Inspection on 18/11/05 for Holly Dyke

This inspection was carried out on 18th November 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 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

Holly Dyke 15/08/06

Holly Dyke 22/06/05

Holly Dyke 29/11/04

Holly Dyke 14/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Holly Dyke 19 Crummock Road Workingon Cumbria CA14 3RP Lead Inspector Cath Wilson Unannounced Inspection 18 November 2005 1:00 Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 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 Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 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 Adults 18-65. 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. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Holly Dyke Address 19 Crummock Road Workingon Cumbria CA14 3RP 01900 606170 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) Walsingham Ms Sarah Elizabeth Ritson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 22nd June 2005 Date of last inspection Brief Description of the Service: Walsingham provides the services and care at Holly Dyke for six people who have a learning disability. The home is a detached dormer bungalow on the outskirts of Workington and blends in with other houses in the area. Car parking facilities are to the side of the home and there is a large enclosed garden area to the rear. There are six single occupancy bedrooms in the home and two of these are on the ground floor. The lounge and dining room, that can be partitioned, kitchen and utility room are on the ground floor. The office is situated on the first floor and bathroom and toilet facilities are on both floors. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection visit of the inspection year and was carried out during the afternoon period. Service users were met throughout the inspection, as well as the registered manager and care staff. A tour of the premises took place and samples of records were assessed. What the service does well: What has improved since the last inspection? What they could do better: The registered manager has a good understanding of the development areas for the home and is progressing this accordingly. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 6 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. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All standards were assessed in the previous announced inspection and the outcomes were all met. EVIDENCE: Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Developing individual plans that promote choice and encourage personal development is a notable strength of the staff team. EVIDENCE: The manager and staff use a variety of skills and ways to engage service users in planning their care and supporting them in their achievements. The care plans continue to be developed and regularly assessed. These documents are evolving and encourage significant personal developments for people in the home. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 16 People in the home are assisted to have a good quality of life and access to a variety of life experiences through a skilled and committed staff team. EVIDENCE: Service users have individual hobbies, interests and lifestyles. People are supported and encouraged to attend these in both the home and the community. People are provided with appropriate personal care and attention in a manner that maintains their dignity and upholds their rights. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Good systems are in place to monitor an individual’s health and well being. Effective links are established with local health care professionals and staff are competent at carrying out delegated health care tasks. EVIDENCE: Service users are registered with a GP of their choice and had access to other members of the Primary Health Care Team. There are comprehensive records and systems to monitor people’s health care needs. Systems are in place to ensure the safe handling and dispensing of medicines in the home. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The home has a satisfactory complaints system with evidence that service users and staff feel that their views are listened to and acted upon. EVIDENCE: People in the home are aware of how to complain and are listened and responded to. The manager and staff meet very regularly with people in the home to discuss matters either together or individually. Details of how to complain are also mentioned in the home’s Statement of Purpose and Service User Guide with appropriate contact details. People also have access to advocacy personnel. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The home is maintained to good standards of cleanliness and is a pleasant and comfortable living environment for service users. EVIDENCE: The home is maintained in a pleasant, clean and comfortable manner. A programme is in place to maintain the furnishings and fittings in both the private and communal areas of the home. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 43 Competent and well-qualified staff supports Service users. The home and organisation protects service users by effective recruitment and disciplinary procedures. EVIDENCE: Staff are provided with a very well organised training programme in addition to their NVQ Qualifications. Training needs are kept up-to-date. Staff had open channels of communication in the organisation and can bring up any areas for discussion in staff meetings, supervision or informally. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The home is well managed by a competent manager who in turn is supported by a committed staff team who together run the home in the best interests of service users. EVIDENCE: The manager promotes an open, positive and inclusive atmosphere in the home through a variety of ways. Staff received training to ensure the health and safety of service users and themselves. The administration systems within the home were found to be up-to-date and in good order, ensuring the home is run in an efficient and effective manner. The provider, Walsingham, carried out regulation 26 monitoring visits and copies of these are sent to the Commission for Social Care Inspection. Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Holly Dyke Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000022677.V259068.R01.S.doc Version 5.0 Page 17 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. 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 Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Holly Dyke DS0000022677.V259068.R01.S.doc Version 5.0 Page 19 - 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!