Inspection on 25/01/06 for Hollies, The

This inspection was carried out on 25th January 2006.

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, The 08/05/09

Hollies, The 09/10/07

Hollies, The 07/12/06

Hollies, The 24/08/05

Hollies, The 14/12/04

Hollies, The 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hollies, The 7 Mornington Road Southport Merseyside PR9 0TS Lead Inspector Miss Orla Murphy Unannounced Inspection 25th January 2006 12:00 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, The DS0000005329.V280494.R01.S.doc Version 5.1 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, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hollies, The Address 7 Mornington Road Southport Merseyside PR9 0TS 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) 01704 541506 01704 541506 Mr John Thomson Eslick Helen Eslick Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 25 OP Date of last inspection 24/08/05 Brief Description of the Service: The Hollies is located in Southport, close to the main shopping street and the Promenade. The home is owned by a private individual, Mr Eslick. The home can have up to 25 residents who are of old age. The home is 3 storeys and bedrooms and bathing areas are on accommodation floors. There is a large, well-maintained garden to the rear of the house which residents use. The house is accessible to public transport and Southport, Lancashire and Liverpool are all within reach from the home. Parking is available to the front of the home, with paid parking available on Mornington Road & on side streets. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined but no requirements needed to be followed up on this visit. The Inspection was the second in the home’s required visits, which are 2 inspection visits per year. 3 residents and three staff were spoken to at the inspection. One resident was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, medication sheets, meeting minutes, menus, timetables, staff rotas and significant events) were examined. What the service does well: Discussions with residents and observations of residents, visitors and staff clearly continue to show that residents feel very safe and close to care staff. All residents that spoke to the inspector were very complimentary about staff and the manager. A Care Plan is a document that lists someone’s needs and strengths and what care staff will do to support the resident with these. Care Plan formats seen are be very good documents and are in place for all residents. Paperwork & Administrative systems seen were very good. The environment is very relaxed and fixtures and fittings are homely and attractive. Residents were complimentary about the food in the home and were happy with the activities that were on offer. Staff were observed responding to residents in very genuine & positive manner. Visitors appeared very relaxed with staff & in accessing areas of the home. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 6 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. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 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, The DS0000005329.V280494.R01.S.doc Version 5.1 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 the following standard(s): 6 Standard 3 was met at the last inspection. Standard 6 is not applicable to this home. EVIDENCE: Standard 3 was met at the last inspection. Standard 6 is not applicable to this home. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 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 the following standard(s): 9 Residents, where able can be responsible for their medication. Medication administration systems in the home are satisfactory. EVIDENCE: Reviews of care plans are monthly and all those seen were up to date. Changes as a result of reviews were evident and daily case notes that staff complete, were very good, supporting the care given as in the care plan. Medicine administration records for all the residents’ case tracked were seen and were up to date & satisfactory. Risk Assessments were in place regarding administration. Medication is delivered in dosed monthly blister packs from the pharmacist. The storage of medicines was examined and found to be satisfactory. Staff are trained in the administration of medicines according to training records seen. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 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 the following standard(s): 12 & 14. Residents feel they have a range of experiences that meet their needs in the home. Residents have as much choice as they wish to. EVIDENCE: Residents spoken to were enthusiastic about events in the home and say they have been given a lot of opportunity to be involved with local events, groups and leisure. Visiting clergy meets spiritual needs and keeps people in touch with the community. Particular activities are popular. On the day of the inspection, some residents were having a manicure & some reading or talking to visitors. The service is not restrictive and residents do as much or less as they wish. Some residents have particular routines they like to maintain & others activity & choice depends on their health & wellbeing. Generally within the home residents choose activities, meals, décor, events and visitors. One resident spoken to stated she felt staff were helpful to her and she felt happy choosing her routine & telling staff what s Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 11 Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 16 Residents are comfortable reporting any concerns or complaints they have and the home’s procedure is satisfactory. EVIDENCE: All residents spoken to knew that they could make complaints if they wanted to. No-one said they were reluctant to do this and 2 residents also said if they had a problem they would mention it to staff or the Managers as they felt it would get sorted quickly. The complaints procedure is on display in the home. There have been no complaints to the home or CSCI in the period since the last inspection. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 26 The home is clean, hygienic and comfortable. EVIDENCE: All areas of the home seen were clean and hygienic. Residents said the home is always clean and tidy and one resident said, “ The girls (staff) are good and look after my clothes and my room well.” It is evident through observation that staff respect residents belongings, personal space and the building, and as such it is maintained well. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 29. Staff are trained in all statutory fields and this helps support & protect residents. The recruitment processes are good and ensure that residents are protected. EVIDENCE: The staff training schedule was examined and this showed all staff have undertaken or booked all statutory training including Manual Handling, First Aid, Food Hygiene, Health & Safety, Fire Safety & Safe handling of medicines. Many staff are in various stages of completing NVQ’s in Care. The staff rota for a 2-week period was examined and showed a minimum of three staff on duty during the day. This meets the staffing requirement issued by the previous regulating authority. 4 staff files were inspected and the standards for the recruitment of staff are good. All files contained necessary details including 2 satisfactory references, identification documents, POVA [Protection of Vulnerable Adults] and Criminal Records Bureau [CRB] checks. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 15 Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35 & 38. The Manager is experienced and committed to residents welfare and is fully able within her role. Finances, (assets/income) are managed by relatives, with minor monies managed by the home. There are good health and safety systems operating so that residents and staff can feel secure in the home. EVIDENCE: The Manager, Ms Eslick, has several years experience in the care of older people. She has undertaken qualifications and good practice updates. The Manager is professional and both staff and residents report she has extremely high standards of care and quality. Ms Eslick has always displayed a commitment to the welfare of the residents and staff at The Hollies. All residents spoken to felt the Manager was very approachable and helpful. Some of the residents do not have the capacity to manage their own finances, or choose not to. The policy of the home is for relatives to manage this. The Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 17 manager manages personal allowances in house with input from relatives. Records are maintained and receipts kept for money spent. These were seen for the resident case tracked and they were satisfactory. There are good systems in place for the management of health and safety in the home. Policies and procedures are reinforced with staff via the regular staff meetings as well as sharing of policies on a regular basis. All staff statutory training was up to date, either undertaken or booked. Residents spoken to confirmed staff had fire drills and reminded them about evacuation where appropriate. Records seen, such as [fire, manual handling, electrical, gas], were all up-to-date and satisfactory. Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Hollies, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 19 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, The DS0000005329.V280494.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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