Inspection on 11/10/05 for The Hollies

This inspection was carried out on 11th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Hollies 08/06/05

The Hollies 25/01/05

The Hollies 11/08/04

The Hollies 23/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hollies The Ferriby Road Hessle Hull East Yorkshire HU13 0HT Lead Inspector Karen Ritson Unannounced Inspection 11th October 2005 10:30 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 Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hollies The Address Ferriby Road Hessle Hull East Yorkshire HU13 0HT 01482 643293 01482 627438 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) Humberside Independent Care Association Limited Mrs Margaret Walker Care Home 48 Category(ies) of Dementia - over 65 years of age (48), Old age, registration, with number not falling within any other category (48) of places Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: The Hollies is a care home providing personal care and accommodation for up to 48 older people some of whom may have a dementia care need. The home is owned and operated by Humberside Independent Care Association which is a not for profit organisation. It is located on a main road in Hessle, west of the city of Hull. There is access to local shops, public houses and transport locally. The home occupies a purpose built property set out on two floors. All service user accommodation is located on the ground floor. All bedrooms are for single occupancy and some of these are companion rooms that are linked by a door and are suitable for couples or service users choosing to use them. These may be used as a twin room and a sitting room. Many of the bedrooms have ensuite facilities. Service users have the use of lounge and dining facilities and several courtyard gardens that are safe for their use. There is also a large formal garden. There is ample car parking at the front of the building. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Tuesday October 11th and took eight hours to complete which includes time for preparation and writing the report. Four service users and two staff were spoken to during the inspection and their comments are detailed in the body of the report. What the service does well: What has improved since the last inspection? What they could do better: Whilst the home is comfortably furnished in general, the furnishings in the smoking room are in need of replacement. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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 Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were assessed on this occasion. EVIDENCE: Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10. Service users are treated with respect and with regard to dignity. EVIDENCE: All service users and visitors spoken to said that service users were treated with respect and with regard to dignity by all staff. Staff induction includes training in how to treat service users. Individual rooms and bathrooms are lockable, with access to staff in emergencies. All health care examinations are carried out in service users own rooms. All rooms are single. Visitors may see service users in communal areas or in private. Access to a telephone is made for those who request this. Calls may be taken in private. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 12 and 15 Service users social needs are taken into consideration and they are offered a healthy varied diet. EVIDENCE: On the day of inspection the home was providing a ‘Hull fair comes to The Hollies’ afternoon. Service users were invited to have funfair food and to play games. Other arranged activities included a Harvest festival with nursery children attending, a Halloween tea, a visit to East Park mini zoo and Christmas celebrations. Service users were particularly enjoying the prospect of the fair, as many said they had memories of attending Hull fair in the past but were not now able to brave the crowds. Several service users were spoken to regarding the quality of meals. Two made comment that their meals were not hot enough when they received them. Meals are served from a heated trolley. Temperatures are checked when the meals leave the kitchen and again at the time of serving. Temperature records were checked and showed that meals were within recommended temperature guidelines. The home follows a ‘heartbeat’ menu with an emphasis upon healthy options. Menus were seen and showed a variety of nutritious meal options on offer. The home operates two sittings for meal times; the second sitting is for those service users who require extra assistance with eating. Specialist diabetic and softened diets are catered for. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 11 On the day of inspection there were five care staff assisting with meal times and two servery assistants. The home employs two chefs. Both glass and plastic drinking tumblers are used, as some of the service users find it difficult to manage glass tumblers safely. Other service users said they enjoyed the meals and there was always a good choice. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Service users are protected from abuse. EVIDENCE: The home has an abuse policy and has information for staff regarding the protection of vulnerable adults. Staff said they received induction training, which included abuse awareness. Several staff members have recently attended a Protection of Vulnerable Adults training day. Service users said they felt they could raise any issues with staff and that they felt safe and well cared for. A visitor said she felt encouraged to voice any concerns and felt the home had the welfare of service users as a priority. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The otherwise well maintained environment is compromised by the need to replace the smoking room furniture. EVIDENCE: The furniture in the smoking room needs attention. The manager said that cigarette burns had damaged the chairs and sofa in this room. The furniture cannot be successfully cleaned and needs replacement. This is an outstanding recommendation from the last inspection report and must now be addressed as a matter of urgency. There was a malodour in one of the rooms. The manager said the staff worked hard to eliminate odour and that this was not always possible all of the time. The home employs a full time handyman, who carries out routine maintenance. The rest of the building is well decorated with attractive pictures in communal areas and along corridors. There are several courtyards with seating and flower tubs; these areas are pleasant for service users to sit out in whilst being secure. The building complies with the local fire service and environmental health. The laundry is pin coded to allow only staff access. The machines are suitable and meet infection control requirements. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 14 Bed linen and clothes are washed separately. Service users said that the laundry service in general was satisfactory. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 and 30 Service users are attended by well trained staff in adequate numbers. EVIDENCE: Staff rotas were examined and there were sufficient staff on rota at all times day and night. Staff said they felt they could carry out their duties without being rushed. The home employs separate staffing to carry out domestic duties. There are several vacancies at present. Agency staff are covering vacant shifts. However, the manager said that new staff had gone through the recruitment procedure and would be ready to begin work in November. Staff are recruited according to policy, references are taken out, and a CRB check is gained prior to working independently in the home. Staff carry out a block induction provided by HICA and receive all foundations training in a suitable timescale. Most staff have achieved NVQ level 2 in care. The chefs have NVQ level 3 in food handling and most domestic staff have also completed NVQ training. Staff said they received good training and support from the homes management. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 Service users welfare is safeguarded by a robust quality assurance system. EVIDENCE: The home carries out a thorough Quality Assurance programme with a quarterly report. Feedback is given to service users and to staff through meetings and an annual letter is distributed to all concerned parties including social services and health care professionals. Questionnaires for service users, visitors and others were seen, from which results had been collated. Two service users said they felt they were consulted adequately over the way in which the service was provided. The home keeps personal allowances for a number of service users with records kept. The money is kept in one bank account, however, money is recorded separately and service users do not have the facility to overdraw their account. In this way it is possible for any service user to receive any or all of the moneys held on their behalf by the home at Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 17 anytime. Computer records are kept with all payments receipted. The manager said she checked all financial records each month. Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 18 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X X X 1 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 X X 3 X 3 X X X Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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. 2 Standard OP19 OP26 Regulation 23 16 Requirement The chairs in the smoking lounge must be replaced. The home must be odour free. Timescale for action 30/11/05 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. Extracts may not be used or reproduced without the express permission of CSCI Hollies The DS0000019744.V257396.R01.S.doc Version 5.0 Page 21 - 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!