Background to this inspection
Updated
5 December 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 9 and 11 October 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
The inspection was carried out by one inspector.
Prior to the inspection we reviewed the information we held about the service, for example, information shared with us by members of the public and healthcare professionals. We also reviewed the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection we spoke with three people, three care support workers, a district nurse, the registered manager of a sister service, the registered manager and the area manager. We looked at four care plans, four staff files, the complaints folder and other records relating to the management of the service. Prior to the inspection we also spoke with two people by telephone and contacted four healthcare professionals to gather feedback of the service.
Updated
5 December 2018
This comprehensive inspection took place on 9 and 11 October 2018 and was announced.
Helmi House was registered with the Commission on 4 October 2017 and had not previously been inspected.
This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service. At the time of the inspection there were 32 people receiving the regulated activity personal care.
The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported by staff who received training in safeguarding, knew how to identify, report and escalate suspected abuse in line with good practice. Risk management plans in place gave staff clear guidance on how to mitigate identified risks.
People confirmed they received their medicines as prescribed. Records identified medicines did not always contain people’s known allergies and medicines route. On the second day of the inspection the registered manager had devised new medicine administration records that documented people’s known allergies and route of medicines. We were satisfied with the provider’s response.
People received care and support from suitable numbers of vetted staff to ensure they were safe. Staffing levels were flexible and adjusted in accordance with people’s changing needs.
The service learnt from incidents and accidents through regular auditing. Accidents were documented and shared with the relevant healthcare professionals where required. People were protected against the risk of infection as staff were provided with personal protective equipment and were aware of the provider’s infection control policy.
Staff received on-going training and supervision to enhance their skills, knowledge and reflect on their working practices. Staff received an induction prior to commencing their role and had their competencies monitored and assessed.
Staff were aware of their responsibilities in line with the Mental Capacity Act 2005 legislation. People's consent to care and treatment was sought and respected.
People were treated with dignity and respect and staff demonstrated kindness and compassion. People’s cultural and religious preferences were respected and encouraged. Where agreed in people’s care package, staff supported them to access food and drink that met their dietary needs and requirements. People were supported to access healthcare professional services as and when required.
Where possible staff encouraged and supported people to maintain their independence. Care plans detailed their dependency levels and support was provided accordingly. People’s confidentiality was maintained.
People received care that was person-centred and tailored to their individual needs. Care plans were reviewed regularly and where possible people were encouraged to develop them.
People were encouraged to participate in activities provided at Helmi House. People were aware of how to raise a complaint and were provided with a copy of the provider’s complaints policy. Complaints were managed in line with the provider’s policy and a positive resolution sought.
People and staff spoke positively about the registered manager. People and staff appeared at ease in the registered manager’s presence and sought guidance and support.
The registered manager carried out regular audits of the service to drive improvements. The oversight and monitoring of the service meant issues were identified in a timely manner and action taken to address these was done so swiftly.
People’s views were sought and where issues were identified action was taken immediately to reach a positive resolution. Regular spot checks and annual quality assurance questionnaires were undertaken to improve the service delivery for people living at Helmi House.
The registered manager sought partnership working with other healthcare professionals to drive improvements. Guidance and support provided was then implemented into the care plans and delivery of care.