Inspection on 18/09/08 for Hollywynd Rest Home

This inspection was carried out on 18th September 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hollywynd Rest Home 19/12/06

Hollywynd Rest Home 20/12/05

Hollywynd Rest Home 26/08/04

Hollywynd Rest Home 04/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hollywynd Rest Home 5-7-9 St Botolph`s Road Worthing West Sussex BN11 4JN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jo Hartley     Date: 1 8 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Hollywynd Rest Home 5-7-9 St Botolph`s Road Worthing West Sussex BN11 4JN 01903210681 F/P01903210681 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sylvia Giles Type of registration: Number of places registered: Techcrown Limited care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 40. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling into any other category - (OP) Date of last inspection Brief description of the care home Hollywynd is a care home providing personal care and accommodation for forty-one service users. The home is owned by Techcrown Limited, which is a private organisation. Hollywynd is located on the outskirts of Worthing and is close to the shops and other local amenities. The home is a detached, two storey property which has recently been improved by the addition of a new conservatory. The accommodation consists of thirty-four single rooms and three shared rooms; twentythree rooms have en-suite facilities. The home has a passenger lift to the second floor Care Homes for Older People Page 4 of 23 Over 65 40 0 Brief description of the care home and there is a garden available for the use of residents. The Registered Manager of the home is Mrs. Sylvia Giles. The current fee levels range from £338 to £550. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This site visit formed part of the key inspection process and was carried out over five hours. The manager completed an Annual Quality Assurance Assessment (AQAA) document, which was returned to the Commission for Social Care Inspection prior to the visit to the home. The information obtained to inform this report was based on viewing the records of the people who use and work at the service, speaking with residents, staff, visitors and observing care and support practices. Previous inspection reports and information held by the Commission regarding the home were examined prior to the site visit. Care Homes for Older People Page 6 of 23 A tour of the home took place and documents relating to health and safety were viewed. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have their needs assessed prior to moving into the home. Evidence: We looked at the records of three residents. They all contained a detailed preadmission assessment that included information on individuals health and personal care needs. The son of one resident told us that they were able to visit the home prior to his mother moving in. He also said that the home provided them with plenty of information to enable them to make an informed choice about the suitability of the home. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are set out in a plan of care but risk assessments are not always in place and daily records are not very detailed. Evidence: Residents have a care plan that is formed from the pre-admission assessment. It sets out in detail the action required by care staff to provide for the needs of the individual residents. Care plans are seen as continuous by the home, constantly being, monitored, reviewed and updated. Care staff showed that they knew individual residents preferences, however they are not always recorded in care plans. Some areas where residents are at risk are recorded, including falls, but not all recorded risks have risk assessments in place. For example one resident sometimes tries to leave the home when she suffers periods of confusion but no assessment was in place to minimise the risks involved in this. Daily records are kept but do not contain very much detail of the care and support given. Care Homes for Older People Page 11 of 23 Evidence: Pressure areas are recorded, as are visits by the District Nurse to treat them. However these are not always recorded in a manner that makes it easy to see the treatment needed or the progress being made. It was clear from the records that residents receive the medical intervention that they need from the relevant professionals such as district nurses, dentists, continence nurses and general practitioners. A visitor told us that his mother was attended to by a doctor and dentist when she had an abscess on her tooth. He also said that the home kept him informed and involved during the treatment. We looked at the administration records for medication and found them to be properly recorded with no gaps. The medication cabinet was in good order with no over stocking of medication. The receipt and storage of medications was also well recorded. Staff were seen being polite and friendly with residents, treating them with dignity and respect. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a variety of activities for residents. Residents say that they enjoy the food. Visitors are made welcome. Evidence: The home provides a variety of activities and occasional outings. Activities are advertised on the notice board in the home and include musical entertainment, clothes shows, keep fit and craft. Every fourth Sunday there is a visit from the local church. On the day of the visit the residents were having a cream tea in the afternoon. One resident told us that she likes to watch the entertainment but doesnt like to take part. Residents who are able also access the local shops and services. Two visitors told us that they are welcome to visit the home at any time. The visitors book showed that there are plenty of visitors to the home. We looked at the menus and observed lunch being served. The home provides a variety of freshly cooked meals that are nutritious and varied. Residents told us that they like the food and are offered a choice of meals. One relative said that staff ensure that his mums food is easy to eat by ensuring the meat is pureed and the vegetables Care Homes for Older People Page 13 of 23 Evidence: are mashed or chopped. A resident said, The food is lovely, just like my mum used to cook. During the meal the staff assisted residents that needed help with eating. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that their complaints will be listened to and taken seriously. Residents are protected from abuse by the homes policies, procedures and staff training. Evidence: The home has a clear complaints procedure that is included in the Statement of Purpose and is displayed on the notice board in the home. Residents and visitors told us that they know how to make a complaint and know they would be listened to. One resident said that she had complained that her bed hadnt been made after lunch and it was attended to straight away. A relative said, The manager gets things done- I am happy to go and see her if I have any concerns. We looked at the Complaints book and found that complaints had been recorded thoroughly including the action taken and the outcome. The home has written policies and procedures in place regarding the protection of vulnerable adults. Staff training records show that all of the staff have received training in Safeguarding Vulnerable Adults. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and comfortable however some areas need attention. Evidence: Hollywynd provides a warm, homely, clean and comfortable environment for the people who live there. There is a large attractive and well-furnished lounge and dining room, a conservatory and accessible well maintained gardens. There is a programme of re-decoration underway, however some areas are still in need of attention including two carpets in a corridor and in a bedroom that had tears in them and could be a trip hazard; and a floor plate on a bath chair was seen to be rusty which could be an infection control risk. All of these were listed in the maintenance book for attention. Residents bedrooms have been personalised with furniture and belongings brought to the home by residents and were light, airy and clean. A modern call bell system was in place and the staff on duty responded promptly to calls. The home is situated over three floors and the top rooms can only be accessed by residents who are mobile and are able to walk up three stairs. Care Homes for Older People Page 16 of 23 Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by friendly, caring, well trained staff. Evidence: The staffing rota showed that there were sufficient numbers of staff on duty to meet the needs of the current residents living in the home. One member of staff said, There are plenty of staff on duty, more since the new manager arrived, more than ever before. We have time to chat with the residents. Residents were complimentary about the staff. Comments included, Staff are very, very good. Always very helpful. and Im looked after very well. There is a programme of staff training in place and the manager said that fifty per cent of the staff team hold the National Vocational Qualification award in care. A member of staff said, We get all the training we need. Residents are protected by the homes robust recruitment procedure. Three staff files were seen and all contained the required documentation including current Criminal Bureau Checks, application forms and two references Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A competent and caring manager runs the home in an open and inclusive manner. Records are in good order and there is an awareness of health and safety issues. Evidence: The registered manager is qualified and experienced. She continues to attend training courses to enable her to keep up with new practices. The staff and residents spoke very well of her. One member of staff said, The manager works hard for staff, she got new things for the home. She is very supportive, will listen to you even if she has a mountain of paperwork. Another member of staff said, We have a good manager, very approachable, always finds time to talk and listen. The home has a quality assurance system in place that includes monthly checks from the registered provider, questionnaires for residents and relatives and environmental audits. They manager said the home used to have residents meetings but has stopped them at the request of residents. To make up for this she has an open door policy and Care Homes for Older People Page 19 of 23 Evidence: also ensures that she speaks to all residents individually on a daily basis. The home does not control the finances of any residents. They do keep small amounts of money for them if they wish. All receipts are kept to give or show to family or residents depending on individual arrangements. All amounts spent are recorded and tallied. The manager said she also does spot checks on records to ensure accuracy. Records for the running of the business were seen including, fire checks and staff fire training, complaints and incidents and accidents, maintenance books, electrical appliance tests and water temperatures and all were in good order. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 The registered person needs to ensure that risk assessments are in place for all identified risks. To minimise risks to service users well being. 18/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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