Inspection on 07/02/06 for Holly Lodge Secondary Treatment Centre

This inspection was carried out on 7th February 2006.

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

The inspector found 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... 24/02/09

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

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 09/07/2008.

CARE HOME ADULTS 18-65 Female Focus 361 Clifton Drive North St Annes on Sea Lancashire FY8 2PA Lead Inspector Mrs Lynne Lynch Unannounced Inspection 7th February 2006 09:30 Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 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 Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 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. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Female Focus Address 361 Clifton Drive North St Annes on Sea Lancashire FY8 2PA 01253 726666 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) info@femalefocus.co.uk Mr John Noel Grady ACIB Care Home 16 Category(ies) of Past or present alcohol dependence (16), Past or registration, with number present drug dependence (16) of places Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The proprietor shall at all times employ a suitably qualified and experienced manager whom is registered with the National Care Standards Commission The home may only provide care to the following categories of service user: 16 (sixteen) females with a past or present drug/alcohol dependence 9th August 2005 Date of last inspection Brief Description of the Service: Female Focus formerly registered in the name of Craiglands is a Primary Treatment centre for women with substance dependency or addiction and is situated in a large tastefully modernised Victorian building in St. Anne’s - on Sea. The home is close to local shops and amenities and is a short walk from the promenade. It is close to good transport links. The unit is part of the Pierpoint Group, which provides effective intervention through, assessment, detoxification and treatment for adults who have drug and/or alcohol addictions. The home is specifically aimed at caring for women aged 18-65 who wish to address their addiction. Female Focus provides a holistic approach to residential and community based addiction treatment and enables people to identify strengths and weaknesses and by the end of the programme the person will have an understanding of the changes needed in relation to their addiction. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and spanned a period of five hours. A further hour was spent at the organisations head office on the 09/02/06 to view staff records in relation to recruitment practices. The inspector spoke individually with the home’s newly appointed manager and the organisation’s operational manager. Individual discussion also took place with seven residents. Records in relation to health care and staff records were viewed along with a number of policies and procedures. A full tour of the building was also conducted. The home has employed a new manager and she was present at the time of the inspection. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 9th August 2005. What the service does well: What has improved since the last inspection? The organisation and the staff at Female Focus continue to look at ways to improve the service provided. Relevant training is constantly being sought to ensure staff remain knowledgeable and aware of current good practice within this area of care. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 6 A separate building at the rear of the home is being considered for use as an office area for the manager and a family/visitors lounge to improve the facilities available. The introduction of a Nurse qualified manager will enable health care advice to be given at the home and further development of well women sessions. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 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 Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 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): None of the above standards were inspected at this visit. EVIDENCE: Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 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): None of the above standards were inspected at this visit. EVIDENCE: Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 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, 13, 15, 16 and 17 Good opportunities for personal development and improving self esteem are built into the programme and this includes support with relationship issues. People staying at Female Focus enjoy healthy nutritious meals. EVIDENCE: Paid employment would not usually be a priority, particularly during the early stages of recovery, when the focus is on the therapeutic programme of group and individual sessions. Information about rights and responsibilities regarding daily routines and house rules is provided prior to admission to the home. There are clear rules regarding alcohol and drugs, and certain visiting restrictions, which form a key part of the contractual agreement. It is clearly stated within the homes Statement of Purpose that contact with friends and family cannot be made for the first week of treatment to prevent people feeling distracted from the programme of treatment. Visiting is restricted to Sundays to ensure that group sessions and therapeutic duties are not interrupted. The people staying at Female Focus spoke about the daily routines and their involvement in domestic tasks, which are carried out on a rota basis. One service user said “staff help you build up a real self esteem” All agreed that Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 11 this system is fair and works well. Social skills and personal development opportunities are incorporated into the programme although these remain supervised. The people spoken to advised that activities did take place such as volleyball, line dancing and art therapy, they also suggested that these activities could be more varied. One person advised that she had attended a shiatsu session at another of the organisations homes, other people in the home were interested in this but unfortunately the access to this is limited as the sessions are shared across the organisation. The new manager advised that she would be considering similar activities for the home. Access to the local community is restricted to ensure that this does not detract from the programme of treatment. Service users understood these restrictions and advised they could go out for walks, go down to the beach and visit local shops. They also understood that on returning to the home necessary checks had to be carried out for their own health and safety. Service users confirmed they could access local support groups and attend places of worship. Female Focus is classed as a temporary address and therefore individuals remain on the electoral roll at their home address. The homes meals are delivered from Pierpoint house, which is the primary treatment unit in the service. All service-users spoken to confirmed that meals are of a good standard. All were very complimentary about the portions and quality of the food provided in the home, and confirmed that a choice is always available to them. One service user advised that she followed a low salt diet and this had been noted. Another service user advised that there was always a vegetarian option with an additional choice of salad. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 12 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 Individuals do not require assistance with personal care. The physical and emotional health needs of individuals are met. Medication procedures demonstrate due care and attention. EVIDENCE: The people staying at Female Focus do not require any direct support with personal care. Each person has a designated key worker who facilitates one to one sessions and monitors progress within the programme. Routines are not flexible at Female Focus due to the treatment programme provided, which is intended to bring order back to the lives of people who may not have experienced that for a while. Times for getting up and going to bed are set and not open to negotiation, to ensure the programme runs effectively. Support is provided by the project workers to ensure personal hygiene and a clean appearance are maintained. A medical admission form is completed for every service user at the start of their stay at the home, which contains information on past and current medical conditions and known substance abuse. Service users who have been at the dettox unit prior to entering female Focus had comprehensive records on file regarding their dettox. Records of nursing risk assessments were also on file. There was good evidence of multi agency working to gather evidence for each service user and records maintained regarding Psychiatric input. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 13 One lady spoken to said “I had toothache I spoke to the staff they gave me some painkillers and got me a dental appointment immediately and they were very supportive, I am on antibiotics now”. The newly employed manager is a Registered Nurse and she spoke of her plans to run a daily triage clinic and to further develop the well women sessions at the home as currently the service users attend Pierpoint house for any health support. The service users felt that this would be a good idea and were very supportive of this. Medication policies in the home contain all relevant information and are written with relevance to the setting. All service users medication is controlled by the home and consent is obtained for this. Self-medication is only encouraged for service users who have long standing medical conditions such as Diabetes to ensure they are not deskilled. All medication continues to be stored and administered correctly. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 14 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): None of the above standards were inspected at this visit. EVIDENCE: Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 15 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): 24 and 30 Female Focus is clean and well maintained, providing a comfortable and attractive environment for those staying there. EVIDENCE: The home was registered with the Commission for Social Care Inspection in March 2004. The home provides 7 double bedrooms and 2 single bedrooms. The use of double bedrooms is in line with good practice for this client group to prevent isolation of service users who may be vulnerable due to their addiction. There are 3 lounges within the home, which provide adequate communal space. The house also has a separate dining room and visitors area. The home is well maintained only a couple of minor areas for repair were noted. The service users spoken with were happy with their surroundings and felt that the home was comfortable and provided a safe environment. One service user said, “The drain below my window is a bit smelly”. The operations manager was informed and advised she would get this attended to. Service users also felt that it would be helpful for the home to have a separate designated smoking area to ensure that those people who don’t smoke do not have to be passive smokers. This is something that is being considered along with a separate family room, a separate building at the back of the home is to be utilised. On touring the premises all areas of the home were seen to be Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 16 clean and free from odours. Laundry facilities are appropriately sited and the home has policies and procedures in respect of control of infection. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 17 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 34 The qualities and skills of the staff team are highly valued by the people staying at Female Focus. Recruitment is well organised and there is a good programme of staff training. EVIDENCE: The home currently has a full complement of staff. Positive feedback about the qualities of the staff at Female Focus was gained from talking to the people staying at the home. Comments included; “ Staff are well qualified and competent, they know what they are doing”. “They listen and seem to really care.” People spoke highly of the staff team, their commitment and personal qualities, such as, being genuinely interested in their work and in the progress of individuals. Two of the three Counselling staff are qualified at Diploma level, with the third member currently studying for her Diploma. The home had previously achieved more than 50 of their project workers being qualified to NVQ level 2, however due to some staff movement within the organisation they currently only have two out of the six project workers qualified to this level. There is an organised and well-established recruitment procedure in place. The staff files viewed showed that appropriate checks, including evidence of qualifications and Criminal Records Bureau clearance take place. The Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 18 operations manager was reminded that evidence of Pova Checks should be maintained on file whilst awaiting the Criminal Records Bureau clearance. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 19 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): 37 The organisation and the home are well managed and run in the best interests of residents. EVIDENCE: There are clear lines of accountability and responsibility ensuring all staff are confident in their roles within the staff team. The organisation has recently appointed a new manager for the home. The manager who is a registered Nurse had only been in post for two days at the time of the inspection and was undergoing part of her induction with the operational manager for the organisation when the inspector arrived. The manager and staff team are supported by an experienced and established organisation, which has developed a variety of community based services for adults with alcohol and drug dependancy in the Lytham St Annes area. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 20 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 1 X X X X X X Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA37 Regulation 8 Requirement The newly appointed manager must forward her registration documentation to the Commission For Social Care Inspection. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA32 YA24 Good Practice Recommendations The home should ensure that all project workers work towards attaining an NVQ level 2 or above in care. The drains at the home should be checked to ensure these are clear and free from odour. Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Female Focus DS0000059590.V258020.R01.S.doc Version 5.1 Page 23 - 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. 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