Inspection on 10/04/07 for Holmside

This inspection was carried out on 10th April 2007.

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

Holmside 10/01/06

Holmside 12/07/05

Holmside 27/01/05

Holmside 22/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Holmside Hambledon Road Denmead Hampshire PO7 6PS Lead Inspector Laurie Stride Unannounced Inspection 10th April 2007 14:30 Holmside DS0000012248.V333703.R01.S.doc Version 5.2 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 Holmside DS0000012248.V333703.R01.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 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. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holmside Address Hambledon Road Denmead Hampshire PO7 6PS 023 9225 5364 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) Mrs Jacqueline Amelia Bowles Mr Sidney Ernest Bowles Mrs J Bowles Mr Sidney Ernest Bowles Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Holmside residential care home is registered with the Commission for Social Care Inspection to provide a service for eight service users who have a learning disability. The home is a detached house situated on a main road and is close to the quiet residential area of Denmead, which has a range of shops and services. The town centre of Waterlooville is a short distance away and there is a regular bus service into the towns of Portsmouth and Havant. The current weekly fee is £347.19 Items not covered by fee include hairdressing, toiletries, various social events including club membership and Special Olympics training. Holidays for service users are at half cost. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was carried out on the 10th April 2007 as part of the key inspection of this service. Prior to the visit the registered person’s had completed a pre-inspection questionnaire and all of the residents had returned postal survey questionnaires, some assisted by a member of staff. This information, together with previous inspection reports and information gathered during the visit, provide the evidence on which this current report is based. A courtesy telephone call to the home was made before the visit, as the residents at the home live busy lives and some had indicated through postal survey that they would like to speak to an inspector. The inspection visit took place over 3.5 hours and the homes registered person’s assisted the inspector throughout. During the visit it was possible to meet and talk with all but one of the residents. The inspector also spoke with a member of the staff team, read samples of the home’s records and viewed the premises. What the service does well: What has improved since the last inspection? What they could do better: There were no areas for improvement identified through this inspection. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 6 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. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 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 Holmside DS0000012248.V333703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 Quality in this outcome area is good The home ensures that prospective residents and their representatives have all the information needed to choose a home that will meet their needs. Admissions are not made to the home until a full needs assessment has been undertaken, involving the individual, their family or representative, where appropriate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a written Statement of Purpose and a Service User Guide. The survey asked if people had received enough information about the home before they moved in so they could decide if it was the right place for them to live. Seven residents said ‘yes’, one said they could not remember. Prospective residents have an opportunity to visit the home before moving in, residents confirmed this during the current inspection. The previous report for the home identified that all resident’s aspirations and needs are assessed before they move into the home. The current residents have all lived at Holmside for a number of years, and care records seen during this visit contain copies of assessments made prior to them moving into the home. Individual needs are assessed by the homes manager with input from the funding authority and includes information on all aspects of daily life. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 9 Evidence was also seen of the ongoing assessment and review of support needs involving the individual resident and/or their representative. Residents each have a signed and dated agreement of residence. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent Residents continue to benefit through being fully involved in making decisions about their lives, and playing an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has an individual plan of care and these are comprehensive documents and include a brief introduction to the individual, daily routines, goals and achievements and all other required information. Daily diaries are maintained by staff in order to record and monitor any changes in residents’ health and wellbeing. These are reviewed on a monthly basis and there are broader annual reviews, to which residents care managers, next-of-kin and day service representatives are invited to attend. Residents spoken to confirmed that they are fully involved in the formulation and review of care plans. Residents also confirmed they are supported to make informed decisions around the home, there is a rota for who chooses the Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 11 weekly video and for participating in tasks such as preparing meals in the kitchen. Regular residents meetings are carried out and copies of the minutes are kept in each person’s plan of care. Points raised at these meeting are acted upon and residents confirmed that they are fully supported to make choices and their views and decisions are respected and acted upon. Each service user has a comprehensive risk assessment carried out and this includes information on how to minimise the risk. Residents confirmed that they are fully consulted and participate in the risk taking process, which enables them to develop and maintain independent lifestyles. The home was also commended in a previous report for its care planning, resident decisionmaking, resident participation and its risk taking procedures. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent The service actively promotes residents sense of ownership of their home. Residents are able to make choices about their lifestyle and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A resident survey questionnaire asked people if they can do what they want to do during the day, in the evening and at weekends. Six residents said ‘yes’ to all of these, and two residents said they are out at work during the day. Staffing is flexible to support residents chosen lifestyles. The residents at the home are able to develop new skills and are supported to continue to build on skills learnt at day service. All residents attend the local day service or the Blendworth Centre which offers community support and includes gardening or working in the local community and some residents split Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 13 their time between the two. The home has involved an independent advocate for one resident, to support this person’s wish to attend a chosen day service more frequently. Six residents are still attending college and recent certificates for learning and life skills were seen on individual’s files. A psychological assessment had been obtained for one person to assist in further promoting their skills development. Residents spoken to were all full of praise for the activities they undertake and said how much they enjoyed going out, for example they regularly attend clubs, like to visit the local shops in the village and all have an active social life. Some residents travel independently on public transport, for which risk assessments have been carried out. Six residents are involved in the Special Olympics and talked enthusiastically about these events, showing the medals they had won. A number of residents are supported to attend the local church. A Saturday morning club had recently closed, however the residents and registered person’s talked positively about this opening up other possibilities for weekend activities. The homes’ visiting policy supports residents to maintain family links and friendships. During the visit, residents showed photographs and talked about meeting their family and friends, going on holidays and visits. The home works closely with residents’ families to resolve any issues that arise. Residents were observed making up their own packed lunches for the following day and all had jobs to do around the home, which they were happy to carry out. Individuals talked about their involvement in keeping the garden and maintaining daily routines in the home, such as doing their laundry and helping in the kitchen. The home operates a rolling menu and residents discuss their likes and dislikes at the residents meetings. The residents make up the menu with support from staff at the home. Residents are supported to make drinks and to help prepare snacks. Meals are served in the dining room, where residents like to sit down together. There are alternative choices available for any resident who does not like what is on the menu. The home was also commended in a previous report for the way it supports residents in relation to personal development, education and occupation, community links and social inclusion, leisure and daily routines. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good Residents receive health and personal care that is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ preferences with regard to how their individual personal care needs were met were recorded in their plans of care and residents spoken to were happy with the support they receive. Residents’ files showed that they are all registered with the same GP and that each has clear information for dental, oral, optical and foot care needs. There was also evidence of out patient appointments. The managers and staff at the home were observed to treat the residents with dignity and respect and it was clear that everyone got on well together and supported each other. Only one resident is currently taking regular medication and the home operates an effective medication procedure. All staff members have received training in medication and clear and up to date records are kept. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 15 Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good Residents feel confident to express any concerns and that these will be listened to and acted on. Residents are protected by the homes policies and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which contains all the required information including the timescale for responding to concerns. A record of any complaints was not available, as no complaints have been received. The registered persons are aware that a record is required to be kept of all complaints including details of any investigation and actions taken. All residents confirmed that they knew how to make a complaint and if they had any concerns they would speak to a member of staff or the homes owner/managers. The home has a copy of the local authority Adult Protection Procedure, a whistle blowing policy and a copy of the department of health guidelines ‘No Secrets’. Training is provided for both management and staff at the home with regard to adult protection and the member of staff spoken to demonstrated understanding of her responsibilities in this area. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good Residents’ benefit from a clean, comfortable and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents showed the inspector around the premises. The home is decorated to a good standard and residents confirmed they had been involved in choosing the decoration in the home. There was a very relaxed and homely atmosphere and furniture and fittings were of good quality. Residents spoken to clearly thought of the home as their own and expressed their appreciation of it. The home was clean and tidy throughout and there is an infection control policy. The utility room has easily washable floor and walls and residents said they are supported to do their own washing. The registered provider or contractors carry out routine maintenance. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good Residents are supported by a stable and effective staff team and are protected by the home’s recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a very stable staff team with minimal staff on duty at the home; this reflects the ability of residents accommodated at the home. The staff team is made up of the registered managers/providers, a senior care assistant, two care assistants who also do sleep-ins and a domestic worker. All have worked in the home for a number of years and have undergone all the relevant checks, as evidenced in previous reports. There are also two family member volunteer workers who are available for emergency/occasional support, and evidence of Criminal Records Bureau checks were seen in respect of both. Those staff employed had undertaken induction training in their first four weeks. Staff members had received training with regard to moving and handling, medication, first aid, fire safety, health and safety, food hygiene, infection control and adult protection. All three of the care staff had commenced NVQ level 2 training in March this year. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 19 A member of staff spoken to said that the home does well at promoting resident’s independence and residents’ feel it is their own home. The staff member felt that she was well supported by the management. Residents said that staff always treat them well, were kind and helpful and listened and acted on what residents said. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42 Quality in this outcome area is excellent Residents’ benefit from the homes’ management, which is based on openness and respect and promotes residents’ safety and independence. The home is able to demonstrate a sustained track record of providing a high quality service to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered providers/managers have been in post since 1999 and have recently completed the NVQ level 4 Registered Managers Award. Throughout the visit it was clear that the management approach of the home creates an open, positive and inclusive atmosphere. Residents and staff gave very positive comments about the providers/managers and how the home is run. The excellent outcomes demonstrated in terms of support planning and quality of life for residents are the result of a well-managed service. Holmside DS0000012248.V333703.R01.S.doc Version 5.2 Page 21 There is a quality development plan in place. As part of this, regular residents meetings are held and recorded and these are used to seek the views of residents on how the home is being run. A residents survey has also been undertaken to monitor how the home is developing. Feedback is sought from day services and annual reviews are used to obtain the views of parents and relatives. Staff members have one-to-one supervision on days when there is a team meeting and this provides opportunities for feedback from staff also. Residents’ rights and best interests are safeguarded by the home’s policies and procedures and record keeping practices. The registered person’s are aware of their responsibilities with regard to health and safety and evidence was seen that the home promotes safe working practices to protect residents, staff and visitors. Fire safety records were accurate and up to date with regard to testing and staff training. Residents also demonstrated understanding of what to if the fire alarm was raised. Records of regular servicing and checks on domestic appliances and equipment in the home were also seen. The environmental health officer visited on the 6/12/05 and the fire officer on 10/05/06 and there were no requirements identified as a result of these visits. The registered person’s had also recently undertaken training with regard to Safer Food Better Business, in line with food safety regulations, and this had been cascaded to the staff team. Holmside DS0000012248.V333703.R01.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 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X 3 3 X Holmside DS0000012248.V333703.R01.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. Refer to Standard Good Practice Recommendations Holmside DS0000012248.V333703.R01.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. 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