Inspection on 26/07/06 for Hollybush Care Home

This inspection was carried out on 26th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Hollybush Care Home 21/03/06

Hollybush Care Home 11/07/05

Hollybush Care Home 09/03/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hollybush Care Home 101 Lovely Lane Warrington Cheshire WA5 1TY Lead Inspector Paul Ramsden Key Unannounced Inspection 09:40 26TH July 2006 X10015.doc Version 1.40 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 Hollybush Care Home DS0000062759.V294260.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 Older People. 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. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hollybush Care Home Address 101 Lovely Lane Warrington Cheshire WA5 1TY 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) 01925 631605 Mrs Adebunmi Oseni Mrs Joyce Sharp Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 15 service users in the category of OP (Old age, not falling within any other category) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 21st March 2006 Date of last inspection Brief Description of the Service: Hollybush is a three-storey privately owned care home for people over 65 years of age. Access between floors is via a shaft lift or the stairs. Residents are accommodated on the ground and first floors only. The home is located in Lovely Lane and is within easy walking distance of a range of local shops and other community facilities. Warrington town centre is a short bus journey away and the home is near Warrington General Hospital. There are adequate car parking facilities available. Residents’ accommodation consists of eleven single bedrooms, and two twin bedded rooms. The home has adequate recreational, dining and communal space available within the building for the number of people that can be accommodated. The current fee for the home is £316 per week. Further details regarding fees are available from the proprietor or the manager. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit, part of the service’s key inspection, was carried out on 26 July 2006. All of the key standards for older people were looked at during the visit. The home manager was on duty together with the agreed numbers of care and ancillary staff. Fifteen people were living in the home on the day of the visit. Time was spent sitting and talking with people who use the service and observing the day-to-day routines of the home and care staff as they provided support. During the visit twelve residents, a visiting relative, a district nurse, the manager, the homeowner and one of the staff on duty were spoken with. A range of care, health and home records was examined and a tour of the building, including the lounges and a number of bedrooms, was undertaken to assess its suitability to provide a comfortable, homely environment. CSCI comment cards for use by residents and relatives/visitors were given to the manager upon arrival at the home. Two resident cards have been returned to the CSCI. In making the judgements contained within this report the inspector spent time checking the information that had been provided by the home and the notifications, required under Regulation 37 of the Care Homes Regulations, made to CSCI about significant incidents in the home since the last inspection. What the service does well: Staff members provide a good standard of care to the residents that live at Hollybush. Positive relationships were seen to exist between residents and staff and those people that commented all said that the staff members were good. The visiting relative spoken with said that; “the staff are lovely”. The comment cards received also contained positive comments about the home, comments include, “I enjoy the games and entertainment and I look forward to going to church on Sunday evenings”. Residents said that routines within the home were flexible and that this gave them some control over their lives and enabled them to be more independent. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 6 Hollybush provides a safe and well-maintained environment for residents. There is a choice of communal areas available; this allows residents to choose where to spend their time. Catering within the home appeared to be well managed and all of the residents spoken with said the food was good. What has improved since the last inspection? 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. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information and opportunities to visit before moving in are available and residents are assessed before moving in to ensure that their needs can be met at the home. EVIDENCE: The statement of purpose and service user guide includes all of the required information about the service offered by the home. The visiting relative said; “I looked at other homes, I like the fact Hollybush is small and homely”. As part of the inspection process the care files of two people living at the home were looked at. Pre-admission assessments demonstrating that a resident’s individual needs were being assessed in an accurate and consistent way had been carried out. The manager usually carries out the assessments. Copies of information provided by the placing authority were also seen on the files. Residents, relatives and other healthcare professionals are involved with the pre-admission assessment. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 9 Intermediate care is not provided at Hollybush. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care plans provided sufficient information for staff members to be able to take appropriate action to meet their health, social and emotional needs. EVIDENCE: The care plans seen as part of the case tracking process provided staff members with the necessary information for them to look after a person’s needs. There was written evidence to confirm that care plans were being reviewed and where necessary re-written on a regular basis. The care plans seen contained evidence of consultation with residents or their families/advocates. The manager and staff members at the home monitor the residents’ health and emotional needs daily and there was evidence to show that residents were receiving appropriate support from health care professionals. This included GPs, community nurses, optician, dentist and chiropodist. A visiting community nurse said that Hollybush was very good at keeping them informed and that she and her colleagues had no concerns about any of their patients. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 11 All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. Residents spoken with confirmed that they had been able to express their opinions and wishes about their daily routines. It was seen throughout the visit that residents were being treated with courtesy, respect and good humour by staff. Staff members were seen to be talking to people in an appropriate and respectful way. Policies and procedures in relation to medication are in place. Medicines are administered using a blister pack system provided by a local pharmacist. The arrangements for the administration of medication during the inspection were considered to be satisfactory. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were positive about the home and the support they received so they could maintain contact with friends and family and make choices about their daily lives. EVIDENCE: Residents were able to move around freely within the home and a choice of sitting areas was available. They confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living; for example times of rising and retiring, participation in planned activities and where to spend time and with whom. One of the residents said that; I have always liked to be private”. Staff members were seen to knock on doors and to await permission before entering residents’ bedrooms. The residents and visiting relative spoken with during the visit made a number of positive comments during the inspection. One of the residents stated, “I have no issues at all”. The comment cards received also contain positive comments about the home. These include; “This is a very good home, I am well looked after by the carers and the food is very good”. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 13 Visitors are free to visit the home at any reasonable time and links with the local community are maintained. Mail is given to residents unopened. Meals can be taken in the dining room or in the privacy of residents’ own rooms. The kitchen area was well managed and organised. There is a menu that has the flexibility to meet individual needs and choices. All of the residents that commented said that the food was good and that choices were available, one person has written on a comment card, “I must say the food is very good”. Special diets are prepared where necessary. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to voice their opinions and said they would be listened to and action taken to respond to their concerns. Adult protection training for staff is available to ensure the continued safety of residents. EVIDENCE: There is a written complaints procedure for the home. This is also included in the Statement of Purpose and Service User Guide. Those residents that commented said that they would inform the home manager of any concerns or complaints. They also said that they felt confident that appropriate action would be taken. The visiting relative said that she had made a minor complaint, this had been responded to immediately and to her satisfaction. No concerns or complaints have been received by the CSCI since the previous inspection. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance “No Secrets”. The manager and some of the staff have received training in this area. All staff members are due to undertake refresher training in adult protection in the near future. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 and 26 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, homely, clean and comfortable home. EVIDENCE: A tour of the premises was undertaken; this included communal areas and a number of bedrooms. Furnishings, fittings and lighting of the communal rooms are of a good quality and are domestic in character. Bedrooms seen during the inspection were personalised, comfortable, well-furnished and contained items of furniture belonging to residents’. Hollybush has a passenger lift available to allow access between floors. The home also provides adaptations for use by residents with mobility problems. These include bath and toilet aids. The home was found to be clean and tidy on the day of inspection. The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements to the staff recruitment procedures are required in order to ensure that residents are protected from possible harm. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff is adequate to meet the needs of the residents within the home. Staff members were cheerful and friendly. Residents and the visiting relative were complimentary about staff attitude and competence. The pre-inspection questionnaire shows that 11 of the 18 care staff members are qualified to NVQ level 2 in care, a recognised qualification for staff involved in delivering care. The file for a recently appointed member of staff seen did not contain all of the required information, there was no reference from the most recent employer available. See requirement No 1. Prospective staff members are checked against the POVA list before employment commences and CRB disclosures are obtained. New staff members are routinely inducted through the home’s induction procedure to ensure that they are suitably trained when starting work. They also undertake Warrington Borough Councils induction scheme. This includes training in fire safety, moving and handling, first aid and food hygiene. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and competent. There are appropriate procedures in place to make sure that residents are safe. EVIDENCE: The home has an experienced and competent manager who is registered with the Commission for Social Care Inspection. She has attended courses/training in order to fulfil her management responsibilities and has demonstrated an awareness of the needs of the client user group and how to manage the staff group. Residents and the visiting relative spoken with said the manager was approachable and supportive and would deal with any issues they had. Comment slips and a feedback box are located in the entrance area. A quality assurance survey to ascertain whether residents and families are happy with the standards of care being provided has been undertaken. The results are Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 18 available to residents, families and the Commission. This is an on-going process and a new survey is to be undertaken in the near future. Residents’ personal allowances were inspected; those checked had correct balances and were being well managed. The systems for the recording of any monies or valuables held were good. It was noted during the visit that two incidents that had occurred previously should have been notified to the CSCI under Regulation 37 of the Care Homes Regulations 2001. See requirement No 2. The maintenance records demonstrated that the appropriate service contracts are in place. This includes the passenger lifts, hoists, gas safety certificate and the fire alarm system. The fire precautions record book was up to date and demonstrated that checks of the alarm system, emergency lighting, fire drills and staff training were taking place at the recommended intervals. Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO 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 2 Standard OP29 OP38 Regulation 19 37 Requirement Improvements to the recruitment procedure are needed. The Commission must be informed without delay of any incident that adversely affects the wellbeing of a resident. Timescale for action 26/07/06 26/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Hollybush Care Home DS0000062759.V294260.R01.S.doc Version 5.1 Page 22 - 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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