Inspection on 13/11/06 for Holmwood House

This inspection was carried out on 13th November 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

Holmwood House 08/11/05

Holmwood House 05/05/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Holmwood House 40 Whitecross Road Swaffham Norfolk PE37 7QY Lead Inspector Mrs Geraldine Allen Unannounced Inspection 13th November 2006 11:00 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 Holmwood House DS0000062972.V324137.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 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. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holmwood House Address 40 Whitecross Road Swaffham Norfolk PE37 7QY 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) 01753 643106 achilvers@inhcare.com Integrated Nursing Homes Limited Mrs Ann Elizabeth Chilvers Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (4) of places Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Room numbered 101, which is on the first floor, can only be occupied by a person who is independently mobile. 8th November 2005 Date of last inspection Brief Description of the Service: Holmwood House is a care home with nursing that provides care and accommodation for up to 44 residents. The home is owned by Integrated Nursing Homes Ltd The home is located within easy walking distance of the town centre of Swaffham and is close to all local amenities, shops and pubs. Holmwood House is a large Georgian house, with recent extensions. It stands in its own grounds and has a car park at the front of the home. Mrs Chilvers confirmed that the current fee range is £315:00 to £650:00, dependent upon the care received. The fees are made available to potential residents and/or their representatives before moving into the home and are included in the Service User Guide. Residents are advised of any increases to fees in writing. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place during the day on 13th November 2006. The manager, Mrs Chilvers, was on duty on the day of inspection. Information was obtained from a variety of sources. Prior to the inspection, Mrs Chilvers had completed an annual pre-inspection questionnaire. She also provided a copy of the home’s recent satisfaction survey. A total of 18 questionnaires were returned from residents although no relatives responded on this occasion. On the day of inspection, information was obtained by looking at records, speaking with residents, visitors and staff. A tour of the building also took place and lunch was eaten with residents in the dining room. Overall, Holmwood House provides good care in a pleasing environment. One requirement has been made as a result of this inspection and 4 recommendations have also been made that are based on best practice. What the service does well: What has improved since the last inspection? What they could do better: Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 6 The home needs to ensure that 2 written references are obtained for all staff appointments. The home needs to ensure that formal staff supervision takes place more frequently so that staff feel well supported. 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. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 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 Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive the information they need to make an informed decision to live at the home. Any admission is made after thorough needs assessments are completed to ensure resident’s individual needs can be met. EVIDENCE: Resident’s needs are assessed before they are admitted to the home to ensure the home can meet their needs. All residents receive a contract that sets out the terms and conditions of their stay. The home does not provide intermediate care. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has developed good care plans that are informed by thorough needs assessments. Residents and their relatives where appropriate, are involved in the care planning and risk assessment process and this is recorded. One care plan did not provide evidence that 2 specific care plans were being complied with consistently. The home ensures residents receive timely GP visits when necessary. The home operates a safe and well-organised medication system. Residents are treated with dignity and respect. EVIDENCE: Care plans demonstrated that individual needs are assessed and met. One care plan did not provide evidence that staff were complying as required and this was brought to the attention of Mrs Chilvers. Residents are involved in the care planning process where possible. Staff arrange medical support in a timely manner. Good medication arrangements are in place that are safe and Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 10 well managed. Residents said they are treated well and were happy to be at the home. Staff were observed treating residents with respect and dignity. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their daily living that is respected by staff. Visitors are welcomed to the home at any time and residents are supported to go out of the home. The home provides a choice menu and residents enjoyed their meal on the day of inspection. Special diets are catered for. The home produces a magazine each month that contains information about activities and events. EVIDENCE: The home has an activities programme that is enjoyed by most residents. Residents said they felt they could decide for themselves if they wished to join in activities. Residents said they can make choices about their daily living. Visitors are welcomed to the home at any time and residents are supported to go out of the home. Most residents enjoy their food and some residents spoke about the choices available from the menu. The home produces an excellent magazine each month that contains information about activities and events as well as colourful photographs, quizzes and humour. The home is commended. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know about the complaints procedure and feel comfortable about speaking with staff if they are unhappy. Residents are protected by good recruitment procedures and by well-trained staff. EVIDENCE: Residents know about the home’s complaints procedure and who to speak with if they are unhappy. Staff are well-trained and knowledgeable about adult abuse matters. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and in a good state of decoration. All areas are accessible to residents. Resident’s bedrooms are personalised, clean and tidy. All parts of the home were clean and no unpleasant odours were detected. EVIDENCE: All areas of the home were seen during this inspection. The home was in a good state of decoration and repair. The home suffers from a lack of storage space for items such as wheelchairs and trolleys. Some parts of the home are noisy, especially the dining room. This may be due in part to the wooden floors in this room. Resident’s bedrooms were personalised, clean and fresh. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates good recruitment procedures but must ensure that a minimum of 2 written references is obtained in all cases. Staff are welltrained. Staff are employed in sufficient numbers to meet the needs of residents. Qualified nurses are on duty throughout the day and night. EVIDENCE: The home employs staff in sufficient numbers to meet the needs of residents in a timely way. A qualified nurse is on duty throughout the day and night. Ancillary staff are employed in sufficient numbers to ensure that care staff do not need to undertake domestic and catering tasks. The home operates a good recruitment process although all appointments must be subject to a minimum of 2 written references. Staff are well-trained and receive training in subjects relevant to the care they provide. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-qualified and competent manager manages the home. The home has a quality assurance process that seeks the views of all stakeholders. Staff supervision needs to be carried out more consistently. The home has excellent health and safety arrangements in place. EVIDENCE: The manager is well qualified, competent and experienced to manage the home. Mrs Chilvers The home’s staff survey demonstrates that staff understand the culture of the home and feel supported to meet her expectations. The home operates a good quality assurance process that seeks the views of all residents, relatives, staff and people who visit the home. The Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 16 home has an excellent approach to health and safety matters and the arrangements for providing information and training are commended. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 x X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 x 4 Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 18 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 OP36 Regulation 18(2) Requirement The registered persons must ensure that staff receive formal supervision at least 6 times per year. Timescale for action 31/01/07 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 2 3 4 Refer to Standard OP7 OP19 OP19 OP29 Good Practice Recommendations It is recommended that staff ensure they record appropriately on each care plan to demonstrate compliance with each element within the plan. It is recommended that consideration is given to storage space for such items as wheelchairs and trolleys. It is recommended that consideration is given as to how noise, especially in the dining room, can be reduced. It is recommended that 2 written references are obtained for all new staff before they take up their post. Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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. Extracts may not be used or reproduced without the express permission of CSCI Holmwood House DS0000062972.V324137.R01.S.doc Version 5.2 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!