Inspection on 27/09/05 for Hollywell Court

This inspection was carried out on 27th September 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

Hollywell Court 17/07/06

Hollywell Court 20/04/05

Hollywell Court 11/01/05

Hollywell Court 17/05/04

Hollywell Court 24/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Hollywell Court 464 London Road Leicester Leicestershire LE2 2PP Lead Inspector Everton Osbourne Unannounced Inspection Tuesday, 27 September 2005 at 09:30 th 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 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hollywell Court Address 464 London Road Leicester Leicestershire LE2 2PP 0116 2702252 0116 2702252 None Hollywell Care Limited 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) Mrs Carole Garrity Care Home 12 Category(ies) of OP Old age(12) registration, with number of places Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional Conditions of Registration applies. Date of last inspection 20th April 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 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took two hours and forty-five minutes to complete. The outcome of the inspection was very positive in that five residents spoken with indicated that they are very satisfied with the care provisions in the home. Three staff members were spoken with as part of the inspection process. No Requirements were made. There was one Recommendation concerning making residents’ care plans available to staff members at all times or when required. A tour of the premises took place and the home is maintained to very good standards creating a homely environment. What the service does well: What has improved since the last inspection? What they could do better: Giving care staff members’ daily access to residents’ care plans could be managed better. Care plans are currently locked away and staff members do not have immediate access to the documents. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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) 3 and 5. The admission process is good in giving sufficient information about the services provided in the home. The assessment process works well in identifying residents’ care needs. EVIDENCE: One resident’s admission record seen indicated that the resident was given an opportunity to visit the home before moving in. The records also showed that a contract is given to the resident which include a Terms and Condition of residency which is signed by the resident. An examination of one resident’s assessment indicated that correct information about the resident’s care needs is recorded on the document. Conversation held with this resident confirmed that the assessed care needs is accurately documented on the assessment. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 standard(s) 7, 9 and 11. The care plan and medication processes are effective in ensuring that residents receive good quality care. EVIDENCE: Detailed examination of one resident’s care plan indicated that clear guidance is written for staff members on how to provide suitable care to meet this resident’s care needs. One resident commented ‘The girls look after me well’. Observations made indicated that care plans are normally locked away and care staff members do not have immediate access to the documents. It is Recommended that all residents’ care plans are made available for staff members’ daily use or when required. Observation of the medication process indicated that staff members appear to be adhering to safe medication practices. One resident’s medication record was examined which was found to be up to date. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 standard(s) 15. Nutritious meals are given to residents which are varied and well presented. EVIDENCE: Discussion held with one kitchen staff member and five residents indicated that meals appear to be wholesome and nutritious. The menu seen on display in the dining room showed a choice of meals which are varied. Five residents spoke positively about meals and mealtimes. One resident stated ‘The food is alright, it’s good’. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 standard(s) 16, 17 and 18. There is an adult protection and complaints procedure to respond to suspicion or allegation of abuse and to protect residents’ legal rights. EVIDENCE: An examination of the adult protection procedure indicated that good processes are in place to respond to allegations or suspicion of abuse. Two staff members spoken with were able to demonstrate good verbal knowledge concerning the protection of vulnerable adults. Conversation held with one resident indicated that she is aware of how to access the complaints procedure if needed. Good written information is displayed in the home on how to make a formal complaint. Conversation held with one resident indicated that she is able to exercise her rights to vote during government elections and to have access to advocates if the need arises. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 standard(s) 20, 22, 23, 24 and 25. The premises are comfortable, clean and hygienic to meet residents’ accommodation needs. EVIDENCE: Conversation held with five residents indicated that they are very satisfied with their bedrooms and shared facilities such as the dining room and lounge. One resident indicated that she was given the choice to take into the home her own personal possessions. Architectural plans seen prior to the inspection indicated that room sizes are suitable which was confirmed based on verbal statements made by five residents. One resident stated ‘I’m happy living here’. Observations made indicated that the home is very clean and hygienic. Five residents spoken with indicated that they are very satisfied with the cleanliness and décor of the home. Discussions held with two care staff members indicated that they appear to be adhering to safe hygiene practices in the home. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 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. Adequate staffing levels are maintained for the protection of residents residing in the home. EVIDENCE: The staffing rota seen and observations made during the inspection indicated that there were sufficient care staff members on duty and that there is suitable skill mix of staff members on duty. Five residents spoken with indicated that they are satisfied that a staff member is available when needed. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 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 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, 34, 35, 36 and 38. The home is managed well and staff members appropriately supervised for residents’ care and safety. EVIDENCE: An inspection of the quality assurance process indicated that there is a quality assurance questionnaire for residents and their relatives to complete. An examination of eleven questionnaire found that residents indicated that they are very satisfied with the care provision. An inspection of the financial procedures in the home indicated that robust processes are in place to safeguard residents’ monies. A certificate of insurance on display indicates that the premise and its contents are adequately insured for the protection of residents residing in the home. Dates of fire equipment seen indicated that regular checks are made in order to keep fire safety equipment in good working order. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 15 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x 3 x 3 3 3 3 x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 x 3 Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 16 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 None 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 7 Good Practice Recommendations The service users plan should be made available to care staff members on a daily basis or when required. Hollywell Court C51 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 17 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 C01 S6384 Hollywell Court V247057 230905 STAGE 4.doc Version 1.40 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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