Inspection on 13/02/09 for Holly Lodge

This inspection was carried out on 13th February 2009.

CSCI found this care home to be providing an Good service.

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 Lodge 23/02/07

Holly Lodge 22/02/06

Holly Lodge 02/08/05

Holly Lodge 15/03/05

Holly Lodge 06/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Holly Lodge 12 Clarence Road Harpenden Hertfordshire AL5 4AJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Marian Byrne     Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 20 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 20 Information about the care home Name of care home: Address: Holly Lodge 12 Clarence Road Harpenden Hertfordshire AL5 4AJ 01582712640 01582765555 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Fairheart Limited Name of registered manager (if applicable) Janet Petersen Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Holly Lodge is a large Victorian, three storey, detached house that is set in its own grounds and located in a quiet residential area of Harpenden. All three floors are served by a passenger lift and a mezzanine floor is fitted with a step lift to enable service users to access the main lift. The home offers all single occupancy bedrooms (two with en-suite facilities), two lounges, a dining room, six toilets, two bathrooms and a shower. There is also an office, a kitchen and a laundry. The well-kept gardens are easily accessible from the house and offer attractive outlooks from the building, and there is off-road parking available at the front. Relatively close is a small parade of shops and the town centre; the railway station and bus services are also easily accessible from the home. 0 Over 65 14 care home 14 Care Homes for Older People Page 4 of 20 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Although the inspection was conducted by one regulatory inspector, for the purposes of this report the Commission will be referred to as we. We inspected Holly Lodge on the 13th February 2009. The inspection was carried out over one day by one inspector. We spent time in the lounge observing the day to day life of the home. We inspected records pertaining to the care of the residents, staff training and recruitment. We sent surveys to staff and residents at the home so that they could tell us about their experiences of the home. The Manager of the home returned our Annual Quality Assurance Assessment (AQAA) within the directed timescales. It is a legal requirement that the home do this. The Care Homes for Older People Page 5 of 20 AQAA is a self-assessment that looks at how well the home is meeting outcomes for the people who live there. It also gives some important numerical information. The AQAA tells us what has been happening in the home in the past year. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 20 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 20 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that they will have their needs assessed prior to admission and that the home will only admit them if they can meet their needs. Evidence: We looked at the care plans of three people who had been recently admitted to the home. There was evidence that a full assessment of needs had been carried out. The people we observed and spoke with throughout the inspection were clear that their needs were recognised and met. Care Homes for Older People Page 9 of 20 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that their health care needs will be recognised and appropriate care offered. They can be sure that their medication will be administered and recorded appropriately thus ensuring optimum health. Evidence: As already stated we looked at the care plans of three people who had recently been admitted to the home. These contained good information on the residents. All residents are registered with a local GP practice. The home endeavors to keep the same GP practice where possible. We spoke to one resident who told us that their health had improved since she was admitted to the home, her mobility is better and she has more confidence in her abilities. Doctors and other health practitioners are called to visit the home in a timely manner. All the staff are aware of the needs of the residents and we observed care and assistance being delivered in a gentle caring manner that promoted the dignity of the residents. Risk assessments were carried out appropriately and risk reduction measures were put in place where necessary. Care Homes for Older People Page 10 of 20 Evidence: Medication was stored, administered and recorded appropriately. Care Homes for Older People Page 11 of 20 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that can their daily needs wishes and wants will be identified and where possible met. They can be sure that they will receive a healthy and varied diet. Evidence: Residents spoken with assured us that they were free to participate in a social life of their choice. Visitors are welcomed to the home at all reasonable times. On the day of this unannounced inspection there was a constant stream of visitors to the home. There was a good supply of magazines and books in the sitting room. Residents we spoke with were very happy with their quality of life in the home. We observed lunch - the dining room tables were set in a domestic fashion and with serving dishes of vegetables on each table. There was good conversation between staff and residents. Care was taken to ensure all residents had what they wanted and they were encouraged to eat as much as possible. Throughout the inspection we observed that the residents of the home set the pace of life. Care Homes for Older People Page 12 of 20 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that any complaints they have will be listened to. They can be sure that they will be protected from abuse. Evidence: The home has a complaints policy that it follows. They have not had any complaints since the last inspection. Any issues the residents raise are dealt with straight away. We spoke with the staff who understood the issues relating to safeguarding adults and were able to tell us the procedures that they must follow should they encounter occasions of abuse. Care Homes for Older People Page 13 of 20 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use this service can be sure that the environment will meet their needs and that the home it is clean fresh and well maintained. Evidence: We found the environment to be clean and fresh. All of the rooms we inspected met the needs of the residents. The rooms were decorated and furnished to reflect the personality Care Homes for Older People Page 14 of 20 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can be sure that the staff are recruited appropriately, that they are well trained this ensures that they will provide care in a manner that promotes the health, welfare and dignity of the residents. Evidence: We found the home to be well staffed on the day of the inspection. The staff we spoke with and observed related to the residents in a manner that respected them as individuals and promoted their dignity. We looked at the staffing files of three staff members. All were appropriately recruited - we saw evidence of identity and security checks on file and there was a full work history of the staff. We saw their training records and from our observations we saw that they were trained to care for the residents. The residents assured us that they were treated with kindness, respect and dignity and told us that nothing was too much trouble for the staff. Care Homes for Older People Page 15 of 20 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can be assured that the home is well managed and is run in the best interests of the people who live there. Evidence: The Registered Manager was in the home on the day of the inspection and assisted in all aspects of the inspection. It was clear that she knows all the residents well and was able to answer questions relating to their health and welfare. The home is managed in the best interests of the residents. The residents all stated that the Manager is easy to approach and is fully aware of them as individuals and knows what their needs, wants and wishes are. We were told by the residents that she has encouraged them to reach their maximum potential as individuals. There are procedures in place to ensure the health and safety of the people who live there. We found fire procedures in place and the fire fighting equipment had been tested in the past year. Care Homes for Older People Page 16 of 20 Care Homes for Older People Page 17 of 20 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 18 of 20 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 19 of 20 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 20 of 20 - 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!