Inspection on 24/02/09 for Holly Lodge Secondary Treatment Centre

This inspection was carried out on 24th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Holly Lodge Secondary Treatment... 05/03/07

Holly Lodge Secondary Treatment... 07/02/06

Holly Lodge Secondary Treatment... 09/08/05

Holly Lodge Secondary Treatment... 01/03/05

Holly Lodge Secondary Treatment... 28/09/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Richards House

Hamer Cottage

Turning Point (Hoole Road)

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Holly Lodge Extended Care 361 Clifton Drive North St Annes on Sea Lancashire FY8 2PA     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: Kevan Royston     Date: 2 4 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 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. Care Homes for Adults (18-65 years) Page 2 of 27 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 Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Holly Lodge Extended Care 361 Clifton Drive North St Annes on Sea Lancashire FY8 2PA 01253726666 01253726692 craiglands@pierpoint.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr John Noel Grady ACIB Name of registered manager (if applicable) Mrs Lisa Michelle Dignan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependence: Code A Past or present drug dependence: Code D The maximum number of service users who can be accommodated is: 18 Date of last inspection Brief description of the care home Holly Lodge is a treatment recovery home for men and women aged 18-65 with substance dependency or addiction and is a scondary treatment facility within the Pierpoint group. Situated in a large tastefully modernised Victorian building in St. Annes - on - Sea, the home is close to local shops and amenities and is a short walk from the promenade. Holly Lodge is close to good transport links. The unit is part of the Pierpoint Group, which provides effective intervention through, assessment, self discovery, self acceptance and treatment for adults who have drug Care Homes for Adults (18-65 years) Page 4 of 27 care home 18 Over 65 0 0 18 18 Brief description of the care home and/or alcohol addictions. Holly Lodge provides a holistic approach to residential and community based addiction treatment and enables people to identify strengths and weaknesses so by the end of the programme the person will have an understanding of the changes needed in relation to their addiction and help support people to independence , reintregration with family and the work place. The fees for the home are £625 per week, with added expenses for hairdressing, toiletries, tobacco and sweets. There is a Statement of Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, the owners and staff and what the residents can expect if he or she decides to go on the treatment and recovery programme. Care Homes for Adults (18-65 years) Page 5 of 27 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 peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection visit was part of the inspection process and took place on the 24th February 2009 and lasted approximately 6.0 hours. We spoke to staff, residents and the manager in charge. We also looked at care records and information which helps in the running of the home and gave us information about the treatment recovery programme. Also we had a walk around the building and looked in the kitchen and around the outside buildings. Records for two people on the recovery programme were checked to see the care they receive. We looked in rooms and spoke to residents, this is called case tracking. Other residents are invited to pass their opinions to us if they wish. Care Homes for Adults (18-65 years) Page 6 of 27 To find out more about the care Holly Lodge provides we sent comment/survey cards to people who work at the home and residents. There was little response however comments we received were positive and some are included in this report. Before the visit we asked the manager to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA) document. It gives us information about how the home is meeting the needs of residents and includes future plans for development. Joining us on the inspection visit was an Expert by Experience a person who because of their shared experience of using services visits a home with an inspector to help them get a picture of what it is like to live or use the service. The views of the expert by experience and some comments received during the visit have been included in the report. 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 Adults (18-65 years) Page 8 of 27 Care Homes for Adults (18-65 years) Page 9 of 27 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 Care Homes for Adults (18-65 years) Page 10 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are professionally assessed and have the information to make a choice about the treatment/recovery programme before they move in. Evidence: We spoke to residents and staff about the admission process and looked at assessment information on two residents case tracked. Information was provided from Pierpoint House following their progression from the treatment programme there to Holly lodge which supports people on a recovery programme which lasts 12 weeks. One member of staff spoken to said, We go through the assessment process with each resident. There is a good system to introduce residents to the home with the amount of information provided and the multi disciplinary assessment done so that they know their needs will be met on the recovery programme following their treatment at Pierpoint House. Comments from residents who wrote to us in surveys about the assessment process included, Very good information given to me about Holly lodge, Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: And, I had a telephone conversation and was sent a brochure Care Homes for Adults (18-65 years) Page 12 of 27 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. Residents are supported to make decisions in line with their recovery programme. Evidence: We looked at residents care records and plan of treatment recovery, we found they clearly identified the health and welfare needs to suit each individual during their stay and ensure they receive the support they need whilst completing the treatment recovery programme. Comments from residents included, We work out a plan for the future together with staff. And, For me its the next stage from Pierpoint and helps me become more confident and independent. We spoke to staff and looked at Life Plans which are developed with residents to help with cooking, shopping, cleaning, and paying bills to ensure people feel more confident when leaving Holly Lodge. A member of staff said, We help support people to build confidence with tackling daily life skills. Risk assessments had been completed and are looked at during the programme for Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: each resident, they take into account the access to more freedom in terms of family visits and trips out. Residents spoke well of the care they receive,this was the case in all instances including one to ones, group works and home visits, one resident wrote in a survey, Holly lodge is supported by good helpful staff. Group meetings are held weekly and residents get to contribute to the running of the home, One member of staff said, We all support each other to make the recovery programme helpful. Care Homes for Adults (18-65 years) Page 14 of 27 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. Meals are well managed and provide a wholesome nutritious diet. There are opportunities for personal development provided by the recovery programme with good staff support. Evidence: We spoke to staff and residents about daily life and opportunities for residents once they leave Holly Lodge, one resident said, We are encouraged by staff to follow our interests. One resident wrote in a survey, I get a chance to discuss what happens after Holly Lodge with my therapist and we try and look into career opportunities for when I go home. The manager tells us in the AQAA how they encourage residents to maintain and improve upon relationships within the home and family, based upon respect and Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: understanding. One resident wrote, Building relationships is a part of my recovery. Family visits are part of the programme and staff encourage home visits if it is part of the individuals plan to ensure relationships can develop. There is more freedom for people at Holly Lodge to follow there preferred activities and choose social outings at the weekend so that residents have more confidence when returning to home life. One resident spoken to said, Trust is placed on us so we have a variety of activities. Comments about food were positive in that fresh produce is used and the quality is good ensuring residents receive a wholesome diet. Comments included, Good food. And, The residents have the responsibility to cook meals on a Sunday. We watched relaxed, as well as structured meetings being followed during the day as part of the daily routines which varied from group meetings, individual therapy sessions and group/individual outside activities. Care Homes for Adults (18-65 years) Page 16 of 27 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. Health care needs are taken seriously and monitored. Evidence: Care plans looked at show evidence of health care visits to doctors, dentists and opticians and show what support for personal care needs residents need. One member of staff spoken to said, There is always help there for the residents. One resident spoken to said, 24 hours a day someone support is provided. There are good systems in place for handling and giving out medication if required, to ensure safe administering of medicines at all times. One member of staff spoken to said, If medication is required a nurse will administer. At the time of the inspection no residents were on prescribed medication. Care Homes for Adults (18-65 years) Page 17 of 27 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: There is a Complaints policy and procedure available to all residents in the documentation given during the admission process at Pierpoint House which is the same as the policy at Holly Lodge. We spoke to staff and residents all knew the procedure and how to follow it. One resident wrote in a survey I am fully aware of how the complaints procedure works. There have been no complaints since the last inspection. There is a procedure for dealing with allegations of abuse and staff spoken to were aware of how to deal with any concerns. AQAA information provided by the manager tells us about how safeguarding training for staff is provided, to ensure people are aware of any signs of abuse. One member of staff spoken to said, Yes I have completed safeguarding training. Care Homes for Adults (18-65 years) Page 18 of 27 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. The home is clean however parts of the home needs redecorating and refurbishing to make sure residents are comfortable and live in pleasant surroundings. Evidence: We had a walk around the building and although found it to be clean and tidy, areas of the home need redecorating and refurbishing to ensure residents have a pleasant place to live. This was confirmed through discussions we had with residents, looking around the premises and talking top staff members. Comments included, Parts of the building need doing up. Also, The building could do with brightening up. One member of staff wrote in a surveyWe need furniture replacing and general redecoration. We noticed on our walk around the home, paintwork in need of repair, old furniture with broken handles and doors in need of replacing, carpets worn, and bathrooms in need of refurbishment. Other concerns included, furnishings and curtains of poor quality in the lounges and the lighting around the building not bright enough. The furnishings and fittings must be of good quality and the home kept in good order so that residents feel comfortable and are provided with pleasant surroundings. We looked at maintenance records and found repairs are attended to quickly. The maintenance person is employed by the Pierpoint Group and attends to all repairs. One Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: member of staff spoken to said, The maintenance staff from Pierpoint attend to repairs. There are policies and procedures in place for laundry tasks and the control of infection ensuring the home is kept clean and free from offensive odors. Care Homes for Adults (18-65 years) Page 20 of 27 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. The procedures for recruitment have improved , training for staff is accessible and provides opportunities for staff development. Evidence: We looked at staffing duty records and spoke to the person in charge and staff to confirm sufficient numbers are on duty at any time of the day or night to ensure residents have the support they need. One resident wrote in a survey, We can speak to staff 24/7. We looked at recruitment records and found procedures have been improved and are in place despite not employing any new staff since March 07. One staff file looked at had all the information and checks required before people start to work at the home, so that only suitable staff are employed. One staff member spoken to said, We all get on well. Comments received from staff and looking at training records show that access to training and opportunities for staff to develop there skills is good. Over 50 of care staff have completed a National Vocational Qualification (NVQ ) to level 2 and helps provide the skills to support the residents. Also their is evidence of good access for Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: staff to develop their skills in courses offered by the management, One member of staff spoken to said, Training is always available and supported by the management. With little change in the staff team for two years there is evidence from talking to people, that staff work well together to support the residents and relationships are able to develop which helps provide a good atmosphere for people to live and work. One staff member said, We all get on we are a tight little group. Staff spoken to said they were clear about their role and work well as team to ensure residents benefit from the treatment programme. Care Homes for Adults (18-65 years) Page 22 of 27 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. The home is run well with policies and procedures in place to make sure the health and safety of people living there is promoted and they are protected. Evidence: The manager has the necessary skills, competencies and qualifications to manage the home and enable it to meet its stated aims and help people throughout the recovery stage of there programme. Comments from staff and residents about the recovery programme and how Holly Loge is run were good and included, It is a very professionally run therapeutic practice. And, The home does have a structure which works well. One staff member spoken to said, The management listen and are supportive. We looked at records of residents care and found them to be well written, up to date and comprehensive which helps make sure the right information is available through each stage of the persons recovery programme. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: There are good systems in place to seek the views of people who are on the recovery programme, those who have completed the treatment and staff members so that the home can develop and improve. We looked at staff and resident meetings records which show how suggestions have been made and carried out to improve how the home is run. We looked at health and safety records and found regular tests are made to electrical equipment, gas appliances and regular fire practices are taking place ensuring people at the home are safe. Care Homes for Adults (18-65 years) Page 24 of 27 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 Adults (18-65 years) Page 25 of 27 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 1 24 16 The premises must provide furnishings and fittings which are of good quality to be able to provide a pleasant home for residents Redecoration and refurbishment is required so the residents live comfortably 02/07/2009 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 Care Homes for Adults (18-65 years) Page 26 of 27 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 Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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