Inspection on 19/12/06 for Hollywynd Rest Home

This inspection was carried out on 19th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Hollywynd Rest Home 18/09/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hollywynd Rest Home 5-7-9 St Botolph`s Road Worthing West Sussex BN11 4JN Lead Inspector Mrs A Taggart Unannounced Inspection 19th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollywynd Rest Home Address 5-7-9 St Botolph`s Road Worthing West Sussex BN11 4JN 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) 01903 210681 Techcrown Limited Mrs Daphne Merle Hodge Care Home 41 Category(ies) of Learning disability (3), Old age, not falling registration, with number within any other category (41) of places Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 3 Adults with a Learning Disability Date of last inspection 20th December 2005 Brief Description of the Service: 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 was opened in 1994 and is a detached, two storey property which has recently been improved by the addition of a new conservatory. The accommodation consists of thirty-five single rooms and three shared rooms; twenty-one rooms have en-suite facilities. The home has a passenger lift to the second floor and there is a garden available for the use of residents. The Registered Manager of the home is Mrs. D. Hodge. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the visit the inspector read the last two inspection reports and any correspondence or documentation regarding the service and had completed a planning document. A pre-inspection questionnaire was sent to the manager, for completion, survey forms were sent to the current residents and comment cards to families and professionals involved with the home. Twenty replies were returned and all made positive comments about the care provided and commented on the commitment and kindness of the manager and staff team. The unannounced visit was carried out at 9.30am and lasted for 6.5 hours, which covered the early and late staff shifts at the home. During the visit the inspector spent time sitting and talking with residents and three visitors, made a tour of the building and saw lunch, the main meal of the day being prepared and served. Four care plans were tracked with any relevant information being discussed with the resident or the staff team and daily records were also seen. The inspector spent time talking to the staff members on duty and observing their interactions with residents. The medication system was seen as were records for the running of the business including complaints, incidents and accidents, maintenance and health and safety records. Four staff files and three residents monies records were seen and all were current and in good order. The Registered Manager, Mrs. Hodge had completed and returned the questionnaire and was available for discussion and feedback during the visit. The Registered Provider Dr. Nasser was also in the home on the day of the visit and was present during the feedback . What the service does well: The home provides a warm, homely and attractive environment for the people who live there. There are care plans in place to guide the staff team to the needs of the people they support and the home works with a variety of other healthcare professionals in order to ensure that good healthcare support is provided. There is a robust recruitment process in place and residents and their families speak highly of the commitment and care provided by the manager and staff team. Residents also say they are happy with the facilities and activities on offer and are complimentary about the food provided. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 6 A comment from a family member said, “Hollywynd is a very well run home, my relative is very happy in her surroundings and praises the food and the staff”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 4 and 6 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families can be confident that they will receive information about the home, an assessment of need will be carried out and a contract of terms and conditions of residency agreed. EVIDENCE: The Statement of Purpose has recently been updated to reflect the change in address of the Commission and two family members confirmed that they had been given a copy when making enquiries about the home. A new resident was being admitted on the day of the visit and there was a preadmission assessment in place, the person had previously stayed in the home on respite and their family had visited to ensure that the home could meet their needs. A family member said, “I think the home is lovely. I am entirely at peace with my relative being here, she is well looked after. I knew the home by reputation Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 9 and the manager came to visit my relative in hospital to carry out an assessment. Each resident has a contract of terms and conditions of residency in place; copies were seen to include the fees charged and had been signed by the resident or their representative. Hollywynd does not provide intermediate care. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 and 11 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The people living in the home have their support needs documented in a plan of care, good healthcare support is provided and medication is well managed EVIDENCE: Each resident has a plan of care in place that has been devised from information gained in the pre-admission assessments. The care plans contained comprehensive information to guide the staff team to the needs of the people they are supporting and risk assessments and daily records are also in place. Four care plans were tracked and all contained current information and had recently been reviewed and updated. A family member said they were involved with reviews with a care manager and were kept informed by the manager and staff team. In order to ensure that good healthcare support is provided, there is evidence from records and from talking to residents and families that the home works with a variety of healthcare professionals. This includes district nurses, Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 11 community teams and hospital specialists and during the day a doctor was visiting. A family member commented, “ my mother receives good care and support and the GP is called promptly when needed”. Residents said that they were treated with dignity and the staff members on duty were seen to be kind and patient in their dealing with people. Medication is kept in a locked room in a suitable medication cupboard and there is also a medication fridge, the temperature of which is recorded daily. Medication was well managed and there were no errors in the Medication Recording Sheets. Wherever possible, people are supported to stay in the home until the end of their lives, there are policies and procedures in place to advise the staff team and last wishes are recorded in care plans. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. There are activities to provide interest and stimulation, visitors are made welcome and a variety of fresh home cooked meals are provided. EVIDENCE: A variety of activities and occasional outings are provided including gentle keep fit sessions, outside entertainers and musicians. There are also books, videos and games in place around the home and during the visit people were enjoying a Christmas sing-along with a visiting entertainer. Some people said they preferred not to join in with organised entertainment and commented that their wishes were respected. One person said they went out into the local community on their own to visit the post office, shops, their church and a hairdresser and said they preferred to be independent. Some people said that they would like to have more stimulating activities and this was discussed with the manager. Three visitors said that they were always made welcome in the home and could visit at any time. Comments from residents included, “ I have been here for four months. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 13 Wonderful home, warm and comfortable, good food and excellent staff who are very caring and will do anything you ask them. All in all, a good place, I am lucky to be here. My family is made very welcome; they are very attentive to visitors and make them refreshments”, and from another resident, “ Nice, warm comfy home, staff are polite and kind, food wholesome and the home is kept clean”. Menus and food records show that a variety of fresh, home cooked meals are provided. Lunch, which is the main meal of the day was lamb chops or poached fish, sprouts, carrots and potatoes, with rhubarb crumble, rice pudding or fresh fruit to follow. Residents were complimentary about the food provided confirmed that they are always offered an alternative and said that special diets were catered for. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents and their families can be confident that any complaints or concerns will be recorded and acted upon in an appropriate and timely manner. EVIDENCE: There is a complaints procedure in place, a copy of which is included in the Statement of Purpose and both residents and visitors said that they would feel confident about making a complaint and would speak to the manager. Two formal complaints have been recorded in the last six months and both were investigated in a timely manner. There have been two Adult Protection referrals made both of which were investigated under West Sussex Adult Protection Procedures. One referral was withdrawn and the other, which concerned money going missing from a service user could not be proven but the home has improved the procedures with regard to the recording and storage of resident’s monies. Most of the staff team have now attended training in the protection of vulnerable adults from abuse and the manager said that further training was booked for those people who had not attended. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 15 The staff members on duty were aware of their responsibilities should they suspect any abuse had occurred and said they would report any concerns immediately to the manager. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 23 24 and 26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, warm and clean but consideration should be given to fitting automatic closures on all bedroom doors that have and carrying out ongoing assessment to ensure that the facilities meet people’s current needs. EVIDENCE: Hollywynd provides a warm, homely 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 and many of the bedrooms have recently been completed. All communal areas were clean and hygienic and a maintenance person was catching up on areas that needed attention. Private bedrooms have been personalised with furniture and belongings brought to the home by residents and were light, airy and clean. A modern call Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 17 bell system was in place and the staff on duty responded promptly to calls. One resident said, “ I have my own furniture and I am quite comfortable and happy”. There was a “drains” type smell in two adjoining bedrooms and the maintenance person said that he would investigate the cause and take remedial action. Although no wedges were seen in doors, some residents asked for their doors to be left open, as they did not want them shut in the day. At the last visit, automatic closures had been fitted to some bedroom doors and Mrs Hodges said there was a plan in place to complete the programme. It is recommended that in order to meet people’s needs, risk assessments be carried out in respect of the remaining people who wish to keep their bedroom doors open and automatic closures fitted as needed. 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. When making a tour of the home, the inspector, through observation and discussion with the person concerned, concluded that being on this floor was no longer was suitable for one resident, as their mobility had deteriorated and they could no longer get downstairs. This was discussed with the manager, who spoke with the resident and made arrangements for the person to be moved to a downstairs room immediately. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a committed, caring and well-supported staff team in place and residents are protected by the home’s robust recruitment processes. 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. On the day of the visit there were five care staff, three cleaners, a laundry person, maintenance person, a chef and kitchen assistant. The manager and administration assistant were also working in addition to the rota. Many of the staff members have worked in the home for a number of years and have built up good relationships with the people they support. Both residents and their families were very complimentary about the staff team and said that they were committed, kind and caring. Comments included, “Very nice home and they look after you very well. Always enough staff to help” and “The manager and staff care for my relative very well, especially since her health has deteriorated”. There is a programme on staff training in place and the manager; Mrs. Hodge said that 50 of the staff team hold the NVQ award in care. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 19 Residents are protected by the home’s robust recruitment procedure. Four staff files were seen and all contained the required documentation including current Criminal Bureau Checks and two references. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 37 and 38 Quality in this outcome area is Good. This judgement has been made using available 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, Mrs. Hodge is qualified and competent and has managed the home for a number of years. Mrs. Hodge continues to attend training in order to update her knowledge and skills and most recently has attended skills in Disciplinary and Grievance procedures. Residents, their families and the staff team speak very highly of Mrs. Hodges management style and say that she is inclusive and very committed to providing a good service for the people living in the home. A staff member said, “ The manager is very kind and supportive and is a very good teacher”. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 21 The staff on duty confirmed that they receive formal supervision and records were seen on file. As at the last visit a quality assurance programme has been started by questionnaires having been sent to resident, families and professionals involved with the home. Mrs. Hodge said that she has begun collating the replies and will publish the outcomes in order to inform the future development of the home. Regulation 26 Registered Providers visits show that quality issues are considered and recorded during the visits. The manager does not act as financial appointee for any resident in the home and affairs are managed by families or legal advisors. Following an investigation regarding a resident complaining that some personal monies had gone missing, procedures and storage of money has been improved. Where the home holds personal monies on behalf of residents, all transactions are recorded, receipts gained and the money is safely stored. The monies of three service users were checked and found to be correct. 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. The current gas certificate could not be located and Mrs. Hodge said that she would forward a copy to the Commission. As previously stated in this report, to ensure that the home meets the needs of the people it is supporting, consideration should be given to completing the plan to fit bedroom doors with automatic closures and ongoing suitability of the environment for individual residents assessed. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 22 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 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 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 3 X 3 X 3 3 3 3 Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations In order to ensure that the facilities in the home meets the needs of residents, consideration should be given to completing the plan of fitting automatic closures to bedroom doors and ensuring that an ongoing assessment of environmental needs is carried out. Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hollywynd Rest Home DS0000014574.V319789.R02.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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