Inspection on 20/12/05 for Hollywynd Rest Home

This inspection was carried out on 20th December 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

Hollywynd Rest Home 18/09/08

Hollywynd Rest Home 19/12/06

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 20th December 2005 07:00 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.V272119.R01.S.doc Version 5.0 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.V272119.R01.S.doc Version 5.0 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 Old age, not falling within any other category registration, with number (41) of places Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 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.V272119.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 9:30am and lasted for 5 hours, which covered the early and late shifts in the home. During the visit the inspector spent time talking with the current residents and also spoke to six staff members. A tour of the home was undertaken during which all-communal areas and private bedrooms were seen. The inspector spent time talking to the cook and saw lunch being prepared and served. Six care plans and six staff files were seen with any issues being tracked and discussed with the manager. Records for the running of the home were seen including fire and maintenance reports and the insurance document and all were in good order. Prior to the inspection, the last two reports were read along with any other correspondence and documentation relating to the home and compliance with requirements had been met. The manager of the home Mrs. Hodge was present and assisted with information during the visit. What the service does well: What has improved since the last inspection? To ensure that people are protected from scalding, thermostatic valves have now been fitted to all water outlets and several bedrooms have been redecorated and fitted with new carpets. Some staff members have attended training in the protection of vulnerable adults from abuse and others will complete the training in the near future. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 6 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. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 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.V272119.R01.S.doc Version 5.0 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): 3456 Prospective residents have their needs assessed before deciding whether the home can meet their needs and visits in order to assess the facilities available are encouraged. EVIDENCE: All prospective residents have their health and social care requirements assessed by the manager to ensure that the home meets their needs. The assessment for one new resident was seen and the document contained sufficient detail to inform the staff team of the needs of the person. Residents confirmed that they and their families were able to visit the home before choosing to live there. Some people said that they had stayed at the home for short periods of respite or recuperation before deciding to make it their home. Hollywynd does not provide intermediate care. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 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 the following standard(s): 7 8 9 10 11 Health and social care needs are recorded in a plan of care and health needs are met. Medication is well managed but and whenever possible, people can stay in the home until the end of their lives. EVIDENCE: The health and social care needs of each resident is set out in a plan of care which is generated from the pre-admission assessment. The plans contain personal care requirements and likes and dislikes and the documents are reviewed on a regular basis. There is evidence of input from a variety of healthcare professionals including local doctors, psychiatrists and mental health teams. Several residents said that they were treated on a regular basis by the local district nurse team, for whom they were full of praise. The home has an agreement with a local pharmacy that visits the home to review systems and procedures. Medication was stored securely and records were found to be in good order. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 10 There is a list of medication handlers available and although staff have not received accredited training the manager and deputy manager who are both registered nurses train them in the home. To ensure that all risks are identified and minimised it is recommended that risk assessments are compiled and agreed with residents who self-medicate. Residents say that they are treated with kindness and understanding and that their wishes and choices are respected. One person said, “The staff always put themselves out to be kind to us”. Wherever possible people can stay in the home until the end of their lives and there are policies and procedures in place to inform staff of the care needed at this time. Last wishes are recorded in care plans and there is details for a bereavement counselling service posted on the notice board of the home Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 11 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): 12 13 14 15 The lifestyle choices of residents are respected and the home provides entertainment and outings. Visitors are made welcome and there is a variety of fresh, home cooked food available. EVIDENCE: Residents say that the staff work very hard to try to meet their lifestyle choices and people are encouraged to be as independent as possible. There is a programme of activities provided and people said that they especially liked the planned outings in the mini-bus in warmer weather. A wide variety of entertainers and local schools and churches have visited the home to provide Christmas carols and music and a party was held to which families were invited. One person said that they would like to say that the manager has gone to a lot of trouble to provide all of the Christmas entertainment. One resident was out at a day-service provision, which they attend three times a week. Residents confirmed that they were able either to go to church or attend communion services in the home. One person said that they went out to the local shops and another resident compiles a three-monthly newsletter for the home. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 12 People said that their families and friends are made welcome when they visit and one person said that they were always pleased that their visitors were offered refreshments. There is a variety of fresh, home cooked meals available and residents were very complimentary about the food provided. There is a choice of two menus for the main meal of the day with residents having a choice from the sweet trolley afterwards. Special diets can be catered for and there is food available for people to have snacks or drinks at any time. Lunch was lamb and mushroom pie or grilled plaice with three fresh vegetables and mashed or new potatoes. The food looked wholesome and was attractively served. Support with eating was offered to people as needed in a sensitive manner. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Residents and their families can be confident that their concerns and complaints will be listened to and dealt with and the policies and working practices in the home are designed to protect residents from risk of abuse. EVIDENCE: The home has a complaints procedure a copy of which is posted in the main hall of the home. Three complaints from residents have been recorded in the last six months and all have been successfully dealt with by the manager or registered provider. Residents confirmed that they were aware of the procedure and said that they would feel happy about speaking to the manager about any concerns they might have. There is a Whistle Blowing policy in place and since the last visit some of the staff team have attended training in the protection of vulnerable adults from abuse. Mrs Hodge said that all of the rest of the team would access the training as soon as possible. There was a general awareness of adult protection issues in the home and all of the staff spoken to were aware of their responsibilities should they suspect an abuse had taken place. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 26 The home offers an attractive, warm and well-maintained environment for the people who live there. Specialist equipment is available where needed and personal bedrooms have been personalised. EVIDENCE: The communal areas in the home are light and airy and have been attractively decorated and furnished. There is a large lounge and conservatory with an attractive dining room, which are all easily accessible. The garden is safe and well maintained and residents said they enjoyed sitting out in the summer. There are also areas where a payphone and books are situated where people can go to have some privacy. There are sufficient bathing facilities including hoist- assisted baths and a shower room and many of the bedrooms are en-suite. Handrails, grab-rails and other equipment is available to aid mobility and the manager said that the district nurse team provides other specialist equipment as required. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 15 Private bedrooms have been personalised with belongings and furniture brought to the home by the people living there and residents said they were very happy with the accommodation provided. Since the last visit all of the water outlets have now been fitted with thermostatic valves and water temperatures were at a safe level. Several rooms have been redecorated with new carpets fitted and the home was clean and hygienic. Most doors have magnetic fire closures fitted and Mrs. Hodge said that there was a plan in place to complete the programme. One resident said “It’s very comfortable here, we get really nice food and someone always helps me to keep my room nice and clean”. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 27 28 29 30 Resident’s needs are met by a caring and competent staff team. Robust recruitments procedures are in place and staff members receive training and support. EVIDENCE: The staffing rota shows that there are sufficient staff members available to meet the assessed needs of the current residents in the home. There were five care staff plus the manager on the morning shift and there were also the home’s secretary, two cleaners, the cook, kitchen assistant and a maintenance person present. Many of the staff team have worked in the home for many years and have built up good relationships with the people they support. All of the residents spoke very highly of the staff team and said they were very kind and caring. One person said, “This is the nicest home I have ever been in and that is because the matron and staff are so good”. Staff members were observed to be respectful and sensitive when interacting with the people they support. The home has a robust recruitment procedure in place and files were in good order. Six staff files were seen and all contained current CRB checks, two Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 17 references and application forms. In order to further improve the system it is recommended that evidence of the interview process also be kept on file. Staff files show that a variety of training courses are available and staff confirmed that they had attended mandatory training and other courses. Mrs. Hodge said that several people are currently undertaking NVQ 2 and 3 in care and others have completed the award. As training certificates are kept on individual staff files it is difficult to confirm all of the courses attended and it is recommended that a staff-training records file be kept separately for monitoring purposes. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 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 34 35 36 37 38 The home is managed by an experienced and caring manager who manages the home in the best interests of the people who live there. Financial procedures are robust and health and safety records are in good order. EVIDENCE: Mrs. Hodge is a registered nurse who has over thirty years experience working in the caring industry. Mrs. Hodge has recently completed NVQ4 and the Registered Manager’s Award and attends training to ensure that her skills and knowledge are kept up to date. Both residents and staff were very complimentary about the manager and said that she was very committed to providing a good level of support to both the people living in the home and the staff team. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 19 Mrs. Hodge said that there was a financial plan in place for the home and that she was involved in compiling the repairs and renewals and other budgets with the registered Provider on an annual basis. Some of the people in the home manage their own financial affairs and others have family or advocates to act on their behalf. Mrs. Hodge said that she was the appointee for one person in the home. Some residents have personal spending money held in a safe in the office. All transactions are recorded and signed for with receipts kept for auditing purposes. Staff confirmed that they received supervision and notes were seen on some files. As good practice a recording system should be set up to monitor that all staff receive regular supervision. Records for the management of the home were seen including insurance, fire records, staff fire training and pharmacy agreements and all were in good order. Annual maintenance reports were seen including electrical appliance testing, gas, call bell system and hoists and all were current including weekly water temperature recording. Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 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 x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 15 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 21 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 2 3 Refer to Standard OP9 OP29 OP30 Good Practice Recommendations Risk assessments should be compiled and agreed for residents who self medicate As good practice evidence of the interview process should be kept on staff files To assist with monitoring, a separate record of staff training should be kept in the home Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Hollywynd Rest Home DS0000014574.V272119.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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