Inspection on 12/07/05 for Holmside

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Holmside 10/04/07

Holmside 10/01/06

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 Tuesday, 12 July 2005 - 16:00 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 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 Stationary 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 H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Holmside Address Hambledon Road Denmead Hampshire PO7 6PS 023 9225 5364 Telephone number Fax number Email 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 and Mrs J Bowles Mr S Bowles and Mrs J Bowles CRH 8 Category(ies) of LD - Learning Disability (8) registration, with number of places Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD not under 18 years. Date of last inspection 27 January 2005 Brief Description of the Service: Holmside residential care home is registered with the Commission for Social Care Inspection to provides 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 H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on the 12 July 2005. The inspection took place over 3 hours and the inspector was assisted throughout by the homes manager’s. During the inspection it was possible to meet and talk with all of the service users and the one member of staff on duty, it was also possible to tour the home and inspect 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. Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 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. Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 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 standard(s) None of these standards were inspected on this occasion. EVIDENCE: Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 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 standard(s) 6, 7, 8 & 9 The home develops and agrees with each service user an individual plan, which adequately reflects there assessed and changing needs. The home provides assistance to service users to enable them to make informed decisions about their lives and service users are consulted on and participate inn all aspects of life within the home. The managers and staff at the home enable service users to take responsible risks, ensuring that they have good information on, which to base decisions. EVIDENCE: Each service user 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. All service users spoken to confirmed that they are fully involved in the compilation, content and review of care plans. Service users are supported to make informed decisions around the home, there is a rota for who chooses the weekly video, regular service user meetings are carried out and minutes are kept in each individuals plan of care, points raised at these meeting are acted upon and service users confirmed that they are fully supported to make decision 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 Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 10 how to minimise the risk. Service users spoken to stated that they are fully consulted and participate in the risk taking process. The home was commended for its care planning, service user decision making, service user participation and its risk taking procedures. Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 11 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 standard(s) 11, 12, 13, 14, 15 & 16 The home enables service users to have opportunities to maintain and develop social, emotional, communication and independent living skills. Service users have the opportunity to find and keep appropriate jobs, continue their education and training and take part in valued and fulfilling activities. Service users are able participate in the local community and are all registered to vote if they so wish and service users have access to and participate in a range of appropriate leisure activities. The homes daily routines and house rules promote independence, and respect individual choice and enable freedom of movement, subject to agreed restrictions. EVIDENCE: Service users were observed making up their packed lunches for the following day and all had jobs to do around the home, service users were happy to carry out these tasks and were keen to participate. The service users at the home are able to develop new skills and are supported to continue to build on skills learnt at day service. All service users attend the local day service or the Blendworth Centre which offers community support and includes gardening or working in the local community and some service users split their time between the two. The manager’s at the home are currently supporting one Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 12 service user who has expressed a wish to go to the Blendworth centre rather than his normal day service and are currently seeking the help of an independent advocate to support the service user with this. Service users spoken to were all full of praise for the activities they undertake and told the inspector how much they enjoyed going out, they regularly attend Saturday and Friday clubs, they like to visit the local shops in the village and they have an active social life. 4 service users attend the local church on a regular basis and 2 receive religious instruction, which they enjoy. A number of the service users are keen sportsmen and take part in regular competition, 4 service users recently competed in the special Olympics held in Glasgow which took place over 5 days, they returned home with a number of medals and were proud of their achievements. All service users have the support of their families and spend time at their parental home, some go away on holidays with their parents. The homes visiting policy helps to maintain family links and friendships. The managers and staff at the home were observed to treat the service users with dignity and respect, they always used the service users preferred form of address and it was clear that everyone gets on well together and supports each other. Service users stated that they were proud of their home and were keen to talk and show the inspector around. The home was commended for the way it supports service users with regard to personal development, education and occupation, community links and social inclusion, leisure and for its daily routines. Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 13 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 standard(s) 18 & 19 Staff provide personal support in they way that service users prefer and require and the health care needs of service users are met. EVIDENCE: Service users preferences with regard to how their individual personal care needs were met were recorded in their plans of care and service users spoken to were happy with the support they receive. Service users 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. Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 14 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 standard(s) None of these standards were inspected on this occasion. EVIDENCE: Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 15 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 standard(s) None of these standards were inspected on this occasion EVIDENCE: Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion EVIDENCE: Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 & 42 Service users can be confident that their views will be sought to ascertain how the home is meeting its aims and objectives. The health, safety and welfare of staff and service users are promoted and protected. EVIDENCE: Regular service user meeting are held and minuets are taken and these seek the views of service users to how the home is being run. Service users are given regular surveys to complete which help to monitor how the home is developing, feedback is sought from day service and annual reviews are used to seek the views of parents and relatives. The inspector looked at fire records and these were accurate and up to date with regard to training, there were also records of fire alarms test, emergency lighting and fire fighting equipment tests. Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 18 Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 19 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 x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 4 4 4 4 3 4 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Holmside Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Holmside H54 S12248 Holmside V237783 120705.doc Version 1.40 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire 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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