Inspection on 07/11/05 for Hollymead House

This inspection was carried out on 7th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 19/07/05

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 Announced Inspection 7th November 2005 09:00 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 Hollymead House DS0000014572.V253792.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 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 DS0000014572.V253792.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hollymead House Address 3 Downview Road Felpham Bognor Regis West Sussex PO22 8HG 01243 868826 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) Mr Hugh Richard Reid Martin Mr Michael James Martin, Mrs June Catherine Martin Mr Michael James Martin Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Sevice users in the category Old age not falling within any other category (OP) only may be accomodated. Thirty five service users in total may be accomodated. One service user aged between sixty to sixty five years may be accomodated. 19th July 2005 Date of last inspection 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 and the registered owner is Mr H Martin. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection, one of two required under the Commission for Social Care Inspection was planned to take part over the morning and lunchtime activities. The manager was present and the inspector noted that a number of residents were enjoying socialising in the different communal areas. To prepare for this inspection, the Commission for Social Care Inspection had received five Relatives/Visitors Comment Cards, one of which said “Very caring and friendly staff” and eleven residents Comment Cards, one of which said “None better”. The manager had sent in information in a Pre-Inspection Questionnaire with up-to-date details of staff, residents and records. The Statement of Purpose and Service Users Guide form a contract of service provided and how the home is run or how changes can be made to improve residents individual and collective lives. During the inspection, twelve residents gave individual views to the inspector and a further eight residents spoke in general in the south lounge. From these comments, four records were examined to see if the care being provided was as the residents described. All residents gave a clear account of their life at Hollymead House and 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. 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 a friendly and caring environment with staff who are committed, cheerful and professional in their care practice. It was clear that the choice of staff, led by the manager provides very individual care in a homely environment. Respect and dignity is at the centre of all care and a number of residents commented on the cheerfulness of staff saying, “They make us laugh” and “keep our spirits up”. Residents are encouraged to make suggestions or propose any changes they feel would improve their home or individual lives. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 6 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 DS0000014572.V253792.R01.S.doc Version 5.0 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 Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 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): 1,2,3,4,5. New 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 an updated Statement of Purpose and Service Users Guide for all their residents and representatives. Pre assessments are carried out but these have not been retained. The manager has agreed that these are retained as part of the admission process. Four care plans were examined and it was clear that care staff are meeting all the assessed needs. Relevant risk assessments were in place and had been updated. It was clear from the comments from staff members that they were well informed about the care needed and were providing this appropriately. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 9 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): 7,8,9,10,11. All residents had an individual care plan set out for staff to follow. One resident is managing her own medication. Care staff are meeting the health care needs of the residents in a respectful manner. EVIDENCE: The inspector examined four care plans that gave good, clear information of care needed with risk assessments for staff to monitor. Medication sheets were completed accurately and from the paperwork seen, the Primary Health Care Team are contacted re any previous information needed to provide good health care. From the records and a previous discussion with the district nurse, appropriate referrals are made with assistance and continuing care as directed by the primary health care team. The staff training in handling, recording and administering medications was excellent. Care staff were observed caring and treating residents with respect. A number of comments were received about the way staff performed their duties and these included “very caring and friendly staff”, “they are a very professional and caring team”, “always jovial” and “there is a lot of humour here”. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 10 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): 12,13,14,15. 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 generally listed on the notice board in the hall to remind residents of the arrangements planned. The inspector observed staff spending time with residents who were not able to socialise as easily as more mobile residents and the visitor’s book showed visitors are welcome at any time. Most of the residents were very happy with the quality and quantity of the food provided. The inspector observed the main courses of the day and noticed that fresh vegetables and homemade meals were a speciality. The inspector also observed that a wide variety of home made cakes and biscuits had been baked for teatime. Menus 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 all of the completed meals observed were beautifully presented. Comments varied from “it is very good” and “I like it” to “It has improved”. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 11 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): 16,17,18. Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Care staff are trained in adult protection procedures and 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. A number of residents 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 manager is very proactive in protecting vulnerable adults. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 12 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): 19,20,21,22,23,24,25,26. 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: The inspector toured the home and noted residents are encouraged to move around the home and have access to the dining room and the lounges/conservatories. The front garden has been designed to assist residents to walk independently or use a wheelchair and is furnished with occasional garden furniture. All indoor areas have a continuously replenished drinks tray. The dining room tables accommodate four residents for good communication and there is a passenger lift for access to all area. There are sufficient toilets and assisted baths with thermostatic valves to protect residents from scalding water temperatures. 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. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 13 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): 27,28,30. The duty rotas showed sufficient staff on duty to meet resident’s needs with good recruitment processes to 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. Three staff spoken with said they were happy working at the home and felt well supported by the manager. From three staff records examined, recruitment records were consistent and the new induction system will prove more comprehensive. Supervision and training is well documented. Staff have access to all job descriptions giving good information about the structure of working roles throughout the home. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 14 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): 31,32,33,36,38. The registered manager is well qualified and experienced to manage the home and 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: 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. Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 15 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 DS0000014572.V253792.R01.S.doc Version 5.0 Page 16 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 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 3 3 3 3 3 3 3 3 Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 17 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. 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. Refer to Standard Good Practice Recommendations Hollymead House DS0000014572.V253792.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex 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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