CARE HOME ADULTS 18-65
The Hollies 109 Coleshill Road Marston Green Solihull West Midlands B37 7HT Lead Inspector
Sarah Bennett Unannounced Inspection 21st March 2006 13:50 The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 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 DS0000004552.V284556.R01.S.doc Version 5.1 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 DS0000004552.V284556.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Hollies Address 109 Coleshill Road Marston Green Solihull West Midlands B37 7HT 0121 779 2557 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) Mr Tony Rooke Mr Tony Rooke Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: The Hollies is a family home that is registered as a care home for three younger adults who have a learning disability. Mr Rooke is the registered person, assisted by his wife. They provide all the support and care for the residents. Mr and Mrs Rooke live at the home, which operates very much as an Adult Placement Care Home, but cannot be designated as one, owing to the lack of an Adult Placement scheme in Solihull. The home is an attractive detached house on the main thoroughfare of the residential area of Marston Green in keeping with neighbouring homes. It is situated approximately 3/4 mile away from the local shops and is close to public transport routes. The home has a large and private garden at the rear. An extension to the home is being built, which will offer more living space to Mr and Mrs Rooke and the residents. Mr and Mrs Rooke also have a property in France. Use of this is an important part of their lives, and that of the residents. The contrast between life in a residential suburb in the West Midlands, and in a rural part of France, enables residents to have a greater number of opportunities and experiences than they might otherwise have. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. One inspector undertook this inspection over one afternoon. The information was collected in a number of ways including talking to people who live in the home, talking with the owners and a partial tour of the premises. Health and Safety records and the records about the people who live there, were sampled. This was the second of the statutory inspections for 2005/06 and not all the standards were looked at during this inspection. To have a full report of what the inspections found, this report should be read in conjunction with the earlier report from November 2005. What the service does well: What has improved since the last inspection? What they could do better:
Resident’s benefits must be paid directly into their individual accounts so it is clear how much money they have coming in and how much they spend.
The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 6 A complaints procedure must be in place so that residents know how to complain and the role of the CSCI in dealing with complaints. Risk assessments for fire, the premises and food safety must be developed. This will make sure that action is taken to ensure that any risks to residents are minimised. An electrician must test the electrical hard wiring to make sure that it is safe to use. Thermostatic valves must be fitted to the sinks so the temperatures can be kept at the recommended safe level of 43 degrees centigrade. 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 DS0000004552.V284556.R01.S.doc Version 5.1 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 DS0000004552.V284556.R01.S.doc Version 5.1 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): These standards were not assessed. There have been no new admissions to the home and the residents have lived there a number of years. EVIDENCE: The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 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 the following standard(s): 7 Adequate arrangements are not in place to show that residents make decisions with support as needed in all areas of their lives. EVIDENCE: The standards relating to care plans and risk assessments were met at the last inspection and were not assessed. Residents have reviews every six months at the day centre or the home where appropriate and social workers are involved in these. Residents said and it was observed that they have choice in their day-to-day lives about what they eat, drink and how they spend their time. Each resident has their own bank or post office account. It has been identified at previous inspections that the owner is the appointee for all residents and their benefits are paid directly into the Hollies account. Residents are given a daily allowance for the centre and the owner and residents said that anything they need is bought for them. The owner said at the last inspection that none of the residents had any savings when they came to the home and the amount they spend each week exceeds their personal allowance. The owner said that he has had difficulty in opening bank accounts with Barclays for each resident. He said that benefits can be paid into their individual post office accounts but
The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 10 these accounts can only be used for paying benefits into and drawing them out. However, this would provide an audit trail and show what each person is receiving and spending each month. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 11 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): 12, 13, 14, 17 Adequate arrangements are in place so that people living in the home experience a meaningful lifestyle. EVIDENCE: Two residents attend day placements from Monday to Friday. One resident travels independently to their placement on public transport and has their own bus pass. The other resident does not have a formal day placement and spends their time with the owners. They visited a family member in the afternoon and said they had been to the post office to renew their passport in the morning. They said that they often go shopping. Residents said that they go to parks and out for walks with the dog. The home has two vehicles, which the residents use. The owners have a property in rural France where they and the residents spend about four or five months each year. The residents and owners said that while they are in France they go for walks, go fishing, have barbecues and spend time with their friends in the village. Several photographs of the property and residents were seen. The owner said that one resident has been white water rafting in France and all residents have been up mountains in cable cars.
The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 12 Residents said that they are encouraged to eat a healthy diet. One resident said that they take a packed lunch to their day centre, which includes fruit and a yogurt. They said that they like to eat fruit and there is always fruit in the home. Fresh fruit and vegetables were available. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 13 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 Adequate arrangements are in place to ensure that residents receive personal support in the way they prefer and require and their health needs are met. EVIDENCE: Since the last inspection a manual handling assessment has been developed for a resident that states what support they need with their mobility. It also states what training staff need to do to ensure there are no risks to the resident or staff. The owners have received training in manual handling. Residents were dressed appropriately according to their age, the weather and the activities they were doing. Residents have regular dental check-ups and eye tests. One resident who is anxious about going to the dentist goes every three months to a local dental clinic to try to ensure their dental health is good and they get used to going. The standard relating to medication was not assessed as none of the residents are prescribed medication. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 14 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 Adequate arrangements are not in place to ensure that resident’s views are listened to and acted on. Arrangements are not yet adequate to ensure that residents are protected from abuse. EVIDENCE: The home and the CSCI have received no complaints about the service provided in the last twelve months. The home does not have its own complaints procedure. The owner said that they use the one from Solihull Social Services who place the residents at the home. The owner said that if two of the residents had any complaints they would tell someone at their day placement. He said that the other resident makes their views known and they sort things out as a family. A complaints procedure must be in place so that residents and their representatives know how to make a complaint. This must include the role of the CSCI in dealing with complaints and details of how to contact them. Standard 23 was partly assessed in relation to resident’s finances. This is detailed further under standard 7. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 15 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, 30 Residents live in a homely and comfortable environment that meets their individual needs. EVIDENCE: The home has a comfortable, homely and relaxed feel. It is well decorated and maintained. The home was warm and clean and free from offensive odours. The owner said that more work has been completed on the extension. This will provide another lounge on the ground floor and a bedroom for the owners on the first floor. Some of the plasterwork has been done; the central heating has been installed. The bathroom and WC need to be finished and then decorating will need to be done. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 16 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): 33 The owners know the individual residents well and can support them appropriately. EVIDENCE: Mr and Mrs Rooke provide 24- hour care to the residents and do not employ any staff. Two of the residents attend day placements from Monday to Friday. The home is run in the style of a family home. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 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 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): 42 Adequate arrangements are not in place to ensure that the health, safety and welfare of residents is always promoted and protected. EVIDENCE: An Environmental Health Officer visited on 10th March 2006. They made no recommendations and said that the food hygiene practices were good at the time of the visit. The owner said that the fridge/freezer thermometer is not reading properly and is out by about a degree so he will be replacing it with a digital one. The owner said that the main temperature on the water tank has been adjusted so that the water temperatures are not too hot or cold. Thermostatic valves have not been fitted to the sinks. These must be fitted and the temperature kept at the recommended safe level of 43 degrees centigrade. The owner said that an electrician has not tested the electrical wiring installation. The portable electrical appliances were tested a couple of weeks before. The owner said that a fire officer from the local fire station visited and installed a ten - year smoke detector. They also took all details and a plan of the home
The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 18 to keep in the fire station so if there were a fire they would know the layout. The smoke detectors are tested weekly to make sure they are working. A requirement was made at the last inspection for risk assessments to be developed for fire, the premises and food safety. This requirement remains outstanding. The owner has information on completing a fire risk assessment. The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 2 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X X X X X X 2 X The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 20 Yes 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 YA22 Regulation 22 (1-8) Requirement Timescale for action 30/06/06 2. YA7YA23 3. YA42 4. YA42 5. YA42 A complaints procedure must be in place that includes the role of the CSCI in investigating complaints and details of how to contact them. 13 (6) Service users money must be paid into their individual bank accounts. An audit trail of money received and spent must be established. Outstanding from last inspections. 13(4)(a-c) Risk assessments for fire, 23(4)(a)5 premises and food safety must be developed. Outstanding from last inspections. 13(4)(a-c) The electrical hard wiring test 23(2)(c) must be undertaken and a certificate obtained. Outstanding from last inspections. 13 (4) (a- Thermostatic valves must be c) fitted to the sinks. 31/05/06 30/06/06 31/07/06 31/05/06 The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Hollies DS0000004552.V284556.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 DS0000004552.V284556.R01.S.doc Version 5.1 Page 23 - 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!
