Inspection on 19/07/05 for Hollymead House

This inspection was carried out on 19th July 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

Hollymead House 23/04/07

Hollymead House 07/11/05

Hollymead House 25/11/04

Hollymead House 23/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Hollymead House 3 Downview Road Felpham, Bognor Regis West Sussex PO22 8HG Lead Inspector Mrs H Church Unannounced 19 July 2005. V239377 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 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. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hollymead House Address 3 Down view Road, Felpham, Bognor Regis, PO22 8HG 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) Mr Hugh Richard Reid Martin Mr Micheal James Martin Care Home (CRH) 35 Category(ies) of (OP) registration, with number of places Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 January 2005 Brief Description of the Service: Hollymead House is a privately owned care home registered to accommodate up to thirty-four older people and one person under the age of sixty-five.The home is situated within the village of Felpham and is close to local shops and amenities.Accommodation is provided within thirty-three single rooms and one shared room over two floors with a vertical lift providing access. The home has several communal areas and a well maintained easily accessible garden.The registered manager is Mr Michael Martin Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 6 This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to take part in the morning and lunchtime activities. The manager was present and the inspector noted that a number of residents were enjoying the sunshine and chatting with each other in the two conservatories. To prepare for this unannounced inspection, previous reports were reviewed, letters and formal paperwork or reports sent after the last inspection were reexamined. Two documents, the Statement of Purpose and Service Users Guide form a contract of service provided to inform any enquirer or resident how they may expect the home to be run and how they can change the way things are done to improve their lives there. During the inspection, thirteen residents gave their views to the inspector. From these comments, four records were examined to see if the care being provided was as the residents described. Although some residents were slightly confused, they were able to give a clear account of their life at Hollymead House and without exception all comments were enthusiastic about the staff and the way care was provided. It was clear that residents are encouraged to say what they like or don’t like about the home. A relative was very enthusiastic about the care being provided to her relative and a district nurse gave very positive comments on the health care being provided. The residents were cheerful and it was clear that they were happy there. The staff members were unanimous in their support of the manager and his leadership skills. The care plans showed that the care provided is appropriate according to the needs of the residents and the right amount of support to maintain independence and ensure resident’s lives continue to improve was given. There were no requirements or recommendations made at this inspection. What the service does well: Hollymead House provides good information about the home in a variety of formats including the Statement of Purpose and Service Users Guide. Staff members enable residents to own it as their own home by listening to their comments and providing very individual care in a homely environment. From resident’s comments and observing staff at work, it was clear that staff members are committed to treat residents with the respect and dignity that puts residents at the centre of all activities.. Residents are encouraged to make suggestions or propose any changes they feel would improve their home or individual lives. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 7 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. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 1,2,3,4,5. All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The manager has provided the Statement of Purpose and Service Users Guide for all their residents and representatives and this is being updated at the moment to include more information. Four care plans were examined and it was clear residents had been assessed to ensure the home would be able to meet their needs. Relevant risk assessments were in place and had been updated. Care plans to instruct staff how to meet identified needs had been written from the assessments and it was clear from the comments from staff members that they were well informed about the care needed and were updating records accordingly. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10,11. All residents had an individual care plan set out for staff to follow. No resident is managing any part of their medication. Staff members are meeting the health care needs of the residents in a respectful manner. EVIDENCE: Four care plans gave good, clear information of care needed with risk assessments giving staff good information about the risks and how to minimise these. Medication sheets were completed accurately and the district nurse confirmed that appropriate referrals are made regarding any nursing intervention required, assisting her when necessary and following up the care as directed by the primary health care team. Staff members were observed speaking to and caring for the residents and treating them with respect. Staff knocked on doors before entering and then spoke to the residents in a caring manner. A number of comments were received about the home and these included “ staff are kind”. “staff are lovely” and “staff are good”. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12,13,14,15. Activities are suited to the conditions and dependency levels of each of the current residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising. EVIDENCE: Activities are based on ability with staff assisting residents when necessary. Activities are listed on the notice board in the hall where all the information is displayed to remind residents of the arrangements planned. There are 35 residents living in the home at present but this did not prevent staff being able to spend individual time with them. The visitor told the inspector that she was always made welcome and it was clear from the visitor’s book that visitors come every day at different times. The resident’s comments included some dissatisfaction about the food. The inspector examined the menus and saw the food being prepared and served. It was clear from the menus that these are changed regularly from feed back at each meal. The care plans included residents preferences for dishes and the cook is given this information. A number of choices were being served and the liquidized meals were beautifully presented. Comments included “on the whole it is very good”, “I like it” and “You can’t expect to like it all”. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16,17,18. Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Some residents voted at the last election. Staff members have had recent training in adult protection procedures so are equipped to protect residents from abuse. EVIDENCE: The home has a complaints procedure displayed in a prominent position and it is included in the Statement of Purpose and Service Users Guide. One resident and a visitor said they knew who to complain to, but had no occasion to do so. The West Sussex Multi Agency guideline was available and training records showed staff members are continuously updated in procedures. The Commission for Social Care Inspection had been involved in these procedures in the past and the manager was commended for his prompt and timely actions. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 19,20,21,22,23,24,25,26. The indoor areas used by residents are clean, safe and homely with good access to the front garden. The resident’s rooms are suitable for their needs and are homely. EVIDENCE: During a tour of the home it was clear that residents are encouraged to move around the home as they wish and have access to the dining room where the fish tank provides a great talking point and the lounges/conservatories which are comfortably furnished with drinks provided at all times. The dining room tables accommodate four residents giving it a homely atmosphere. There is a passenger lift for those residents whose rooms are upstairs. The front garden has been designed to assist residents to walk independently or use a wheelchair and is furnished with occasional garden furniture. There are enough toilets and assisted baths to meet the needs of residents and thermostatic valves protect residents from scalding water temperatures. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 14 Radiators are guarded and the home was clean and hygienic. Resident’s rooms were visited and were homely and comfortably furnished with their own possessions around them. Training records showed that staff members have received training in fire safety procedures and fire risk assessments were in place. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30. The duty rotas did indicate that enough staff are on duty over the 24 hours period to meet needs and that recruitment processes are robust and ensure residents are protected. EVIDENCE: The inspector joined the day staff and the manager as they assisted residents during the morning and before lunch. The rota and front door information board confirmed the arrangements for the home. The numbers and skill mix of staff was appropriate to meet their needs. Four staff spoken with said they were happy working at the home and felt well supported by the manager. From the two records seen, recruitment records were consistent and staff received induction, good supervision and training that is in the process of being more clearly documented. Staff members have access to all job descriptions giving good information about the structure of working roles throughout the home. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36,38. The registered manager is Mr Michael Martin who is also co-owner with other members of his family. Mr Martin is well qualified and well experienced to manage the home and is actively involved in the care of residents on a daily basis. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. EVIDENCE: Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 17 Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 18 Mr Martin is a qualified social worker and is investigating the Registered Managers Award. The staff members were unanimous in their praise of Mr Martin’s leadership style and said that Mr Martin supports them to carry out their roles, providing a good clear sense of direction that puts residents at the centre of all activities. Recruitment, induction and supervision records confirm that the resident’s best interests were safeguarded. All communal rooms and rooms meet the National Minimum Standards giving resident’s sufficient space for them to have personal possessions or necessary equipment to support their care needs and move around their rooms safely. Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 3 3 3 4 3 3 Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 20 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 Good Practice Recommendations Hollymead House H60-H11 S14572 Hollymead House V234377 190705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing BN11 1RY 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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