Inspection on 06/07/05 for Hollins View Community Support Centre

This inspection was carried out on 6th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hollins View Community Support... 19/07/07

Hollins View Community Support... 06/07/06

Hollins View Community Support... 23/01/06

Hollins View Community Support... 14/12/04

Hollins View Community Support... 25/06/04

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 Hollins View Community Support Centre Hollins View Clarke Terrace Macclesfield Cheshire, SK11 7QD Lead Inspector Sue Dolley Announced 6 July 2005 09:30 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cheshire County Council Christina Patterson Care Home 40 Category(ies) of OP Old Age (40) registration, with number PD Physical Disability (5) of places Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 2 The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection 14th December 2004 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 long term, 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 accomodation 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 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 needs. Bedrooms are situated on both floors and are single rooms with wash hand basin facilities. Four bedrooms have ensuite facilities.Indidividual 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 F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 6th July 2005 over a period of 8 hours to assess if service users’ needs were being met. A tour of the premises included most bedrooms, shared areas such as lounges and dining areas, shared bathrooms and toilets, the kitchen and laundry. The manager, several members of staff, health professionals and 5 service users were spoken to during the inspection. What the service does well: What has improved since the last inspection? Hollins View now receives support from a Specialist Practitioner Nurse from Eastern Cheshire Primary Care Trust on a sessional basis, usually every Monday and support from an Occupational Therapist who works within the centre 18.5 hours a week. This input has proved to be beneficial to both service users and staff it has aided the assessment process and the liaison with General Practitioners. Since the last inspection there have been many improvements to the environment including new lighting, new equipment to the laundry and kitchen, refurbishment to toilet areas and sluices. A new public address system has been installed and a hearing induction loop is to be added. Many more environmental improvements are being planned. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 6 Each new member of staff now receives a personal induction handbook and this informative booklet helps to inform practice and is kept in the employees personal development portfolio for future reference. This booklet provides guidance about whistle blowing to advise staff and to safeguard service users. 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. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,5 and 6 The admission process is well managed. Needs assessments are thorough, ensuring that care needs are identified. The people who stay at Hollins View, and their relatives, know what to expect and that their needs will be met. EVIDENCE: Hollins View has a statement of purpose which provides information to service users. The information to service users about visiting arrangements and keeping contact with family members and friends is not clear and should be rewritten. The information provided about the range of activities available is inaccurate and needs to reflect the current situation, as opportunities for social activities are limited. This document could also be updated to reflect the involvement of a senior nurse practitioner and occupational therapist within the centre. See Recommendation1. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 9 A separate and colourful service user guide provides clear, concise, easy to read information to explain the service, the accommodation and care provided. It also contains information about how to comment or complain about the service. There is also a welcome/ information pack available to help service users familiarise themselves with the facilities and service provided. Service users, who have respite care, are assessed by care managers and the contract for providing care is between the purchaser of care and the home. Two service users live at the centre for the longer term. A statement of terms and conditions for each of these service users has been provided. One service user has chosen not to sign the statement of terms and conditions and both service users keep a copy. Terms and conditions for paying for fees are explained in a leaflet provided to service users entitled ‘Residential Care: paying for residential and nursing care in Cheshire’. The actual charge is based on financial assessment and on the number of nights care provided. Additional charges are for newspapers, hairdressing, and personal toiletries etc. Trial visits can be arranged to enable prospective service users and their relatives and friends to have an opportunity to assess the facilities and suitability of the centre. These visits are usually arranged by social workers. Occasionally emergency admissions are arranged. Prior to admission potential service users will have their needs assessed and the situation is reviewed within 48 hours of admission. There are six intermediate care beds, used to provide rehabilitation, at the centre. Further spot purchases may be made when the need arises and staffing is then increased accordingly. The rooms used for the provision of intermediate care can be used for stays of up to six weeks as a transitional arrangement. Staff members are deployed, and specialist services from relevant professions including physiotherapy and occupational therapy are secured, to meet the assessed needs of service users receiving intermediate care. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 Service users are looked after very well in respect of their health and personal care needs and family carers are also supported. Service users are closely monitored, with potential health problems promptly addressed by the appropriate health care services. Staff members treat service users with respectfulness and courtesy. Service users` independence is encouraged and their dignity and privacy is maintained. EVIDENCE: Hollins View gathers information from the potential service users, their relatives, social services and health care representatives to ensure individual assessed needs can be met. The residential care co-ordinator draws up a care programme from the information gathered which is agreed with the service user. Copies of these care programmes are kept in the service user’s individual bedrooms as well as in the senior carer’s office. The care programmes are updated and signed by staff when they have completed the care tasks identified in the care programme. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 11 3 service users’ care files were checked. The assessments and care plans were positively written, self-care abilities were described, and relevant information and contacts were provided. Records of health visits had been completed advising of symptoms and treatment prescribed. Advice was given as information regarding three significant events had been recorded but not added to one care file and another care file did not contain a photograph of the service user. Effective communication systems operate in the home. Care staff complete handover checklists twice daily to ensure changing needs are identified to incoming staff and to ensure continuity of care. Most service users are able to retain their own GP when they stay at Hollins View, as the placements are of a temporary nature. Where this is not possible, the centre can make arrangements with GP surgeries locally. Hollins View receives support from a Specialist Practitioner Nurse from Eastern Cheshire Primary Care Trust who visits on a sessional basis, usually every Monday. An occupational therapist works within the centre for 18.5 hours a week. These additional health care resources have, facilitated joint working for the benefit of service users. They have proved to be a valuable support to care staff and service users and have aided liaison between the centre and General Practitioners. There are plans to increase the occupational therapy support to the centre from September 2005. Community-based nurses and other health professionals may provide support to service users during their stay. The centre is equipped to meet the care needs of older service users and the care files showed that appropriate referrals for specialist medical and therapeutic care are made. The daily records checked accurately reflected the care provided and indicated continuity of care. Nutritional screening is undertaken and nutrition is closely monitored during a persons stay at the centre. Health care needs are closely monitored and care plans are reviewed continuously. A no smoking policy has been introduced to staff working at the centre and staff members are not allowed to smoke on site. A campaign is being considered to provide service users with information to discourage smoking. All the medication records in use were checked. A list of specimen signatures and initials of all staff that are trained to administer medication was kept. Omission codes were used appropriately and any drug allergies were recorded. Advice was given, as one medication administration record did not contain a photograph of the service user to aid identification. Despite some medication training since the last inspection and the provision of advisory notes to staff the practice relating to the recording and safekeeping of medication needs to be improved. There were many unexplained gaps in the recording of medication and medication was not securely stored in some bedrooms. See Requirement 1. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 12 Care staff members were seen to encourage service users to retain their independence and to support them. Contacts between service users and staff members were kindly, patient, reassuring and respectful. Treating service users with respect is one of the underpinning values at the centre. All staff are instructed during induction on how to treat service users with respect at all times and staff members were heard to use the term of address preferred by service users. Respectful interactions between staff and service users were observed and service users spoken with described staff members as kindly, courteous and friendly. Staff can refer to a policy entitled Standards of Conduct for Staff, which explains the principles of care and confidentiality. Service users have access to a public telephone and are able to make any calls of a private nature from an office upon request. Any health care visits are undertaken in the privacy of service user’s own rooms. The management team and senior care staff are very experienced in the care of older people, and would support and supervise care staff in handling seriously ill and dying service users with dignity and sensitivity. There is a policy and procedure in place to provide guidance to staff in the event of a death. Although the centre is currently used for short stay/respite care and residential intermediate care it is important that staff have sufficient contact information and/or information regarding service users wishes regarding death and dying should an unexpected death occur. See Recommendation 2. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Service users are individually spoken to and encouraged to make choices regarding all aspects of daily life. There is a high level of liaison and communication between service users, their relatives and staff, to ensure daily routines are maintained and service users feel supported. There are insufficient opportunities for leisure and recreational activities to suit service users’ expectations, preferences and capacities. The food is of a high standard and meals are varied with ample choice to satisfy service users` preferences and dietary needs. EVIDENCE: Service users confirmed that they have the opportunity to exercise choice in relation to routines of daily living, meals and mealtimes. At present, activities for day care service users and short stay service users are organised separately with occasional joint activities taking place. There is a lack of planned and organised activity for short stay service users to suit service users’ expectations, preferences and capacities. Comments within quality standards questionnaires and service user comment cards confirmed a lack of social and recreational activities. See Recommendation 3. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 14 The manager confirmed that a hairdresser visits regularly and that a new day care assistant will join the staff team in September 2005 and that this appointment may be used to provide additional activities. Two members of staff are to attend training provided by Age Concern later in the year entitled ‘Get Active.’ Service users confirmed that they are able to receive visitors in private in their own rooms or in any of the quiet lounge areas available. However, section 13 of the statement of purpose, relating to arrangements for contact with family and friends, is confusing and it is recommended that it be rewritten to provide clarity. Refer again to Recommendation 1. There is a policy to provide guidance that service users should be enabled to conduct their own financial affairs for as long as possible. Service users and their relatives and friends are informed of how to contact people and organisations that will act in their interests. Service users can bring personal possessions into the centre with them but need to agree the extent of this prior to their stay. Service users, are provided with copies of their care programme, are enabled to self medicate if they have the capacity to do so and can access any information held about them. Service users spoken with were complimentary regarding the standard of food provided. There is a five-week menu cycle in use at the home, which showed that service users are offered a wide variety of meals. Individual service users particular dietary needs are catered for. Service users confirmed that they select their main meals in advance; choice is offered and alternatives are provided. The lunchtime meal is the main meal of the day with a lighter meal provided at teatime. Staff members provide discreet assistance to service users when they need help to eat. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Arrangements are in place to protect service users and to respond to their concerns; to ensure they stay safe and are satisfied with their care. EVIDENCE: Cheshire County Council’s policy is to receive all critical comments positively. Hollins View uses the local authority’s complaints procedure. Service users are encouraged to speak freely to staff if they feel unhappy about the care or surroundings. If a service user cannot get satisfaction by speaking to a senior member of staff, they are invited to make a formal complaint. A leaflet outlining the complaints procedure is included in the service user guide held in each bedroom. Staff members encourage feedback, give support in making comments and complaints and will contact the care manager. The complaints file was seen. No complaints had been received since the last inspection. Cheshire County Council’s adult protection procedure is known and understood by staff and managers at the centre. There is an adult protection protocol on file for staff to view and a copy of the recently updated Department of Health ’No Secrets’ guidance was available to staff. Further adult protection training is going to be provided to staff and has commenced with training for managers and for purchasers of services. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 16 A leaflet explaining Cheshire County Councils ‘Integrity Code’, which deals with preventing fraud and corruption, is given to staff during their induction. A leaflet entitled ‘Whistle Blowing and You’ is available along with further information supplied in a new handbook for new employees to encourage staff to pass on their concerns about bad practice and to safeguard service users. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,23,25 and 26 Hollins View Community Support Centre is well maintained and clean with only a few areas requiring redecoration. The centre provides a comfortable, homely and welcoming environment for service users. EVIDENCE: The location and layout of the centre is suitable for the needs of the service user group. A programme of routine maintenance and renewal of the fabric and decoration was being implemented and recorded. Maintenance logbooks, premises log books and service records were well kept. They detailed all improvement work and safety checks undertaken. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 18 Since the last inspection many improvements to the premises and environment have been made. New overhead lighting has been provided making this space much brighter. A new personal address system has been installed to this area and a hearing induction loop is to be added. Plans are underway to install a new breakfast bar and to try to improve the designated smoking area to ensure other service users near this area are not subjected to cigarette smoke. A new lift has been installed, a six- ring cooker has been supplied to the kitchen and a spinner and washing machine have been provided to the laundry. New shelving and individual laundry baskets are to be provided and redecoration to the laundry is planned. New window blinds have been provided in the laundry and in a bathroom. Refurbishment to toilet areas has taken place and has included new flooring, redecoration and the installation of lever taps. Sluices now have a hot water supply. A new public address system has been installed and a hearing induction loop is to be added. Some carpets have been cleaned, repaired and replaced. Many more environmental improvements are being planned. Ample communal space is provided in which a variety of social activities can take place. Lounges are homely and varied in size and dining areas are attractively presented with neatly laid tables. The adjacent satellite kitchens are well equipped. Toilets for service users are situated throughout the home, many of them close to lounge and dining rooms. The doors to toilet and bathroom areas are painted red to aid identification. Advice was given as bar soap had been left in one of the communal bathrooms and it was suggested that storage units could be provided in communal bathrooms to store a small supply of linen towels. All except three bedrooms were checked. The bedroom accommodation meets minimum space requirements. Service users confirmed that the bedrooms were comfortable and well furnished. All bedroom doors have locks, which can be overridden in an emergency. Service users may have a key to their rooms on request. Lockable storage space is provided in all rooms except two. Wood panelling to pipe work in three rooms had been removed and not put back in place. 5 rooms need a small amount of redecoration work and ceiling tiles in one corridor need replacement due to cracking. See Recommendation 4. Two bedroom carpets were odorous and in need of replacement and one bedroom carpet was stained and in need of cleaning. See Requirement 2. All bedrooms are centrally heated. The radiators in service users bedrooms have guaranteed low temperature surfaces and can be individually controlled. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 19 There are plans to install new light fittings in all bedrooms. The laundry is well organised and provides a laundry service for several people in the local community as well as most of the service users at the centre. Washing machines have the specified programming ability to meet disinfection standards and there is an infection control policy in place to guide staff. There are plans to install need sinks at the hairdressing area and it was suggested that shelving could be provided there to ensure the area is kept tidy and organised in keeping with the rest of the environment. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 The staffing levels ensure service users needs are met promptly and staff members have time to spend with individuals. Appropriate staff training is provided, and staff members are keen to complete training to ensure they are competent and confident to do their jobs. EVIDENCE: The staffing rotas were examined and there are sufficient, care domestic, catering and maintenance staff working at the home. Staffing levels can be increased to meet varying levels of need. On weekdays a maximum of twentyday care places can be provided and there is a dedicated staff team to provide this day care. At weekends a maximum of five day care places are available but without dedicated day care staff. A sample of four recruitment files were checked and provided evidence of a thorough recruitment procedure in place to ensure the protection of service users. Thorough induction training is in place and each member of staff receives a personal induction handbook. This provides a personal induction checklist and useful reference information to guide staff. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 21 There is a well -trained staff team. 44 of care staff members have qualified to NVQ level 2 or above and more NVQ training is planned. 13 staff members have been trained and are responsible for administering medication. All staff members have received appropriate fire training and a wealth of training on a wide variety of topics has been provided to staff members in the past twelve months. Future training planned includes supervisory skills training, moving and handling training, adult protection awareness training and risk assessment training. Individual training records are kept on a computer database. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35,36,37 and 38 Hollins View has good organisation systems and clear lines of accountability, which enables it to run in the best interests of service users and their relatives. EVIDENCE: Hollins View, like all other local authority support centres in Cheshire, operates a user forum system, which enables and encourages service users to voice their views on care arrangements. Also in place is a well -used quality standards questionnaire, which is provided to service users every twelve months or at the end of their short stay, to obtain their views of the service they have received and the manner in which this was achieved. Quality standards questionnaires seen provided many positive comments regarding the care provided. Many service users commented on the high quality of care, the kindness experienced during their stay provided by a helpful and friendly staff team. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 23 There was evidence of self- monitoring of the service and of a good system of communication between management, staff and service users within the centre. Suitable accounting and financial procedures are in place to ensure effective and efficient management of the centre and suitable insurance cover was in place. Five examples of service users balances of personal monies held for safekeeping and the related records were checked and were accurate. Advice was given, as a receipt for hairdressing was not dated. The home manager provides supervision to senior care staff on a monthly basis and in addition staff workshops are held. Senior care staff provide supervision to groups of key workers at least six times a year including sessions for appraisals and observations. The functions of supervision are explained to all staff, supervision dates are planned in advance and records of supervision sessions are kept. Individual and home records were well maintained and securely kept. The inspector checked the COSHH file and all products used were itemised with guidance notes provided. The fire policies and procedures manual reorganised was well maintained and a fire risk assessment was in place. Staff must ensure that bedroom doors are not propped open, and where necessary hold open devices with automatic closures must be fitted. See Requirement 3. Accident records were thoroughly completed. Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION 4 3 3 x 3 2 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 4 3 3 3 3 3 Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation 13 Requirement Make arrangements medication to be accurately recorded and safely stored.(A similar requirement was made at the last inspection). Provide adequate floor coverings to three service users bedrooms. Staff must ensure that bedroom doors are not propped open, and where necessary hold open devices with automatic closures must be fitted.(This requirement remains outstanding from the last inspection). Timescale for action 31.08.05 2. 3. 24 38 16 23 31.10.05 30.09.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 1 11 12 Good Practice Recommendations Ensure the statement of purpose is corrected to provide clear and accurate information to service users. Ensure staff have sufficient contact information and/or information regarding service users wishes regarding death and dying should an unexpected death occur. Arrange planned and organised activity for short stay service users to suit their social and recreational needs, F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 26 Hollins View Community Support Centre 4. 24 expectations, preferences and capacities. Provide lockable storage space to two bedrooms,re affix the wood panelling to pipework in three rooms, complete a small amount of redecoration work to 5 bedrooms and replace ceiling tiles in one corridor area. . Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Unit D, off Rudheath Way Gadbrook Park Northwich Cheshire, CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hollins View Community Support Centre F51 F01 S36942 Hollins View V225828 060705 Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!