Inspection on 10/01/07 for Holywell Park Residential Home

This inspection was carried out on 10th January 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

Holywell Park Residential Home 25/11/05

Holywell Park Residential Home 14/07/05

Holywell Park Residential Home 18/02/05

Holywell Park Residential Home 06/07/04

Holywell Park Residential Home 24/02/04

Holywell Park Residential Home 01/10/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Holywell Park Residential Home Hodsoll Street Ash-cum-ridley Wrotham Kent TN15 7LE Lead Inspector Debbie Sullivan Key Unannounced Inspection 10th January 2007 09:05 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 Holywell Park Residential Home DS0000023960.V320059.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. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holywell Park Residential Home Address Hodsoll Street Ash-cum-ridley Wrotham Kent TN15 7LE 01732 822215 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) holywellpark@aol.com Holywell Park Limited Mrs Sharon Michelle Apps Care Home 58 Category(ies) of Old age, not falling within any other category registration, with number (58) of places Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th November 2005 Brief Description of the Service: Holywell Park is a family owned and run residential care home that accommodates up to fifty-eight older people. It has forty-eight bedrooms and two apartments. Three shaft lifts give access to upper floors. The majority of the bedrooms have en-suite facilities. Rooms are singles or for double occupancy. Two residents only occupy double rooms if they are a couple, or relatives or friends who wish to share. The house is large and spacious, is a listed building and set in extensive, very well maintained grounds. There is ample car parking to the front of the home. The home is well staffed and employs carers, domestic, maintenance and training staff. There is a shop/post office approximately two miles away. A bus runs from Hodsoll Street to nearby towns and there are train stations in nearby Meopham and Borough Green. The weekly cost of the service ranges from £385 to £600 per week. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced site visit to Holywell Park lasted seven hours. During the day time was spent with residents, the manager of the home, the head of care, the training officer and care and other staff. The property was toured and records and other documents were read. Some observation took place of daily routines, and residents were joined at lunchtime. Throughout the day staff were helpful in providing information and those spoken with individually were keen to contribute to the inspection and were positive about working at the home. Comments made by residents on survey forms and during the inspection included, “Very happy atmosphere, friendly family run establishment with personal touch” “Care staff are marvellous, kind and caring” “Meals were excellent over Christmas” “They (staff) are so cheerful and so nice” “Very attractive bedroom” “Improvements done on a regular basis” Comments from relatives included, “We are very satisfied with the care my (relative) receives at Holywell Park” “ I am always very impressed by the carers” “Communication is good with the family” Comments from staff during the site visit included, “Senior staff are very caring, cannot fault them at all” “Lovely people to work for” “We have time to play games with and speak to residents” Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 6 “Good training opportunities” What the service does well: What has improved since the last inspection? More care staff have gained an NVQ in care qualification. New carpets have been fitted to the main stairs, hallway, three lounges and some corridors, and some bedrooms have been redecorated and recarpeted. Two lounges have been fully redecorated. A well-equipped hairdressing room is now available. Additional downstairs toilets have been provided and a new bathroom on the first floor has been completed. Care plans have been revised and a new method of recording staff supervision introduced. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 8 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 Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Written information on the service is available and each resident has a contract with the home. The needs of prospective residents are fully assessed before a place is offered and visits are welcomed. EVIDENCE: The manager or head of care assess all prospective residents before they are offered a place, visits are welcomed and prospective residents can spend time at the home and stay for a meal. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 10 The manager gave an example of a resident who had accessed respite care and was to move in permanently. Residents spoken with all said that either they or relatives had seen the home before they decided to move in, in some cases other services had been visited as a comparison. A relative said they had chosen the home as other relatives had lived there and been happy with it. Each resident has a copy of the service users guide in their room and a contract signed by themselves or a representative. Residents spoken with felt that they had made the right decision on moving in, a fairly new resident who was still settling and finding the move from independent living a little difficult, said that despite this they could not fault the care and support given. The home does not specifically offer intermediate care although does provide respite on occasions. Due to improvement in their health and confidence two residents were considering moving out to live independently again. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 11 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 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are well met and they are treated with dignity and respect. Needs are well recorded on care plans, although all care plans must be reviewed monthly. EVIDENCE: The format for care plans has changed since the home was last inspected and the home has now put into place a method that they find more easy to use. Care plans read contained pre admission assessments, current health and personal information, daily log sheets and where applicable risk assessments. Recording showed that contact is maintained with other professionals such as district nurses and GP’s and any health concerns are promptly referred on. A Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 12 visitor said that when there had been concern about their relative the home had acted swiftly on the relatives’ behalf, kept up good communication and also supported them. The manager gave an example of a reassessment of needs being requested due to concerns about the health of a resident. The head of care updates the information on care plans if there is any change, such as a new medication or more help needed with mobility. Care plans are not routinely reviewed monthly unless there are changes, this recommendation was made. The medication room is secure and medication stored properly, there is a separate controlled drugs cupboard. The medication fridge and room temperature are checked daily. The recording on MAR sheets and in the controlled drugs book was in order and only senior staff give medication, the list of their signatures is up to date. One resident was partially self medicating and staff verbally check that the medication has been taken. Residents spoken with and who responded on survey forms said that their care and personal support needs were very well met and unanimously spoke highly of the care staff. Staff observed treated residents with respect and dignity and were cheerful which created a pleasant atmosphere. As long as the home can meet needs, residents near the end of their lives are able to stay there so that they remain in familiar surroundings. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 13 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 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise plenty of choice and control over their lives and the home is run as flexibly as possible to accommodate individual preferences. Meals are varied, of good quality and nutritious. EVIDENCE: Activities take place every day and information about them is displayed on notice boards, activities are provided by staff or on a sessional basis. Regular activities include art and craft sessions, flower arranging, motivation sessions, quizzes, musical sessions and exercise classes. During the site visit a plate painting session took place in the morning and the weekly motivation group given by a specialist outside provider after lunch was well attended and received. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 14 In good weather a weekly minibus bus trip goes to places of the residents choice, such as shopping, pub lunches, local beauty spots or places of interest. Care staff have plenty of time to spend chatting individually with residents or involving them in games or other activities. Relatives and friends are invited to events regularly such as Christmas parties and a summer event. There is a new dedicated hairdressing room, the hairdresser is available twice a week and is much in demand. Residents said that they were able to choose which activities they wished to attend and whether or not to spend time in their rooms or communal areas. Those keen on attending sessions felt that there was plenty to do. Choice is promoted and residents are encouraged to have a say in how the home is run. Some residents manage their own finances or are supported by a relative or other advocate. The home does not manage any residents’ finances but does keep weekly spending money securely for those who wish then to do so; transactions are recorded correctly and audited. Contact with relatives and friends is supported and there is space for visits to take place in private. Residents spoke of relatives visiting and a visitor said that they were always made welcome at any time of day. Residents joined for lunch enjoyed their meal, which was well presented and tasty, the menu is varied with a daily choice of a meat or vegetarian option. Good quality produce is used and fresh bread delivered daily from a local baker. A new vegetarian meal was introduced on the day of the site visit that was well received. Residents who need assistance with eating can to choose to take meals in a smaller dining room. Fresh water dispensers are available throughout the building. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 15 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can feel confident that any concerns will be listened to and taken seriously. Residents are protected from abuse by the policies and procedures in place and staff awareness. EVIDENCE: The complaints procedure is clearly displayed on a notice board in the main entrance. The home has adult protection and whistle blowing policies and procedures. Residents spoken with were aware of who they could go to with a concern or complaint and felt that they would be taken seriously. Seven complaints had been recorded since the last inspection; they had been properly recorded and addressed. There had been no adult protection alerts since or at the time of the last inspection. POVA and CRB checks take place before staff commence working at the home, and recruitment procedures are thorough. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 16 Staff receive adult protection training from an outside provider and those spoken with had good knowledge of adult protection procedures and who to report any concerns to. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 17 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): 19,20,21,22,23,24,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, well maintained and decorated, clean and warm environment. Bedrooms meet individual needs and are personalised. EVIDENCE: The home is well decorated, clean and well maintained. In the past year three lounges have been refurbished and recarpeted and new carpets have been fitted on some corridors and stairs. Bedrooms are always recarpeted and Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 18 redecorated when a new resident moves in; they are invited to choose the colour scheme. Refurbishment is planned regularly and the manager said that a new dining room carpet is to be fitted. Two maintenance staff are employed to undertake ongoing repairs and improvement work, one bedroom was being completely redecorated on the first floor. Accommodation is on three floors and the stable block adjoining the main house has two flats that comprise of a bedroom, living/dining area and bathroom for more independent residents. A number of the bedrooms are double rooms although the home only accommodates two people together if they are a couple or relatives or friends who want to share. At the time of the inspection all rooms were single occupancy, there were three vacancies shortly due to be filled. There are four lounges, one provides quiet area with no television and is equipped with a small library, there is ample space for residents to sit in whichever lounge they choose. The lounges are light and airy and were all being well used. The home is well equipped with toilets and bathrooms and most bedrooms now have ensuites, residents can choose which bathroom to use and a shower room is also available. Bathrooms are fitted with ceiling track hoists. A smaller well equipped kitchen area that accommodates the dishwasher, drinks making equipment and where snacks can be prepared compliments the main kitchen; this improves space available in the kitchen and infection control. Bedrooms are furnished and decorated to the residents’ taste; those seen included personal furniture, pictures and ornaments. There is equipment throughout the home for personal or communal use that is used to maintain and promote independence. The grounds are large and well kept. Residents said that they liked the views of the countryside and grounds from their windows and being outside in the summer. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 19 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): 27,28,28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents are met by a competent and well trained staff team who enjoy working at the home. Recruitment policies and procedures protect residents EVIDENCE: At the time of the site visit the home was more than adequately staffed and plenty of care and other staff were on duty, allowing for residents to receive additional attention if they needed it. The home has at least one senior carer on each daytime shift and the head of care is available. Three care staff, one of whom may be a senior carer provide night cover. As well as carers, a training manager cooks, domestic and maintenance staff are employed. There is continuous advertising and recruitment, so that the home is never left short of staff, the policy is to be over establishment rather than to be below numbers if staff leave. When occasionally agency staff are used, usually to cover sickness, they are as far as possible those familiar to the home, Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 20 permanent staff are offered the opportunity to fill gaps before agency are used. Staff are competent and enjoy working at the home, there was a cheerful and friendly atmosphere and staff have a good rapport with residents. A comment made by a relative was that staff pay attention to detail such as making sure that a resident who needs help choosing what to wear always looks nice, that clothes match and are suitable. All residents spoken with were complimentary about the staff. Care and other staff spoken with complemented the management, felt well supported and said that training opportunities were good. The training manager is responsible for the recruitment; induction and training of all staff and recruitment procedures are thorough. In house and external training is provided and mandatory topics updated. Sixty percent of the care staff have gained an NVQ qualification in care of level 2 or above. Staff said that if they were interested in a particular non-mandatory topic then it would be arranged for them. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 21 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): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of staff and residents. The atmosphere is open and inclusive, staff well supported and the views of residents regularly sought. EVIDENCE: The home is well run and it is apparent that the best interests of the residents are promoted and taken seriously. The manager is experienced and has Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 22 completed the Registered Managers Award. Residents feel that the manager and head of care are approachable and aware of their needs. Both have a long experience of working at the home either in their current or other capacities, and their knowledge of the service provides stability for residents, whilst at the same time they are constantly seeking to improve. Residents and others are kept informed of developments, plans for the home, and topics of interest via a newsletter and information on notice boards. Wherever possible residents who wish to be involved in the practical day to day running of the home do so, one resident was helping to lay tables for lunch and those keen on gardening provide window boxes in the summer. The home has a friendly and open atmosphere and is continually improving and updating environmentally and in it’s working practices, examples being recent large scale internal redecoration, the addition of the hairdressing room and additional staff training. Support for staff is good, staff and residents are involved in decision-making. The family run atmosphere is positive for residents and staff. The emphasis on providing committed staff suitable to their roles, to the extent where the home is often over numbers, ensures that staff have plenty of time for residents and enjoy the work. The home has investors in people award that it plans to renew this year. A twice-yearly survey of the views of residents takes place and relatives are also surveyed. Residents meetings are held and the minutes showed that they are very confident in voicing issues, improvements are made as a result and feedback is given. Staff meetings are held and minuted and staff receive regular supervision that is now documented for their personal files in a recently introduced format. The training manager checks direct working practices by regularly working unannounced alongside care and other staff. Regular maintenance and safety checks take place, full fire evacuations based on a possible scenario take place approximately twice yearly, with a record being kept of staff present, the outcome and any need for improvement. Fire equipment was last checked in November 2006. Confidential records, and where applicable, the finances of residents are kept securely and there is a valid insurance certificate on display. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 23 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 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 4 4 4 3 3 3 3 3 Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard OP7 Good Practice Recommendations It is strongly recommended that the care plan of each resident is reviewed monthly. Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Holywell Park Residential Home DS0000023960.V320059.R01.S.doc Version 5.2 Page 26 - 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. 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