Inspection on 23/01/06 for Hollyacre Bungalow

This inspection was carried out on 23rd January 2006.

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 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

Hollyacre Bungalow 18/02/09

Hollyacre Bungalow 29/01/09

Hollyacre Bungalow 30/01/07

Hollyacre Bungalow 25/07/05

Hollyacre Bungalow 07/12/04

Hollyacre Bungalow 27/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hollyacre Bunglalow Front Street Sacriston Durham DH7 6AF Lead Inspector Gavin Purdon Unannounced Inspection 23rd January 2006 3:00 Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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 Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hollyacre Bunglalow Address Front Street Sacriston Durham DH7 6AF 0191 3712020 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) Moorland Holdings NE Ltd Miss Sharon Walker Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2005 Brief Description of the Service: Hollyacre Bungalow is a care home registered to provide care and accommodation for 10 younger adults with learning disabilities. The home does not provide nursing care, but can look after up to 5 residents who have a physical disability as well as a learning disability. The home is located in the village of Sacriston, 3 miles north of Durham City. It is operated by a private company, Moorland Holdings NE Ltd. The accommodation is on 2 floors in a large bungalow converted for use as a care home. There is some outside amenity and parking space, and the home has pleasant views across the local countryside. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over the late afternoon and early evening. It was assisted by the home’s manager and deputy manager, and two of the home’s care staff, who talked about life at Hollyacre Bungalow. There was an opportunity to look around the home with the manager and deputy manager, and see a typical Hollyacre Bungalow teatime. The inspector observed some of the care practices and spoke briefly with some of the residents. Teatime is a busy and important time for staff and residents and hopefully the inspection process was not too intrusive. Records relating to maintaining the health and safety of residents and staff in the working and living environment were seen. Generally, this was a satisfactory inspection. What the service does well: What has improved since the last inspection? Management and staff thought that the recent and ongoing care and management training has improved the standards of care and management in the home. Management and staff said that they felt more skilled and confident in what they do for residents. There have been some big improvements recently with the personalising of the furniture and décor in residents’ bedrooms. The very pleasant, homely, and individual results achieved were quite noticeable. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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 Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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): Not assessed on this occasion. EVIDENCE: Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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): Not assessed on this occasion. EVIDENCE: Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 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): Not assessed on this occasion. EVIDENCE: Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 11 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): Not assessed on this occasion. EVIDENCE: Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 12 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): Not assessed on this occasion. EVIDENCE: Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 13 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 & 30. Residents live in a safe, comfortable and convenient home. Residents’ safety and comfort are protected by good standards of hygiene and cleanliness. EVIDENCE: Management and staff interviewed thought the home safe, comfortable, and convenient for residents. Staff thought they were well trained, well equipped, and well organized to support the safety and comfort of residents. The risk assessments of the building, records of health and safety training, cleaning rotas, and aprons and rubber gloves seen supported this positive view. The inspection of the building and observation of residents using dining and lounge facilities gave a good impression of Hollyacre Bungalow as a safe comfortable and convenient place for people to live. Toilets, bathrooms, bedrooms, kitchen and laundry facilities were seen. These looked clean and well equipped. The residents seen and spoken to, briefly, looked safe and comfortable in their surroundings. Management and staff described how hygiene and cleanliness are maintained and understand the importance of this aspect of their work in protecting residents. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 14 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, 33,34, & 35. Residents benefit from support provided by a well-qualified staff group. Staffing levels allow the care team to work quite effectively on behalf of residents. Residents are protected from unsuitable care staff job applicants by the home’s careful recruitment and selection practices. Staff have a programme of training and development that ensures residents’ needs are understood and met in a way that benefits residents. EVIDENCE: 6 out of the home’s 11 care staff hold the NVQ2 or 3 qualifications in Care. Management and staff thought staffing levels allow the care team to work quite effectively on behalf of residents. 457 hours are provided per week for the care of the home’s 10 residents, which includes 17 and a half hours and 12 and a half hours care duty provided by the registered manager and deputy manager. This standard takes into account times when all residents are at home, times when some residents are absent from the home and receiving day care elsewhere, and times when some residents are at home and receiving day care. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 15 Typically on weekdays there are 3 care staff on mornings until mid afternoon and 4 on late afternoons and evenings, with 4 throughout the day on weekends. Night staffing is 1 carer awake and 1 asleep on the premises. The care staff personnel files seen showed that proper criminal record checks, work histories, and references were required and provided by job applicants. The home’s programme and record of staff training and development was seen. This covered the necessary topics to ensure staff can help residents remain safe, comfortable, and as fulfilled as they can be. Management and care staff spoken to thought they worked well together for the good of their residents, and that their knowledge, training, and teamwork, helped this happen. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 16 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): 37,39, & 42. Hollyacre Bungalow has a well-established and well-experienced management team to oversee the running of the home, and this works well for the benefit of staff and residents. The home is interested in what residents, relatives, and staff, think about how care is provided. It gathers information about this from various people to help decide whether their service is satisfactory or needs improving. The home’s management makes organized and formal checks to ensure the building is a safe and comfortable environment for residents to live in. EVIDENCE: Both the registered manager and the deputy manager are part way through their studies for the Registered Managers Award. This has helped them to reflect on and develop their standards of management practices, for the benefit of the home. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 17 Recently developed survey questionnaires were seen. These are used for gathering information on how satisfied people are with the service Hollyacre Bungalow provides. Recently developed checklists were seen for ensuring that systematic checks are made throughout the home to confirm that the environment remains a safe and comfortable setting to live and work in. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 18 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hollyacre Bunglalow Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000060040.V269544.R01.S.doc Version 5.0 Page 19 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 YA42 Regulation 23(4) Requirement The home has appropriate standards of fire detection and protection equipment. Staff were clear about what action to take in the event of fire, but the conduct and recording of fire safety practice and training must be improved. Timescale for action 23/04/06 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 3 Refer to Standard YA24 YA37 YA39 Good Practice Recommendations The home should consider improving the furnishing and décor of communal areas and shared facilities to the very good standard achieved in residents’ bedrooms. Management should complete the remaining elements of the Registered Managers Award. Information from the quality assurance satisfaction survey document should be used to draw up and publish a general picture of the strengths and weaknesses of the home, from the point of view of residents, relatives, and staff, together with plans for any future improvements. Hollyacre Bunglalow DS0000060040.V269544.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. 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