Inspection on 24/10/05 for The Hollies

This inspection was carried out on 24th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 11/08/06

The Hollies 13/02/06

The Hollies 16/12/04

The Hollies 29/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 Hollies (The) The Hamlet South Normanton Derby Derbyshire DE55 2JN Lead Inspector Gail Meads Unannounced Inspection 24th October 2005 09:30 Hollies (The) DS0000020018.V261396.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 Hollies (The) DS0000020018.V261396.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. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hollies (The) Address The Hamlet South Normanton Derby Derbyshire DE55 2JN (01773) 580872 (01773) 812294 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) Prime Life Limited Lisa Jo-Anne Cummins Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20) of places Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th December 2004 Brief Description of the Service: The Hollies is a purpose built care home set in its own landscaped garden. The home is not close to shopping areas but is a short bus ride from Alfreton, which offers a good range of facilities. The home provides accommodation for 20 younger adults with mental health difficulties. The home provides staffed care, full board and a range of social and leisure activities. Service users have access to laundry and kitchenette facilities to promote independent living skills. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a four hour period. Additional time was spent in preparation for the visit, looking at previous reports and other documents. During the inspection process a number of documents were examined, including residents’ care files, staff files and records; time was spent speaking to a number of residents, and to the manager and staff. The inspector spent a specific amount of the inspection concentrating on the care arrangements for two residents for the purpose of case tracking. What the service does well: What has improved since the last inspection? What they could do better: Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 6 Mental health and NVQ Training opportunities must be provided for all care staff. 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. Hollies (The) DS0000020018.V261396.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 Hollies (The) DS0000020018.V261396.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): 1.2.3.4.5 The appropriate information is given to potential residents to enable them to make an informed choice about the services the home provides and its suitability for their individual needs. EVIDENCE: The homes Statement of Purpose and Residents’ Information Guide were examined and found to be satisfactory. All potential residents are given a trial period prior to being offered a permanent placement, one resident had had a phased placement over a ten month period this was to enable the resident to feel secure and safe. It also enabled the manager to identify whether the home could fully provide the service the resident needed. The two residents files assessed had full and informative needs assessments in place. The Terms and Conditions of Residency are provided in the Residents’ Information Guide. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 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): 6.7.8.9. Residents are aware of their individual Care Plans and are involved in their reviews and day to day decisions within the home. EVIDENCE: The residents spoken to for the purpose of case tracking were aware of their Care plans and stated that they had been involved in the process of developing them. Regular residents meeting are held and day to day issues are discussed residents have a say in the meals provided, the activities and social events and the decoration and furnishings of their own rooms. The manager stated that residents were invited to sit on the staff interview panels. All the documentation examined is ‘user friendly’ the Information guide is in colour as is the introduction to the home brochure. None of the present residents self medicate or handle their own financial affairs as it would not be appropriate for their level of capability. A number of risk assessments and risk management were in place on the files examined these included risk of scalding; mobility and behaviour risk evaluations are also completed and held on file. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11.12.13.14.17. Residents are given the opportunity to engage in a wide range of activities and social events Residents are involved in the choice of meals provided. EVIDENCE: The home offers a wide range of activities that residents can engage in. There is a regular games session with tea and biscuits is offered every afternoon for residents who choose not to go out this has proved successful with a number of residents who have been unmotivated and uninterested in other activities. Residents spoken to spoke of trips out to the local town to shop, trips to Scarborough also a short holiday in a caravan at Whitby although the stated that it was too cold for them to enjoy. Some residents attend local day services and resource centres. There are no residents at present in voluntary or paid employment and none attend college/further education outlets. There are a number of residents who go out to local shops and pubs. Residents can choose what they want to do some stay up late and get up late others like to spend a considerable amount of time on their own in their rooms. Meals are provided at regular times however if a resident gets up late or wishes to eat in their own room meals are provide accordingly. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 11 There are kitchenettes provided in each unit of the home to enable residents to get drinks and snacks as they wish. Residents are encouraged to be as independent as they choose to be personal laundry can be done by staff in the home or alternatively if the resident wishes to be more independent then washing facilities are available to use. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18.19. Key workers help support and advise residents. A wide range of health services is provided. EVIDENCE: Each resident is allocated a named keyworker who works closely with them to assess what they want to do and advises, encourages and supports them accordingly to achieve their goals. Residents spoken to spoke highly of staff generally one said “they are very good they are always helping us and taking us to different places” Another said “when your ill in bed staff do sometimes forget you and you don’t get a cup of tea” although the resident went on to say “when you feel down staff are there for you and they will give me a hug and a cup of tea and I feel better” The home now has a chiropody service available to residents, dental and optical services are provided in house on a six monthly basis. All but three residents now have identified mental health consultants. One resident who is registered partly sighted has had a range of equipment provided including a clock, lamp and special buttons fitted to his television and music centre. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22.23. The home provides a clear complaints procedure. EVIDENCE: The complaints procedure was examined and found to be satisfactory a complaints record is in place and there had been no complaints made since the last inspection 16/12/04. All but two of the present staff have now received the Protection of Vulnerable Adult (POVA) training. The home has the Derbyshire’s adult protection committees’ policy in place. POVA checks are completed as part of the recruitment of staff policy and procedure. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These Standards were not assed during this inspection. EVIDENCE: Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 31.32.34.36. Staff appear to work together as a team, however staff have had few training opportunities. EVIDENCE: A job description is included in the staff recruitment documents. The home has experienced a number of external difficulties with regard to the provision of staff training; this is reflected in the lack of staff achieving National Vocational Qualification (NVQ). The manager stated that an NVQ assessor has now been found to enable staff to commence NVQ training. There is a minimum level of mental health training provided an area of training, which needs to be addressed more fully. Induction training and all mandatory training are provided, as is staff supervision. Records of staff induction and supervision are kept on staff files. Two Staff files were examined and the homes recruitment policy was adhered to, all the required documentation as identified in Schedule 2 were in place. Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 16 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): These Standards were not assessed during this inspection. EVIDENCE: Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 1 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hollies (The) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000020018.V261396.R01.S.doc Version 5.0 Page 18 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 YA35 Regulation 18(1)(a) Requirement The registered person must provide ongoing mental health training for all staff. Timescale for action 01/12/05 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 YA32 Good Practice Recommendations 50 of all staff should achieve NVQ level 2 by 2005 Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Hollies (The) DS0000020018.V261396.R01.S.doc Version 5.0 Page 20 - 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. 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