Inspection on 30/08/07 for Hollymede Cottage

This inspection was carried out on 30th August 2007.

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

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hollymede Cottage 61 - 63 Church End Lane Runwell Wickford Essex SS11 7DP Lead Inspector Sarah Hannington Unannounced Inspection 30th August 2007 12:30 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 Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollymede Cottage Address 61 - 63 Church End Lane Runwell Wickford Essex SS11 7DP 01268 450908 01268 450908 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) Hollymede Cottage Limited Mrs Susan Marie Robson Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection Brief Description of the Service: Hollymede cottage offers accommodation with personal care for 14 older people over 65 years of age. The premise is situated in a residential area and successfully presents a homely and comfortable environment. There is a dining room and two additional communal seating areas one of which is a conservatory style lounge overlooking the garden. Residents’ bedrooms are sited on the ground and first floors and all are single occupancy. The shaft lift provides access to all areas used by residents. The bathrooms are available on both floors and the downstairs bathroom is equipped with a Parker Bath. A range of individual and group social activities is provided by/or supported by staff. Outside entertainers visit and residents attend community events. The management at Hollymede cottage offer general hairdressing services free of charge and more specialist services are readily accessible. Hollymede has been registered since 4th May 2007 Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site Inspection that looked at all the key standards. Throughout the inspection the manager and fit person were present. Three staff, seven residents and three relatives were spoken with as part of the inspection process. Previous to the inspection CSCI (Commission for Social Care Inspection) sent out surveys to all interested parties. Information collated from surveys and discussion during the site inspection will be reflected within this report. What the service does well: The home itself is clean, odour free and practical for the residents of Hollymede.The manager and team are warm friendly, experienced and overall seem a contented and happy team. The cook provides quality home cooked meals that reflect the residents taste. Residents spoken with demonstrated that the cook goes out of her way to cater for individual tastes and to provide alternative meals. Observation and conversation evidenced that plenty of food and refreshments are available. Relatives and friends are actively encouraged to visit the home and there are no time restrictions. Many compliments and cards were in place from relatives. Throughout the home photographs of staff are in place to allow residents to see who is on duty, menus for the meals offered that day are placed on each table and a calendar featuring the residents is in use. Staff spoken with are happy in their jobs, enjoy working with the residents and feel supported by the manager. All residents and relatives spoken with had high praise for the manager and staff. The following statements are just a few of the many positive comments received via the surveys sent out to relatives, residents and staff; ‘ I feel the care and support my mother receives is over and above what I expected’. ‘I am very pleased that the staff are continually gaining qualifications’. ‘Everything is done to a high standard and this is the third home my mother has lived in and this is the first home that I have had complete trust in’. ‘It is always nice and clean. The food is very nice and dining tables are laid out nice. Mum is very happy there’. ‘ They encourage my mother to join in activities and arrange outings for her’. The family is always made welcome and mums personal needs are always met. This is a home from home’. ‘The staff care for my every need. I couldn’t ask for any better care’. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 6 ‘The staff are very kind and always there for me’. ‘I am very well looked after and everyone is so friendly. I have made lots of nice friends and I couldn’t wish to be in a better home.’ ‘ our service provides a safe, friendly family style environment, giving our residents a very homely place to live out their final years. We go above and beyond the call of duty with the care we give.’ 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. The summary of this inspection report can be made available in other formats on request. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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 Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are given a service user guide that informs them of the services provided. They are also encouraged to visit the home prior to any admission. This allows prospective residents and their families to make an informed choice as to whether or not the home will meet their needs. EVIDENCE: Prior to moving in Residents and relatives are given a statement of purpose and service user guide. Residents spoken with informed me that prior to moving in they had information given to them regarding the home and services offered, that they were offered visits and if this was not possible for them to carry this out then their relatives had visited. During the site inspection I spoke to one resident who was staying for a sixweek trial period and was informed she had had sufficient visits and information before anyone expected her to make a decision about moving into the home permanently. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 9 At present the home has no need to cater for intermediate care, however if this was requested it would be provided. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes policies, procedures and discussion with residents, relatives and staff evidenced good practice is in place. EVIDENCE: Individuals or their representative have signed that consultation has gone ahead with care plans. All parties are fully encouraged to participate in this process. Included within the Care plan are individual’s preferences likes and dislikes. Plans include a good standard of risk assessment, and do ensure that all assessed needs are catered for. The home has good links with GP and local PCT services. Medication recording, administration, handling and training of staff are to a good standard. Boots provide training and carry out yearly audits. During the inspection a relative was spoken with who’s relative is unable to leave her bed. This relative felt that the service provided had enabled her relative to improve rather than diminish in health. Documentation looked at Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 11 around this individual and information shared with me during inspection evidenced that the staff and manager of the home provide a well monitored, sensitive individualised care package which allowed for good a quality of care to be given. The home is preventative in its practice and the manager and staff are experienced and knowledgble in its approaches having had no ‘pressure sore’ issue amongst residents who are confined to bed for long periods of time. Observation of staff evidenced that respect; courtesy and dignity are in place whilst working with individuals. Residents spoken with informed me that they get their own post and can make or receive telephones calls in private. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Relatives and friends are encouraged to have regular contact with the home. A variety of regular nutritious meals were being provided. EVIDENCE: Residents spoken with felt that the home provides enough different sorts of activities for their needs. Alongside this relatives are actively involved in taking out their relatives and visiting when they or their relative wished them to do so. It was observed during inspection that individuals were supplied with newspapers and other literature they wished to have and that the television was not on at all times at their request. Other residents spoken with felt that it was just as important that staff allowed them time alone to have space from being expected to participate in activities, this they informed me did go ahead. Residents are offered the chance to attend a religious venue of their choice if they wished to do so. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 13 Residents and staff spoken with evidenced that regular residents meetings go ahead to involve them in the daily running of Hollymede, to seek views and update them on any necessary or interesting information. During the inspection lunchtime was observed. The individual tables were decorated nicely and ‘picture’ menu cards were provided on each setting. The dining room provided a nice and relaxed environment and staff did not rush residents to eat their lunch or rush those that needed support. The food was to a good standard and looked appealing. There was a choice of meals available to individuals. Food provided is fresh and of good quality. Most residents and the cook were spoken with regarding meals provided and was informed that if a resident had changed their minds about the meal provided then an alternative would be provided. This was often a daily requirement of one the individual residents and conversation and documentation evidenced that everything was in place to cater for this individuals needs. The cook who provided meals evidenced through discussion that she was highly aware of individuals needs, had good ideas around implementing special diets within the already established menus, had good experience around nutrition and did not liquidise foods but made them soft enough so that taste, texture and quality was still enjoyed by the individual. This is commendable and excellent practice. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure. Service users and relative have a service users guide that highlights the complaints procedure. The homes policy and procedures and training of staff protect residents from abuse. EVIDENCE: The home has good and clear systems in place for the complaints procedure and is provided within the statement of purpose and service users guide. The home has not received any complaints. Relatives and residents spoken with said they knew how to make a complaint and who to. The home has received many compliments from relatives and professionals involved within individuals care. The homes systems around ‘safe guarding’ adults and the training/ induction of staff promotes the health, safety and welfare of the residents of Hollymede cottage. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. On the whole the outside environment is pleasant, attractive and provides appropriate and practical usage for the residents. The home environment provides a clean, comfortable and safe environment in which to live in. EVIDENCE: The home itself provides a warm, cosy and relaxed environment. Resident’s rooms were inspected and these were found to be clean, odour free and personalised. All necessary equipment for individuals is in place. Residents spoken with were very happy with the facilities provided and felt their rooms were comfortable and homely. Communal rooms were clean and practical for the use of the residents of Hollymede. Attached to the back part of the lounge is a conservatory that looks out onto the garden. The garden is maintained to a high standard and provides residents to be able to look at the beautiful flowerbeds and shrubbery provided. At the end of the garden is a pond with fish. One resident had planted a rose within the garden in memory of her close friend and was Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 16 attending to this with support from staff during the inspection. Residents spoken with informed me that they quite often use the garden and sometimes have meals outside weather permitting. Overall the environment is maintained to a good standard both inside and outside of the building. Recently a new nursing call system has been provided for all parts of the home. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty, their experience and skill was able to meet the needs of residents. Recruitment is to a good standard. More than 50 staff are NVQ trained. EVIDENCE: Staff spoken with during inspection evidenced that they are experienced well trained and have good knowledge of individuals needs. Observation evidenced that staff were fully engaged with their duties and attentive towards residents needs. Overall the staff team on duty during inspection evidenced that they have good relationships between the residents and their relatives. Residents and relatives had also commented that they thought highly of the manager, staff and service provided. All staff spoken with evidenced that they enjoyed their jobs and enjoyed working for Hollymede. The induction package carried out for new staff covers all aspects of the expected standard. A high percentage of the staff has had NVQ training. Training in general is on going and to a good standard. Staff meetings, supervisions are regular and yearly appraisals are in place. Staff recruitment is to a good standard. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 18 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. 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. Looking at paperwork and through discussion with individual residents, relatives, staff and the manager evidenced good teamwork and clear leadership skills. EVIDENCE: The registered manager is qualified, highly competent and shows good leaderships skills. The staff know what is expected of them and have expressed that they feel fully supported by the manager. Documentation was to a good standard and well thought out. General organisation of the home is good and little things are put into place to include and stimulate the residents. This is apparent in the development of photographs used so that residents can see who is on duty, menus of what Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 19 foods are provided and the use of the calendar having residents pictures on it for each month of the year. Residents also get to choose papers of their choice, reading books and authors they prefer and lots of thoughtful and general things that give residents a good quality of life which is important to them. Additionally the manager has put into place a Quality assurance Survey’ monitoring system and is waiting for the return of these to collate and action plan them. Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 21 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 Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Hollymede Cottage DS0000069791.V348075.R01.S.doc Version 5.2 Page 23 - 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. 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