Inspection on 18/07/05 for The Hollies

This inspection was carried out on 18th July 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 09/12/08

The Hollies 12/01/07

The Hollies 19/12/05

The Hollies 25/01/05

The Hollies 25/08/04

The Hollies 20/02/04

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 The Hollies 86-90 Darnley Road Gravesend Kent DA11 0SE Lead Inspector Fiona Holdaway Unannounced 18 July 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 H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hollies Address 86-90 Darnley Road Gravesend Kent DA11 0SE 01474 568998 01474 332980 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) Mr Peter Anthony Rogers Mr Peter Anthony Rogers CRH Care Home 40 Category(ies) of Old age (40) registration, with number of places The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 January 2005 Brief Description of the Service: The home is located close to shops and public transport and Gravesend town centre is within walking distance. The Hollies was originally two semi-detached houses, which have been converted into one building and extended. The extension to the home is modern and purpose built, all the rooms within it have en-suite facilities, it is decorated to a high standard and comfortably and attractively furnished. The refurbishment of the rest of the home has also been to a high standard. There are 2 large living rooms and 2 smaller quiet rooms, a separate dining room and a large conservatory. There is a large attractive garden with a patio area and lawn. The home is accessible throughout and has a new shaft lift and handrails fitted in halls and corridors throughout. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection was carried out by Regulatory Inspector Fiona Holdaway. A tour of the home took place and the Inspector met with service users and staff, the Manager was present in the home throughout the Inspection, care records, policy documents and staff files were inspected. There have been no complaints received by CSCI about this home. 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 H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 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 H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 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, 3, 4 and 5 The home’s Statement of Purpose and Service User guide provide Service users with the information they need to make a decision about the home. Service users needs are fully assessed to ensure that the home can meet their needs. Prospective service users (or their relatives) have an opportunity to visit the home before making a choice about living in the home. EVIDENCE: The home’s Statement of Purpose and Service User guide provide prospective service users with the information they need to make a choice about living in the home. Service users and their relatives are encouraged to visit the home before the person moves in and the first month of stay is a trial period for both parties. Service users’ needs are assessed prior to being offered a place at the home to ensure that the home is able to meet the needs of the individual. Pre admissions assessments for service users included physical / medical needs, social and emotional assessments, risk assessments and mobility. The home is equipped with mobile hoists and specialist equipment where a need has been identified. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 8 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, 8 and 10 Service users’ personal, social and health care is provided according to the service users’ needs and wishes. Service users receive a high standard of personal care and are treated with respect and their privacy is maintained at all times. EVIDENCE: Care plans sampled were in good detail and provided staff with clear guidance to support service users with personal and health care needs. Service users have access to healthcare services such as the G.P., Dietician, District Nurse, Dentist and Optician, Chiropodist etc as required. Care records included healthcare appointments and the outcomes. All toilets, bathrooms and bedrooms have a bell call for staff and are lockable and service users have their own keys to their rooms. Service users confirmed that staff always knock on doors and support them with bathing and personal care in a manner that maintains their privacy and dignity. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 9 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 and 13 Service users have access to a range of activities in the home. Service users religious needs are met. Service users are supported to maintain contact with family, friends and the wider community. EVIDENCE: An activities co-ordinator is employed in the home for 20 hours a week. Service users said that there was plenty to do in the home if you wanted to; there was always something going on and things to look forward to. Activities include gardening, bingo, quizzes, craft making, music / sing-a-longs. The home has its own minibus and there are weekly outings to local pubs for meals, drives out, trips out to garden centres and shopping centres. The home has seasonal activities and entertainment that service users commented were highly appreciated. This standard has been rated as 4 (commendable) as it was clear that the resources and effort into providing activities and entertainment throughout the week is of a very high standard and service users have considerable choice in the nature and scope of activities and entertainment. The home operates an open visiting policy and service users stated that friends and family could visit at any time. The home has links with the local church and both Catholic and Church of England services are held regularly in the home. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 10 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 The home has a clear complaints procedure and service users and relatives are aware of how to complain. EVIDENCE: There have been no complaints in the last 6 months. Service users spoken with were well aware of their right to complain and generally presented as very satisfied and happy with the service provided. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 11 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, 20, 21, 24 Service users live in a safe, well-maintained and clean environment. The standard of décor, furnishing and fittings are high providing a homely and pleasant living environment. EVIDENCE: The extension to the home is modern and purpose built, all 32 rooms within it have en-suite facilities and it is decorated to a high standard and comfortably and attractively furnished. The refurbishment of the rest of the home has also been to a high standard. The overall appearance was very welcoming and pleasant In addition to the 2 large living rooms, there are 2 smaller quiet rooms with a good selection of books. There is also a large conservatory. The gardens were attractive and well maintained with a patio area, lawn, water feature, flowers and shrubs. The home has 2 main bathrooms one of which has an assisted bath. 32 rooms have en-suite facilities. Bedrooms viewed were attractively decorated to a very high standard with co-ordinating furnishings and were personalised with pictures and ornaments etc. Service users said that they had been able to bring some items of their own furniture into the home and were The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 12 very satisfied with their rooms. Bedrooms have locks and a lockable facility for personal items. The home is accessible throughout and has a shaft lift and handrails fitted in halls and corridors throughout. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 13 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) 28, 29 and 30 The home has a good recruitment procedure that supports and protects service users. The Manager ensures that the staff team continually develop their knowledge and skills providing a competent and skilled workforce. EVIDENCE: Staff files were seen including a new member of staffs’. Files included application forms, written references, proof of identity, and CRB (Criminal Record Bureau) checks. A strong emphasis is placed on training and it is an area in which the home exceeds the minimum standards. A full time training manager is employed at the home and she provides in-house training in statutory subjects and has appropriate qualifications to do so. All training in the home is competency based. The training matrix showed that staff had received training in a range of subjects and a variety of courses were planned in for the coming year. The home achieved the Investors in People Award in November 2004. Staff interaction with service users was excellent and members of staff demonstrated that they have the necessary skills and knowledge to meet individual needs of service users. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 14 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, 32,33 and 37 The atmosphere of the home is friendly and welcoming. The manager is open and approachable to service users and staff, he offers clear guidance and support to staff and runs the home in the best interests of service users. EVIDENCE: The registered provider / manager has over 30 years experience in the caring profession and has been running care homes since 1984. He holds a RGN/RMN and a Diploma in Management. His wife, also the registered provider, is a State Enrolled Nurse and completed a management course in 1995. Service users and staff stated that they would not have any difficulty in approaching the manager if they had any concerns or complaints. Service users confirmed they had access to their records and evidence was seen that they participated in the drawing up of their care plans and signed them. Files were seen kept securely were up to date and in good order. The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 15 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 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 x COMPLAINTS AND PROTECTION 4 4 3 x x 3 x x STAFFING Standard No Score 27 x 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x x x 3 x The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 16 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 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 Good Practice Recommendations The Hollies H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 H56-H06 S24034 The Hollies V231417 180705 Stage 4.doc Version 1.30 Page 18 - 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!