Inspection on 09/08/05 for Holly Lodge Secondary Treatment Centre

This inspection was carried out on 9th August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Holly Lodge Secondary Treatment... 24/02/09

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

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

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 Lynne Lynch Announced 09 August 2005 09:30 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 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 Stationary 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 F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Female Focus Address 361 Clifton Drive North, St Annes on Sea, Lancashire, FY8 2PA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 726666 01253 726692 counsellors@femalefocus.co.uk Mr John Noel Grady ACIB Solicitor Mrs Barbara Smith Care Home 16 Category(ies) of Past or present alcohol dependence (16), registration, with number Past or present drug dependence (16) of places Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The proprietor shall at all times employ a suitably qualified and experienced manager whom is registered with the Commission for Social Care Inspection. 2. The home may only provide care to the following categories of service user: 16 (sixteen) females with a past or present drug/alcohol dependence. Date of last inspection 01/03/05 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. Annes - 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 F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and spanned a period of six hours. The inspector spoke individually with the home’s registered manager, the provider’s operational manager and a member of the care team. Individual discussion also took place with seven residents. Assessment information and care plans were viewed along with a number of records and policies and procedures. Prior to this inspection, six resident and two relative/visitor comment cards provided by the Commission For Social Care Inspection were completed and returned. This provided further information from residents and relatives involved with the home and how they felt that Female Focus was meeting the needs and requirements of people who live at the home. The manager returned the Commission for Social Care pre inspection document prior to inspection, which also provided supplementary information. What the service does well: What has improved since the last inspection? The menus in the home have been further developed to provide a better choice and comments made by people in the home in respect of food were more positive. The introduction of a new children and families worker has improved the service and good links have been made with Social Services and fostering/adoption agencies. The home has developed a four-phase approach, which ensures a more comprehensive service, which provides support upon service users return to community. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 6 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 F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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 standard(s) 2 Good information is provided and thorough assessments take place before people join the programme. This ensures that people are only accepted if their needs can be met. EVIDENCE: The homes pre admission policy is thorough and ensures that only people who meet the criteria and will benefit from the treatment programme are admitted. Service users spoken to confirmed that they had been assessed prior to entering the home. The assessment consists of relevant information from a social worker or medical professional or other referring agency. Two service user files were viewed and contained appropriate information in respect of assessment. Detailed information required by this standard was present and additional information was also available specific to this client group such as past alcohol/drug abuse, previous treatment, family history and psychiatric input. The admissions procedure is clearly outlined in the homes Statement of Purpose that has been recently reviewed. Service users who have transferred from the detoxification unit have also had an additional medical assessment upon admission. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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 standard(s) 6,7 and 9 Clear care plans and risk assessments are in place ensuring needs are well met. Service users are actively involved and consulted in respect of their care. EVIDENCE: Following the initial assessment, a care plan for each individual is drawn up following the 12 step approach. Each service user is allocated a named counsellor and project worker. Two care plans were viewed and seen to be reflective of the assessment. Service users spoken to confirmed that they were consulted in respect of their care plans. Changes to care plans were noted e.g. replacement addiction noted and acted upon. Written agreements and permissions are obtained from service users in respect of obtaining information and agreement of the rules of the programme. Risk assessments are undertaken for each service user and incorporated into the plan. One service users plan showed specialist needs being addressed. Service users spoke highly of the support given, one service user said via a comment card “wish to give all staff credit they deserve in the guidance of saving my life”. Good records are kept of both one to one and group meetings. Daily records showed in depth positive physical and emotional support given. Service users spoken to said they felt well supported by staff to make decisions. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 10 People have opportunities to join in and also influence the day- to- day running of the home. People complete a discharge form as they leave and these give a lot of positive feedback about the service. Comment cards and discussions with individuals indicate that people feel safe at Female Focus. Service users rights to make certain decisions are limited due to the treatment regime. Due to the client group involved it is considered good practice for boundaries to be set. Service users spoken to said although they found the restrictions and regime at Female Focus difficult they had a clear understanding of this and agreed this was necessary. The home operates a strike system having received three strikes a service user would be asked to leave. All service users spoken to had a clear understanding of this process and said that they had been consulted at times when a need for recourse was necessary. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 11 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 standard(s) None of the above standards were inspected at this visit. EVIDENCE: Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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 standard(s) None of the above standards were inspected at this visit. EVIDENCE: Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 22 and 23 Good practices and policies are in place to enable concerns to be raised and responded to and to protect residents from abuse. EVIDENCE: The homes complaints procedure is clearly displayed and service users receive a copy of this on admission. Service users can be supported by staff to raise a concern. The home also has a secrets box where service users can post comments anonymously. The homes complaints procedure is comprehensive and includes time scales for response. Records of complaints made are recorded in a suitable format. Service users spoken to all confirmed they were aware of the homes complaints procedure. One complaint has been received by the Commission for Social Care Inspection (CSCI) and this was referred initially back to the home for investigation and response. This was carried out to the satisfaction of CSCI, however the complainant advised she was not satisfied and requested further investigation this was done and the complaint remained not upheld. Many thank you cards and complimentary letters have been received from clients and family members. Female Focus has a comprehensive policy in respect of the protection of vulnerable adults. The homes staff induction covers this and further training in respect of POVA has been provided for staff. A staff member spoken too showed a good awareness of her responsibility in this area. Criminal Record Bureau clearances have been obtained for all staff. The home has a policy not to employ anyone who has previously had an addiction unless they have been clear of this for at least two years. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 14 The operations manager and registered manager of the home have previously shown a good awareness of their responsibilities in respect of the POVA list. All the service users spoken to said they felt safe in the home. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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 standard(s) None of the above standards were inspected at this visit. EVIDENCE: Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff at the home are skilled, competent and capable of providing the specialist care and support required by individuals. EVIDENCE: All new members of staff are given an induction and are supernumerary for the first two weeks. During this time they shadow a competent member of staff. New staff are familiarised with the aims of the home, their role and responsibilities and policies and procedures are also covered. A member of staff spoken to confirmed this and advised that she felt well supported during her induction. Friday afternoons are dedicated to staff training and the company employ a specialist training consultant. Service users spoken to felt that the staff were well trained and understood their needs. A staff member spoken to said she had a clear job description and felt continually supported in her role as family co-ordinator. She advised that she had worked in several positions in the home and had relevant training in respect of each of these roles. She had recently completed some training on child protection, which she found both relevant and useful. Project workers are given very clear guidance in respect of the running of the home and Friday afternoons are also used to discuss staff dynamics. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 17 The company ensure this is good internal rotation of staff to ensure all staff have a good knowledge of each area and the phases of care. The home does not use agency staff preferring to cover shifts from the extended company staff team. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,42 and 43 The management and staff at the home are competent and the health, safety and welfare of residents is strongly promoted. People benefit from the open, inclusive and positive atmosphere at Female Focus. EVIDENCE: The registered manager is currently undertaking the RMA Award and is close to completion. She has experience of working in a residential establishment for people recovering from alcohol and drug addiction. There is a very open and supportive management approach in the home, and staff and service-users spoke highly of the management team. There are clear lines of accountability and responsibility ensuring all staff are confident in their roles within the staff team. The home provides service users with opportunities to participate in quality assurance via community meetings and questionnaires on completion of dettox, during their stay and upon discharge. The home has achieved Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 19 Investors in People Award and recently reached the finals of the National Business Awards for the North West. Prior to the visit the registered manager of the home provided a detailed record of all equipment testing and servicing carried out in the home. Fire records were seen to be in order. The inspector is satisfied that the policies and procedures in the home ensure a safe working environment for staff and a staff member spoken to confirmed this. The manager of the home has a discretionary budget for normal everyday expenditure in respect of service user requirements and is given full responsibility for justifiable expenditure. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Female Focus Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 3 3 F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 21 no 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA 37 Good Practice Recommendations The registered manager should achieve qualifications at Level 4 NVQ in both management and care. Female Focus F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 F57 F09 S59590 Female Focus V194405 090805 Stage 4.doc Version 1.40 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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