent examples of good practice, and following recent refurbishment of the properties, they provide a fine base for the service.

What has improved since the last inspection?

All of the requirements and recommendations set at the last Inspection have been met.

What the care home could do better:

Regulation 26 visits should be happening on a monthly basis, and a record of the visit made, with a copy of the record sent to the Commission for Social Care Inspection.

CARE HOME ADULTS 18-65 Helmsley Road Short Break Service 27-33 Helmsley Road Rainworth Nottingham Nottinghamshire NG21 0DQ Lead Inspector Rob Cooper Unannounced Inspection 31st January 2006 10:00 Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 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 Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 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 Adults 18-65. 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. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Helmsley Road Short Break Service Address 27-33 Helmsley Road Rainworth Nottingham Nottinghamshire NG21 0DQ 0115 9823 823 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) Nottinghamshire County Council Sarah Robinson Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That two named existing long-term service users may remain at the home Date of last inspection Brief Description of the Service: Helmsley Road consists of four purpose built bungalows three of which provide accommodation, in single rooms, for up to twelve younger adults who have learning difficulties. One is used as an administration centre and also houses the central kitchen and laundry. The service is part of Nottinghamshire County Council’s short-breaks provision. Located in Rainworth close to shops, pubs, post office and other amenities the bungalows are easily accessed by service users. There is car parking available for 12 cars and each bungalow has a separate front garden. The rear gardens had not been separated and service users spoken to preferred this layout. A variation of registration has been agreed in respect of two named long-stay service-users who remain resident in one of the bungalows for an indefinite period. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place through the middle of the day with one Inspector present and lasted approximately three hours. The methodology used was to visually inspect the premises, meet with residents, and staff and inspect a range of records. Three residents were ‘case tracked’ which involves looking at a selection of care records and making a judgement about the quality of the care/service that those individuals are receiving. 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. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23&4 Prospective service users do have their individual needs and aspirations assessed. Prospective service users do know that Helmsley Road will meet their needs and aspirations. Prospective service users do have an opportunity to visit and ‘test drive’ Helmsley Road. EVIDENCE: Three service user’s files were seen; each one contained an Extended Community Care Assessment, and assessment by the Occupational Therapist, a Communication assessment and a carer’s assessment. All three files contained an activity care plan, where such things as likes and dislikes were identified and recorded. Prospective service users come for tea visits (there was one taking place during the Inspection), over night stays, and there is a wide range of pre-visit information given to service users and their families. In addition prospective service users are encouraged to contact and visit all of the short breaks services within the county, as a place cannot be guaranteed at any one locality. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 & 10 Service users do know that their assessed and changing needs and personal goals will be reflected in their personal plan. Service users at Helmsley Road do make decisions about their lives. Service users do know that information about them is handled appropriately, and that confidences are kept. EVIDENCE: At the last Inspection this Standard was assessed, and a requirement was set, that care plans should contain evidence of family involvement. Three service user’s files were inspected and each contained evidence of family involvement. A requirement was also set that care plans should be reviewed on a regular basis, again inspection of the three files showed that they were being reviewed regularly – with a six month review as a service standard. Service user’s files contained activities care plans, which outlined decision making and the decision making process for service users. The issues of confidentiality were discussed with staff, and the storage of records was seen. Evidence pointed to information being kept securely, and confidentiality being a high priority among the Helmsley Road team. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15 Service users at Helmsley Road are part of the local community. Service users have appropriate personal, family and sexual relationships. EVIDENCE: During the Inspection two residents were going out into Mansfield for their lunch, and to do some shopping. Evidence on notice boards showed that Helmsley Road residents do participate in wide range of local activities, and make good use of local community facilities. This included service users attending football matches at Field Mill – home of Mansfield Town F.C. There are organised trips to the local welfare to see live music too. Personal and family relationships are identified in service user files. Discussions with the manager pointed out that the nature of the service and its service users is that sexual relationships are an extreme rarity. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 & 21 Service users at Helmsley Road do receive personal care and support in the way that they prefer and require. Service users do have their physical and emotional needs met. Helmsley Road’s medication policies and procedures do protect service users. Issues relating to illness and ageing are handled with respect. EVIDENCE: All three service user’s files seen had detailed care plans around personal support, and meeting needs. These care plans were written in a person centred style. Service user’s families have a pre-visit telephone call to establish any health problems. There is an agreement with the local G.P.’s surgery to register service users as temporary patients if necessary. Helmsley Road also uses NHS direct, and has emergency contact numbers for families. Medication policies were seen, and procedures discussed. Service users have their photographs attached to Medication Administration Records sheets (MAR sheets). Medication is discussed with family members prior to a service user’s visits, together with any changes from previous visits, or antibiotics (for example). Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 22 & 23 Service users do feel that their views are listened to and acted upon. Service users are protected from abuse, neglect and self-harm at Helmsley Road. EVIDENCE: Service user meetings are held six-weekly and minutes are taken. There are plans to write these minutes incorporating signs and symbols. Minutes were seen. The complaints procedure was prominently displayed, and complaints records were inspected. The last complaint was received in November 2005, and records show that it was dealt with in line with the policy. Helmsley Road’s abuse policy was seen, and staff training records of abuse training. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 24 25 26 27 28 29 & 30 Service users do live in a homely, safe and comfortable environment at Helmsley Road. Service user’s bedrooms are comfortable and suit service user’s needs and lifestyles, while also promoting independence. The toilets and bathrooms at Helmsley Road provide sufficient privacy and meet individual service users needs. The shared spaces supplement the individual bedrooms. There is a good range of specialist equipment at Helmsley Road. The entire complex was found to be clean and hygienic. EVIDENCE: A visual inspection of the premises showed them to be homely and well furbished, with no obvious hazards. A number of bedrooms were seen, and these we clean, bright, and well furnished. In the bedrooms occupied by service users they were found to have a number of personal effects, and reflected the service users who were living in the rooms (albeit briefly). The toilets and bathrooms had a good range of bathing options including Malibu baths, walk in showers and shower trolleys. The shared spaces were comfortable and well equipped, with good quality fixtures and fittings, and tasteful decoration. Throughout the bungalows there is a good range of specialist equipment, with a nurse call system, and assisted bathing options. Throughout all of the bungalows they were found to be clean, tidy and hygienic. Cleaning schedules were seen, and discussed with staff members. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 13 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 32, 34 and 35 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 Service users at Helmsley Road do benefit from clarity of staff roles and responsibilities. The staff team is effective. EVIDENCE: The staff rota was seen, which showed a clear structure, and hierarchy. The service is a partnership between Social Services and the health authority and staff members from both ‘partners’ were spoken with, and the differing roles explained. Helmsley Road is a multi-disciplinary service, and there is a clear clarity of roles among the staff. Evidence in the form of records, and staff discussions led to the judgement that the Helmsley Road team is effective. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 14 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 & 43 The health, safety and welfare of service users at Helmsley Road is promoted and protected. Service users do not always benefit from accountable and competent management. EVIDENCE: At the last Inspection a recommendation was made regarding health & safety, in that records were not kept of all attendees at fire drills. A range of health & safety records was seen, including fire records, and these were now found to be correct and complete. Monthly Regulation 26 visits have not been happening. The last recorded Regulation 26 visit being June and July 2005. It is required by Care Homes Regulations (2000) that monthly Regulation 26 visits take place. Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 15 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 Standard No Score 1 X 2 4 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 4 32 X 33 4 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X 4 LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 3 X X X X X 3 2 Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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 YA43 Regulation Requirement Timescale for action 30/04/06 Regulation The Registered person must 26 ensure that monthly monitoring visits are made to the Service (in line with Regulation 26) and a written record is made. A copy of the record should be sent to the Commission on completion. 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 Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Helmsley Road Short Break Service DS0000036300.V281768.R01.S.doc Version 5.1 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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