Inspection on 15/11/05 for Holmdale Care Home

This inspection was carried out on 15th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Holmdale Care Home 18/07/07

Holmdale Care Home 26/09/06

Holmdale Care Home 24/02/05

Holmdale Care Home 10/08/04

Holmdale Care Home 03/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Holmdale Care Home 2a Companys Close Weston Village Runcorn Cheshire WA7 4NA Lead Inspector Maureen Brown Unannounced Inspection 12:40 15 November 2005 th Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 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 Holmdale Care Home DS0000005143.V264644.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 Adults 18-65. 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. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Holmdale Care Home Address 2a Companys Close Weston Village Runcorn Cheshire WA7 4NA 01928 581448 01928 589946 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) Community Integrated Care Julie Ann Bradshaw Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of six service users to include: * Up to 6 service users in the category of LD (Learning Disability) excluding dementia. The registered manager has a qualification at level 4 NVQ in management and care or equivalent by 31st December 2005 Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection. The registered provider must, at all times, employ a suitably qualfied and experienced manager who is registered with the Commission for Social Care Inspection. 17th June 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Holmdale is a residential care home providing personal care for 6 adults with learning disabilities. Holmdale is owned and managed by Community Integrated Care, a not for profit organisation. The home is located in the Weston Point area of Runcorn, near to a local shop and pub. Car parking is available to the front and side of the building and a small garden and patio area to the rear. The home is a purpose built dormer bungalow with only staff facilities upstairs. Residents’ accommodation is on the ground floor. All the bedrooms are single with fitted bedroom furniture. There are no en-suite facilities. There are two assisted bathrooms plus a separate assisted toilet within easy reach of bedrooms and day areas. There is a large lounge/dining room, a kitchen and a utility room. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during the afternoon and took four and three quarter hours. An hour was spent planning the inspection by reviewing previous inspection reports and the service history. The inspection included a full tour of the premises, inspection of records and discussions with two residents and the staff on duty. There are four residents living at Holmdale at present. Twelve out of forty-three standards were assessed and most of these were met at this time. Feedback from this inspection was given to the home manager at the end of the inspection. What the service does well: What has improved since the last inspection? Details of the new manager have been included in the homes statement of purpose and function and service users guide. A relatives comment sheet has been produced to show their knowledge and involvement. The educational needs of the residents have been reviewed and other areas of stimulation have been developed. “Victor readers” have been provided with a wide choice of novels and residents attend “SPACE” which has ball pools, bubble tubes, large snoozelum and other activities for an hour each month. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 6 A good effort has been made on the individualisation and décor in bedrooms. Two bedrooms were being decorated and residents confirmed they had chosen the décor. The lounge and dining are had been decorated and residents had been involved in the choice of décor in these areas. 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. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 The home provided the residents with the statement of purpose and function and residents’ guide enabling residents to make an informed choice. Full assessments of need are carried out to ensure that the home can meet the residents’ needs. EVIDENCE: The home’s statement of purpose and function and residents’ guide was available within a bound folder. A copy was available by the front door. The information included details of the mission statement and philosophy of care, role of the key worker, staff structure and terms and conditions of residence. The last two inspection reports were included. Throughout this folder were photos of residents and staff taking part in various activities. The information provided a full picture of the home. A previous recommendation about up to date details of the manager had been addressed. The manager said each resident is assessed prior to admission and this information forms the basis of the person’s plan of care. Records showed that residents were assessed prior to admission and most residents had lived at the home for many years. This assessment ensures that resident’s needs could be met by the home. Visits prior to admission are documented and these started with short visits and lead to overnight stays. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: A sample of two residents’ files was seen. These were presented in individual ring binders and contained all the information necessary for staff to care for the residents. Included is a copy of the terms and conditions of residence, care plan sheets and risk assessments. The care plans were written in consultation with the residents and their families and were based on their assessed needs and risks. These were reviewed on a monthly basis. From the previous recommendation a relative comment sheet had been developed to show their knowledge and involvement. Care plans were accurate, well recorded and documents were kept safe and secure in a locked cupboard. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 & 16 Residents were able to take part in some leisure activities, either in the home or the local community. The staff team supported residents with personal and family relationships as required. EVIDENCE: The residents’ plan reflects the range of activities undertaken which included a “lifestyle” programme of mainly daily living activities, such as baking, beauty treatments, videos, DVD’s, listening to music, passive exercise, sensory stimulation and individual time with staff members. Activities outside the home included shopping, visits to the cinema, bowling, meals out, visits to the hydrotherapy pool, holidays, going for walks and visits to the local pub. On the day of this inspection two residents were visiting the hydrotherapy pool and later two residents were going shopping for Christmas presents. Daily routines of residents were clearly documented in the care plans seen and the plans were well written. Residents access the local community with their own adapted transport. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 11 Staff said that some residents received visits from family members and that they enjoyed these visits. Residents could see visitors within their own room or in the shared living areas. No separate space is available for this purpose. At the moment the home has two vacancies. The manager said that they had been using one of the bedrooms as another lounge or activity room and this had proved very popular. She said that she would put forward a proposal to Community Integrated Care for a change of use for this room. During a tour of the home some residents were seen spending time alone in their rooms whilst others were enjoying social contact with others in the lounge/dining area. From the previous inspection residents’ educational needs had not been addressed. Since then the manager had contacted local colleges and that most had not been able to offer suitable courses. However, the local visual impairment team had visited and provided “victor readers” with a wide choice of novels. Residents confirmed they had “enjoyed listening to the books”. Also a new project has been found for the residents to be involved in. “SPACE” is a building that has ball pools, bubble tubes, large snoozelum and other activities. One-hour sessions are booked and at present on a monthly basis. All residents attend. Residents spoken to said, “it was great there”. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 Residents received support from the staff for personal care in their preferred way. EVIDENCE: Residents were dressed differently according to their own choice. Personal support was provided in private and the residents had a designated key worker. All aids and adaptations required for the residents were provided. Various types of equipment were available for residents’ support and use, such as tracking equipment in the bathroom and a shower and changing trolley. Visits to health professionals were recorded in the care plans, including visits to GP’s, opticians, chiropodists and dentists, however these were not up to date. The manager said a carer always attended appointments with residents. See requirement No. 1. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Clear policies and procedures were in place to ensure that residents were protected from abuse and neglect. EVIDENCE: The home’s Protection of Vulnerable Adults Policy was seen and this was consistent with the “No Secrets” guidance from the Department of Health. A copy of the Local Authority Adult Protection policy was available within the home and accessible to staff. The home’s whistle blowing policy was seen. The manager said that staff had undertaken training on Adult Protection, which was covered by a video, talks and the staff reading the Protection of Vulnerable Adults policy and guidance. Staff confirmed that they had received this training, and were able to demonstrate what to do if there was a suspicion of abuse. This was also covered in the induction process. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The home provided a clean and comfortable environment for the residents to live in. EVIDENCE: The home was furnished in a domestic style with additional equipment such as grab bars in toilets and bathrooms, rails along corridors and moving and handling equipment provided to meet each person’s needs. The décor in bedrooms was to resident’s personal tastes and preference and the residents and staff confirmed this. Two bedrooms were in the process of being decorated and residents confirmed that they had chosen the décor. Also the lounge and dining areas were being redecorated during this inspection and again residents confirmed that they had been involved in the choice of colours used. The home was clean, tidy and free from unpleasant smells. The garden area in general was neat and tidy. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 34 The manager provides clear leadership. Records were well maintained. Recruitment policies have been consistently followed resulting in service users receiving care from staff that have been properly vetted. EVIDENCE: At the time of this inspection the agreed staffing levels were met. One person was on duty in the home at the time of this inspection and two residents were out with two staff members. The manager said that a member of staff is on waking duty each night. The manager, deputy and housekeeper support the care staff. The staff team was well established. They had a range of experience and this was complimented by mandatory courses undertaken, such as moving and handling and food hygiene. Other relevant courses were also available, such as Adult protection and Cerebral Palsy. One out of nine staff had completed NVQ level II and five staff were working towards this award. The deputy and one staff member were undertaking NVQ level III. The manager had the Registered Mangers Award. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 16 The recruitment procedure ensures that the staff are suitable to work with vulnerable people. Three staff files were examined and these showed that all relevant pre-employment checks were carried out. See requirement No. 2. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Arrangements are in place to minimise the risk so that the safety and welfare of the residents is promoted. EVIDENCE: Safe working practices were in place to ensure the health, safety and welfare of the residents. These included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The gas safety, electrical safety and insurance certificates were in place and up to date. Fire alarm tests were being undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. All staff had received fire awareness training on 21st September 2005. Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Holmdale Care Home Score X 2 X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000005143.V264644.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA19 YA32 Regulation 12 18 Requirement Timescale for action 30/01/06 The registered person must ensure that all residents’ health care needs are met. The registered person must 31/03/06 ensure that 50 of care staff are qualified to NVQ level II or above. 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 Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Holmdale Care Home DS0000005143.V264644.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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