Inspection on 30/10/07 for Hollies Care Home

This inspection was carried out on 30th October 2007.

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

Hollies Care Home 14/11/06

Hollies Care Home 27/10/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Hollies Care Home Reading Road Burghfield Common Reading Berks RG7 3BH Lead Inspector Ms Julie Willis Unannounced Inspection 30th October 2007 10:30 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 Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 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. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollies Care Home Address Reading Road Burghfield Common Reading Berks RG7 3BH 0118 983 2254 01189 834329 hollies@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited 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) Ms Christine Ann Deady Care Home 58 Category(ies) of Old age, not falling within any other category registration, with number (58) of places Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2007 Brief Description of the Service: The Hollies Care Home is now operated by Southern Cross Healthcare. The home is registered for fifty-eight male or female individuals over retirement age, and provides residential and nursing care. Accommodation is provided in 56 single bedrooms and one double room, which is only used as such where two people expressly wish to share. The Home has a newer two-storey wing that has been added to the older part of the house and provides 27 en-suite bedrooms, additional assisted bathing facilities and lounge and dining rooms to both floors. The home is situated in a quiet semi-rural area with views at the rear over farmland and has an enclosed paved central courtyard with seating provided, which provides much of the useable garden area. Fees at the time of inspection ranged from £543 to £876 per week. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10:30 am and was in the service for six and a quarter hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met most of the residents and one relative that was visiting at the time of the inspection. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the homes Manager at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection. What the service does well: This is a well run home. The Manager takes time to listen to residents and visitors opinions and is quick to respond to any requests or suggestions made. There are sufficient numbers of staff on duty at all times of the day and night to meet the needs of the residents. Residents say that the staff are caring and kind and appear well trained and professional. Residents confirm that they are treated with dignity and respect at all times by the staff. Personal care is provided in a discreet and sensitive manner. The manner of address used by staff to speak to residents is friendly, respectful and courteous. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 6 The activity programme is varied and interesting and includes trips out to local places of interest. Residents say that there is plenty to do and enjoy taking part. The home is comfortable, clean and homely. Residents are encouraged to personalise their own rooms and these are decorated and furnished to a good standard. The staff team are highly skilled and have received the training they need to provide good quality care. Most have achieved professional qualifications in care to improve their skills and knowledge. It is evident that the staff team work well together to provide a happy and cheerful home for residents. Records are well kept and provide staff with information they need to provide high quality care to residents. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 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 Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is excellent. Prospective residents are fully assessed prior to their admission to ensure their needs will be met effectively by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective residents are only admitted to the home if the service is confident staff have the skills, knowledge and ability to meet their assessed needs. All prospective residents are fully assessed by management of the home prior to admission. The assessment usually takes place at home or in hospital and is carried out by the homes Registered Manager or Care Manager who are qualified nurses. The documentation for 3 residents was examined during inspection and these residents were case tracked from pre-admission to date. From discussion with staff, management and residents it is evident that significant planning is undertaken pre-admission to ensure that the residents transition to the home Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 9 goes smoothly. This includes ensuring that the home has in place any specialist equipment needed by the individual during their stay and ensuring that staff are conversant with the pre-admission documentation. Examination of the records evidenced that information about the resident’s health and personal care needs were sought prior to admission. Clinical tools were being used to assess the resident’s nutritional needs, communication needs and level of mobility. Manual handling risk assessments and ‘safe systems of work’ had been devised to reduce the likelihood of injury to residents and to staff. Clinical tools were being used routinely to assess the resident’s risk of falls, continence needs and mental state. The inspector had the opportunity to meet one of the residents that was being case tracked. The resident confirmed that they had been visited by the management of the home in hospital pre-admission and had been provided with sufficient information about the home to enable them to make a decision as to whether to live there or not. They confirmed that they had been offered the opportunity to visit the home informally before they were admitted in order to tour the home and meet staff and other residents. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7, 8, 9,10 Quality in this outcome area is excellent. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations and lifestyle choices of each resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It is clear that the principles and values that underpin work with residents of the Hollies promotes and values their full involvement in the planning of their care. Examination of the care plans for four residents evidenced that the plans fostered independence and promoted choice and autonomy. Residents confirmed that they have the opportunity to say how they wish to be cared for and can decide which staff members they want to help them with personal care tasks such as toileting, bathing and showering. The staff group is balanced to enable choice of male, female and age related preferences. The care plans are detailed and holistic and consider all aspects of a person’s lifestyle including their health and social care needs. Care plans are regularly reviewed and updated and any changes to the plan are discussed and agreed Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 11 with the resident and their family. All risks to residents are fully assessed using a range of clinical tools and effective guidelines and equipment is in place to reduce the likelihood of occurrence. All care given is documented in the daily records and examination of the content fully validated the care plans. Observation of practice demonstrated that care was provided in a manner, which maintained the residents right to dignity, privacy, independence and choice. Residents confirm that they are provided with access to health and social care professionals for advice and support as necessary. They regularly see the GP who visits weekly and are referred to hospital when necessary for further advice, support and treatment. Routine screening and preventative treatments are provided to all residents of the home. The home has robust medication policy, procedure and practice guidance in place. The nurses are aware of their responsibilities in relation to the safe administration of medication and follow clinical guidance. The system used for the safe administration of medication is the monitored dosage system. This system reduces the likelihood of medication error and provides an accurate record of administration. Medication is stored securely and disposal systems are safe. The ‘Doom box’ system has been adopted by the home for the disposal of waste medication and the home has an appropriate contract with a registered disposal company. The inspector spoke at length to nine residents and to others in small groups in various parts of the home. The inspector also had discussions with a relative that was visiting at the time of inspection. The residents and relative were highly complimentary about the qualities and caring attitudes of the staff. They said, “the staff here are so kind, you couldn’t get better care anywhere”, “they always come when I need them” and “I trust them to do a good job”. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of inspection a large number of residents were engaged in craftwork. The items they were making were going to be used at the following days Halloween Party. Residents were enjoying themselves and there was a lively, cheerful atmosphere in the activities room. Several residents were seated in the room in comfortable armchairs and although their physical disabilities prevented them from taking an active part in the craft activities they were clearly enjoying watching other residents and joining in the light hearted banter. From examination of records it is evident that accurate records are kept of those who have participated in each activity and whether or not they enjoyed Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 13 it. The Activity Organiser has developed an activities plan for the home. Special celebrations take part to mark festivals and special birthdays. Funds for any outings and outside entertainment come partly from the homes activity budget of £110 per month and partly from funds that have been raised from raffles, sale of goods and the summer fete. It was clear that resident’s capacity to join in with activities varies according to their particular needs, however support and one-to-one assistance is offered on a routine basis. Residents that are bedfast are offered one-to-one manicures, hand massage and can be chatted or read to. Efforts are made to engage with all of the residents on a daily basis. Residents may have visitors at any time and relatives confirm that they are always made welcome and are offered appropriate hospitality during their visits. The routines at the home are flexible and are designed to offer residents choice and autonomy. Residents can rise and retire at a time of their choosing. They can choose whether to be alone or in company and may wander freely around the home and gardens. Policies, procedures and practice guidance at the home focus on residents being empowered to take control over their own lives. Residents regard the food they are given as one of the most important factors in determining their quality of life. Four residents were critical of the food provided and one said, “it varies in quality” and “the meat is tough” however the majority of residents were entirely satisfied with the meals on offer. One resident said, “I look forward to my meals, there is always a choice and its nicely cooked” another said, “you can’t complain about the food here, its well cooked and there is plenty of it.” There is a choice of two lunchtime meals. On the day of inspection there was a choice of chicken casserole or sausages with fresh cauliflower, cabbage and creamed potatoes. A range of other options is available daily including omelettes, baked potatoes with fillings or salad. Dessert was chocolate and cherry sponge with custard. Tea was mixed grill, soup and sandwiches followed by scones, home made biscuits or fruit cocktail. The home operates a revolving menu and is due to start using the ‘Nutmeg system’ for meal provision. This is the Organisations system for ensuring all meals are nutritionally balanced. The chef confirmed that she is able to cater for a range of special diets and cultural menus including diabetic diets, vegetarian diets, Halal meats and Kosher food if needed. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by well-trained and competent staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistle-blowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents said that that they felt confident that any concerns or complaints would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. The majority of residents confirmed that they had never had to make a complaint because they felt that management were approachable and operated an ‘open door’ policy. The residents felt that concerns would be addressed quickly before problems escalated. The complaint policy in the home meets the requirement of Standard and Regulation. Residents and relatives are provided with information on how to make a complaint to the home and the formal stages in procedures. Examination of the complaint records indicated that there have been 4 complaints made to the home since 1st January 2007. The details of the complaints were well documented and indicated that an investigation had taken place and an outcome had been provided to the complainant. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 15 There has been no information about complaints reported to the CSCI about the home since the last inspection. There was evidence in staff files and from discussion with staff, that they receive training in ‘Safeguarding Adults’ as part of their formal induction to the home which is later consolidated when undertaking NVQ training in which it forms a core module. The homes Manager is a trained trainer in Safeguarding Adults and regularly provides refresher training to all of the staff. Observation of care practice concluded that staff were patient and understanding when dealing with residents and appeared mindful of the need to respect their privacy at all times. Staff interviewed were aware of the homes whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. The residents confirmed that they felt safe and well cared for by “kind and caring staff”. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From a tour of the building it is clear that the home is well maintained for the benefit of residents. All communal areas were clean, airy and well lit and were decorated and furnished to a comfortable standard. The home has a rolling programme of routine maintenance and renewal and a budget is available that reflects this. In the past year the majority of bedrooms have been redecorated and new furniture has been purchased for the communal areas. The bedrooms were all highly personalised and were warm spacious and comfortable. The home has a range of aids and equipment available to maintain residents independence and to promote safe care. Profiling beds are Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 17 available for residents that need them and specialist mattresses are used routinely to promote tissue viability. There is a choice of bathing and showering facilities both assisted and unassisted and there are sufficient toilets placed strategically around the home to meet the needs of residents. All bathrooms, toilets and sluices have a supply of liquid soap and hand towels to maintain satisfactory infection control standards. The home was clean and hygienic throughout there were no residual odours noted. Residents confirmed that the home is always clean and well maintained and staff work hard to provide a pleasant environment for the residents. Discussion with staff and examination of the staff training records evidenced that all staff have received refresher training in infection control and health & safety. Residents told the inspector “the home is always kept clean” and the “cleaners do a good job of keeping the home clean”. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29, 30 Quality in this outcome area is good. There were sufficient numbers of staff on duty at the time of inspection to meet the needs of residents effectively. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of three staff records and discussion with staff and management indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. It is clear that the homes policy on recruitment is robust, transparent and meets the requirements of current good practice guidance and legislation. Examination of the staff files and training records evidenced that most of the current staff have either gained or are in the process of attaining NVQ qualifications at levels II & III. The Registered Manager and several other staff are NVQ assessors and provide the necessary support and guidance to candidates. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 19 The Homes Registered Manager is a trained trainer and can therefore provide some of the in-house training in a number of core skills such as manual handling, infection control, safeguarding adults and health & safety. This training forms part of an on-going training programme, which ensures that the staff team receive the appropriate refresher training at regular intervals. All staff have been properly inducted and complete a period of shadowing senior staff to ensure that they are confident and competent to carry out the tasks of the job. Staff confirmed that they had undertaken an in-house induction and foundation training to Skills for Care specification. The staff records were well kept and contained copies of induction training, job descriptions, application forms, two written references, training certificates, supervision and appraisal records. These were examined to evidence compliance with good practice. The home has an up-to-date training record, which provides the dates of all training that has been undertaken by staff. The Homes Manager undertakes regular audits of the training records and identifies future training needs and requirements linked to fulfilling the business and financial plan for the home. The following comments were made to the inspector about the qualities of the staff. One resident said, “the staff are always kind & caring” and “they come when I need them, they are always polite” and “the staff seem well trained and nurses are kind”. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35, 36, 38 Quality in this outcome area is good. The resident’s benefit from living in a well managed home, where there is evidence that there health, welfare and safety is of primary importance. The registered person is qualified, competent and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Homes Manager – Gemma Denning is a widely experienced Registered Nurse and has attained the Registered Managers Award to further enhance her knowledge and skills. The Homes Manager is a qualified NVQ Assessor with the A1 Assessors award and other teaching qualifications. She keenly supports and Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 21 encourages the staff to achieve further qualifications to enhance their own professional development. The staff confirmed that the Homes Manager demonstrates effective leadership skills and vision and communicates a clear sense of direction and purpose. From examination of records and discussion with staff it is evident that they have the opportunity to express their opinions openly in regular staff meetings, which follow a shared agenda. These meetings, supervision sessions and staff handover times provide plenty of opportunity for the staff to feel included and involved in the way the service is delivered. The residents are highly complimentary about the management of the home and feel that the office is always open and accessible. One resident said, “Gemma is always popping in to see if I’m alright, she’s so kind”. From discussion with the residents it was evident that they are regularly consulted on issues that affect them and feel that their views are taken into account on a day-to-day basis. From examination of the minutes of residents meetings there was evidence that when requests are made or concerns expressed in the meetings the issues raised are followed up promptly by management. The home regularly carries out a range of home audits including medication audits, financial audits and health & safety audits to ensure that the home is operating safely and effectively. The home has recently carried out a customer satisfaction survey with residents. The results have been collated by the Manager to identify trends and to measure the homes success in meeting its stated aims and objectives. From examination of the surveys it is clear that residents are generally satisfied with the quality of care provided by the home. This is broadly reflected in the results of surveys carried out by the CSCI. One resident said, ”this is a good home, staff are kind and the home is clean and comfortable”. Relatives made comments such as “I don’t think there is anything to complain about, the home is friendly and welcoming and they keep me up-to-date with how Mum is feeling”. “The Hollies is a good home, I looked at others but this came out tops. I’ve never regretted my decision”. Examination of a sample of resident cash accounts indicates that a safe procedure is followed for deposit or withdrawal of resident’s monies. Receipts are kept of all cash spent. All transactions require double signatures and financial records are regularly spot-checked to ensure accuracy. The home is waiting for a new computerised system to be installed. The ‘Cold harbour’ system is designed to make auditing easier and to enable the Organisation to make financial checks on line. One resident said, “I have no worries, my family deal with most of my finances and leave a small amount of money in the office. I never go without anything I want”. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 22 Examination of health & safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for residents. All risks to residents are effectively risk assessed and managed. Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 23 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 x x 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Hollies Care Home DS0000065501.V353238.R01.S.doc Version 5.2 Page 26 - 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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