Inspection on 10/01/06 for Holmside

This inspection was carried out on 10th January 2006.

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 10/04/07

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 Michael Gough Unannounced Inspection 10th January 2006 04:00 Holmside DS0000012248.V276825.R01.S.doc Version 5.1 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.V276825.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 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.V276825.R01.S.doc Version 5.1 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) Mr S Bowles Mrs J Bowles Mrs J Bowles Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD not under 18 years Date of last inspection 12th July 2005 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. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on the 10 January 2006, starting at 1600, with a courtesy call to the home before hand as the residents at the home live such busy lives and had previously asked the inspector to visit the home at a time they would be home and they could meet with him. The inspection took place over 3 hours and the homes registered person’s assisted the inspector throughout. During the inspection it was possible to meet and talk to all of the residents. The inspector also had the opportunity to have the evening meal with the residents and the one member of staff on duty. The inspector also toured the home and inspected records. What the service does well: What has improved since the last inspection? What they could do better: No areas were identified for improvement during the course of this inspection. Please contact the provider for advice of actions taken in response to this Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 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.V276825.R01.S.doc Version 5.1 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): 2&4 All resident’s aspirations and needs are assessed before they move into the home. Prospective service users have an opportunity to visit the home before moving in. EVIDENCE: There have been no new residents since the last inspection, however care files have copies of assessments made prior to them moving into the home. Needs are assessed by the homes manager with input from the funding authority and includes information on all aspects of daily life. Prior to moving into the home potential new residents have an opportunity to visit the home on a number of occasions. They can come for a meal, weekend stay and then for a trial period. Current residents confirmed that they had the opportunity to visit before making a decision on whether to move in. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 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): 10 Residents at the home know that information about them is handled appropriately and that their confidences are kept. EVIDENCE: There is a policy on confidentiality and the providers and staff at the home that were spoken to by the inspector are aware of their responsibilities with regard to confidentiality and the sharing of information. Residents spoken to were confident that confidentiality would be kept. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 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): 17 Residents are offered a healthy and varied diet. EVIDENCE: The home operates a rolling menu and residents discuss there 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, they also supported to help make their own packed lunches. Meals are served in the dining room, where residents like to sit down together and the inspector took the opportunity to sit down and have a meal with the residents. There are alternative choices available for any resident who does not like what is on the menu. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 11 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): 20 The homes policies and procedures for dealing with medicines protect residents at the home. EVIDENCE: Only 2 service users are currently taking regular medication and the home operates an effective medication procedure. All staff has received training in medication and records were clear and up to date. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 12 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): 22 & 23 Resident’s views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The home has a complaints procedure, which contains all the required information. A record of any complaints was not available, as no complaints have been received. The manager is aware that a record is required to be kept of all complaints including details of any investigation and actions taken. The home has a copy of the Adult Protection Procedure and has 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 those spoken to fully understand their responsibilities in this area. All residents spoken to said that if they had any concerns they would speak to a member of staff or the homes managers and felt sure that any problems would be sorted out quickly. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 13 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 Residents live in a homely and comfortable environment and the home was clean and hygienic throughout. EVIDENCE: The home is decorated to a good standard and residents have been involved in choosing the decoration in the home. There was a very homely atmosphere and furniture and fittings were of good quality. Residents spoken to all referred to the home “as their home” and were rightly proud of it. The service was clean and tidy throughout and there were no offensive odours, the home has an infection control policy and the utility room has washable floors and walls. Residents are supported to do their own washing and the registered provider or contractors carry out routine maintenance. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 14 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 & 35 Competent and qualified staff support residents and appropriately trained staff meets their needs. The homes recruitment policy and practice’s protect residents. 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. Those staff employed are encouraged and supported to undertake NVQ training and they undertake induction training in their first 4 weeks. Recruitment records were inspected for 2 staff members and these contained all required information include CRB checks. Staff at the home was up to date with training with regard to; moving and handling, medication, first aid, fire, health and safety, food hygiene, infection control and adult protection. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 15 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): 37,41 & 42 The registered person’s are competent to run the home and are experienced in support residents who have a learning disability. Resident’s benefit from a well run home and their best interest are safeguarded by the home recordkeeping policies and procedures. The health safety and welfare of service users and staff are promoted and protected. EVIDENCE: The providers at the home are also the registered person’s, they have been in post since 1999 and have nearly completed the registered managers award. They have recently undertaken some training with regard to person centred planning and lead by example. The inspector looked at fire records and these were accurate and up to date with regard to testing and training. Annual checks have been carried out to equipment in the home on the following dates: Boiler/gas (September 05), Electrical system (June 04), fire alarm system (October 05) and all portable electrical equipment had been tested. The environmental health officer visited on the 6/12/05 and there were no major issues raised as a result of the visit. The registered person’s are fully aware of their responsibilities with regard to health and safety. Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 16 Holmside DS0000012248.V276825.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 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 X 2 3 3 X 4 3 5 X 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 X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X X 3 3 X Holmside DS0000012248.V276825.R01.S.doc Version 5.1 Page 18 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. 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.V276825.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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