Inspection on 17/10/05 for The Hollies

This inspection was carried out on 17th 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 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 22/05/07

The Hollies 26/02/07

The Hollies 27/06/05

The Hollies 17/12/04

The Hollies 01/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Hollies 84 Barnham Road Barnham Chichester, West Sussex PO22 0ES Lead Inspector Mrs Kathy Allen Announced Monday, 17 October 2005. V245678 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Hollies Address 84 Barnham Road, Barnham, Chichester, West Sussex, PO22 0Es 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) 01243 555230 01243 555230 the.hollies@unitedresponse.org.uk Mr T Jones Mr D K Oaten-Wareham Care Home (CRH) 14 Category(ies) of Learning disability (LD) - 14 registration, with number of places The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Up to 14 male and/or female service users in the category of learning disability (LD) may be accommodated. 2 - Up to 8 service users may be accomodated in the main house. 3 - Up to 6 service users may be accomodated in the bungalow. 4 - Only service users between the ages of 18 and 65 may be admitted. Date of last inspection 27th June 2005 Brief Description of the Service: The Hollies is a care home providing personal care and accommodation for up to fourteen people with a learning disability. It is located in the small town of Barnham, near Chichester, West Sussex and is close to shops, railway station, a post office and bus routes. The premises are divided into two wings, one of which is single storey. All areas are accessible to service users via a passenger lift if necessary. Some of the bathrooms are specially adapted for people with a disability and everyone has their own room. There are grounds surrouding the building which are satisfactorily maintained, level and accessible to service users. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The manager completed a pre-inspection questionnaire and Comment Cards were distributed via the home to residents, relatives, visitors and other professionals. Seven were completed, all by relatives, and returned to the inspector. The inspection took place from 2pm over five and a half hours. During the inspection all of the residents were spoken to in communal areas. A discussion was held with the manager of the home and two new staff were interviewed. In addition a number of records were seen. One relative said “my sister is very happy most of the time” and residents said “staff are helpful”. What the service does well: What has improved since the last inspection? What they could do better: Those residents who do not attend college, work or day centre must have a meaningful programme of activity. Some fittings at the home must be attended to, to ensure the safety of residents. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 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. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 5 Prospective residents have the information they need to make an informed choice. They all have a contract with the home. EVIDENCE: There is a Statement of Purpose and Service Users Guide, which give all of the necessary information. The Service Users Guide is in the form of a Charter of Rights and is signed by the resident concerned. It informs them, for example of the fees that will need to be paid, the room to be occupied and the service to be provided. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 10 Each resident has a care plan and any information held on them is handled appropriately. EVIDENCE: Care plans were in place for residents as required at the last inspection. They stated how assessed needs would be met in areas such as money management, personal care and communication. They also gave procedures for residents who might be aggressive or exhibit other difficult behaviour. Residents were encouraged to participate in drawing up their care plan and pictures are used to ensure that they understand them. A member of staff was designated as key worker to ensure that care plans were followed and updated. One resident was pleased to tell me that her “key worker was going to take her out to buy clothes and help me with my money.” A member of staff said that the care plans “help you to do things the way residents want not the way we want”. There is comprehensive written guidance for staff to follow to ensure that information on residents is treated confidentially. In one file very personal information was kept in a cover with clear instructions for it to be replaced when read. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 16 & 17 Not all residents have enough opportunities for personal development. Their rights are respected. The menu is satisfactory although the organisation of meal times should be improved. EVIDENCE: Staff support residents in their development. In particular they are offered the chance of training to assist in the recruitment of staff. Some residents attend colleges and this gives them further opportunities. However, for those not involved at college or the training the opportunities are limited. Two staff felt that residents could get bored. The daily routines within the house were flexible and encouraged independence. Residents had a key to their own room and they were free to be alone if they wished. They had unrestricted access to the home and grounds. Staff addressed residents politely. Residents were responsible for household tasks on a rota basis which was not arduous and included looking after their own room and laundry with staff assistance as necessary. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 11 There is a menu which shows what is planned for each meal. However, on the day of the inspection shopping had not taken place and the ingredients for the evening meal for one group of residents were not available. The person on duty was planning to make sandwiches, which would have meant that some people had not had a hot meal that day. After advise and support from senior staff a meal was provided. One resident lives independently within the house and cooks their own meal whilst others assist with the group meal. Mealtimes are relaxed and staff eat with residents. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Residents receive personal support as required and their health needs are met. They retain their own medication where appropriate and are protected by the home’s policies and procedures. EVIDENCE: Personal support is provided in private, such as in the resident’s own room or a bathroom/toilet. Times for getting up and going to bed are flexible. Help is given with personal hygiene and residents choose their own clothes, toiletries etc. Additional specialist support is provided for example to help someone deal with bereavement and another to understand and manage personal relationships. All of the residents have contact with their family and for some this is very regular. Staff endeavour to work closely with them. In addition, some residents attend a self-advocacy group each month. All residents are registered with a local GP and staff confirmed that they ensure they attend any appointments and support them in doing so. One resident said that they can see a doctor “if they ask for an appointment”. Some residents are able to manage their own medication. For others staff, who have been trained, take responsibility. Each resident keeps their own medication in a locked cabinet in their room and this provides them with suitable privacy when taking their medicines. A record is kept of all medication administered. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users views are listened to and acted upon. EVIDENCE: There is a detailed complaints procedure and records show that it is followed, in particular when residents make a complaint. Three relatives who sent in their views on the home said they were unaware of the home’s complaints procedure and the manager agreed to send them this information. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 & 30 Residents have the specialist equipment they require and the home is clean and hygienic. EVIDENCE: Generally residents are independent although two people cannot walk far. Wheelchairs are available for their use. Bathrooms are suitable for people who need assistance and there is a passenger lift in the part of the house on two floors. The home has a separate laundry which is sited away from food preparation areas. Hand washing facilities are provided. The home was clean throughout. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 & 36 Service users are supported by an effective staff team and by the procedure to recruit staff. Staff receive appropriate training and supervision. EVIDENCE: There are sufficient staff on duty to meet the needs of residents and to ensure uninterrupted time with them as well as deal with administration. A number of staff have left the home in the last few months however new staff have been recruited. Staff are able to communicate well with residents, some of whom have very little speech. The record of staff meetings showed that they were not held regularly and staff said they had not attended one in the last two months. Good procedures are followed in the recruitment of staff which includes Criminal Records Bureau (CRB) clearance and the taking up of two references. Residents are part of the interview and share their views and opinions before any decision is made. A record of the interview is kept. Staff do not work alone with residents until they have completed their induction. The induction programme includes training in first aid, food hygiene, administration of medication and challenging behaviour. Staff also undertake the Learning Disability Award Framework (LDAF) induction. Staff meet together each day to hand over information for the smooth running of the home. They also receive individual supervision from senior staff to The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 16 ensure that they are working well and have the opportunity for training and development. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 40, 41 & 43 Service users benefit from the ethos, leadership and management approach of the home. Their views inform the development of the home. The home’s policies, procedures and records safeguard service users rights. The health and safety of service users is compromised by a lack of maintenance in some areas. EVIDENCE: Staff and residents understand how the manager wishes the home to be run. He provides them with opportunities to influence this through residents meetings, the key worker system and advocacy. The quality assurance system for the home includes quarterly audits by the manager and his manager as well as the monthly visits to the home under Regulation 26 of the Care Standard Act 2000. The manager attends the advocacy group where he gets feedback from residents. He also sees some of the resident’s family members informally when they visit. In addition, he ensures that the comment cards provided by the Commission for Social Care Inspection (CSCI) are widely distributed. From this information an annual plan The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 18 for the home is drawn up and reviewed every six months. The system for quality assurance could be developed to ensure family and other professionals views are more routinely sought and included in the development plan. There are detailed policies and procedures for staff to follow which cover all of the recommended topics. Staff have access to these and they form part of their induction programme. Records required by the Regulations are kept. They are safely stored and up to date. Appropriate staff training in such areas as moving and handling, fire safety and food hygiene ensures safe working practices. There are maintenance records in place for servicing equipment such as the heating system and electrical installations. Staff said they did not know if anyone had designated responsibility for health and safety matters although the manager confirmed that he was responsible. Throughout the house there were signs that health and safety could be improved particularly regarding the electricity. For example, in one bathroom there was exposed wiring where a light pull had become detached and in another there was a bare light bulb which should have had a glass cover. A number of light bulbs were either missing or no longer working. The carpet in the hall was stuck down with tape in one place although it was breaking up and could cause a hazard particularly for residents who had difficulty in lifting their feet. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x 3 3 Standard No 11 12 13 14 15 16 17 2 x x x x 3 2 Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Hollies Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 3 3 2 x H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 20 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 42 Regulation 13 Requirement The home must be kept free from hazards Timescale for action 17 Oct 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. 2. 3. Refer to Standard 11 33 39 Good Practice Recommendations More opportunities should be provided for residents personal development. Staff meetings should take place at least six times a year and be recorded. The quality assurance system should be developed. The Hollies H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 H60-H11 S14779 The Hollies V245678 171005 Stage 4.doc Version 1.40 Page 22 - 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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