Inspection on 13/10/05 for Holmside

This inspection was carried out on 13th October 2005.

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

Holmside 30/08/07

Holmside 06/02/07

Holmside 26/01/06

Holmside 04/10/04

Holmside 10/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Holmside Station Road Bedlington Northumberland NE22 5PP Lead Inspector Karena M Reed Unannounced 13 October 2005 10:00 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 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. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Holmside Address Station Road Bedlington Northumberland NE22 5PP 01670 530100 01670 530100 N/A Mr M Chawla 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) Mrs Carol Woodhouse CRH 30 Category(ies) of DE(E) Dementia - over 65 (7) registration, with number MD(E) Mental Disoprder-over 65(1)OP Old age of places (22) Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2004 Brief Description of the Service: Holmside is a care home is registered to provide personal care to thirty service users, categories of care include twenty two older people , seven people with memory loss and one person with mental health problems over sixty five years of age. Nursing care is not provided. The home is situated in a residential area of Bedlington and is well served by public transport systems. It is close to local amenities and the town centre. The building is a large detached house with gardens. All bedrooms are for single occupancy . Some bedrooms are situated on the ground floor and a passenger lift gives access to the first floor of the building.There is a very large lounge and combined dining room. There are sufficient bathrooms and lavatories equipped with specialist equipment for the needs of service users. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 4 care plans, 4 staff files, the fire log record, the accident book, maintenance contracts for the equipment in the building, admission/discharge register, complaints record, staffing rotas, daily communication book and service users personal allowance records and the meeting minutes of staff and service users . The manager, four carers and the cook were spoken to during the inspection. Time was also spent with 14 service users and one relative during the inspection. What the service does well: What has improved since the last inspection? The National Vocational Qualification training programme continues and the minimum requirement should be exceeded by the end of 2005. The environment continues to be better maintained and there is an on going programme of decoration and refurbishment around the home. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 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. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 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 standard(s) 1,3,4,5 The home ensures that potential service users are provided with details of the services the home provides which helps them to make an informed decision about coming to stay in the home. Detailed information is made available when a referral is made. The home carries out their detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. Staff are equipped with the necessary skills in order to meet the needs of the service users. EVIDENCE: A Statement of Purpose was available outlining the services provided by the home. The service user guide details information in an informal, interesting style to tell people who may be coming to live in the home about services available. The Statement of Purpose and service user guide are updated annually,they were being updated at the time of inspection. Inspection of records for four service users showed that full assessments had been carried out prior to their admission. A relatively new service user said that they had visited the home and received information verbally and in writing Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 9 about the way it was run before moving in for a trial stay. The service user was also very happy with the care and attention received. Service users have the opportunity to visit the home as many times as they like to decide if they wish to live there. This may involve tea- time visits, day and overnight stays and can be adjusted to the pace of the service user. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7,8,10 There are excellent arrangements in place to ensure that residents’ health and social care needs are met. Detailed information is available to ensure that all health care needs are clearly addressed and to ensure that the staff team are fully informed and aware of the support they need to provide. EVIDENCE: Inspection of the records for a recent admission showed that an assessment had been carried out prior to their admission. This was combined with information received from the care manager’s assessment of the service user’s care needs. The resulting care plan recorded detailed information about the health and medical needs of the service user and the amount of staff assistance required in order to provide support. Daily recordings about the care provided to service users are included in their case records. Information is also collected in order that the home can make an assessment of the service users social needs. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 11 Service users have a choice of General Practitioner if they are unable to retain their own when they move into the Home. There was evidence that GPs and Community Nurses were regularly consulted for advice and treatment. Records were available to show district nurses visit the home as required and service users are assisted to access chiropody and optical services at least annually or as often as required. Staff receive training about medication before they are given the responsibility of administering it to service users. The medication system was not examined at this inspection. All of those residents spoken to, said that they were treated well by the staff and well cared for. It was apparent during the inspection, that attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12,13,14,15 The Home provides support to service users to access and use community facilities when possible e.g health, social and spiritual needs. Social activities provide variation and some interest for service users. Visitors are made welcome and staff support residents to maintain contact with family and friends as they wish. Service users have some encouragement to exercise choice and control over their lives. Meals provide daily variation and interest for people living in the home. EVIDENCE: There is a programme of activities and organized entertainment that takes place within the home including: video and film nights, crafts, dancing, sing-along, bingo, painting, manicurist, dominoes and so forth. Some service users attend organized activities run by Mind Active, a voluntary organization. Recent outings arranged for service users in large or small groups include: the theatre, pub, meals out, shopping trips, Heighley Gate, Beamish, Alnwick Gardens, the local coast and visits as suggested by service users. Service users spoken to were enthusiastic about the activities that were offered by the home. A varied programme was available for people to take part in if they wished. Service users said they did enjoy the organized social evenings and fayres arranged by the home. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 13 Regular meetings take place with service users and relatives to consult them and involve them in the running of the home as well as service users being asked individually about their views and opinions almost daily. Fourteen people living in the home were spoken to and those who commented on the food said how good it was. Service users enjoy home baking and a seasonal menu is devised throughout the year. Vegetarian and specialist diets are catered for. Service users are asked daily what they wish to eat for their meals and a choice is available. On the day of inspection, the lunch comprised pork or lamb chops, potatoes, turnip and runner beans. Bread and butter pudding, fresh fruit or yoghurt was available for pudding. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16,17,18 There is a suitable complaints procedure. Service users and their relatives have confidence that they can raise any issues and know that they will be dealt with. The manager has an understanding of Adult Protection issues that protects service users from abuse. EVIDENCE: The home has a complaints procedure. There has been one complaint about the home since the last inspection that has been investigated. A procedure for responding to allegations of abuse is available. Records showed that staff have received training about Adult Protection. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19,20,21,22,23,24,25,26 The home is well maintained with good quality furnishings and décor in the communal areas, which creates a pleasant and homely environment for those living there. There is an excellent standard of hygiene around the home. Systems are in place to provide a safe environment for service users and staff. EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. The home is well maintained and there is an ongoing programme of decoration and refurbishment. There is a large bright and airy lounge and dining room. Service users all enjoy their own bedrooms that are personalized to their taste.. There are an adequate number of bathrooms with equipment to help those with physical disabilities and some separate lavatories around the home. There are good laundry facilities in place and staff receive training about infection control. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 16 Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Good staffing levels are maintained to meet the needs of service users currently. The staff have an understanding of the service users support needs. This is evident from the positive relationships that have been formed between staff and service users. There are good training arrangements in place, which means staff are given a knowledge of the needs of service users in order to provide care. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team provided evidence that the numbers of staff are as follows: 7.30am- 3.00pm 5 3.00 pm –10.00 pm 4 10.00 pm- 8.00am 2 waking night staff. These numbers include the manager who works super numary hours. There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation, administration, maintenance of the premises and cleaning. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 18 The necessary checks are being carried out prior to the workers being appointed. There is a stable committed staff team and there is a low turnover of staff. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Staff stated that they receive induction training. 6 members of the care staff team have now achieved National Vocational Qualifications at level 2, 4 staff members has also achieved level 3, one staff member is also currently studying for this award. Plans are in place for another fourteen staff members to begin studying at level 2 in November 2005. Staff confirmed that they also receive advice and /or training in other areas, such as death and dying, staff appraisal, dementia awareness, challenging behaviour, mental health needs, risk assessment ,infection control and the necessary statutory training. As stated the staff team have achieved the Investors In People award in recognition of their enthusiasm and commitment to following the training opportunities provided by the manager. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37,38 The manager is committed to ensuring the home is run for the benefit of service users. Records were well documented and statutory health and safety checks were carried out within the required time scales. Systems are in place to ensure the health and safety of service users and staff as far as possible. EVIDENCE: The manager, Mrs Carol Woodhouse returned to the home as manager in April 2005. She had formerly worked at the home as a member of the management team before leaving for promotion to run another home owned by the proprietor. She has obtained the Registered Manager’s award. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 20 The positive comments of service users and staff give confidence that the manager provides good leadership throughout the home and promotes a philosophy of individual care to service users. Discussions with the manager and the staff and records viewed provided evidence that the staff are supported in their roles through regular supervision. The staff files looked at contained the necessary information as required by the Care Standards Act 2000. The manager has worked hard to create a staff team since she came into post. There is a system in place to ensure that staff are given training in moving and handling skills, fire safety, first aid, infection control and good hygiene. Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 4 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 4 4 3 3 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 4 3 4 4 4 4 Holmside B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 22 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. 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 B53-B03 S628 Holmside V227139 131005 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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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