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Inspection on 19/07/07 for Hollins View Community Support Centre

Also see our care home review for Hollins View Community Support Centre for more information

This inspection was carried out on 19th July 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.

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

What the care home does well

Hollins View Community Support Centre offers short stay residential care, intermediate care and day care. Comprehensive information is provided about the provision, the facilities and care and support provided to help people make an informed choice about suitability. Staff members are appropriately trained and competent. Training opportunities are widely available and staff members are keen to train and to gain qualifications. Domestic staff members ensure that the premises are kept clean and all staff members help to provide a welcoming and friendly environment. All people using the service and spoken with during the site visit were complimentary about the attentive care provided by staff, the general standard of housekeeping and the quality of the food provided.

What has improved since the last inspection?

Since the last site visit in July 2006 there have been many improvements to the service. The Statement of Purpose has been updated. A new medication policy has been put into place, a contract with a new pharmacist has commenced and the recording of medication has improved. The environment is now smoke free, several bedrooms and the laundry have been refurbished and a new fire panel has been installed. The outdoor area has been enhanced to meet health and safety standards for service users and staff. The opportunities for service users to engage in social activities within and outside the home have also increased. Further improvements are planned which will bring benefits for service users and will help to create a more individualised approach to care, support and enablement. When the domiciliary care provision relocates in the near future it is intended that the space will be used to create additional day care space.

What the care home could do better:

There is need for continued improvement in the recording of medication, to ensure service users receive their medication as prescribed. Priority should be given to provide staff members with training about the protection of vulnerable adults to help raise awareness and safeguard service users.

CARE HOMES FOR OLDER PEOPLE Hollins View Community Support Centre Hollins View Clarke Terrace Macclesfield Cheshire SK11 7QD Lead Inspector Sue Dolley Unannounced Inspection 11:10 19th July 2007 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 Hollins View Community Support Centre DS0000036942.V339816.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. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollins View Community Support Centre Address Hollins View Clarke Terrace Macclesfield Cheshire SK11 7QD 01625 534842 01625 503698 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) http/www.cheshire.gov.uk Cheshire County Council Christina Patterson Care Home 40 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (40), of places Physical disability (5) Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: * Up to 40 service users in the category of OP (old age not falling within any other category) * Up to 5 service users in the category of PD (physical disability) aged between 55 and 64 years. * 1 service user in the category of DE(E) (dementia over 65 years of age). Date of last inspection 6th July 2006 Brief Description of the Service: Hollins View is a Community Support Centre owned and managed by Cheshire County Council. The home is close to the centre of Macclesfield and offers l short term and respite services for a total of 40 service users along with twenty day care places on weekdays and five day care places at weekends. The premises provide accommodation on two floors. Part of the ground floor has been adapted to provide office accommodation for the home and for the community based services that operate from the building. Access between the ground and the first floors is via a passenger lift. The garden is accessible to service users. The service is mainly for older people aged 65 years plus and may provide care for up to one person aged over 65 years with dementia and up to 5 people with physical disabilities provided that the total number of service users does not exceed 40. Hollins View offers a wide range of care services to cater for a range of individual care needs. Bedrooms are situated on both floors and are single rooms with wash hand basin facilities. Four bedrooms have en suite facilities. Individual bedrooms are personalised, comfortably furnished and lockable. All bedrooms, bathrooms and communal areas are fitted with an emergency call system. There are several specially equipped bathrooms. The home is very busy and has a quickly changing population of service users who stay for between a day and two weeks usually, sometimes returning for further short periods as necessary. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit took place on 19th July 2007 over seven hours to assess if service users’ needs were being met. A tour of the building included several bedrooms, shared areas such as lounges and dining areas, bathrooms, toilets and the kitchen and laundry areas. Two members of the management team and several care staff contributed to the inspection process. Four people using the service were spoken with and commented on the services provided. What the service does well: What has improved since the last inspection? Since the last site visit in July 2006 there have been many improvements to the service. The Statement of Purpose has been updated. A new medication policy has been put into place, a contract with a new pharmacist has commenced and the recording of medication has improved. The environment is now smoke free, several bedrooms and the laundry have been refurbished and a new fire panel has been installed. The outdoor area has been enhanced to meet health and safety standards for service users and staff. The opportunities for service users to engage in social activities within and outside the home have also increased. Further improvements are planned which will bring benefits for service users and will help to create a more individualised approach to care, support and enablement. When the domiciliary care provision relocates in the near future it is intended that the space will be used to create additional day care space. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hollins View Community Support Centre DS0000036942.V339816.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 Hollins View Community Support Centre DS0000036942.V339816.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Useful information is provided to prospective service users to enable people to make an informed choice about using the provision. The centre provides intermediate care, respite care and day care at times to suit individual demand and offers a very flexible service to a changing population of people with a wide range of care needs. EVIDENCE: Hollins View provides a range of useful information documents to describe the Community Support Centre and the range of the services and facilities provided. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 9 As a local authority provider of care all charges are determined according to individual financial assessment and all service users are advised of the cost of care during the care management process. Intermediate care services provide the care free of charge. Hollins View provides care to frail elderly people, to older people with dementia and people aged over 55 who have a physical disability. Prior to a short stay being agreed a social services representative prepares an assessment of need and potential challenge to admission. This information is forwarded to the residential care co-ordinator and a care programme and pen picture is produced to enable the care staff to have access to detailed information about the person to be cared for. Care programmes are usually agreed with each person receiving a service and care needs are regularly reviewed to ensure changing needs are met. During the site visit the initial assessment documentation for four people being cared for was checked. The documentation related to both residential respite care and intermediate care. All basic contact information was provided, care needs had been identified and addressed and action was being taken to meet the various needs. A Specialist Nurse Practitioner attends Hollins View each Monday and District Nurses attend to deal with any health related individual needs. The centre works with the Nurse Triage Assessment team who are available on a daily basis for advice and to attend to individual situations. Seven intermediate care beds have been commissioned by the East Cheshire Primary Care Trust with the ability to spot purchase up to 5 more if they are available and depending on the assessed need. Dedicated health and other health care professionals including Occupational Therapists, Physiotherapists and Intermediate Care Support workers attend on a regular basis. Hollins View Community Support Centre DS0000036942.V339816.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): 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. Health and personal care needs are promptly assessed, addressed and met and people using the service are referred to health professionals as appropriate. There is need for continued improvement in the recording of medication to ensure people receive their medication as prescribed. EVIDENCE: The care records were informative and described, physical, mental and emotional wellbeing and ill being. All health care and support needs were clearly shown and action needed to address needs was clearly stated. The ongoing records of care provided evidence of continuity of care, close monitoring, assessment, referrals and reviews, and gave details of close liaison with medical professionals to address emerging health care needs. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 11 In discussion with a person receiving care and speaking about the quality of care provided, the following comments were made. ‘It’s good accommodation with good care. Everywhere is clean and the staff members are friendly, efficient, helpful and kind. If you are unhappy there is always a kindred spirit to talk to, someone on the same wavelength. They are special people here with a special way of coping. In fact they need medals, but I think they need more staff on night duty’. During the site visit, similar and positive comments were made by, other recipients of care and support. The management and care staff members are very experienced in the care of older people and the centre is appropriately equipped to meet needs. District nurses and health professionals provide support during a persons stay. Every person cared for has a care folder that contains basic information, admission details, risk assessments and a copy of their care programme. Four examples of care folders were checked and provided all necessary and pertinent information to enable staff members to provide appropriate levels of care and support. Since the last site visit it was evident that the management and senior team had been working to bring about improvements in the management, administration and recording of medication. The manager, care co-ordinator and all seniors have completed the Certificate in Safer Handling of Medication and a new revised medication policy has been introduced and is being implemented. A new contract has been set up with a local pharmacy and the pharmacist will deliver additional training to staff within the centre later in the year. There is a new improved delivery system in place, and a new medication fridge and storage cupboard have been provided. Medication administration diary sheets have been introduced to clearly record changes to medication. Medication administration record auditing sheets have also been introduced and are used by the manager and care co-ordinator to complete twice monthly audits. Any anomalies found are then reported to staff members to raise awareness and to encourage accuracy in administration and recording of medication. The medication administration records for July 2007 were checked. Sample staff signatures and initials were provided and omission codes were clearly recorded. Medication was appropriately stored. Advice was given at feedback to the inspection to ensure that the temperature of fridges used to store medication is regularly checked and recorded. New fridge temperature displays have been obtained and will enable this task to be undertaken with relative ease. Returned drugs records were well maintained and signed by the receiving pharmacy to complete a full audit trail of medication. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 12 The medication administration records usefully included photographs of the people cared for, along with their dates of birth, their room numbers and the contact details of their General Practitioner. A few anomalies were found. The administration of nutritional supplements had not been signed on 11 occasions and instead had been marked with a series of ticks and crosses. One medication was not signed as given on one occasion, and two crossings out, which related to medication given ‘as required,’ were not explained. In responses to a survey prior to the site visit people using the centre confirmed that staff members respect privacy and dignity. In the Quality Standards Checklist results for January 2006 to December 2006 86 of respondents thought that care staff were always polite and respectful and 14 of respondents thought that care staff were mostly polite and respectful. Recently the registered manager has registered as a ‘Dignity in Care’ champion. Several leaflets and a handy pocket sized information and guidance card have been distributed to all staff and will be discussed in supervision sessions to encourage good practice regarding maintaining peoples rights to privacy and dignity. Various training materials and policies and procedures are in place and available to staff members to raise awareness about disabilities, cultural differences, mental health, sexual health, and exploring diversity. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 13 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): 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. The opportunities for people to access social activities have increased. People are enabled to exercise choice in relation to routines of daily living and enjoy the flexibility and individual approach to caring within the centre. The food provided is varied, appealing and appetising and provides people using the service with a good standard of nutrition. EVIDENCE: Hollins View has an open door policy and visits by relatives and visitors are encouraged at any time. During the site visit, there were a large number of visitors to the centre and they were observed to receive a warm and friendly welcome by staff members. To enable social contact and communication Hollins View has two public telephones, which can also receive incoming calls. People cared for can exercise choice in relation to their daily routines. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 14 People spoken with confirmed that they had freedom to use various lounge and communal space within the centre. They confirmed that they could rise and retire at their time of choosing, could join in activities if they wished, could eat in company or in their own room and could meet with visitors in private. A hairdresser visits twice weekly and religious services are held fortnightly. Since the last site visit staff have begun to integrate day care activities into the main forum area, giving people having respite care greater opportunity to take part. During the site visit, day care and respite recipients combined. They enjoyed a game of cards and a general knowledge quiz. The enthusiasm of the people involved was a delight to witness and people obviously enjoyed the competition and stimulation. Discussion was held with a day care co-ordinator about the type of activities available inside and outside the centre. Additional activities equipment had been recently purchased and provided. The activity programme included board games, cards, softball, skittles, bowls, arts and crafts work, quizzes, hand and nail therapy and gentle exercise. There are discussion groups and special events to celebrate various points in the calendar year. In addition canal boat trips and fish and chip lunches and pub lunches have been organised. Day trips are currently being planned and outside entertainers occasionally visit. A photograph album depicting some of these activities had been compiled and provided a record of events that had been enjoyed. Advice was given to the co-ordinator about how to advertise the activities throughout the home and about how to encourage participation. When the domiciliary care department relocates to new premises the space available may be used to provide additional space for day care purposes. Many positive comments about the quality of food available were received in survey responses prior to the site visit. In the quality standards checklist results from January 2006 to December 2006 71 of people said they were very satisfied with the meals provided and 29 said they were quite satisfied. In discussion with one person cared for they said that the food was excellent and well cooked and the tables were well presented with occasional fresh flowers. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 15 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are few, and full and complete complaints records are kept showing action taken to find a resolution. Some care staff have had training about the protection of vulnerable adults and further staff need training to help raise awareness and to safeguard people. EVIDENCE: The complaints file was checked. Complaints had been few. Full and complete records of complaints were available, showing thorough investigation and prompt action taken to find a resolution. A compliments file was seen. This contained many expressions of appreciation and thanks for good quality care provided. Staff members have a basic awareness of adult protection and have the Department of Health guidance entitled ‘ No Secrets’ available to refer to. Some staff members at the centre have had experience of caring for people who had been abused and have helped to provide a place of safety. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 16 The registered manager had recently attended a two-day training course on Adult Protection. The training statistics were checked. In total 6 senior staff and 7 care staff members have received Protection of Vulnerable Adults training. More staff now need this training to help raise awareness and to help safeguard people. In the meantime, to help raise awareness and to increase their knowledge base and confidence, staff members are completing distance learning packs and evidence workbooks on adult protection and related topics. A whistle blowing policy is available to staff to enable them to respond to any suspicion or evidence of abuse. Hollins View Community Support Centre DS0000036942.V339816.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Hollins View is very well maintained, clean, decorated and furnished to a good standard, which helps to create a comfortable and welcoming environment in which to stay. EVIDENCE: Throughout the site visit, people staying at Hollins View were seen moving to and from their bedrooms to access the various communal areas and the garden area. Access between the ground floor and first floor is via the passenger lifts or stairways and a call alarm system is in place to enable people to access help and support when needed. Toilet and washing facilities are clearly marked and near to lounge and bedroom areas. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 18 A tour of the premises included eight bedrooms, communal lounge and dining areas, shared bathrooms and toilets, the laundry and kitchen. The standard of housekeeping was very good in all areas. The premises were very well maintained, clean, decorated and furnished to a good standard. People using the provision said that Hollins View was comfortable, clean and welcoming. Hollins View is a smoke free environment and there is no smoking on site. Protective clothing is readily available for visitors to the kitchen area and protective clothing dispensers are situated in all bathroom and toilet areas. All cleaning products were safely stored and fridge and freezer temperatures were regularly checked to ensure safe food storage. Recent remedial work has taken place to reduce the risk of Legionella and Environmental Hygiene Services attend monthly. Staff members receive training in the control of infection and have access to guidance and procedures to ensure the premises are kept clean and safe. The bedrooms are well furnished and specialist equipment is available to assist people to maximise their independence and to make their stay comfortable. People using the provision are encouraged to personalise their rooms with small possessions to make them feel at home during their stay. There have been a number of improvements at Hollins View in the last twelve months. Four bedrooms have been redecorated. Two bedrooms have had new carpets fitted and one bedroom has had new furniture and a bed. Two washing machines have been replaced and the laundry has been revamped and decorated. A new dishwasher has been installed in the main kitchen and a new oven is awaited. A new fire panel, and heat and smoke detectors have been installed and outdoor work has been undertaken to improve the grounds. There are plans in place for further improvements to continue with the refurbishment programme. Hollins View Community Support Centre DS0000036942.V339816.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are good to ensure staff members have time to complete all care and support tasks. Staff members undertake appropriate training to ensure they are competent and competent and people feel well cared for. EVIDENCE: The staffing rotas were checked for week beginning 7th July 2007. The rotas indicated sufficient staffing to meet the care and support needs of people staying at Hollins View. The skill mix of staff is appropriate to meet the needs of the service user group. The staff team are competent and confident and clear about when to seek advice and support from health professionals. Ten senior staff members have achieved National Vocational Qualification Level 3 and six are working towards this. Thirteen staff members have already completed NVQ Level 2 and 7 staff members are working towards Level 2. The training records provided evidence of a staff team keen to undertake training available to them in order to equip themselves with skills and knowledge. Currently 72 of the care team have completed or are nearing completion of NVQ Level 2 or above. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 20 The recruitment procedures were checked and were adhered to. All necessary staff recruitment checks are undertaken to safeguard people using the provision. Discussion was held with the Care Co-ordinator who is also responsible for organising staff training. There is induction training and a training schedule for each member of staff. As previously mentioned priority should be given to provide all care staff members with Protection of Vulnerable Adults training as only 13 of 40 members of staff have received this training so far. Safer handling training is ongoing and more senior staff members are to undertake instructors training in this area. Ten staff members have recently attended specialist Dementia Care training to increase their knowledge base and Falls Prevention training and Valuing Diversity training has also been undertaken by a number of staff members. Outcome Based training is due to commence and Emergency Aid training is currently being planned. In addition as care plans are now being computerised, staff members are developing their computer skills. Enabling programmes are to be introduced in the near future which will help to carefully plan care and highlight action to be undertaken to encourage and increase peoples independence prior to their return home. Demand for a service has risen. Since before Christmas 2006 occupancy levels at Hollins View have increased as the management team has taken a proactive approach in advertising their placement vacancies to social work teams. Hollins View Community Support Centre DS0000036942.V339816.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear lines of accountability within the centre and a proactive approach to management which helps to ensure that peoples’ best interests are safeguarded and the health, safety and welfare of people living and working in the home is promoted and protected. EVIDENCE: The locality manager heads the management team, is responsible for the community support centre and is supportive. The registered manager is qualified and experienced in the provision of care for older people and is supported by a care co-ordinator. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 22 The management team take a proactive approach to progressing and improving the facilities and services within the centre. There are clear lines of accountability and the management approach creates an open, positive and inclusive atmosphere, which encourages suggestions for improvement for the benefit of people using the service and for staff members. There was evidence of staff meetings and briefings taking place to keep staff members informed and there was evidence of people using the service having access to their records. The results of a recent quality standards survey were available to view for the period January 2006 to December 2006. Cheshire County Council performance Assurance Information Development Unit had collated the results, examples of some of the very positive results are shown below. 95 of people using the service said they always felt safe and secure when receiving care. 79 of people using the service said staff always completed tasks satisfactorily. 83 of people using the service said staff always responded quickly to changing needs. 88 of people using the service said care staff worked at a speed to suit them. 93 of people using the service said they were made welcome in the Centre when they first arrived. 98 of people using the service said tat at the point of discharge they felt sufficiently prepared to return home. All the local authority community support centres operate a user forum system and issue quality standards questionnaires and comment feedback forms which help the management teams gain peoples views about the service and reflect upon the comments made to bring about improvements. People using the service are offered a secure facility where monies can be held for safekeeping. During the site visit, five examples of peoples’ balances of personal monies held for safekeeping were checked along with the related records. All balances and records were accurate with receipts kept as appropriate. The centre’s management team ensure that staff members receive suitable induction, including training on moving and handling, fire safety and infection control. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 23 The registered manager ensures that various risk assessments are carried out to ensure safe working practices. The accident records were checked and accidents were thoroughly recorded with appropriate action taken documented. A well-organised maintenance log- book provided evidence of contractors visiting to maintain the premises and equipment and to undertake safety checks. The fire policies and procedures manual was checked and provided evidence of satisfactory fire safety checks and training. Automatic fire door closures had also been fitted to all bedroom doors to improve safety with the centre. The locality manager undertakes regular monthly monitoring visits of the provision and any comments received are acted upon for the benefit of people using the service. Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 24 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 3 X X 3 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 25 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 Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Hollins View Community Support Centre DS0000036942.V339816.R01.S.doc Version 5.2 Page 27 - 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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