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Inspection on 20/04/05 for Hollywell Court

Also see our care home review for Hollywell Court for more information

This inspection was carried out on 20th April 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The registered provider provides a homely environment and the staff group have worked diligently to maintain high levels of care. Residents spoken to indicated that the staff team are polite and very caring. Meals are varied and well presented. The registered manager is motivated in ensuring that the National Minimum Standards are attained and maintained in the home.

What has improved since the last inspection?

An individual plan of care has been completed for each resident accommodated in the home which includes risk assessments where required. A weekly plan of activities is available for residents who wish to participate. A refurbishment programme has started to replace the carpet in the stairwell.

What the care home could do better:

No issues were identified during this inspection.

CARE HOMES FOR OLDER PEOPLE Hollywell Court 464 London Road Leicester LE2 2PP Lead Inspector Everton Osbourne Unannounced Inspection Wednesday, 20 April 2005, 0930hours 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. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hollywell Court Address 464 London Road Leicester LE2 2PP 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) 0116 270 2252 0116 270 2252 None Mr Chander Chawla Mrs Carole Garrity Care Home 12 Category(ies) of Old Age (OP) - 12 registration, with number of places Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No additional Conditions of Registration applies. Date of last inspection 11th January 2005 Brief Description of the Service: Hollywell Court care home cares for twelve older people in a purpose built property. It is situated on London Road close to the town centre of Oadby where residents have access to a variety of amenities. The premise consists of two floors and access to both floors is by use of the passenger lift or stairs. There are a variety of aids and adaptations in the home based on residents assessed care needs to support them in being more independent. The home has eight single bedrooms, five with ensuite facilities and three consisting of a vanity suite with hand-washing facility. There are two double bedrooms with ensuite facilities. There are sufficient toilet and bathroom facilities on both floors based on twelve residents residing in the home. The home has a garden to the rear of the premises. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four hours and forty-five minutes to complete and is the seventh statutory inspection under the Care Standards Act 2000. A total of twenty-two out of thirty-eight Standards were inspected and all Standards inspected on this occasion met the required National Minimum Standard. A tour of the premises took place and staff and care records were inspected. Two residents and three staff members were spoken to. What the service does well: What has improved since the last inspection? What they could do better: No issues were identified during this inspection. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 6 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. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 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 standard(s) 1, 2, 3, 4, and 6 The admission process is good. There is sufficient information about the services offered in the home which is given to prospective residents. This information is also available for residents’ relatives. The assessment process works well and is conducted before residents move into the home. This service does not provide intermediate (rehabilitation) care. EVIDENCE: Detailed examination of the Statement of Purpose indicated that the document outlines the services provided in the home. Two residents spoken to indicated that they are satisfied that the home provides the services outlined in the Statement of Purpose. For example one resident highlighted that the document outlines the home’s commitment to giving residents’ freedom of choice. The resident commented ‘They’re always asking me what I want to eat’. Two residents’ assessments were inspected. Detailed discussions held with these residents indicated that the information contained in the assessments were accurate in describing their assessed care needs. One resident stated ‘No complaints about the care’, indicating that care staff members are attentive and caring whilst carrying out their care duties. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 9 Two staff members were spoken to and they had good knowledge about the two residents’ assessed care needs and the tasks needed to attend to those care needs. The registered manager indicated that intermediate (rehabilitation) care is not provided in the home which was confirmed during the examination of the Statement of Purpose. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 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 and 10 Residents’ care plans are written in great detail to give staff members sufficient information about how residents’ assessed care needs must be met. Good processes are in place to give residents adequate access to health care provisions when needed. Clear guidance is in place in ensuring that residents’ medication is given accurately. EVIDENCE: Two residents’ care plans were examined and all aspects of their identified care needs are written in the documents which are reviewed on a monthly basis. A visitor to the home spoke positively about the attention to detail concerning the care given by care staff members. Two residents spoke positively about the care delivery for example one resident commented ‘The staff here are very kind and good’. The General Practitioner and Community Nurse records seen indicated that they form part of the care team and that they visit residents in the home when required. Two residents spoken to indicated that they have had access to their doctor and nurse when needed. This is recorded in the professional visitors records. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 11 The medication process was observed once during the day and residents were given medication as prescribed. Two residents spoken to indicated that they are given their medication at the times prescribed. Detailed examination of their medication records confirmed their verbal statements. Written policies concerning the use of medication was inspected. The document has sufficient information for staff members’ guidance regarding safe use of all medication kept in the home. One staff member spoken to displayed sufficient knowledge verbally about the safe use of medication. Observations made throughout the day indicated that residents’ privacy is being respected for example all staff members on duty were seen knocking on residents’ bedroom doors before entering the bedrooms. Two residents spoken to indicated that they are satisfied that their privacy is respected in the home. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 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 standard(s) 12, 13, 14 and 15 Giving residents’ choice over their own lifestyles in the home is managed very well. Residents maintain good contact with their relatives and friends. Nutritious meals are given to residents’ everyday which are varied and well presented. EVIDENCE: Two residents spoken to indicated that they are satisfied that the lifestyles they are used to can be maintained in the home. For example one resident spoken to is an aviation enthusiast and indicated that regular visits to airports in the region such as the Leicester airport is made in order to watch aeroplanes taking off and landing. Confirmation of this was made verbally by a visiting friend. Conversation held with one kitchen staff member indicated that choice of food is provided everyday which was seen written on the weekly menu. Two residents spoken to indicated that they are satisfied with meals served in the home. One resident commented ‘I would say the food is very satisfactory’ and the other resident stated ‘The food is very good’. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 13 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) 18 Clearly written guidance is in place for the protection of residents’ residing in the home in regards to suspicion or allegation of abuse. Therefore residents are protected from all forms of abuse in this home. EVIDENCE: A detailed inspection of the written adult protection process indicated that suitable procedures are in place to respond to allegations of abuse. Two staff members spoken to were able to demonstrate verbally that they have sufficient knowledge concerning the protection of vulnerable adults in their care. Two residents spoken to indicated that they feel safe residing in the home. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 14 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, 21 and 26 The grounds and interior of the home are maintained to a very high standard. There is sufficient toilet and bathing facilities in the home. The home throughout is extremely clean and hygienic in appearance with a pleasant odour. EVIDENCE: An examination of the carpets, walls and fixtures throughout the premises indicated that the home is maintained to a very high standard creating a homely and positive impression. Two residents spoken to gave positive comments regarding the décor of the home. For example one resident stated ‘It’s a nice place’. The numbers of toilet and bathing facilities seen throughout the home indicated that there are sufficient facilities in the home based on twelve residents residing in the home. Two residents spoken to indicated that they are satisfied with the number of available facilities in the home. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 15 An inspection of the whole premises indicated that the cleanliness of the home is exemplary. Two residents spoken to on more than one occasion commented on how clean the home is. One resident stated ‘Very clean and tidy home, they’re always cleaning’. The other resident commented ‘My room smells very clean, as a matter of fact the whole home smells clean’. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 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 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, 29 and 30 The number and skill mix of staff employed to work in the home is sufficient to meet residents’ assessed care needs. Suitable staff training and recruitment processes are in place for the protection of residents residing in the home. EVIDENCE: A calculation of staffing hours using the Residential Forum for Older Persons for week beginning Monday 18th April to Sunday 24th April 2005, was carried out. This indicated that adequate staffing hours is provided to meet residents’ assessed care needs. Two residents spoken to indicated that a staff member is always available when needed and that they are kind and caring when attending to their care needs. Two staff members’ training records seen and discussion held with the registered manager indicated that fifty per cent of the staff group is trained to the National Vocational Qualification (NVQ 2) in care. Two staff members’ training certificates seen and discussion held with the two staff members indicated that they attend regular courses such as first aid and moving and handling to update their skills and knowledge. Two staff members’ recruitment records were examined in detail. All relevant documentation such as an up to date Criminal Record Bureau (CRB) certificate and two suitable references are contained in the files. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 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 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) 37 Residents’ records are kept secure and updated in accordance with the Data Protection Act 1998 and the Care Homes Regulations 2001, for the protection and privacy of residents residing in the home. EVIDENCE: Two residents’ care records seen for example their medication records and care plans indicate that residents’ records are being maintained appropriately. Three staff members spoken to including one kitchen staff member indicated that they are adhering to written guidance in the home about keeping residents’ care records up to date. Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 18 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 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 3 x 3 x x x x 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 x x 3 x x x x x x 3 x Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 19 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 N/A Regulation N/A None Requirement Timescale for action N/A 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 N/A Good Practice Recommendations None Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 20 Commission for Social Care Inspection The Pavilions, 5 Smith Way, Grove Park Enderby Leicester LE19 1SX 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 Hollywell Court C51 S6384 Hollywell Court V220061 200405.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!