Inspection on 17/08/05 for The Hollies

This inspection was carried out on 17th August 2005.

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

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

Other inspections for this house

The Hollies 30/11/07

The Hollies 06/12/06

The Hollies 02/12/05

The Hollies 29/01/05

The Hollies 11/05/04

The Hollies 21/01/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

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

CARE HOMES FOR OLDER PEOPLE The Hollies 11 Queen Edith`s Way Cambridge CB1 7PH Lead Inspector Andy Green Announced 17 August 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. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hollies (The) Address 11 Queen Edith`s Way, Cambridge, CB1 7PH 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) 01223 245774 01223 414077 Guy Curtis Care Limited Mr. Philip, Anthony Curtis Care Home 25 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (25), Physical disability (1) The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 DEE, 4MDE subject to a maximum total from these 2 client groups combined of not more than 6 of the total 25 residents and 1 PD Date of last inspection 29/1/05 Brief Description of the Service: The Hollies is a residential service for older people over 65. The home provides comfortable accommodation for up to twenty-five service users, some of whom may have dementia, (4). The home is situated just on the outskirts of the city of Cambridge and is within easy reach of Addenbrookes hospital, with good road and rail links. The home provides accommodation on two floors. There is a passenger lift which provides access to the first floor. All of the bedrooms are offered as single occupancy with seven having en-suite facilities. The home offers generous communal space with two separate lounge areas and a dining room. The home is set back from the main road, with adequate parking facilities. There are attractively maintained gardens to the front and rear of the property. The homeowner, Mr Curtis is also the Registered Manager and is actively involved in the running and management of the home. He employs a Head of Care, in a full time capacity. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulation Inspector, Andy Green undertook this announced inspection on 17th August 2005. The inspector met with the manager, ‘head of care’, staff, service users and relatives to gather views regarding the services offered in the home. A number of records were inspected including care plans, training records and staff files. A tour of the building and grounds was also undertaken. What the service does well: What has improved since the last inspection? 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 Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 6 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 The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 7 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) 1-5 (6 is not applicable in this home) Service users have access to good information, and can make an informed choice regarding the home’s services. EVIDENCE: There have not been any further additions to the Statement of Purpose or Service Users Guide since the last inspection. The home receives assessment information from the local authority and a copy of the care plan. Each enquiry made to the home regarding a potential admission is logged on a monitoring sheet. For those individuals who are self-funding the ‘head of care’ and a member of the care team visit the prospective service user to carry out a needs assessment as required by this standard. These documents are reviewed during the year to ensure they remain effective and provide up to date information. Prospective service users and their family/relatives are encouraged to visit The Hollies as part the assessment process, prior to admission. This ensures that the prospective service users need’s can be fully assessed and also gives the person a chance to experience life in the home. The Home does not offer respite care or intermediate care. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 8 The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 standard(s) 7-11 Service users receive appropriate health and personal care to meet their assessed needs. Medication is administered and recorded accurately. EVIDENCE: Four service user files were inspected and they showed sufficient detail to ensure that individual service users assessed needs are being met. There was evidence that reviews are carried out regularly and any changes in care are clearly documented. It was noted, however that the current care plan system, whilst meeting basic requirements, does not allow a great deal of space for recording. The ‘head of care’ stated that the care plan process will be reviewed and new files will be implemented to give greater space for recording and reviewing care in the home. Service users receive visits as required from a variety of healthcare professional including district nurses and a chiropodist. The home’s relationship with local GP surgeries ensures that healthcare is regularly monitored. Relatives of service users are always informed when there are any healthcare The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 10 changes. Relatives spoken to on the day of inspection confirmed this to be the case. Medication administration records were inspected and were found to recorded accurately The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Staff provide appropriate support to ensure that service users have access to activities appropriate to their needs. EVIDENCE: There are a variety of activities both in the home and the local community, which are organised throughout the year. These include, musical entertainers, board games, summer fetes and Easter and Christmas events. A number of relatives visit on a daily basis to take their relative out for lunch, day trips and to spend time together in the lounge or gardens. The atmosphere in the home was lively and busy and service users were socialising with each other and staff in the lounge. There is a monthly newsletter, which also details forthcoming events in the home including hairdressing and manicure sessions, chair aerobics and musical entertainment. There is a varied range of meals offered throughout the day and service users have a choice of alternatives to the suggested menu choices. Snacks and drinks are also available at all times during the day. Service users spoken to were most complimentary about the services, food and support that they received and found living in the home a positive and comfortable experience. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 standard(s) 16-18 The home has a complaints process to make sure that service users have their complaints or concerns listened to and acted upon properly. EVIDENCE: The home has a clear complaints procedure, which includes agreed timescales to make sure that all complaints are fully investigated and actioned appropriately. The home has not received any complaints since the last inspection. CSCI has also not received any complaints regarding the home. The home has a satisfactory policy regarding Adult Protection, which is in line with the Local Authority policies. Staff receive training in the protection of vulnerable adults to make sure that service users are protected from abuse. It was observed during the inspection that care staff spoke to service users in a sensitive, friendly and respectful manner. Comment cards received from service users and relatives were complimentary about the services offered at the home. Relatives spoken to stated that they found the management and care in the home to be of a high standard and that they were always informed of any events or changes in their relatives care. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 standard(s) 19-26 The environment is suitable for the needs of those living in the home. EVIDENCE: There is an ongoing maintenance and decoration programme and there are plans to redecorate the hallways (1-8) including the woodwork, which have become scuffed by wheelchairs. The lounge areas are also due for redecoration and new lighting will be installed. The manager stated that a loop system is also being installed in the lounge. The home is kept in a clean and tidy condition and was free from odours. The gardens are attractively presented and well maintained with a variety of planted areas. There is seating in the gardens and service users were enjoying sitting and chatting to each other garden adjacent to the main lounge. Bedrooms are well decorated and include appropriate furnishings. Service users are encouraged to personalise their rooms and bedrooms that were seen during the inspection individually reflected service user’s style preferences. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 14 Service users have the specialist equipment required to maximise their independence including pressure mattresses, handrails in corridors, grab rails in bathrooms and toilet, assisted baths and mobile hoists. The home also has access to advice from the Pharmacist and an Occupational Therapist when required. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 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) 27-30 The home’s recruitment policy and processes makes sure that service users are protected from harm. Training is provided to make sure that care staff are competent to deliver care to the service users they support. EVIDENCE: All staff are issued with job descriptions and clear details of their areas of responsibility. There is a thorough recruitment procedure in the home and two full time carers’ posts are currently being advertised. Four staff files were seen and they contained the majority of appropriate information including two references and evidence of a satisfactory CRB check. It is noted, however, that a recent photograph needs to be added to individual staff files. The home’s training files was seen and there was evidence to show that staff members regularly receive a variety of training in health and safety and elderly care issues as part of an ongoing process throughout the year. Training is well monitored with refreshers and updates to ensure safe working practice. This was confirmed through conversations with staff who stated that they received regular training and information including NVQ level 2 & 3courses. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 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) 31-38 The home is well managed and the manager provides supportive leadership and guidance to staff to ensure that service users receive high quality care. EVIDENCE: The ‘head of care’ has worked in the home for a number of years and an application to register her as manager is currently being processed. The manager/provider is actively involved on a daily basis and continues to provide a clear and inclusive style of management with support from the ‘head of care’. Staff and relatives spoken to during the inspection also confirmed that they were well informed and supported by the management. Recorded supervision sessions are in place for all a staff to make sure that their work and development needs are monitored. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 17 Fire records were seen and were found to be accurate along with regular equipment maintenance checks. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 2 3 The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 19 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 37 Regulation 17 Requirement A recent photograph must be included in each staff file as outlined in Schedule 2 of the Care Homes Regulations 2001 Timescale for action 30th November 2005 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 7 Good Practice Recommendations It is recommended that the care planning system is reviewed to provide a more accessible process for recording changes in individual care. The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 Page 20 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 The Hollies I53 I03 15232 THE HOLLIES V235330 270805 STAGE 4.doc Version 1.40 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. 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