Random inspection report
Care homes for older people
Name: Address: Hollybush 45 Glamis Road Newquay Cornwall TR7 2RY one star adequate service 12/05/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Ian Wright Date: 1 3 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Hollybush 45 Glamis Road Newquay Cornwall TR7 2RY 01637874148 01637874148 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julie Pritchard Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Nicola Carla Brazier,Mr Neil Edward Brazier care home 14 Number of places (if applicable): Under 65 Over 65 4 14 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is 14. The registered person may provide the following category of service only: Care Home only (code PC) to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (code OP) - maximum of 14 places Dementia (code DE) - maximum of 4 places Date of last inspection 1 2 0 5 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Holly bush accommodates up to fourteen elderly people, up to four of whom may have dementia. Holly bush is situated in a residential area on the outskirts of Newquay. The home is close to shops and in walking distance of the coast. Mr and Mrs Brazier are the registered providers. Ms J. Pritchard is the registered manager. The majority of bedrooms are situated on the ground floor. Five bedrooms are situated on the first floor and are accessed via the stairs or a stair lift. All bedrooms have en suite facilities. There are assisted bathroom / shower facilities for people with mobility problems. There is a large lounge / dining room, which provides shared space for people who use the service to relax in. The home has a conservatory and people who use the service can use the garden. There is car parking available for people who use the service, staff and visitors. The ground floor is wheelchair accessible. A copy of the inspection report is available from management if required, or via the CQC website at www.cqc.org.uk. The range of fees could not be obtained at the time of the inspection. Care Homes for Older People Page 3 of 9 What we found:
This inspection was carried out by two inspectors in two and a half hours. The purpose of this inspection was to check compliance with regulations for example in respect of records which were not available for inspection when we completed the key inspection of the home on 12th May 2009. The methodology used for this inspection was to: *Inspect the building. * Discuss progress regarding previous requirements with staff and management. *Inspect records. * Discuss with people using the service that they were happy with care delivered. We found satisfactory progress had occurred regarding the statutory requirements previously issued, and care appears to be delivered to a good standard. The people using the service, who we spoke to, all said they were happy with the care they received from staff and management. What the care home does well:
In respect of the requirements issued at the last key inspection in May 2009, we found compliance regarding: (1) Copies of contracts / statements of terms and conditions were contained on the files we inspected. Issuing of this information ensures people are aware of their rights and responsibilities when they move in to the service. (2) Copies of pre admission assessments were contained on the files we inspected. Completion of an assessment prior to admission, by the registered persons, will help to ensure appropriate information is obtained. This will help to determine whether the home is an appropriate placement for the applicant, before admission is arranged. (3)We inspected personnel and training records for several staff employed at the service. These were generally satisfactory. Employment records were generally satisfactory for example references are obtained, and a POVA First / CRB check are also obtained. However, the application form needs to be more detailed giving a full work history of the person. Evidence regarding the persons identity needs to be provided. In regard to staff training additional work needs to be completed as outlined in the section below. (4) Prescribed medication was recorded on medication sheets, and there was a satisfactory record of all prescribed medication which is administered. We were told that everybody who administers medications has had medication training. (5) Records of medical interventions are recorded in care records. This enables staff to monitor at a glance when a person using the service last saw a medical practitioner. (6) Call bells are accessible to people in their bedrooms. This ensures people can call for help from staff if they need help.
Care Homes for Older People Page 4 of 9 (7) There are satisfactory records regarding monies belonging to people using the service. However these monies remain only accessible to the registered persons and the senior carer. The registered manager said that if people needed their money when management were not present, money could be borrowed from petty cash. This is not totally satisfactory as peoples money and valuables should always be accessible to them. Subsequently staff should be provided with a key to access monies and valuables. (8) Records required by regulation were all accessible to us. The registered manager said if there was a situation when the registered persons were on annual leave a key would be left with the senior carer so records could be accessible to senior staff and external professionals. (9) The registered manager said that when the registered persons are away, all staff have been informed of contact arrangements if there was an emergency. This will ensure that one of the registered persons can be informed of any significant emergency should a matter not be able to be resolved by the senior carer. It is advisable that this is also written in a policy /procedure and this is put in a prominent place. Contact arrangements should also be recorded in for example the diary, if all registered persons are away at the same time, in future. (10) A gas certificate has been obtained to state gas appliances are safe. 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 2.
Care Homes for Older People Page 5 of 9 Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 33 24 The registered persons must 01/09/2009 have a satisfactory quality assurance policy and procedure. There needs to be suitable evidence of what processes are in place for ensuring ongoing service improvement. Action in this area will give people who use the service reassurance that satisfactory measures are in place to improve the quality of the service provided. Care Homes for Older People Page 7 of 9 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, 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 9 13 The manager must ensure 16/01/2010 that the keys to the cupboard where the medicines are stored are not hung up in the kitchen when not in the position of the manager or a senior carer. A more suitable system for management of the keys should be implemented. This will ensure the ongoing safety and welfare of the people who live in the home. 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 Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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. You have been warned!
