Inspection on 07/12/06 for Hollies, The

This inspection was carried out on 7th December 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 25/01/06

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 The Hollies 7 Mornington Road Southport Merseyside PR9 0TS Lead Inspector Mrs Claire Lee Key Unannounced Inspection 7th December 2006 9:30 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, The DS0000005329.V311600.R02.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, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hollies 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 Mr John Thomson Eslick Helen Eslick Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 24 OP Date of last inspection 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 and managed by Ms Eslick. The home can have up to twenty four residents who are of old age. 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. Accommodation is provided within three levels, which can be accessed by a passenger lift. Disabled access is provided at the rear entrance via the patio doors. A large garden to the rear of the home provides a pleasant area for the residents to sit out in the summer. The home has two lounges and a dining room. Both rooms are comfortably furnished. The bathrooms are fitted with aids to assist those who are less able and there is a call system with an alarm facility for residents to use. To the side of the premises there is another building called the cottage, where visitors can stay if they wish. This building is not registered with the Commission. The cost for the service is £355.50 per week. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit took place over one day duration of seven hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. At the time of the visit eighteen residents were accommodated. A tour of the building was conducted. A selection of staff files and home records were viewed. During the inspection three residents were case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other residents who also took part in the inspection process. The site visit was conducted with the manager, Helen Eslick and senior carer, Pat Hedges. Two care staff, the cook, seven residents and a relative were also spoken with to obtain their views of the home. Survey forms ‘Have your say about….’ were sent to residents/and or relatives to complete prior to the site visit. Nine were returned and comments received from the surveys and discussions, which took place, are incorporated within this inspection report. What the service does well: The home had a very friendly atmosphere and was attractively decorated for the festive period. The home is well maintained, provides good quality furnishings and a comfortable environment for the residents. An ongoing maintenance programme is in place and a number of bedrooms have had new carpets laid, new floors have been fitted to the ensuite facilities and the outside of the building has been painted. A number of window frames have also been replaced. The home’s service user guide and most recent inspection reports were displayed in the main hall for residents and/or their visitors to view. The home ensures all residents have a full health and social care assessment prior to admission. The care files are easy to read and available to residents and staff at any time. A daily record is completed by the staff following each shift and care staff receive a hand over which provides details of the care and support and each resident requires. It was evident through observation and discussion that good communication exists between the staff and residents. Visitors were seen in the morning and were observed to be made welcome and were chatting freely with the residents and staff on duty. Residents spoken with were positive regarding the standard and choice of food available. A resident made reference to there being so much to choose from. Other comments included: Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 6 “Very good food” “Meals are served in the dining room” “I can have what I want to eat” “Good selection and choice usually”. The home offers a good range of activities in house and also a number of residents are independent and are able to go out during the day. The home is situated in a convenient location, close to the town centre and a large retail park. A resident was pleased that during the summer he was able to use the home’s garden for growing vegetables. The home are having a Christmas party with musical entertainment and throughout the year other activities are arranged, for example, mature motivation, music, bingo, clothes show, pub meals, barge trips and opera. A number of staff have worked at the home for a long period of time. A resident said that this continuity was very reassuring. The recruitment practice is robust to protect the and new staff receive an induction, which encompasses the needs of the residents, the philosophy of the home and guidance in safe working. Although three staff need to attend a moving and handling course the home provides a good training programme in safe working practice areas. The home has currently achieved over 50 of staff with a NVQ (National Vocational Qualification) in Care at Level 2 and/or 3. Residents were complimentary regarding the care they receive and felt that the staff understood their individual needs. Comments from residents included: “Staff are very good” “Staff are helpful” “Staff are friendly” “I am well cared for” “Really good staff” What has improved since the last inspection? What they could do better: Residents are provided with terms and conditions of residency. The contracts include the fee rate for the home. Two contracts viewed had not been updated to reflect the latest fee rate and this was brought to the manager’s attention. The manager stated that this would be rectified during this week. With regards Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 7 to deciding to take up residency at the home a resident said, “I have never regretted it”. A relative reported, “I came several times to look at this home and was given lots of information both verbal and written”. Staff interviewed were knowledgeable regarding the care and support the residents required. Resident files viewed evidenced a plan of care however further detail should be recorded where possible to ensure current health care needs are met in full. This was noted in relation to mobility, certain aspects of personal care and weight gain or loss. The moving and handling needs of residents should also be incorporated within the risk assessment for falls. The home must ensure that a record is kept of all medicines in the building. This information was missing for one resident. Residents are asked to sign a disclaimer form to enable them to administer their own medications. The home should complete a risk assessment for each resident to ensure they can undertake this practice safely. Further recommendations regarding medicine administration are highlighted in the main report. 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.V311600.R02.S.doc Version 5.2 Page 8 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.V311600.R02.S.doc Version 5.2 Page 9 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): Standards 1,2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given sufficient information to enable them to make a choice whether to take up residency. Prospective residents are assessed to ensure the home can meet their needs. Standard 6, intermediate care is not provided. EVIDENCE: The home’s service user guide was displayed in the main entrance hall along with copes of the most recent inspection reports for residents to view. The manager confirmed that this document has been updated recently therefore the information was accurate. Three residents confirmed that they had received sufficient information prior to admission and were aware of the contents of the service user guide. With regard to admission to the home the following comments were made: “I have never regretted it” Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 10 “I came several times to look at this home and was given lots of information both verbal and written” (next of kin). Residents receive terms and conditions of residency and three contracts were examined. One contract was dated 2006 and this reflected the current fee rate. Two contracts dated 2004 and 2003 should be updated with this information. The manager stated that a letter does go out with details of any change to the fee. The contracts are in the resident’s files and the residents when interviewed all stated that terms and conditions of residency had been explained to them. They were aware of the extra charges that they may incur. Individual records are kept for each resident and the manager or a senior carer completes the assessment documentation prior to admission. As part of the case tracking process, three assessments were viewed. Residents who were case tracked stated that the staff had discussed various aspects of their care and social needs with them. The assessments contained details of the health, social and emotional care needs of each resident. It was good to see that basic needs, for example, sight, hearing, foot, dental and religious and cultural preferences had been assessed. Assessment information is then used to form the plan of care. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 11 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): Standards 7,8 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of residents are understood by the staff and laid down in a plan of care. Medicines had not been recorded accurately to maintain the residents’ health. EVIDENCE: Residents have an individual care file and the information held is easy to read and organised. The resident’s plan of care is formulated from the initial assessment and this is followed up with dependency assessments, which are reviewed each month alongside the plan of care. Individual plans of care viewed demonstrated that generally the care needs reflected the care residents are currently receiving. Further detail should be recorded in relation to moving and handling, nutrition (with reference to recording a resident’s weight) and continence management. If a resident is unable to be weighed using scales, a girth measurement can be recorded. A care plan for a resident who had recently returned from hospital following diagnosis of a medical condition had not been updated with the relevant information. The manager stated that the information was not available when the resident returned to the home and that Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 12 the care plan would be updated following an outpatient appointment. Staff interviewed showed a clear understanding of the needs of the residents however the plan of care must accurately evidence the care and support required where possible. The home complete a risk assessment for trips and falls. Where necessary it would be beneficial to also use this record for identifying moving and handling constraints, equipment required and number of staff to assist on transferring a resident. Care files seen evidenced that resident give their written consent to the plan of care. Staff confirmed that they receive a verbal handover at each shift and are advised of any change in the resident’s condition or their care provision. Staff also record the daily care. Where there is a need to involve other health care professionals this is conducted by the manager or senior on duty. Care files showed that access is available to dentist, optician, GP, chiropodist and district nursing services when required. The district nursing service is contacted when clinical advice and their input is required. District nurse records are kept at the home for staff to access. A staff member said that the home’s care records are updated following their visit. Medicines are administered by the senior carers. A staff member responsible for administering medicines stated that she had not received any formal training. It is recommended that this be provided for the staff member to ensure they have the basic knowledge of medicines used in the home and the principles behind the home’s policy on medicine handling,administration and disposal. Guidance on this training can be obtained on the Commission’s website. A number of MAR (medicine administration record) sheets were viewed and these evidenced staff signatures following administration. There was no medicine record for one resident as medicines are delivered directly to the resident to self administer. The home were advised that records must be kept of all medicines in the home including those self administering. The resident was approached for a list of the medicines at the time of the site visit and the manager stated that they would be recorded on a MAR. The home should complete a risk assesmsent for all residents who wish to admninister their own medications to ensure they can undertake this practice safely. The home has a disclaimer which residents also sign and they are provided with lockable storage space in their bedrooms. Lockable draws were being used by several residents interviewed. For the administration of the medicine Warfarin, the dosage should be recorded on the MAR. At present staff administer the tablet from a book which is completed by the hospital. The letters ‘NG’ (not given) which were evident on a number of MARs should be written in full at the bottom of the MAR to indicate the code being used. Staff were observed as being polite and respectful towards the residents and providing assistance to residents with their meals. Staff were helping residents with various aspects of personal care and also spending time chatting with Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 13 them in the lounge and their bedrooms. Staff were seen to knock on doors before entering. It was evident from direct observation that the residents and staff get on very well together. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 14 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): Standards 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice regarding their daily life and the routine and social arrangements are based around their wishes and needs. EVIDENCE: The home encourages visitors to call and although there were no visitors present during the afternoon for the purpose of conducting interviews, a number visited prior to lunch. The home provides a range of activities, which include , clothes shows, mature motiviation, trips to pubs, barge trips and musical entertainment. A resident was pleased that he could grow his own vegetables during the summer months. Holy Communion is offered to the residents and a member of a local church was holding a prayer meeting with a number of residents. A haidresser visits weekly and the chiropody service is arranged every six weeks. Residents interviewed were pleased with the social arrangements. One resident likes to spend time in her room and her wish is respected by the staff. Staff encourage residents to be as independent as their conditon allows and several residents go out most days for the purpose of shopping or visiting Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 15 friends/family members. This was evidenced during the site visit. The home also has cat which is considered to be the staff and residents’ pet. The home has been decorated for Christmas and staff are hosting a Christmas party and have arranged a lunch out. Residents intervewed were looking forward to the events and the home had a very pleasant festive atmosphere. The home offers a good range of hot and cold meals and residents interviewed were complimentary regarding the foods prepared. Comments included: “I have to be very careful about my diet and staff make sure that I do not receive any meals which would cause an adverse reaction. A separate meal is prepared for me if necessary” “The meals are lovely” “Really good food” “Tasty food” A staff member was observed asking residents what they would like for tea and the cook was preparing a shopping list which included plenty of fresh produce for the weekly shop and Christmas buffet. The menu was appealing and varied. There was only one hot meal recorded for lunch however residents stated that they are always offered a choice. New food analysis records are being introduced in accordance with guidance from environmental health. The cook had recorded fridge, freezer and hot food temperatures. The kitchen was organised and clean on inspection. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 16 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): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident that their complaints would be listened to and acted upon. The home has an abuse policy to help protect residents. EVIDENCE: A complaints policy and procedure is in place and the complaint log evidenced that no complaints have been received. Details of the complaint procedure can also be found in the service user guide and residents interviewed stated that they would report any worries or complaints to the manager. A resident said they had received sufficient information with regard to the complaint procedure. Staff interviewed described what action they would take should a resident have a worry or concern. Comments from residents included: “I have not needed to make a complaint of any sort” I would speak to Helen (manager) or Pat (senior carer) straightaway” Staff receive training regarding abuse awareness and the most recent training was conducted in November 2006. The home has an abuse policy and a copy of Sefton and Liverpool’s Guide to Adult Protection. A staff member interviewed discussed the concept of whistle blowing and the reporting any untoward incident. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 17 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): Standard 19,20,21,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers very comfortable ‘homely’ accommodation and all areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: A tour of the premises confirmed that the home is maintained in a good condition with an ongoing programme of decoration and refurbishment. Since the last inspection a number of new bedroom carpets have been laid and there is new flooring in the ensuites. The exterior of the premises has been painted and new digital aerials have been fitted to the whole building. A new carpet has also been laid in dining room. There is a separate building to the side of the premises, which is called the cottage. Visitors are able to stay here overnight if they wish. (The cottage is not registered with the Commission and therefore was not inspected). Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 18 The home appeared clean and odour free, residents confirmed that their rooms are tidied most days and given a good clean each week. A resident reported, “The home always smells clean and fresh”. Day to day jobs are carried out by Mr Eslick and outside contractors are brought in for extensive repairs and overall maintenance of equipment. The bathrooms are fitted with aids to assist less independent residents and there are also four walk in shower rooms. Bath temperatures had been recorded to ensure the hot water was delivered to a safe temperature. The home has a large quiet lounge with seating, which leads to the television lounge overlooking the garden. As previously stated, the home has been decorated for Christmas. The lounge is spacious and has sufficient armchairs for the residents. The dining room is to the front of the building and dining room tables were attractively laid for lunch. The home has a large enclosed rear garden with ample car parking to the side and front. Although Standard 22 (adaptations and equipment) was not assessed it was noted that a resident had been provided with a special bed following a care needs assessment. Residents have the use of a call bell with an alarm system. A resident said it was reassuring to know that a staff member would always answer it. Bedrooms viewed had personal items and they were warm and pleasantly decorated. Residents interviewed were pleased with the standard of furnishings and described the rooms as “Fine”, “Comfortable”, “Homely” and “Spacious”. Emergency lighting is provided throughout the building and subject to a maintenance contract. Records seen were current. The home was found to be clean and hygienic. Plenty of protective clothing was available. There was good evidence of cross infection control measures in place. The home has a small laundry with sufficient equipment. Care staff provide the laundry service and residents stated that items of clothing were returned promptly. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 19 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): Standard 27,28,29 and 30 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The recruitment and selection procedures are robust and staff receive training to equip them with the skills and knowledge to do their jobs. This helps safeguard and protect the people living in the home. EVIDENCE: On the day of the site visit, the manager was on duty with three care staff. These numbers were maintained during the day and also on duty was a cook and a domestic. At night there is one carer and a carer who sleeps on the premises and is called when needed to assist the residents. The home employs senior care staff and they support the manager. The staffing rota was viewed for the week of the site visit and also copies of the rota were provided for the month of September 2006 as part of the pre inspection questionnaire. This evidenced sufficient number of staff employed. A vacancy exists for a member of staff for Saturday night however a permanent member of staff currently covers this. Three staff records were viewed and these evidenced completed job application forms and referees had been contacted for two references prior to commencing work at the home. CRBs (Criminal record bureau disclosures) and POVA (Protection of Vulnerable Adult) checks were in place. Residents and a relative interviewed were complimentary regarding the standard of care they receive, comments included: Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 20 “They listen to me and follow concerns up” “The staff here are very friendly and helpful” “ I feel at home here” “Any changes or alterations discussed and talked over with staff and residents” (relative) “You can have a laugh with the staff” Through direct observation it was evident that staff provide a good standard of care. The home has an ongoing training programme to ensure the staff have the knowledge and skills to meet the needs of the residents. A training matrix is in place and staff attend courses in moving and handling, fire safety, first aid, food hygiene, health and safety, abuse awareness and infection control. The manager stated that three staff require moving and handling training and that she is waiting for the home’s training company to confirm dates. The home and training company have encountered problems finding a suitable trainer.The manager stated that this would be arranged as soon as possbile. Staff files viewed had a number of certificates for courses attended. Induction records were seen for new staff and a staff member stated that she was shown round the building and shadowed by a senior carer when she started. Four staff are currently undertaking NVQ studies and the home has achieved over 50 with a qualifcation at Level 2 and/or Level 3. Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 21 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): Standards 31,32,33,35 and 38 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents live in a home that is well managed and is run in their best interests. EVIDENCE: The Manager, Ms Eslick, has several years experience in the care of older people. She has undertaken NVQ management qualifications and attends training in safe working practices with the staff. Ms Eslick stated that she requires an update for moving and handling and will undertake this when a date has been arranged. It was evident through discussion with staff and residents that Ms Eslick has the best interests of the residents at heart. She is committed to providing a high standard of care and stated that the requirements discussed at the site visit would be met. A staff member said that Ms Eslick was always available to talk with and that the home was organised and friendly under her leadership. Ms Eslick is supported by senior Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 22 care staff that have worked at the home for some time. It was evident through discussion with residents that the Hollies have a good team of staff. Completed survey forms referred to residents and their relatives being pleased with the service and care provision. Staff meetings are held however resident meetings are not arranged as they have not been requested by the residents. A resident confirmed that she was happy with existing arrangements in the home. As part of ensuring the home provides a quality service, satisfaction survey forms are sent to resdients and/or their relatives regularly. A number were viewed for October 2006 and the comments included: “Beautiful accommodation” “Home always kept clean and tidy” 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 manager manages personal allowances in house with input from relatives where needed. A number of records were viewed and these were maintained to a satisfactory standard. The manager reviews the home’s policies and procedures to ensure they are in line with current legislation and to ensure best practice. This was evidenced via the pre inspection questionnaire. The fire log book was inspected and this evidenced the weekly fire alarm tests and monthly test of emergency lighting. Fire awareness training is provided for staff however a training session was cancelled by the home’s training company the day before the site visit. This is to be re arranged. Fire prevention equipment is subject to an annual maintenance contract and this was last carried out in July 2006. A fire drill for staff was conducted last month. The pre inspection questionnaire evidenced that the home has a full range of maintenance contracts and checks for equipment and safe working practices. This includes gas, electric, lift, portable appliances and emegency call systems. Hollies, The DS0000005329.V311600.R02.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 x X 3 Hollies, The DS0000005329.V311600.R02.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. 1. Standard OP9 Regulation 13 Requirement The home must make arrangements for the safe recording of medicines received in the home. Timescale for action 07/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP2 OP8 Good Practice Recommendations The home should ensure the resident’s contract is updated with the current fee rate. The home should ensure resident health care needs are recorded in detail within the plan of care to include moving and handling and weight gain or loss The home should ensure the dosage of Warfarin and the code for ‘NG’ be identified on the resident’s MAR. The home should complete a risk assessment for those residents who wish to self medicate their own medications. The home should provide staff with medicine awareness training. OP9 Hollies, The DS0000005329.V311600.R02.S.doc Version 5.2 Page 25 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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