Inspection on 19/09/05 for The Hollies

This inspection was carried out on 19th September 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 26/09/06

The Hollies 22/02/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Hollies 9 Shirley Road Hanley Stoke on Trent Staffordshire ST1 3PF Lead Inspector Jane Capron Announced Inspection 19th September 2005 09:00 The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 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 The Hollies DS0000064031.V253744.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 Adults 18-65. 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 DS0000064031.V253744.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Hollies Address 9 Shirley Road Hanley Stoke on Trent Staffordshire ST1 3PF 01782 205064 01782 269187 chris@delamcare.co.uk 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) Delam Care Ltd Mrs Monica Babski Care Home 18 Category(ies) of Learning disability (18), Mental disorder, registration, with number excluding learning disability or dementia (18), of places Physical disability (1) The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 Physical Disability (PD) for named person only Date of last inspection 20/12/2005 Brief Description of the Service: The Hollies is a Victorian property located in Hanley close to the local park and the college. It is close to recreational, leisure and shopping community facilities. It is close to a number of other homes owned by the same company and providing services to the same registration category. The home can offer long term care to 18 service users of both sexes that have a learning disability and mental disorder. The home offers accommodation on the ground and first floor. The home provides 16 single bedrooms and one double room. The home has two lounges and two dining rooms. The home has one bathroom upstairs and one bathroom with shower cubicle downstairs. The home has an attractive paved area at the rear that provides seating facilities. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took approximately seven hours. The inspection included discussions with the manager, several staff on duty as well as a number of residents. A sample of care plans was examined as well as residents’ finances. The environment was inspected. The home provided a pre inspection questionnaire. A pre inspection survey of residents and relatives took place and the responses from this were very positive. Since the last inspection there has been one complaint that was resolved by the home. The CSCI has not undertaken any additional visits to the home. What the service does well: All the residents spoken to liked living at the home. They stated that they got on well with the staff and that they felt supported and safe. They felt that staff were easy to talk to and were interested in then. Residents were involved in participating in aspects of running the home including undertaking domestic and catering tasks. Residents’ views were sought through individual meetings and through weekly resident meetings. Residents liked the meals and were offered choice and were included in developing menus and in undertaking the food shopping. Residents had the opportunity to undertake a range of educational and social and leisure activities. The home had developed comprehensive care plans that identified the needs of the residents. Residents’ health and personal care needs were being met and the home effectively worked with other agencies. The home’s staff undertook the necessary mandatory training and each staff had a training profile. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 6 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 DS0000064031.V253744.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 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 the following standard(s): 2,3,4 The home undertook the necessary assessments to ensure that the home only admitted residents whose needs they could meet. The home’s staffing and the working relationships with health professionals enabled the home to meet the needs of the residents. The home’s introductory programme enabled residents to have the opportunity to visit and to meet staff and residents before deciding if they wanted to live at the home. EVIDENCE: Assessments were completed both by the funding authority and by the home to ascertain an individual ‘s needs and to provide the necessary information to decide whether the Hollies was able to meet their needs. The assessments covered health and personal care, social, educational and leisure interests as well as family contacts and any behavioural issues. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 9 Residents were involved in the assessment process and residents confirmed that they had the opportunity to visit the home and meet residents and staff prior to deciding to move into the home. The home developed an introductory visiting programme that could include overnight and weekend and day visits prior to a resident moving into the home. Placements are made on a trial basis and a placement made permanent after a review including the resident and other significant people. The home had developed working relationships with specialist health and social care staff who provided the home with support and provided specialist health care services to residents. The staff had the necessary knowledge and support to be able to monitor the health of the residents and to seek advice when necessary. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 6,7,8,9 The home’s care planning process provided the necessary information for staff to be able to meet the needs of the residents. The staff supported and encouraged decision–making and participation in aspects of running the home providing residents with choices and control over their lives. The risk planning procedures in place ensured that risks to residents were minimised and that there were no unnecessary restrictions in place. EVIDENCE: The home had developed care plans that covered the areas of health, personal care, social, educational and independent living skills as well as any support needed to access the community and mange their finances. Residents were involved in the care planning process. Internal reviews were being held at least six monthly. The home had a key worker system in place and residents were involved in deciding whom they wished to take on this role. The home had developed a range of individual risk assessments. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 11 Residents were encouraged to take decisions over their lives including whether they wished to attend college and over what they wanted to study. They decided whether to join in with activities and whether they went out on trips. They chose where to spend their time, in the communal areas or in their bedrooms. They chose when to get up and go to bed and where to have their meals. Residents were supported to manage their finances and to budget. Residents undertook a range of tasks relating to running the home such as helping with cleaning their rooms, meal preparation and shopping. Residents’ views were sought at weekly resident meetings. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 11,12,13,14,15,16,17 The opportunities for leisure, social and educational activities both in the home and in the community provided residents with a full and varied lifestyle. The home provided residents with opportunities for personal development including independent living skills and social skills. The homes routines were flexible enabling residents to make choices over their daily lives and over how they wanted to spend their time. The home’s meals provided residents with choice and variety. EVIDENCE: The home supported residents to develop their skills and to undertake a range of educational activities. Residents participated in a range of independent living tasks such as cleaning and tidying, meal preparation, baking, going to the bank and shopping. Residents were able to attend college for several sessions The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 13 a week. Courses included floristry, health and wellbeing, art, jewellery making and performing arts. The home organised a range of leisure activities both in and out of the home. Within the home there were beauty evenings, a reading group, baking, arts and crafts and DVD evenings and board games. Additional activities included going to the pub, days out, shopping and going to the cinema, the theatre and going to a gym. Several residents attended a social club one night a week. The home arranged a number of holidays based on consultation with the resident and all except one resident had decided to go on holiday. Residents paid for their own holiday and for the accommodation costs of the staff. The home’s routines were quite flexible with residents getting up when they chose in line with their agreed daily schedules. Residents could access their bedroom at any time and could choose when to have baths and showers. The residents liked the meals and there was variety and choice provided. Residents were consulted over the meals they wanted and were involved in food preparation and in doing the weekly food shopping. Fresh fruit was available during the day and after meals. Snacks and supper was provided. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 18,19 The staff were aware of the personal care needs of the residents and were providing the residents with the necessary support to ensure that these needs were met. The health care needs of the residents were being met with evidence of good multi agency working. EVIDENCE: The personal and the general and mental health needs of the residents were fully identified in the care plans. Residents received the necessary health care, receiving regular treatment when needed and also attending for screening and outpatient appointments. The staff supported residents to attend for psychiatric appointments. Staff monitored the health of the residents. A Community Psychiatric Nurse reported that the good care provided at the home had led to a reduction in her need to visit and provide support to patients. Residents attended for dental and eye checks and received nail care either from a chiropodist or from the staff. The home monitored the weight of residents on a monthly basis. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 15 Residents’ personal care needs were being attended to. Staff supported the residents that needed it to have baths and showers and with shaving. Residents were provided with choice over when they wanted their personal care attending to. Residents felt that the staff treated them with respect and dignity. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 22,23 Residents were aware of the complaints procedure and felt that their concerns were listened to and addressed. The knowledge of staff and the training provided increased the residents’ level of safety from abuse. EVIDENCE: The home had a complaints procedure that was available to residents. The home involved advocates as necessary. Residents were aware of how to complain and felt that their views were sought and listened to. The home had received one complaint and this had been responded to appropriately and in a timely manner. The home had an adult protection procedure in place and staff were aware of the procedures. Staff had received training in this area of the work. The home’s procedures for managing and supporting residents with budgeting were examined and this demonstrated that suitable records were being kept. Expenditure was supported by receipts. Residents were involved in managing their finances and in saving money for clothes, outings and holidays. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 17 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 the following standard(s): 24,25,26,27,28 The home’s accommodation provided the residents with domestic and homely accommodation. The home had adequate toilet and bathing facilities but the residents would benefit from additional shower facilities. EVIDENCE: The home was suitably located to access local resources and was within walking distance of Hanley. The home had two reserved parking spaces on the road at the front. At the rear there was a yard that had been made an attractive space with seating and potted plants. The home was decorated in a homely style. The home had a schedule for maintenance and since the last inspection a number of bedrooms had been decorated enhancing the private accommodation of the residents. The home has suitable communal and private accommodation. There were two lounges and two dining rooms, a training kitchen, a small laundry and a large domestic style kitchen. The carpet in the second dining room would benefit from replacing or cleaning as it was stained. The home had eight single bedrooms and one double room and these bedrooms were of varying sizes from compact to very large. Five of the single The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 18 bedrooms and the double room had ensuite facilities. Bedrooms were well decorated and one was due to be decorated. They had suitable storage space with two having built in furniture, seating for the resident and were lockable. One bedroom was for double occupancy and the residents who have shared for many years stated they were happy to share. Bedrooms had TVs and were all personalised showing the personalities and interests of the occupants. The home had adequate toilet and bathing facilities. Downstairs there were two toilets and a bathroom with bath and a separate shower cubicle and toilet. Upstairs there were three toilets and a bathroom with bath and toilet. Residents would benefit from additional shower facilities. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 19 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36 The staffing levels allowed for the residents’ personal, health and social care needs to be met. The staff were well motivated and related positively to the residents providing them with the necessary support in a manner that showed respected their privacy and dignity. The home’s training programme ensured that staff received training in relevant care issues in order to be aware of the residents’ needs and to be able to provide them with the necessary support. The home does need to increase the number of staff qualified to NVQ level 2. The residents benefited from staff that were supervised and supported to undertake their role. EVIDENCE: Staff were aware of their role in supporting the residents to be as independent as possible. There were provided with a contract and job description. Staff undertook induction training both in the home and at the college. Staff had developed positive relationships with residents and residents without exception said they liked the staff and felt able to approach them. Staff appeared to be The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 20 interested and motivated and they spoke with residents in a relaxed and friendly manner that showed them respect. Staff did receive training and this included an awareness of mental health, challenging behaviour, adult protection and medication as well as the necessary training relating to health and safety. A number of staff had achieved NVQ level 2 and several are currently taking the qualification. However the home needs to take some action in order to achieve the standard of 50 qualified. The home’s staffing levels were suitable to meet the needs of the residents. The home operated on approximately 563 hours per week that allowed for a minimum of three staff on duty in the morning and two in the evening and waking night staff. The rosters showed that on many occasions there were higher staffing levels with three or at times four staff on duty at a time. The home had two activity staff that supported the residents to attend college, arranged social and leisure activities and accompany residents to undertake tasks, such as going shopping and to the bank, in the community. Staff received supervision and support to undertake their role. The home had staff meetings and provided staff with formal individual supervision. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 21 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 The residents benefited from a home that had a manager that was trained and experienced and operated an open door policy. However the manager did need to complete a management qualification. The home’s review and development systems provided the residents with a home that had plans to develop and improve its service. The health, safety and welfare of the residents was promoted and protected by the home’s health and safety procedures and from the training staff received. EVIDENCE: The manager had the necessary knowledge, skills and experience to effectively manage the home. She had obtained a qualification in nursing and she had worked in area of mental health for twenty years. She had commenced the managers’ award but due at the present time had postponed completing the course. She was in daily contact with residents and operated an open door The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 22 policy. She was very supportive to staff and residents and was keen to support staff to develop their knowledge and skills. She had a relaxed style and residents felt at ease with her. She was keen for the home to develop and improve the service it provided. The home had a number of quality assurance systems in place. Residents’ views were sought individually and through resident meetings. The home undertook regular audits of health and safety issues, the environment and care plans. The home had a health and safety policy in place and had developed a range of risk assessments for safe working practices. Staff receiving training in health and safety issues including food hygiene, first aid, manual handling and internal training in fire prevention. The home undertook the required testing and servicing including the fire alarm, emergency lighting, the boilers and the testing of the temperatures of water. The home had procedures in place for the control of the legionella bacteria. The home was close to completing the covering of the radiators and this was due for completion in the near future. The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 23 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 X 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Hollies Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 2 3 3 X X 3 X DS0000064031.V253744.R01.S.doc Version 5.0 Page 24 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. 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 2 3 4 Refer to Standard YA24 YA32 YA37 YA42 Good Practice Recommendations To replace/clean the carpet in the second dining room To increase the number of staff that have achieved NVQ2 The Care Manager to complete a management qualification For fire training to be undertaken by a specialist in fire training once a year The Hollies DS0000064031.V253744.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 DS0000064031.V253744.R01.S.doc Version 5.0 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. 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!