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Inspection on 16/06/05 for Hollie Hill Care Home

Also see our care home review for Hollie Hill Care Home for more information

This inspection was carried out on 16th June 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.

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

What the care home does well

Feedback from service users and relatives indicated that people feel satisfied with the care provided at Hollie Hill Care Home. Comments received from service users and relatives included ` It is a good home. I boast about it outside.` Staff were described as very caring, and service users were very appreciative of those who assist with social activities. Staff, relatives and service users described the manager as approachable and helpful,

What has improved since the last inspection?

The home have reviewed the audit system with regard to medication. The requirement from the previous inspection that an accurate record is maintained of medicines stored and administered has been met.

What the care home could do better:

Each service user must be supplied with a statement of terms and conditions to ensure that they are aware of the service they can expect. There still needs to be further development of the plans kept for each service user. This is needed to make sure that the plans are detailed to ensure that each person`s health and care needs are met by staff. The upstairs lounge in the nursing unit requires regular monitoring with regard to the maintenance of an appropriate temperature. Staff training with regard to NVQ both for carers and the manager needs to be addressed.

CARE HOMES FOR OLDER PEOPLE Hollie Hill Care Home Durham Road Stanley County Durham DH9 6QZ Lead Inspector Susan Lowther Unannounced Inspection 16 June 2005 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 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. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hollie Hill Care Home Address Durham Road Stanley County Durham DH9 6QZ 01207 280948 01207 280948 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons) Mrs Janis Watson CRH 62 Category(ies) of DE(E) (32) registration, with number OP (30) of places TI (6) Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: People with dementia over the age of 55 years of age to be accommodated within the 32 bedded unit for older people with dementia. These beds are not registered for the provision of continuous nursing care. Date of last inspection 13 January 2005 Brief Description of the Service: Hollie Hill is a purpose built home that was opened in July 1996. Built to a high specification, it provides each resident with an individual room with its own en suite toilet and hand wash facility. The home is tastefully decorated throughout and residents are encouraged to bring their own pictures and small pieces of furniture to make their rooms more homely. Each section of the home has its own dining facilities and separate lounge. Bathrooms, showers and additional toilets are located throughout the building and all are fitted with special aids. The philosophy of care is based on 6 key principles: privacy, dignity, independence, choice, rights and fulfilment. The home is registered primarily for two groups of service users: 30 Older people with or without nursing care needs, and 32 people over 65 with dementia who do not need continuous nursing care. These two groups are accommodated in two separate units. Hollie Hill aims to ensure that service users will receive the level of care that their own situation requires, to satisfy physical, personal, social, spiritual and emotional needs. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 16th June 2005 over a period of 6 hours. During the inspection some of the time was spent talking to the residents, staff and relatives. A selection of comment cards were given to service users with pre-paid envelopes provided. A tour of the building was also undertaken and a number of care plans were examined. Time was spent observing the care provided to residents in the home. What the service does well: What has improved since the last inspection? The home have reviewed the audit system with regard to medication. The requirement from the previous inspection that an accurate record is maintained of medicines stored and administered has been met. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 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. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 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 standard(s) 2, 3,4 &5 Service users are unaware of the terms and conditions that apply to their stay within the home. Service users are appropriately assessed prior to admission and have the opportunity to visit the home prior to admission. EVIDENCE: There is still no statement of terms and conditions available to service users. The company are aware that this issue has been outstanding for some considerable time. Examination of an assessment of a person who had recently been admitted to the home, confirmed that comprehensive assessments are undertaken and it was confirmed that he had been invited to visit the home prior to admission. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 9 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 standard(s) 7, 8, 9,10 &11 The care planning system is inconsistent, with some not providing the information that staff would need to satisfactorily meet the needs of service users. EVIDENCE: 6 care plans were reviewed during the course of the inspection process. 2 did not contain plans to meet all of the needs identified in the assessment and had not been reviewed and evaluated on a regular basis. Where appropriate, plans contained some evidence of input from other health care professionals. Several staff have undertaken specialist training in the area palliative care. Company policies are available for staff to consult and specialist services are utilised when required. No concerns were raised during interviews with service users, staff or visitors and no adverse observations were made during the inspection process. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 10 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 standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection EVIDENCE: Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 11 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 standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection EVIDENCE: Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 12 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 standard(s) 22, 24, 25 & 26 Hollie Hill was purpose built and therefore meets the needs of the people who live there. The overall quality of furniture and fittings is good and redecoration is carried out on a rolling programme. EVIDENCE: The home was purpose built and meets the room sizes as stated in the National Minimum Standards. During the tour of the building and whilst talking to people in their bedrooms, the inspector saw that service users could bring in their own furniture and belongings should they wish to do so. The family of one service user recently admitted to the home confirmed that they had been given a choice with regard to the redecoration of the room. One relative commented that the temperature of the upstairs lounge in the nursing unit was hard to control, being either too hot or draughty. There was a range of specialist equipment seen around the home and bathrooms were noted to be appropriately equipped. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 13 Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 & 30 Staff are generally trained and competent to do their job, although the home have not achieved the standard for the ratio of care staff qualified to NVQ Level 2. The procedures for the recruitment of staff are robust and offer protection for the people who live there. EVIDENCE: The staff files reviewed indicated that all of the required recruitment checks are now made before a new member of staff starts to work in the home. After talking to staff and reviewing records it was confirmed that recent training has taken place in the areas of care planning, nutrition, food hygiene, fire safety, first aid, moving and handling and ‘Protection of Vulnerable Adults. The company have now implemented their own programme to ensure that the appropriate numbers of staff are qualified to NVQ 2. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34 & 38 The home has a Registered manager in place who is positive towards the provision of a good standard of care delivery to service users. The home regularly reviews its performance through seeking the views of service users, staff and relatives. EVIDENCE: The Registered manager confirmed that she has commenced an appropriate management qualification and hopes to complete this soon. Feedback from service users, staff and relatives confirmed that the manager is approachable and friendly. There was evidence that quality assurance systems are in place with regular consultation at home and company level taking place with service users. There were up to date maintenance certificates available to demonstrate that the health, safety and welfare of service users are promoted and protected. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 16 Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 1 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x 3 x 3 2 3 STAFFING Standard No Score 27 x 28 1 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 2 3 3 x x x 3 Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 18 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. 1. Standard OP 2 Regulation 5& Schedule 4 Requirement The home must ensure that each service user is provided with a statement of terms and conditions at the point of moving into the home (or a contract if purchasing their care privately). (Previous requirement timescale of 31/03/05 unmet.) Comprehensive assessments must be undertaken upon admission and care plans formulated for all service users. These must be reviewed on a regular basis (at least monthly). Excluding the registered manager and registered nurses, a minimum ratio of 50 of staff must have achieved an NVQ level 2 or equivalent. The manager must complete a management-training course at NVQ level 4 or equivalent. Timescale for action 31/08/05 2. OP 7 & 8 14(1)(b), 15(1)&(2) 17 & Schedule 2. 18 31/08/05 3. OP 28 31/12/05 4. OP 31 & 32 OP 9 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 19 Hollie Hill Care Home 1. Standard OP 25 The temperature and ventilation in the first floor lounge of the nursing unit should be monitored on a regular basis to ensure that it is appropriate to the season. Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 Hollie Hill Care Home B54 S718 Hollie Hill V219853 160605 Stage4.doc Version 1.30 Page 21 - 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!