Inspection on 12/01/06 for Hollywood Rest Home

This inspection was carried out on 12th January 2006.

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

Hollywood Rest Home 18/11/08

Hollywood Rest Home 11/12/07

Hollywood Rest Home 02/08/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Hollywood Rest Home 791 Chester Road Erdington Birmingham West Midlands B24 0BX Lead Inspector Kath Strong Unannounced Inspection 12th January 2006 10:15 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 Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hollywood Rest Home Address 791 Chester Road Erdington Birmingham West Midlands B24 0BX 0121 350 6278 0121 350 6278 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) Hollywood Rest Home Ltd Mr William Edwards Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home can accommodate 25 service users who require care for reasons of old age plus 1 named service user who needs care for reasons of mental health problems (over 65 years), 25 in Hollywood main unit and 1 in Evelyn Court Unit for reasons of old age with a mental disorder. That the Evelyn Court unit is staffed separately by a minimum of 1 person when the service user is in the accommodation. 2. Date of last inspection Brief Description of the Service: Hollywood rest home is situated on the corner of Chester Road and Orphanage Road in a mainly residential area of Erdington. It is close to local shops, public houses and other community facilities. The home is within easy access of public transport and on the main bus route for convenient access to Erdington. Formerly a family home with an attached coach house, the property has been converted and extended to provide accommodation for 26 elderly people. Bedrooms are provided over three floors consisting of seventeen single and four double bedrooms several of which have en-suite facilities. The registration for the home also includes a one bedroom flat next door to the main home. The flat is self-contained comprising of a lounge, kitchen, one bedroom, toilet and bathroom. All the rooms are very large, well decorated and the furnishings and fittings are of a very high standard. The occupant of the flat spends the majority of the daytime during the week socialising and taking meals with the homes residents returning to the flat at nigh time. Separate staff are allocated to provide support to the flat when the service user returns. Communal facilities are all on the ground floor and comprise of two comfortable lounges, two dining rooms, one of these having another lounge area leading off it. Service users also have access to another room known as the library, which provides a quiet sitting area when needed with toilet off. Bathrooms and toilets are located throughout the home and there is a shaft lift to the first floor ensuring service users with mobility difficulties have easy access. There is parking to the side of the home to accommodate up to six cars. Further parking facilities are available adjacent to the home offering a further nine spaces. At the rear is a large well-maintained garden with garden furniture, patio, barbecue and an aviary. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the visit was to conduct an unannounced inspection. The outcome was determined by various means. In depth discussions were held with the deputy manager who also participated with the inspection by providing information, documents and a tour of the premises. Individual discussions were held with three residents, a senior carer and the cook. A group discussion was held at a dining table. Relevant documentation was reviewed, three care plans and staff training was checked. At the conclusion verbal feedback was given to the deputy manager. Historically this home has a good reputation and positive inspections therefore both inspections for the year have been unannounced covering all of the key standards and others deemed to be necessary. It is suggested that in order for a full insight into the home to be obtained that this report should be read in conjunction with the report from 9th August 2005. What the service does well: The home has a deputy manager and senior carers. The home owner/registered manager and his wife are regularly present in the home and actively contribute to the service delivery. There is an effective management structure and sound levels of communication. The deputy manager is a registered nurse who takes an active role in ensuring that all healthcare needs are identified and met. The home provides a high standard of accommodation throughout, the decorations, layout and furniture is age appropriate for the client group. There is a high ratio of staff with extra being rostered when the home experiences busy periods. The workforce are well motivated and work together for the good of the residents. The maintenance programme is regularly reviewed, repairs and redecoration are ongoing. Emphasis is placed on resident’s safety and they are encouraged to view the home as their own. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 6 Staff have positive relationships with relatives. They are encouraged to participate with the extensive activities programme and are invited to stay for Sunday lunch. Meals are of a high standard and individual requests are catered for. 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. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 and 5 Documentation provides prospective residents with sufficient information to make an informed choice about the home. Pre-admission assessments and trial periods of stay assists the home in determining its ability to meet all identified needs. EVIDENCE: The statement of purpose remains the same and adequately reflects the registration category of the home for external professionals to make decisions about the home. A copy of the service user guide is supplied to each resident. A contract of terms and conditions of residency is supplied to all residents irrespective of the funding arrangements. The deputy manager commences an enquiry form; all contacts are documented prior to carrying out a pre-admission assessment at a convenient venue for the prospective resident. Residents who are admitted to hospital from the home are also re-assessed prior to discharge back to the home. This Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 9 is viewed as being good practice and prevents the home from accepting residents whose needs are beyond the homes ability to fully meet them. Prospective residents and relatives are encouraged to visit the home as often as they wish and to socialise with residents and staff. They are invited to have a meal. A trial period of stay of 28 days is supplied and subsequent review carried out before a placement is confirmed. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10 Resident’s health and care needs are clearly documented and files include evidence of a proactive approach to the services of external professionals. The system for the administration of medications is satisfactory and protects residents from harm. Arrangements are in place ensure that residents are treated with dignity and respect. EVIDENCE: Care plans are laid out in logical sequence and include assessments and care planning for physical and mental health conditions. Risk assessments are collated as well as assessments of skin integrity, nutritional status and medical details. Care plans are reviewed monthly including the risk assessments; the resident’s weight and body mass index is also determined. Files include the rationale and outcome of visits made by a wide range of external professionals. Observations revealed that staff possess an in depth knowledge of individuals needs. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 11 The process for the administration of medications was examined and found to be comprehensive. All medications are audited and any discrepancies found are documented and raised with the respective agent. Comments received from residents and observation of staff practices revealed that the dignity and privacy of residents is respected. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 the following standard(s): 15 Meals are of a high standard offering both choice and variety and special diets are catered for. EVIDENCE: Standards 12, 13 and 14 were assessed at the last inspection and were fully met with standard 12 achieving a score of 4. Residents spoken with said, “I go out to the shops”, and “ “I went to my daughters in the Cotswolds for Christmas”. A resident wandered into the library, she was still demonstrating exercises to music that had taken place in the main lounge. Lunch was observed being served. Kitchen staff were seen instructing carers regarding the likes and dislikes of individual residents. The home has two dining rooms and the smaller of the two is utilised for those who require prompting or assistance and these residents are invited to commence their meals 15 minutes prior to others to ensure that they are given ample time to complete the meal. The small dining room can seat up to six persons and two members of staff are allocated to the room to ensure that residents receive adequate levels of support. Lunch is the main meal of the day and includes three courses. Soup is followed by a choice of main course and sweets. Individual requests are catered for. The meals served were very well presented and appealing. Staff provided discreet assistance whilst Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 13 encouraging independence. One resident occasionally refuses lunch. A senior carer used her knowledge of the resident and her skills in a successful result; the resident eventually enjoyed a full two course meal. Breakfast requests are catered for including a cooked meal. The evening meal consists of a light cooked meal, sandwiches or a salad. One resident commented, “ I really enjoyed that”. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Standards 16 and 18 were assessed at the last inspection and both were fully met. CSCI • • • All of recently received a complaint about the home. The allegations were: Failure to monitor a physical condition Failure to take appropriate action during unexpected illness Failure to provide adequate care the allegations were not upheld. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26 The standard of accommodation is excellent providing attractive, comfortable and a homely environment. Communal rooms provide residents with choices. The levels of hygiene are high in all areas of the home. EVIDENCE: The building has many interesting features, is furnished and maintained to a high standard. It is evident that people’s comfort, safety and choices are an important aspect of the services. There is a main lounge, small lounge, a library and two linked dining rooms. The extensive rear garden is attractively laid out and residents make full use of it during clement weather. Communal toilets and bathrooms including assisted facilities are strategically located throughout the home. Fourteen of the single rooms and two shared rooms include en-suite facilities. Bedrooms vary in size and layout. Rooms are personalised to the extent preferred by the occupant. There was evidence of personal possessions and Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 16 items of furniture in rooms all of which have a lockable facility for safe storage of valuables. All bedroom doors have been fitted with alarms to alert staff of movement. The requirement for the fitting of suited door locks remains outstanding from numerous inspections. Attention to detail is ensured regarding organisation and hygiene levels of all areas of the home. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 Well in excess of 50 of staff possess NVQ level 2 training and some have higher qualifications. The rolling programme of training ensures that staff have sufficient knowledge and skills to meet all care needs. EVIDENCE: Of the 20 staff employed 16 possess NVQ level 2, 8 have level 3 and 4 more are undertaking the course. All mandatory training, refreshers and other courses to meet the needs of the current client group are supplied on a rolling basis. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 There is an effective management team in place; staff have clear lines of accountability. Health and Safety procedures are robust in protecting residents and staff. EVIDENCE: The home owner/registered manager who has a wealth of experience was not available for the inspection. The deputy manager has achieved the registered managers award and NVQ level 4 in management. He has sufficient knowledge and skills to manage the home on a day to day basis. He was observed to have good relationships with staff and gave instructions to staff in a professional manner. The deputy manager advised that he is currently compiling a quality assurance programme which when completed will be comprehensive. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 19 The home holds personal monies on behalf of some of the residents. The storage and arrangements in place for financial transactions was found to be satisfactory. All aspects of health and safety issues including checks and servicing of equipment are valid. Fire alarms and emergency lighting are tested regularly and the results recorded. Fire safety training and fire drills are carried regularly. Storage of COSHH items were found to be appropriate. Safety is considered to be a paramount matter. Standard 36 was assessed at the last inspection and was fully met. Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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 3 3 3 3 3 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 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 3 3 3 X X 2 X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 3 Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 21 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 OP24 Regulation 23(2)(e) Requirement Appropriate locks should be fitted to all bedroom doors that are suited to individual’s capabilities and accessible to staff in an emergency. N.B. This remains outstanding from previous inspections. 2. OP33 24(1)a,b (2)(3) The home must complete the work commenced in respect of the homes quality assurance system. N.B. This remains outstanding from previous inspections. 30/04/06 Timescale for action 30/06/06 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 Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Hollywood Rest Home DS0000065660.V278284.R01.S.doc Version 5.1 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. 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!