Inspection on 23/02/09 for Holly Lodge Court Care Home

This inspection was carried out on 23rd 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 Court Care Home 09/12/09

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Holly Lodge Court Care Home 97 Fosse Way Syston Leicester LE7 1NH two star good service The quality rating for this care home is: 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: Martin Hefferman Date: 2 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) 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. 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.csci.org.uk Internet address Information about the care home Name of care home: Address: Holly Lodge Court Care Home 97 Fosse Way Syston Leicester LE7 1NH 01162692168 01162692168 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Holly Lodge Court Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care home 10 Number of places (if applicable): Under 65 Over 65 10 0 Learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 10 Date of last inspection A bit about the care home Holly Lodge Court provides care to ten people with learning disabilities. The home is on a main road close to Syston town centre. People who use the service live in a large detached house. Bedrooms are on the ground and first floors. There is a large garden to the rear of the property. At the time of the inspection, fees ranged from £347 to £900 per week. 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home We talked to seven people who use the service. We also talked to three members of staff and the owner. We looked at care plans for two people who use the service. We viewed other records that are held in the home. These are identified in the report. We also looked at any information we have received, including the homes annual quality assurance assessment. No comment cards were received on this occasion. What the care home does well Staff members have access to the information they require to meet individual needs. People who use the service stated that they are happy with the support they receive. They are treated with dignity and respect. People who use the service are encouraged to make decisions about their lives. They stated that they enjoy the meals provided by the home. The home received three stars (the highest award) during the last inspection of its food hygiene arrangements. Improvements are being made to the environment in which people live. Action is being taken to ensure that staff members are well trained. What has got better from the last inspection What the care home could do better A written policy should be developed with regard to the handling of peoples finances, which is agreed by people who use the service and their representatives. An appropriate record must be kept of the administration of all prescribed medication, including creams. The home should consider purchasing a medication cabinet, which meets the requirements of the Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007. The registered person must assess the risk of fire associated with issues identified during the course of the inspection and take appropriate action. This is to protect people who use the service and staff. Suitable locks should be fitted to toilet and bathroom doors. A record should be kept in the home of all people who work there. If you want to read the full report of our inspection please ask the person in charge of the care home. If you want to speak to the inspector please contact Martin Hefferman CPC1 Capital Business Park Fulbourn Cambridge CB21 5XE 01223 771300 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Action is being taken to ensure that people who may use the service and their representatives have the information needed to choose a home that will meet their needs. Evidence: The registered provider stated that she is in the process of reviewing the content of both the statement of purpose and the service user guide. Draft copies of both documents were available. She reported that she would also be looking at ways in which to make information about the home available in a format that is easier for people who use the service to understand. The requirements of standard 2 (Needs Assessment) could not be inspected on this occasion. The people who were chosen for the purposes of case tracking moved to the home in 1994 and 1997 respectively. The registered provider stated that no one has moved to Holly Lodge Court since she took over the running of the home. Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 . Staff members have access to the information they require to meet individual needs. People who use the service are encouraged to make decisions about their lives. Evidence: Individual plans were available for the people who were chosen for the purposes of case tracking. They covered issues associated with daily living, personal finance, communication, day care, religion & cultural needs, family involvement, dietary requirements, health and behaviour problems. The plans that were inspected had not been signed or dated although records did indicate that they were due to be reviewed in October 2009. Person centred plans have been completed for both of the people whose records were inspected - setting out what they do & dont like to do, the relationships that are important to them and their aspirations. The registered provider stated that staff would work with people who live at the home to produce updated person centred plans. Risk assessments have been completed on a range of issues. People who use the service stated that they could choose how to spend their time, with several people reporting that they prefer to lay in at the weekend. The people who were present at the time of our first visit were offered choice in terms of the activities they undertook and where to spend their time, with one person preferring to sit in the front lounge whilst others watched television in a second. Minutes of residents meetings indicate that people who use the service are consulted on issues such as outings, holidays and the refurbishment of the home. One of the people who were chosen for the purposes of case tracking manages her own money. Two members of staff had signed records relating to money held on Evidence: behalf of a second person. Information provided by the home prior to the visit indicates that the home has sought the advice of the local authority in setting up a clear audit trail for the handling of peoples personal finances. The registered provider stated that a joint account has been opened for people who live at the home. A recommendation has been made that the home develop a written policy with regard to the handling of peoples finances, which is agreed by people who use the service and their representatives. Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 the service enjoy a lifestyle, which meets their individual needs & expectations. Evidence: One of the people who were chosen for the purposes of case tracking undertakes activities with support from staff at the home. She stated that she enjoys a good relationship with her support workers and reported that the activities undertaken are based on her interests. The second person attends a number of different day services, one of which is specifically for older people with learning disabilities. The registered provider stated that two people attend church coffee mornings and six, a local friendship group. People who use the service are able to access a range of facilities in the local area, including shops, pubs and parks. A number of people enjoyed a meal out at a local pub on the first day of our visit. One person stated that she intends to go back later in the week when a family member comes to visit. Both of the people who were chosen for the purposes of case tracking maintain contact with their families. One person stated that preparations are underway for her to attend a family celebration later in the year. People who use the service stated that they enjoy the meals provided by the home. Menus are based on peoples known likes & dislikes. The registered provider agreed to keep a record of any alternative meals that are provided. The home received three stars (the highest award) during a recent inspection of food hygiene arrangements. Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 . Peoples personal support and healthcare needs are met. People are treated with dignity and respect. Evidence: People who use the service stated that they are happy with the support they receive. They were treated with respect by the staff who were present at the time of our visit. Individual plans detail the personal support each person requires and any healthcare needs that have been identified. Records of appointments with healthcare professionals such as chiropodists indicate that identified needs are being met. None of the people who use the service manage their medication. Records of the administration of medication mostly met relevant requirements. A member of staff had however recorded the administration of an as required medication on a post it note. The registered provider later confirmed that this issue had been raised with the individual concerned and reported that appropriate action had been taken. The registered person agreed to ensure that staff kept a record of the administration of prescribed creams. Whilst no one was prescribed controlled drugs at the time of this inspection, advice was given that the current arrangements for the storage of medication do not comply with revised regulations regarding controlled drugs. A staff member stated that she had just completed a sixteen-week course on the handling of medication. Other staff members are in the process of completing this training. Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 the service are protected by the homes arrangements for handling complaints and responding to allegations of abuse. Evidence: The complaints procedure is set out in a guide to the home. The registered provider agreed to amend the procedure to reflect revised guidance regarding the handling of complaints. We have been notified of one complaint since the registered provider took over the running of the home. An investigation was undertaken by the local authority, who concluded that it was totally unfounded. Minutes of residents meetings indicate that people who use the service are able to raise any issues that concern them. Policies and procedures relating to the protection of vulnerable adults were available. Staff members have received training on safeguarding adults. A staff member who was present at the time of the visit indicated that she was aware of the action she should take if she suspects someone is being abused. 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service live in a clean and comfortable environment. Issues associated with fire doors have the potential to place people who use the service and staff at risk. Evidence: People who use the service stated that they are happy with the environment in which they live. Communal areas of the home have been redecorated since the registered provider took over the running of the home and furniture, carpets & curtains in those areas have been replaced, where necessary. The registered provider stated that work is due to start on the outside of the property and reported that once this is completed they will then start on refurbishing bedrooms. All of the areas that were inspected were clean. A number of toilet and bathroom doors did not have a lock. Fire doors between the kitchen and a lounge on the ground floor were wedged open. One had had a hole drilled through it although action had been taken by the current provider to seal the hole on one side. 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 the service are protected by the homes arrangement for the recruitment of staff. Action is being taken to ensure that staff are appropriately trained. Evidence: Copies of rotas for the weeks preceding the visit indicate that the home is being staffed by three members of permanent staff with support from care workers from an agency, which is also owned by the registered provider. Records relating to the permanent members of staff indicate that appropriate pre-employment checks have been completed. Records relating to agency staff were not available. We inspected the agency on 19th September 2008 and no issues were identified regarding the agencys recruitment practices. Two of the three members of permanent staff have completed National Vocational Qualification level 2. Staff members have received training on manual handling, medication, challenging behaviour & the protection of vulnerable adults since the registered provider took over the running of the home. Arrangements have been made for staff to receive training on first aid, food hygiene and health & safety. Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 the service benefit from a well run home. Evidence: The registered provider has completed National Vocational Qualification level 4. She is in the process of completing the Leadership & Management Award. She stated that she would be advertising for a new manager following the resignation of the previous manager before Christmas. Minutes of residents meetings indicate that people who use the service are involved in discussions regarding the running of the home. The registered provider stated that she intends to send out surveys later in the year. Policies and procedures were available on a range of safe working practices. Records indicate that fire tests & drills have been completed at the required frequency. Issues were identified regarding fire doors on the ground floor (see environment). Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description Timescale for action 1 20 13 An appropriate record must 26/02/2009 be kept of the administration of all prescribed medication, including creams. This is to ensure that people who use the service are protected by the homes arrangements for managing medication. 2 24 23 The registered person must assess the risk of fire associated with issues identified during the course of the inspection and take appropriate action. This is to protect people who use the service and staff. 31/03/2009 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 1 7 A written policy should be developed with regard to the handling of peoples finances, which is agreed by people who use the service and their representatives. 2 20 The home should consider purchasing a medication cabinet, which meets the requirements of the Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007. Suitable locks should be fitted to toilet and bathroom doors. A record should be kept in the home of all people who work there. This record should comply with Schedule 4 of the Care Homes Regulations. 3 4 24 34 Helpline: 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 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. 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