This inspection was carried out on 20th 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.
CARE HOME ADULTS 18-65
Hopelea Care Home 11-13 Annesley Road Hucknall Nottingham NG15 7AD Lead Inspector
Dee Shelvey Unannounced Inspection 20th January 2006 11:30 Hopelea Care Home DS0000008699.V275263.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 Hopelea Care Home DS0000008699.V275263.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. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Hopelea Care Home Address 11-13 Annesley Road Hucknall Nottingham NG15 7AD 0115 953 8385 0115 953 8385 helensimpson440@hotmail.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Hucknall Hopelea Project Mrs Helen Simpson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Residents shall fall within registration category LD (1 named resident shall also be in category PD, and a further resident in LD/E) 9th June 2005 Date of last inspection Brief Description of the Service: The Hopelea project represents a partnership between Nottingham Community Housing Association who own the building and the Hopelea Project, a charitable organisation. The home comprises two adapted and internally joined terrace houses very close to the centre of Hucknall with its range of shops and facilities. The home sits discreetly in a residential area. Up to six service users aged 18 - 64 with learning disabilities can be accommodated at the home, although because of the layout of the building (stairs at all levels) it would not be suitable for service users with mobility difficulties. The home does not provide accommodation to older service users or those whose behaviour may challenge. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over three hours. Unfortunately all the service users were out but their views had been sought at the inspection of 9th June 2005. Discussions took place with the manager and one member of staff was interviewed. In addition the inspector read documents and records. The previous inspection had covered most of the national minimum standards and they were all met. This inspection therefore only covered those standards not addressed before. What the service does well:
The home was bright, cheerful and homely with furnishings and fittings of a high quality. Bedrooms viewed were personalised and pleasant. Care planning is based upon thorough needs assessment. The plans are comprehensive and ensure that staff understand how to meet all individual need. Service users are involved in the process and are consulted about decisions, which affect them and the running of the home. Independence is encouraged and service users do their shopping cooking, cleaning, washing and ironing with the support of the staff. The personal and health needs of the service users are well met. Service users privacy is respected and the member of staff interviewed demonstrated a clear understanding of confidentiality. All personal information is stored in locked cabinets. Should it be necessary to shared information with another agency the service user is involved. There is a policy on adult protection and staff were aware of the relevant procedures to be followed should there be an adult protection issue. Appropriate records were kept and the home followed The Nottingham County Councils policies and procedures. Support for staff was good and the relevant background checks on staff had been made. Staff receive appropriate training and supervision. The home is well managed and the paperwork and files were clear and well organised.
Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 6 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. Hopelea Care Home DS0000008699.V275263.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 Hopelea Care Home DS0000008699.V275263.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 and 4. Prospective service users would have sufficient information on the home to make a choice and be able to “test drive” the home. EVIDENCE: The statement of purpose and service user guide contained all the information required by statute. The admission criteria were clear and the procedure for admission gave service users ample time to see the home and meet staff prior to moving in. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 9 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 and 10. Individual plans reflect changing needs. Service users can be assured of confidentiality. EVIDENCE: Care plans were reviewed regularly and needs were well monitored between reviews. If necessary plans would be reviewed more often in response to finding during monitoring. The plans contain evidence of both service user and family involvement. The plans contain a list of people who may need to see the information and service users are asked to give their permission for this. All files are securely stored in locked cabinets. The home had a policy on confidentiality and the manager and member of staff interviewed demonstrated an understanding of the issue. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 10 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): 12 and 13. Service users are part of the local community and take part in appropriate activities. EVIDENCE: Social needs are considered during care planning and service users are encouraged to follow their own interests. Evidence of service users accessing local amenities was seen in the files. The member of staff interviewed said that many people in the local community knew the residents from shopkeepers to taxi drivers. They all used local cafes, pubs and swimming baths. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 11 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): 21 The issue of illness and death of a service user would be handled with sensitivity. EVIDENCE: The home approaches the issue of illness and death with all service users using different methods. If a character on a favourite TV programme dies the staff use the opportunity to discuss bereavement and how the service users would wish to be treated in such circumstances. Any information and wishes are recorded in the care plan. On the day of inspection the manager was ordering some further learning material; a booklet on the subject put together with the assistance of people with a learning disability. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 12 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 and 23. Service users are listened to and protected. EVIDENCE: The complaints procedure is made available in several formats including pictorial so that service users can understand how to complain. They are given information on how to contact other agencies, the investigative process and time frame is included. Families are provided with a copy of the complaints procedure. There is a policy on adult protection and staff were aware of the relevant procedures to be followed should there be an adult protection issue. Appropriate records were kept and the home followed The Nottingham County Councils policies and procedures. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 13 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): 27, 29 and 30. The home was clean and tidy with sufficient toilets and bathrooms. EVIDENCE: The service users require very little in the way of special equipment but should an individual develop a need it would be addressed. There were grab rails in the bathrooms. Toilets and bathrooms were sited on each floor and accessible to service users. The home had a satisfactory infection control policy and all cleaning fluids were in locked storage. During the tour of the building no potential health and safety hazards were seen. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 14 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): 34 Service users are supported and protected by the home’s recruitment policies. EVIDENCE: The home had a satisfactory recruitment policy and there was evidence that this was followed in the staff file examined. The staff file contained all the information required by statute. The member of staff interviewed was knowledgeable about the needs of people with a learning disability. She demonstrated an enthusiasm for the job and was clearly self motivated. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 15 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): 39,40,41 and 43. The home is run for the benefit of service users. EVIDENCE: The manager was well experienced and supported by the Hopelea Project Committee. All the records required by statute were seen and found to be satisfactory. They were kept in a professional manner, which assisted the inspection process. Policies and procedures were reviewed regularly and service users were kept informed on issue affecting the home. Staff were able to access all policies. The manager operated a quality assurance system that included service users and families; results were analysed annually. In addition she also audits staff and residents meetings, the complaints record and accident book to ensure that she is fully informed of any quality issues. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 16 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 X 4 3 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 X 25 X 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 X X 3 3 3 X 3 Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 17 No 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 YA40 Good Practice Recommendations To produce a master index for the policies and procedures files. Hopelea Care Home DS0000008699.V275263.R01.S.doc Version 5.1 Page 18 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
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