Inspection on 13/10/05 for St Helens Care Home

This inspection was carried out on 13th October 2005.

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

St Helens Care Home 19/05/10

St Helens Care Home 20/01/09

St Helens Care Home 28/01/08

St Helens Care Home 14/02/07

St Helens Care Home 25/04/05

St Helens Care Home 07/10/04

St Helens Care Home 24/05/04

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

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

CARE HOMES FOR OLDER PEOPLE St Helens Care Home 6 Manor Road St Helens Auckland Bishop Auckland Durham DL14 9DL Lead Inspector Belinda Parker Announced Inspection 13th October 2005 08:30 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 St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 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. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Helens Care Home Address 6 Manor Road St Helens Auckland Bishop Auckland Durham DL14 9DL 01388 606093 01388 607962 sthelens@schealthcare.co.uk 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) Southern Cross Healthcare Services Limited Mrs Beverley Denise Grimes Care Home 48 Category(ies) of Past or present alcohol dependence (5), registration, with number Dementia (5), Dementia - over 65 years of age of places (29), Mental disorder, excluding learning disability or dementia (19), Physical disability (5) St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st April 2005 Brief Description of the Service: St Helens is a forty-eight bedded home that provides 24hr care for people with mental health needs mainly dementia. The home is situated in St Helen’s West Auckland near Bishop Auckland. The accommodation is purpose built for the needs of the service users. The home consists of two units, upstairs is nursing and residential for older people with mental health needs and downstairs the “ Auckland and Barnard “ units provides nursing input for nineteen younger people with enduring mental health problems. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 13/10/05 over a period of 5 hours. Discussion took place with service users, staff and the manager. The inspector toured the home and a number of records were examined. There are no outstanding requirements from the last inspection. What the service does well: What has improved since the last inspection? Since the last inspection there has been substantial investment by the company in improving the décor, service users’ facilities, furniture and furnishings creating a high standard of comfort in pleasant surroundings for the people who live in and visit the home. The manager said a relative was very impressed with the changes. The ground floor unit has now been divided into two, providing more space for service users and creating a more homely environment. An extra kitchen facility is now available on the ground floor for younger service users to develop their cookery skills with support from staff. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 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. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 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 St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 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): 1, 2 and 3 The home’s Statement of Purpose and Service User Guide are excellent providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to be made. The admission procedure is clear, involving prospective service users and their relatives in the process, ensuring the home has the capacity to meet their individual needs. EVIDENCE: Since the last inspection the company has developed and implemented a new Statement of Purpose and Service User Guide. These documents have been produced in a service user-friendly format, including a newsletter. Clear information on what the service offers enables prospective service users and their relatives to make a decision as to whether they wish to move into the home. Evidence was available to show that all service users have a copy of the Terms and Conditions of residency. The manager said the company is currently reviewing this document. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 9 The manager said before anyone is admitted to the home a full pre-admission assessment is carried out, to ensure the home has the capacity to meet the individual needs of the prospective service users’. Other health professionals, the service user and their relatives/representatives are involved in the assessment process. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 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): 10 and 11 Staff treat service users with respect in the home. This is evident from the positive relationships built up between service users and the staff. EVIDENCE: Staff during discussion demonstrated that they respect dignity and privacy when assisting service users with personal care. Staff said it is important to get to know the people living in the home, as you get to know their likes and dislikes. A staff member said she always encourages service users to do as much as they can for themselves. A service user spoken to said, “ The girls help me, I like to do what I can myself”. The home has in place a comprehensive policy for death and dying including information on other religions and cultures, to provide staff with the necessary information to carry out a dignified procedure in the event of death. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 11 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, 13, 14 and 15 Service users are offered a range of activities to meet their interests and life skills development. Dietary needs of service users are well catered for with a balanced and varied selection of food available. EVIDENCE: The manager said the home is currently advertising for an Activities Coordinator. In the interim period staff said they provide a varied range of activities for service users. Since the last inspection a skills kitchen has been developed on the ground floor for younger service users, to enable them to develop their cooking skills supported by staff. Activities attended by service users are recorded in the individual’s plan of care. Activities are displayed in the home for service user information. The manager and service users said visitors are welcome at any time. A visitor’s policy is in place. If service users wish for someone other than staff or relatives to speak on their behalf, information is available in the home on advocacy services. The home provides a balanced and varied range of foods to meet the dietary needs and choices of the older and younger service users in the home. Meals times can be flexible if requested. Two service users where observed having St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 12 an early lunch due to attending college early afternoon. A service user spoken to said “ The food is good, plenty of choice”. The dining areas on both floors have been relocated and refurbished, providing comfortable and pleasant dining facilities. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 13 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 and 17 The people living in the home are provided with the information required to make their views known when they are not satisfied with the service delivery. Service users rights are protected and systems are in place to enable the service users to exercise those rights. EVIDENCE: The home has in place a comprehensive complaints procedure, which is included in the Service User Guide for information. Since the last inspection there has been one complaint made to the home, this was an internal staff issue, following investigation complaint was unsubstantiated. Staff during discussion were able to demonstrate the procedure in the event of a complaint being made, to ensure the views of the service users are listened to. Information on advocacy services is available for service users information in the home. The manager said a system is in place to enable service users if they so wish to participate in the electoral process. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 14 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, 20, 21, 22, 23, 24, 25 and 26 Recent investment has significantly improved the appearance of this home creating a comfortable and safe environment for those living there and visiting. EVIDENCE: Since the last inspection there has been substantial financial investment by the company to improve the overall environment for the comfort of service users. The ground floor has been redesigned into two units providing service users with more space, facilities and comfort. The upper floor lounge and dining room has been relocated, providing a more spacious and comfortable dining area. Extra bathing facilities on the ground floor are now available giving service users the choice of a shower or bath. Renewal of furniture, soft furnishings and carpets as well as redecoration is ongoing. A service user commented when asked if she was happy with her personal accommodation, “ My room is lovely and will do me for the rest of my life”. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 15 The manager said relatives have commented positively on the recent improvements to the home. On touring the home it was observed to be clean and tidy. Policies and procedures are in place to prevent the control and spread of infection. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 16 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): 30, 31 and 32 The manager is aware that the continued self-development of staff skills and knowledge is important to ensure the people living in the home get a good standard of service and are protected from abuse or neglect. EVIDENCE: Staff during discussion demonstrated that they attend regular training. A qualified member of staff said she completed a period of induction when she commenced in post and said, “Good support from colleagues”. Both staff members realised the importance of training to develop skills and knowledge to enable them to deliver a good standard of service to the people who live in and visit the home. A record of training attended by staff is maintained. Two staff members spoken to said they would protect service users from abuse but had a limited knowledge of the procedure in the event of an incident occurring in the home. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 17 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 and 32 The manager provides a clear sense of direction and leadership ensuring the service delivered to the people who live in the home is ever evolving to meet their individual changing needs. EVIDENCE: The manager is a qualified nurse with many years experience working with older people and people with Mental Health problems. The manager is nearing completion of the Registered Managers Award, which will enhance her skills in the management of the home and service provided to the people who live in the home. The manager described her style of management as approachable, lead by example and promoting high standards of care practice. A staff member commented when asked on her opinion of the management of the home said, “ The manager is the best we have had for years”. Comment cards received St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 18 prior to the inspection where complimentary towards the staff and the service delivery. Service users are given the opportunity to make their views known through their key workers and meetings held in the home. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 19 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 4 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x x x x x St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 20 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. 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 2 3 OP12 OP18 Refer to Standard OP19 Good Practice Recommendations The registered provider should continue with the ongoing environmental improvement programme to enhance the comfort standards for the people who live in the home. The registered manager should continue to recruit an activities organiser. The manager should arrange training on POVA (Protection of Vulnerable Adults) for all staff to ensure they have the knowledge of the procedure to follow in the event of an abusive incident occurring in the home ensuring the protection of service users. St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 St Helens Care Home DS0000000749.V255862.R01.S.doc Version 5.0 Page 22 - 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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