Inspection on 06/01/06 for Honeybourne House

This inspection was carried out on 6th January 2006.

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

Honeybourne House 14/03/07

Honeybourne House 02/08/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

32 Beaumont Way

Stallcombe House

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

CARE HOME ADULTS 18-65 Honeybourne House 98 Sheridan Road Manadon Plymouth Devon PL5 3HA Lead Inspector Doug Endean Unannounced Inspection 6th January 2006 9:30 Honeybourne House DS0000063212.V278096.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 Honeybourne House DS0000063212.V278096.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. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Honeybourne House Address 98 Sheridan Road Manadon Plymouth Devon PL5 3HA 01752 242789 01752 777744 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) Honeybourne House Limited Vacant Care Home 21 Category(ies) of Learning disability (21), Learning disability over registration, with number 65 years of age (13), Physical disability (21), of places Physical disability over 65 years of age (13), Sensory impairment (21), Sensory Impairment over 65 years of age (21) Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. PD - Physical Disability, 21 service users male or female SI - Sensory Impairment, 21 service users male or female LD(E) - Learning Disability - over 65, 13 service users male or female SI(E) - Sensory Impairment over 65, 21 service users male or female PD(E) - Physical Disability - over 65, 13 service users male or female LD - Learning Disability, 21 service users male or female There will be a maximum of 21 beds in total of which 8 (eight) beds are to provide nursing care Date of last inspection Brief Description of the Service: Honeybourne House is a detached property that provides both personal and nursing care. It provides personal care to a maximum of 13 people, aged 30 , with a learning disability, some of who may also have a physical disability and who reside in Honeybourne House. In the Bungalow they provide nursing care for up to 8 people within the same categories previously stated but for young adults 18 years . The Home is in the residential suburb of Manadon on the outskirts of Plymouth. It is close to local shops and other amenities. There are 11 single bedrooms and one shared bedroom in the main house, 5 being on the ground floor. The shared room has en-suite facilities. In the Bungalow there are eight single bedrooms, all with en-suite facilities with a ceiling track hoist from the bed to the en-suite. Communal space in the main house is on the ground floor and consists of a dining room and lounge. There is also a large lounge on the first floor that is used for staff training. The bungalow has its own lounge and dining room space. A further building is used for activities and has a sensory room. The home has its own transport, consisting of two minibuses (shared with a sister home), each with disabled access including wheel chair lifts. Service Users are enabled to access any health or social care services they require and are also involved in various community social and educational activities at the moment. The home has recently come under new ownership and is now part of a large organisation who has many homes across the country. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the homes performance against the National Minimum Standards during this inspection year. This inspection was unannounced and took place on the 6th January 2006 commencing at 09.30 hours and lasted 3 hours. The Manager was present and assisted the inspector during the inspection. The inspector took the opportunity to talk with four clients, two visitors and two staff members. He also looked at staff and client records, maintenance records and some of the homes procedures. The inspection ended following a tour of the home to look at the upgrading that has taken place since the last inspection including bathrooms and a wheel in shower facility. What the service does well: What has improved since the last inspection? The fabric of the home has improved with re-decoration of many areas and the re-fitting of bathrooms in the House to provide much improved facilities to meet the present and future needs of the clients that live at the home. There is also an improvement in the way the records of clients are kept with a gradual move to the method used by the company that is more structured and informative. The proposed Registered Manager has met the challenge’s of running the home and her experience shows in the overall care and management practices. She is also engaged in the National Vocational Qualification training in Management at level 4. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 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. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 5. The home has only admitted clients into the home who have conditions that fall within the categories of registration. The staff and facilities are suitable to meet the needs of those clients. There is suitable information available to prospective purchasers of care about the service they can expect to have provided. EVIDENCE: The home has a Statement of Purpose and a service users guide. The Statement of Purpose is written to a high standard having all the information required of it to meet the Regulations. A copy was seen by the inspector on the notice board that is in the corridor just inside the entrance of the home. The inspector read this document. The Manager told the inspector that there is always a copy of this document available to anyone whop wants to read it and that it is also held on the homes computers and can be printed off at any time. The home is able to demonstrate that they are able to meet the assessed needs of the clients that live there should they be personal or nursing care. The home employs staff who are trained and experienced in providing personal care, i.e. some have nurse training, and all have manual handling training and an understanding of the needs of someone with a learning disability. They also have communication skills using such things as symbols to establish understanding. In addition there are practical aids such as hoists, nurse call systems and specialist bathing facilities that are used where it is necessary. The home also works closely with the health services in the area and with Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 9 Social Services to provide a full life experience to the clients meeting their social, educational, psychological and health care needs. The home uses a software package to provide consistency in the assessment that they carry out on prospective and resident clients. The home has their contracts of care jointly with health and Social Services. And they have set the terms and conditions that are agreed upon. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 10 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): 8 The home does provide the support to clients so that their wishes and views are heard and where possible acted upon. EVIDENCE: The clients take part in the decisions that are made on every day issues that effect them such as what to wear, what they eat, which activities they will be involved in. The inspector observed this happening with regard to going from the home to day care and shopping. Where they cannot participate in decision making due to their disability there advocate will take part, i.e. a family member, Community Psychiatric Nurse, Care Manager, etc. The case records provided evidence regarding the clients, or their advocates involvement in a variety of decisions that are made. The files also hold risk assessments regarding activities that the clients are involved in and where they do have their movements restricted there are reasons given for this. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 The home has provided appropriate alternatives to the activities experienced by the clients that are external to the home that they are being withdrawn by Plymouth City Council. EVIDENCE: The Service Users are encouraged to be as independent as possible in all aspects of daily living such as caring for their personal hygiene, choosing what cloths to wear and what activities they involve themselves in. The home have maximised the potential of each of the clients through learning and social opportunities outside of the home. Many of the clients have attended school/college to meet others with similar problems and to participate in learning. Plymouth City Council is closing some of the services that are presently offered to these clients. The home and the clients have received notice that non of the clients fit into the category of services that will continue to be provided. In order to fill the void left by the Councils decision the home has re-developed their internal provision to make best use of the space they have available for activities. The Jacuzzi has gone and this space is to be used for social and educational activities. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 12 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 The clients are supported by the staff in order to be as independent as possible and are provided with sensitive support, and respect, where they cannot meet their own needs that maintain their dignity. EVIDENCE: Where nursing care is provided it is delivered by a registered nurse. Personal care is provided by both the nurses and the care staff under the supervision of a registered nurse. Where intermit care is provided this is done so in the privacy of the clients own room or other appropriate areas such as the bathroom so as to maintain the privacy and dignity of the client. All manual handling exercises are carried out by staff who have been trained in manual handling and evidence of this training is held in each staff members file. The equipment for manual handling is regularly serviced and bears evidence of this on each item. There are manual handling assessments in each of the clients files where this is provided. The clients are guided and supported by staff to achieve their personal hygiene needs and their care plans do indicate what level of assistance is needed. Choice of clothing, hairstyles, nourishment and the activities are also those of the client but may be affected by such things as physical disability and health care needs. The home is regularly in touch, and visited by health and social services staff who have ongoing involvement in the care of various clients who are resident Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 13 at the home. These individuals play their part in the care planning process that the home has in place. The clients do have key workers and these individuals are identified on the clients case files and notice boards. Relatives also play their part in the care of clients to what ever degree they are able, or comfortable with providing. The clients have their own rooms and have had them decorated to their liking. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: These standards were reported on at the time of the last inspection and found to be satisfactory. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 15 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): 25, 26 & 28 The clients are provided with comfortable lounge and dining space and their own rooms are of adequate sizes, well appointed and suitably decorated to meet their wishes. The home has equipment that allows staff to provide personal and nursing care safely. EVIDENCE: The home provides each client with their own room that is of suitable size and adequately equip to meet the standards. In addition to this the rooms are furnished to meet the physical needs and personal demands of the clients who also have had their decorative desires met to personalise their area of the home. The nursing unit, the “Bungalow” has eight rooms each with en-suite facilities that are accessed by the clients through the use of ceiling track hoists. These en-suites provide both toilet and bathing facilities. Beds in the Bungalow and the House are provided to meet the individual needs of the clients with modern height adjustable nursing beds with built in bed guards for the nursing clients and divan beds for those clients in the House who are independently mobile and not at great risk from this level of independence. The home has televisions and radio’s in the communal areas and some clients have their own televisions and music centres in their bedrooms. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 16 The bedrooms are fitted with door locks and some clients do have their own key. This provision is based on risk assessments that are kept in the clients case file. The windows are provided with restrictors to prevent them opening beyond safe limits as set by the Health & Safety Executive. There are a variety of bathing facilities in the home from shower in each of the en-suites in the Bungalow to a specialist bath in its own room also in the Bungalow. The bathrooms in the House have been upgraded to provide good provision for the clients. There are two domestic style bathroom and a wheel in shower room in the house each with toilet facilities. There are also toilet facilities for the clients that are separate from the bathrooms. A staff sleeping in room is provided that is of a good standard and close to the clients should the staff member be called upon. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 17 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, 32, 33 & 34 The home employs a qualified and experienced staff group who collectively provide a workforce that can meet the needs of the clients. EVIDENCE: The Manager does have the structure of a large care provider to support her in the task of employing staff to positions that are clearly defined in the companies job descriptions. Also the staff are suitably inducted to their post using clear guidance and training information produced by the company and that was seen during the registration process. The staff work very closely with the clients involving themselves in personal care, activities and psychological support. The mixed training and skills of individuals at the home make up a wealth of knowledge and experience in the home that benefits the client group. The home does employ qualified nurses twenty four hours a day in the nursing unit who are supported by care staff, the majority of which hold an National Vocational Qualification at level 2 or 3, 16 out of 20 in total. The home has not been successful in recruiting a Registered Nurse who will be responsible for the care activity that occurs in the nursing unit. In the House 9 out of 16 staff hold a National Vocational Qualification at level 2 or 3. In addition to this the staff have had mandatory training for the job such as manual handling, Adult abuse and infection control and evidence of this has been seen in the staff files. There has also been specific category related Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 18 training for the staff carried out in house and also by external trainers such as the local National Health Services Trust. The staff records have been audited and now hold all the items of identification that is required by Schedule 2 that is possible to obtain. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37 & 42 The management of the home, both internal and external, are providing sufficient direction and resources in order for the home to meet its aims and objectives, in a safe and well maintained environment, all to the benefit of the residents. EVIDENCE: The home Manager is presently being vetted under the Commission for Social Care Inspection Fit Person process. She has also commenced the National Vocational Qualification level 4 training in Management that is required for the post under the National Minimum Standards. She has experience in this field of care both professionally and in her personal life and has brought much to the home because of this. He general management skills are evident in that the home does run well under her direction with the aims and objectives being met both in care and administratively. Presently there is not an identified registered nurse that will be responsible for the nursing care at the home but the company are actively trying to recruit someone to this position. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 20 The staff can provide evidence (as seen in there files) that they have received training that will equip themselves to provide care to the clients. The home has provided equipment of a good quality and standard, such as ceiling track hoists and specialist baths, to meet the assessed needs of the clients. The care assessments and care plans have been seen in the clients files during this and previous inspections with new formats having been recently introduced. The home is well maintained by the full time maintenance person and also by specialists who attend the home under contract to deal with general maintenance and repair of specific items of equipment such as the fire systems, hoists and electrical equipment. The general Health & Safety issues at the home have also been dealt with such as the management of the hot water supply to prevent scalding, restrictors on windows to prevent falls, and the guarding of radiators to prevent burning. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 3 26 3 27 X 28 3 29 X 30 X STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X X X X 3 X Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 22 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. 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 YA32 Good Practice Recommendations The home should continue in their attempts to recruit a suitably qualified and experienced Registered Nurse to lead the nursing care in the nursing unit. Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Honeybourne House DS0000063212.V278096.R01.S.doc Version 5.1 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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