Please wait

Inspection on 12/02/10 for Holly Lodge

Also see our care home review for Holly Lodge for more information

This is the latest available inspection report for this service, carried out on 12th February 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 Lodge The quality rating for this care home is: The rating was made on: two star good service 1 6 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: Alyson Fairweather Date of this annual service review: 1 3 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Old Hospital Road Pewsey Wiltshire SN9 5HY 01672569950 01672569952 hollylodge@whct.co.uk/mandymaloret@whct.co .uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: White Horse Care Trust Number of places (if applicable): Under 65 Over 65 18 4 No more than 18 service users with a learning disability at any one time No more than 4 service users with a learning disability, aged over 65 years of age at any one time The staffing levels set out in the Notice of Decision dated 12 August 2003 must be met at all times 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 Lodge is registered to provide nursing care for 18 younger people with multiple disabilities. As a condition of registration four service users may be over the age of 65 years old. The home was purpose built in 2003 for the service users group currently living in the home. The home provides a good standard of accommodation suiting the needs of the residents. All 18 bedrooms are single with an en-suite facility. The home is divided into three units with six service users living in each unit. 1 6 0 1 2 0 0 9 Annual Service Review Page 2 of 6 Holly Lodge is situated in the town of Pewsey in Wiltshire, and has good views over the countryside. White Horse Care Trust manages the home. The registered manager is Amanda Maloret. The fee range at the time of our last inspection in January 2009 was £1,150 to £2,400 pounds per week. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We last inspected this home in January 2009, and we did an Annual Service Review in September 2008. We looked at all the information that we have received, or asked for, since then. This included: a) The annual quality assurance assessment(AQAA)that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. b) Surveys returned to us by people using the service and from other people with an interest in the service. c) Information we have about how the service has managed any complaints or safeguarding referrals. d) What the service has told us about things that have happened in the home. These are called notifications and are a legal requirement. e) The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. f) Relevant information from other organisations. g) What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The people who live in Holly Lodge all have complex nursing and care needs. Nearly all the residents have physical disabilities as well as learning disability needs. Some residents need support due to complex and/or unstable epileptic conditions, some need artificial supports to maintain their nutrition, including tube feeding systems and some experience additional mental health needs, including early onset dementia. Staff have a good understanding of the profound needs of residents, and one family member told us recently: The staff really are excellent in Holly Lodge. They told us in their AQAA that Holly Lodge provides a varied and increasing choice of community activities trying to ensure individuals specific interests and preferences are catered for. These are recorded in their support plans. They also said that they could improve things by providing more activity days, enabling residents to meet up more regularly to participate in a range of activities. They said they will continue to source activities and places of interest within the locality to provide alternatives to the reduction in day services. Several staff members told us that they felt that there should be more staff employed so that the residents could go out more. They also felt that more people who could drive the homes transport would be useful. One person also felt that at times the healthcare needs of residents were more dominant than their needs for socialisation, and that this sometimes had to take priority. Four people living in the home wrote to us, and said that they were happy living there, Annual Service Review Page 4 of 6 that staff treated them well, and they knew what to do if they had a problem. One person said: The home feeds me well. I like my bedroom, and I can watch what I like on TV. Another person said: I like the staff and I have fun with them. I like my cat too, and another said: I think the home does very well, and gives me everything I need. We received comments from six members of staff. One person said that staff work well as a team, generally. We all have different skills that are useful when supporting others. Another person told us that they empower people and ensure that have their physical and emotional support needs met. One staff member said: We provide a homely and individual service with extremely caring support staff. We also provide a good support network for families. Some staff told us that they would appreciate it if the trustees and senior management of the White Horse Care Trust would talk to them individually when they visit. One said:It would be nice to feel appreciated by our bosses. What are we going to do as a result of this annual service review? Subject to any changes in registration practice following implementation of the Health and Social Care Act 2008,our current plan is to do a key inspection by 16th January 2011. However, we can inspect them 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 5 of 6 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - 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!