Inspection on 03/01/06 for Holmleigh

This inspection was carried out on 3rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Holmleigh 25/01/07

Holmleigh 27/07/05

Holmleigh 22/02/05

Holmleigh 02/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Holmleigh Lincoln Road Navenby Lincolnshire LN5 0LA Lead Inspector Vanessa Gent Unannounced Inspection 3rd January 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 Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Holmleigh Address Lincoln Road Navenby Lincolnshire LN5 0LA 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) 01522 810298 homeleigh@accreit.co.uk Lincolnshire Property Investment Fund Limited Mrs Hazel Lynne Carelton Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (1) of places Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (33) Physical Disability (PD) (1) The maximum number of service users to be accommodated is 33. The category PD applies to service users aged 60 years and over. Only rooms in excess of 12 sq.m. will be used to accommodate service users within the PD category. 27th July 2005 2. 3. Date of last inspection Brief Description of the Service: Holmleigh is situated a quarter of a mile from the centre of the village of Navenby, which is about seven miles from the city of Lincoln. Navenby has a range of amenities including shops, a public house, church, chapel and a coffee shop. The home is registered to provide personal care for up to thirty-three people of both sexes aged over 65 years, in thirty-one single and one double rooms, all with ensuite facilities. The home is a former private house which has been adapted and comprehensively extended. Twenty-six of the bedrooms are on the ground floor, all with patio doors leading into the garden; five single rooms and one double room are on the first floor of the older part of the house. A passenger lift provides access to these rooms. Other facilities in the home include a hairdressing room and a small library. There are three lounges and a dining room, all on ground floor. There is ample car parking for visitors to the side and rear of the home. The patio areas and landscaped gardens are attractive, colourful and easily accessible to the residents. The homes philosophy is that people are given dignity, respect and choice to be as independent as possible. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six hours. The inspector spoke in depth with four of the thirty-one residents and casually with a number more, and with three visitors and three staff as well as the manager. The main method of inspection is called “case tracking”. This involves selecting a sample of residents and tracking the care they receive through the checking of records, discussion with them and the care staff and observation of the care provided to the residents. What the service does well: What has improved since the last inspection? Staff supervision, which was in the process of becoming a regular event at the previous inspection, is now firmly in place and the staff say they find it helps them improve their practice in the care of the residents. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 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. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Clear, descriptive documents enable prospective residents to decide whether the home will suit them and meet their needs. EVIDENCE: The statement of purpose and service user guide are comprehensive documents which describe clearly what is available at the home, its philosophy of care and how the home meets the needs of the residents it accommodates. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 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, 11 The comprehensive completion of the care plans ensures that the needs and dignity of the residents are met and maintained at all times. EVIDENCE: Care plans are easy-to-read documents that clearly describe the care that staff need to provide, are kept up-to-date, reviewed regularly and show evidence of resident or relative involvement where possible. The last wishes and plans of the residents are in place so that dignity is afforded to all in their final days of life. Staff are encouraged to attend the funerals of past residents and confirm that, when possible, it is a dignified and calm process for the resident and family. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 10 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, 14 The home provides a lifestyle which takes into account and suits the needs and wishes of the residents. EVIDENCE: A full range of activities which suits the wishes and needs of most residents is provided daily, although one person said they would like a little more physical exercise type of activity. Residents say and care plans confirm that they have full choice and autonomy in all aspects of their lives at the home. Residents’ meetings are held regularly. Questionnaires and surveys are used to ascertain the views and wishes of the residents, the results being published to demonstrate clearly how the home takes notice of and includes the residents in the running of the home for their benefit. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: All aspects of this section were examined at the previous inspection. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 12 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): 21, 25, 26 Measures are in place to ensure that the home is run hygienically and safely and provides the residents with a comfortable environment. EVIDENCE: All areas of the home are clean, tidy and well maintained. Residents say they “are happy with everything at the home”. Sufficient communal toilets and bathrooms are available to meet the residents’ needs. All bedrooms are ensuite. The home has procedures and equipment in place to ensure that it is hygienic, safe and “has a pleasant atmosphere”. Radiators are covered to protect the residents from the risk of harm. It was stated that although “a ‘sickness and diarrhoea bug’ has been going around the village, it hasn’t badly affected any of the residents at the home”. One relative believed that “it is because of the home’s high standards of hygiene that the ‘bug’ wasn’t worse”. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 13 The manager states that the present laundry is inadequate for the size of the home and the needs of the residents and it is in the alteration plans to utilise another, larger room as the new laundry, which will provide a more spacious and pleasant area for the staff to work in. The manager and the cook are working in conjunction with the Environmental Health Officer on a new format of self-assessment for hygiene and safe practices at the home. Both are enthusiastic about trialling the new form and are undertaking studies in how to complete it comprehensively and accurately to monitor their own hygiene and health and safety practices. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 14 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): 29 The recruitment policies and practices of the home ensure that the residents are cared for safely and are protected from harm. EVIDENCE: The procedures in place for the recruitment of staff are robust, as confirmed in the staff files examined and staff spoken with. Staff say their induction was comprehensive and thorough and they were supervised for several weeks until they felt and were assessed by the manager as comfortable and confident in their care practices. Staff say they are encouraged and want to take NVQs and do as much training as possible to improve their knowledge and enable them to care capably and safely for the residents. Staff records examined are all in good order and contain all the information required. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 15 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): 33, 36 The measures in place for auditing and monitoring the staff, the home and the service provided ensure that the residents are cared for comfortably, safely and are in accordance with their wishes. EVIDENCE: The quality assurance practices of the home are excellent, with the annual business plan being cross-referenced regularly against the manager’s ongoing maintenance programme to ensure the safe practices of all aspects of the home. The responsible individual makes monthly, unannounced visits and produces comprehensive reports that are used in conjunction with the manager’s monitored audits. Residents have regular meetings where they can voice their opinions, and they feel the manager takes account of what they say and want. They are given questionnaires and surveys to complete, the findings of which are conveyed to Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 16 the residents individually, through the service user guide and at their resident meetings. Staff supervision is undertaken regularly and records kept of each session, with staff confirming that they all feel well supported by the manager. Staff say they can talk easily to the manager and feel listened to. One staff said “the ‘boss’ is brilliant; second to none”. Another said that the manager encourages them to think about their future and progress in their careers. All staff said they enjoy working at the home and feel they work in a good team together. Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 17 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 4 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X X X 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 4 X 3 X X Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Holmleigh DS0000002374.V274994.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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