Inspection on 22/02/06 for The Hollies

This inspection was carried out on 22nd February 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Hollies 26/09/06

The Hollies 19/09/05

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 Unannounced Inspection 22 February 2006 9:30 The Hollies DS0000064031.V284372.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 DS0000064031.V284372.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 DS0000064031.V284372.R01.S.doc Version 5.1 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.V284372.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 Physical Disability (PD) for named person only Date of last inspection 19th September 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.V284372.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a four-hour period. During the inspection discussions took place with eight residents to find out what it was like to live in the home. All comments were positive. Additional discussions took place with two staff and with the Care manager. A sample of support plans was examined as well as the arrangements for the storage and administration of medication. A sample of records relating to the management of residents’ money was looked. A sample of personnel files was looked as well as the records relating to staff training. The home had developed support plans that outlined the needs of the residents and showed the actions needed to meet residents’ needs. Plans were being reviewed six monthly by the key worker and the resident. Staff were knowledgeable about the individual needs of the residents and were provided with a range of training. Residents received ongoing health monitoring and support from specialist health care services. Eye and dental checks and nail care was provided. Residents said that the home’s routines were flexible and that they could choose where and how to spend their time. They could spent time in their bedroom or in the communal rooms. All bedrooms had suitable locks and a number of residents chose to use a key and some also had front door keys. The home’s staffing levels enabled residents to be supported and provided some time for 1:1 and small group activities. The home’s medication procedures were meeting the residents’ needs. Records were suitably completed and staff received training in the administration of medication. The home practices and procedures in adult protection should increase the residents’ level of protection and systems were in place to respond to any concerns raised by residents and staff. Training was provided to staff as part of their induction and through courses provided by the company and external agencies. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 6 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 DS0000064031.V284372.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 DS0000064031.V284372.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): 3,4,5 The home undertook assessments to ascertain whether the home could meet a prospective resident’s need and all prospective residents were expected to visit the home to meet staff and other residents to assist them to decide whether they wanted to move to the home. Residents or their representatives were made aware of their rights and responsibilities through the provision of contracts from the funding authority and the home. EVIDENCE: The home undertook assessments of the needs of prospective residents to ascertain whether the home could meet their needs. The assessment covered the necessary areas including their health and personal care needs. This assessment was the basis for the support plans. Prospective residents were expected to visit the home before deciding they wanted to move to the home. A recently admitted resident had a lengthy introductory period that included day visits and over night stays. All placements were made on a trial basis and were not made permanent until a multi agency review had been held. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 9 Copies of contract were seen on files. These were provided by the funding authority and by the home. These documents outlined residents’ rights and responsibilities. The contract provided by the home identified the room that a resident was to occupy. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 6,8,9 The home’s support plans provided the necessary information for staff to be able to meet the residents’ need. Residents were being protected through the home’s risk assessment processes and were not being subject to any unnecessary restrictions. The home provided residents with the opportunities to participate in a range of tasks related to running the household. The home sought residents’ views and there was evidence that wishes were acted upon. EVIDENCE: The needs of the residents were outlined in individual support plans. These covered a resident’s health and personal care needs, their occupational needs and their social needs. The plans showed the actions required to meet the needs. Records relating to the different elements of the support plans were kept by staff. Support plans were being internally reviewed by the key worker and the resident on a six monthly basis. There was also evidence of multi agency reviews and reassessments. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 11 Discussions with a number of residents showed that the residents participated in a range of domestic tasks. These included working with staff to keep their bedrooms clean, doing household shopping, assisting with meal preparation, laying and clearing the table, making drinks and washing up. The home sought the views of residents over issues relating to the running of the home. Their views were sought over prospective residents, activities they wanted to participate in and over where they wanted to go on holiday. One resident reported that he had suggested going skiing and this had been arranged and another stated that she wanted to go to the Norfolk Broads on holiday and she and three other residents were going in May 2006. Residents stated that they had a residents meeting every week. Records confirmed this to be the case. The home also undertook surveys of residents to ascertain their views. The records showed that the home had developed a range of individual risk assessments. These included accessing the community, the management of hot water and hot surfaces and any risks associated with residents’ ability to manage their finances. Risk assessments were being reviewed. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 14,15,16 The home provided residents with the opportunity to take part in a range of leisure activities that were based on their choices. Residents were supported to maintain and develop meaningful relationships. The home’s routines allowed residents to make choices over how they spent their time. EVIDENCE: The home had two activity staff members who supported residents to attend college and organised and supported residents to take part in a range of social activities. The home had a schedule for activities in the evening. Residents stated that they went out on day trips having recently had the chance to go to a museum in Manchester, out walking and to the theatre. One resident stated that he went to the pub once a week. Two female residents stated that the home had beauty evenings when they had pedicures and had their nails painted. Other activities had included bingo, board games and DVD evenings. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 13 The home organised a range of holidays for small groups of residents and all those who wanted to go on holiday were able. Residents were asked where they wanted to go. Residents paid for their holidays. A number of the residents had regular contact with relatives and some went to stay with family members. The family encouraged and supported residents with family contacts to maintain and develop those relationships. The home had contacts with specialist health care staff that would provide any support or advise for residents having intimate relationships. Visitors were welcomed to the home at any reasonable time. The homes routines were quite flexible. Residents stated that they could get up at the time they wanted and go to bed when they chose. This did depend on residents’ individual schedules. Residents stated that they were choices at mealtimes and that they could spend time in their bedrooms or in the communal areas. Residents stated that they could choose whether to go to college and what courses to take. They could choose whether to take part in activities or not. All bedrooms had suitable locks fitted and a number had keys to their bedrooms. Some had chosen to have keys but not to lock their rooms and some always locked their bedrooms. A number of residents had front doors. These residents had been assessed as being able to manage using the key safely. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 19,20 The health care needs of the residents were being met with evidence of staff monitoring health needs and the involvement of a range of health care specialist. It was required that the home evidence any reasons and actions taken to respond to residents being overweight EVIDENCE: The home had identified the health care needs of the residents. Records showed that residents received eye checks, dental checks and accessed the chiropodist. Residents weight was being checked on a monthly basis and the home had responded to gains and losses. The plans to address those that were underweight were showing positive results. Although the home had tried to implement healthy eating there continued to be many residents that were obese or morbidly obese on the BMI scale. The reasons for this could be related to the side effects of medication but the home should to seek medical advice to ascertain if action can be taken to address this. Residents received psychiatric intervention and regular health care monitoring. All residents had a GP and residents spoken to reported that they would tell staff if they felt ill and the staff would support them to go to the doctor. The home addressed issues of continence and staff and received training in catheter care. The home had The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 15 links with the asthma clinic. The staff were alert to changes in residents conditions and had received basic training in mental health issues. The home had procedures in place for the storage and administration of medication. Medication was stored securely. Records were kept of medication received and of medication returned to the pharmacy. Staff had received training in administering medication. A check was made on the administration of medication. The records were fully completed with no gaps in the records. The sample checked showed that the medication in the home corresponded with that prescribed by the pharmacist. The home had procedures in place for the administration of PRN medication. Residents received medication reviews. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 23 The procedures in place relating to adult protection including the safeguarding of residents’ money should protect residents from abuse and should ensure that any concerns are quickly detected. EVIDENCE: The home had adult protection procedures in place and staff received training in this as part of their induction and as part of their NVQ training. A number had also received training by the company and from the local authority. Staff were aware of the issues and knew the procedure to report any concerns. The home had individual plans in place to respond to any physical or verbal aggression. The home’s procedures for the management of residents’ were suitable with residents being involved in all expenditure and both the resident and staff signed for money. Receipts supported expenditure for anything other than a small amount. The home had separate procedures for the expenditure of large amounts that involved involving a third party such as a Social Worker or a relative. The records were checked at the beginning of each shift meaning that any errors would be quickly detected. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 24,27,28,30 The home’s premises were being adequately maintained and provided residents with communal accommodation that was well decorated and furnished and was generally homely. The cleaning procedures and practices provided the residents with accommodation that was clean and should prevent the risk of the spread of infection. EVIDENCE: The home was suitable to meet the needs of the residents. It was located within walking distance of local shops, the park and pubs. The centre of Hanley was within a 20-minute walk. The home was being maintained satisfactorily. The home had had one of the dining rooms decorated recently. The home was satisfactorily decorated and furnished throughout. The lounges were decorated and furnished in a domestic and homely manner. The home had enough communal rooms for the residents with two dining rooms and two lounges. The kitchen was a good size but was of domestic type. Its size enabled residents to work alongside staff to undertake domestic tasks. The home sufficient toilets and bathing facilities but would benefit from an additional shower. The home The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 18 was a no smoking home but residents that smoked did so in an area of the rear yard. The home appeared to be clean and tidy. The home had cleaning schedules in place and practices in place to control the risk of the spread of infection. . There were aprons and gloves available. The home had adequate provision for hand washing and signs in place to encourage effective hand washing. The home had a small laundry that was positioned so that dirty laundry did not need to pass through eating or cooking areas. The laundry had washing machines that washed at a high temperature. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 32,33,34,35 The staffing levels were at a level that could meet the needs of the residents. The home training provided staff with the knowledge to be able to support the residents. The home had plans in place to provide a satisfactory number of qualified staff. The residents were being supported and protected by the home’s recruitment and selection procedures that were ensuring that pre employment checks were completed. EVIDENCE: The home had suitable staffing levels. The roster showed that the home had three care staff on duty during the morning and two or three staff on in the afternoon/ evening. In addition there was an activity staff member on duty. At night there were two waking staff on duty. Residents stated that staff were available to provide them with support and that staff supported them to go shopping, to go college, out for trips and during the evening to take part in activities if they wanted. The staffing levels allowed for some 1:1 work and activities in small groups. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 20 The home provided new staff with induction training and with additional training related to the residents group. The company provided a range of training and accessed training from other providers. Training included basic mental health, adult protection, medication as well as the training relating to safe working practices including fire, food hygiene and first aid. All staff were required to undertake a range of training as part of their employment. The home had some staff qualified to NVQ including four staff that had level two. One staff was taking level two and three staff were doing NVQ 3. The home had also nominated some staff for LDAF training. Should all these staff complete their training the home should be close to achieving the standard 50 of staff suitably qualified. A sample of personnel files was examined. There was confirmation of CRB checks and the presence of two references on file. Application forms were completed. Although confirmation of identity was not on file the company confirmed that this information was held centrally. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 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): 37,43 The residents were benefiting from a home that was well run by the manager who had the necessary experience and knowledge to be an effective manager although had not completed a management qualification The residents benefited from systems in place for external management and support. EVIDENCE: The Care manager had worked at the home for some years. She had a history in mental health nursing. She had the necessary knowledge of the residents’ conditions and experience of managing a care home. She had not completed a qualification in management. The home had the necessary insurance in place. The care company provided financial and administrative support and the Registered Individual undertook the required monthly visits. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 22 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 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 3 X 2 X X X X X 3 The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? N0 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 YA19 Regulation 13(1)(b) Requirement To ensure that recording includes any medical reasons for obesity and that any actions taken to address weight issues are recorded. Timescale for action 01/05/06 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 YA19 Good Practice Recommendations Whilst the home has dietary plans in place it is recommended that the home look whether there is any further action they can take to address the level of obesity of some residents including consulting with GP’s and dieticians and looking again at the diet provided. The Hollies DS0000064031.V284372.R01.S.doc Version 5.1 Page 24 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.V284372.R01.S.doc Version 5.1 Page 25 - 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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