Please wait

Inspection on 19/04/10 for Holly Bank House

Also see our care home review for Holly Bank House for more information

This is the latest available inspection report for this service, carried out on 19th April 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

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

Annual service review Name of Service: Holly Bank House The quality rating for this care home is: The rating was made on: two star good service 1 3 0 1 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Wendy Grainger Date of this annual service review: 2 0 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Coltham Road Short Heath Willenhall West Midlands WV12 5QB 01922-710524 01922493250 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Walsall Metropolitan Borough Council Number of places (if applicable): Under 65 Over 65 21 0 The maximum number of service users who can be accommodated is: 21 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) 21 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Holly bank House is a single storey purpose built residential home located in the Short Heath area of Walsall. The home was commissioned in 1984 and is owned and managed by Walsall Metropolitan Borough Council. It provides accommodation for adults with physical disabilities and is suitably adapted to meet their needs. Holly bank is conveniently situated for the local shops, the health clinic and a public house. 1 3 0 1 2 0 0 9 Annual Service Review Page 2 of 7 Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information we had received, or requested since the last key inspection. This included : The Annual Quality Assurance Assessment (AQAA) that was completed and returned to us by the service. The completion of the AQAA is a legal requirement and it enables the service to undertake a self assessment , which focuses on how well the outcomes are being met for the people using the service. The AQAA also provides us with numerical information. What the service has told us about things that have happened in the service these are called notifications and are a legal requirement. We forwarded to the service surveys to include the staff and people using the service. We received four surveys from the staff. No surveys we were told were received for the people who use the service to complete. Surveys provide us with further information about the service and opinions. We contacted the service to clarify items in the AQAA. Initially we spoke to the deputy who was helpful but unable to clarify parts of the AQAA completed by the manager. We later spoke to the manager in respect of the AQAA and issues that only he could answer. These were clarified satisfactorily. What has this told us about the service? The completed AQAA was informative although, we spoke to the management to clarify issues recorded in the outcomes for people using the service. The service told us how they met equality and diversity, which included: staff training, all the staff had undertaken equality and diversity during the last twelve months. The staff are made aware of the importance of equality and how it has to be part of the services working practices. The service had made changes to promote equality and diversity within the service. Eleven of the nineteen staff had completed Level 3 Health and Social Care, which include equality and diversity. The AQAA does not refer to any alternative format available at the service for the Statement of Purpose. We are told by the deputy that alternative language formats can be made available on request. The AQAA told us that no person was admitted to the service without a full assessment of their personal and health needs, this would include other significant people. The number of emergency placements has increased over the last twelve months. Information in the AQAA told us that each person would have a plan of support and care to be provided, which cover social and emotional, physical needs. The service had on site an allocated social worker three days a week. The service also operates a key worker system which enables individuals to have contact to discuss any issues they may have. Annual Service Review Page 4 of 7 We are told in the AQAA that as part of the key working role staff have the responsibility of designing a persons care plan, to include their chosen lifestyle. The service had since the last inspection has a dedicated driver, working over five days. This arrangement has improved the access to social events including evenings. The AQAA told us that any relevant health care needs were part of the discussions during the three hand overs by staff completing their shift. Arrangements were in place for people using the service to access other professional agencies. Where appropriate people are encouraged to continue to self administer their medication. The AQAA tells us that individuals were provided with a lockable facility. Staff we are told in the AQAA are trained to use the medication system and had undertaken safe handling of medication training. Since the last inspection the service had received three complaints and one referral had been made to the safe guarding team. The AQAA showed us no information in respect of the services complaints procedure, or if it was available in an alternative format. We were assured by the deputy that the information about us was in the services documentation. One part of a four part complaint was upheld. We were satisfied as to the outcome for the person. The remaining complaints and safe guarding concern were unsubstantiated. The AQAA information in respect of the environment was limited. We spoke to the manager who clarified internal improvements to one area since the last inspection improvements included: new flooring, new furniture, decorating, new television and the lounge area painted. The AQAA told is that there has been an internal Health and Safety Committee started meeting on a monthly basis and represented by a cross section of the people who use the service and staff. This practice was to address any issues that may have developed over the month. The service remains unsure of its long term usage, more changes are planned including magnetic door openers to all the peoples bedrooms. This will make for easier access for people. We spoke to the manager who told us there were sufficient staff and hours to meet the needs of the people. However we had received four surveys completed by the staff. Responses varied as would be expected, two people felt the induction provided covered everything they needed to know. One person partly. one person not at all. Each one confirmed they were aware how to assist a person if they had a concern. Three people felt there were usually, sufficient staff on duty. One person felt there whenever, enough staff to meet the needs of the people who use the service. Two of the additional comments include in the surveys told us that staff were unhappy with the staff, lack of commitment with people phoning in sick at the last minute, agency staff being used who did not know the needs of the people. Issues in respect of staff issues were brought to staff meetings in the opinion of the staff they are all labeled the same instead of people being dealt with as an individual. Staff did tell us that they felt the service supported people to lead an independent life as far as was possible. Training is available and on going. The service provides a high standard of care and support to the people using the service. Annual Service Review Page 5 of 7 The AQAA told us that the staff turnover since the last inspection has been low with only one person leaving the service The AQAA did not refer to the required checks prior to employment. We spoke to the manager who confirmed verbally that these checks are carried out for all new employees. Information in the AQAA told us that managers were working to wards level 3 and 4 of the Leadership Management course. All the staff the AQAA tells us have undertaken the Mental Capacity Act and Deprivation of Liberties training. Mandatory training is current and ongoing. Future training plans include: Acquired Brain Injury, Drug and Alcohol awareness, Aspergers Syndrome. The manger has been in the profession for a number of years, it is his responsibility to ensure that the interest of the people who use the service are promoted. Qualifications include level 4 in Management. Processes for running the service have been implemented and were reviewed on a quarterly basis as part of the auditing system. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 20th November 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Annual Service Review Page 7 of 7 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!