Inspection on 27/02/07 for The Hollies

This inspection was carried out on 27th February 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Hollies 21/03/06

The Hollies 09/11/05

The Hollies 17/03/05

The Hollies 24/08/04

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 109 Coleshill Road Marston Green Solihull West Midlands B37 7HT Lead Inspector Julie Preston Key Announced Inspection 27th February 2007 11:00 The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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.V328638.R01.S.doc Version 5.2 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.V328638.R01.S.doc Version 5.2 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.V328638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21st March 2006 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 and no staff are employed. 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 road of the residential area of Marston Green and is 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 service users. Mr and Mrs Rooke also have a property in France. Use of this is an important part of their lives, and that of the service users. The contrast between life in a residential suburb in the West Midlands, and in a rural part of France, enables service users to have a greater number of opportunities and experiences than they might otherwise have. The home charges £350 - £450 a week of which service users contribute an amount from their welfare benefit. There are no additional charges for any services. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork took place over half a day and was the home’s first key inspection for the year 2006-2007. The owners and service users knew the inspector was coming. This is because they spend time at their home in France and the inspector did not want to visit whilst they were away. Service users wrote down things they liked about the home and sent them to the CSCI before this visit took place. The owners wrote down things about health and safety in the home and the support they give to service users. This helps the inspector understand how the home is run. Bedrooms, the lounge, kitchen and bathroom were looked at to make sure they were clean and safe for service users. Records that explain how service users are cared for were read and the owners talked about the way they help service users make choices and be involved in the routines within the home. There were no immediate requirements made as a result of this visit. What the service does well: What has improved since the last inspection? Service users have bank accounts for their savings so that their money is kept safely. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 6 The temperature of hot water in the home has been made safe so that service users do not risk scalding themselves. 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 summary of this inspection report can be made available in other formats on request. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed before they move into the home so they can be confident their needs can be met there. EVIDENCE: The service user most recently admitted to the home moved in eight years ago, other service users have lived there for up to seventeen years. The home has no vacancies and the owners confirmed that it was highly unlikely they would offer a placement to a new service user should a vacancy arise. All placements were seen to have been arranged by a Social or Health Care professional following a period of assessment and trial visits. Evidence was seen in service users records that their placements at the Hollies continue to be monitored each year by the funding agency to make sure that the home meets their individual needs. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users care is planned for and understood by the home’s owners. Risk assessments are not sufficiently developed to promote service users health and well being for some of the activities they undertake. EVIDENCE: Each service user has a care plan, which describes the support they need to maintain and develop their independence. Care plans are reviewed each year by an officer from Solihull Care Trust, which includes input from the service user and the registered owners. The owners demonstrated considerable knowledge of service users needs and understanding of their role in supporting individuals to self care where this is appropriate to their assessed needs. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 10 Some risk assessments are in place to describe the controls needed to minimise potential risk to service users. Development of the risk assessments is necessary to include those activities undertaken by service users when they holiday in France (ie) cycling and swimming, so that their health and well being is promoted and protected whilst they are there. Written comments were received from service users about the decisions they make in the home. “I do what I want” and “I mostly make decisions, I sometimes ask Tony and Jenny if I want to”. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users experience a meaningful lifestyle and take part in activities that promote their independence. EVIDENCE: Two service users attend a local day centre and work placement during weekdays, whilst another receives support to access community based activities directly from the home. These include visiting the owner’s relatives, shopping, walking the family dog, trips to the park and café’s for coffee. A risk assessment had been completed for a service user that travels independently to a work placement to promote his safety whilst travelling. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 12 There were a number of photographs of service users taking part in activities displayed around the home. Service users also have photograph albums that are personal to them and kept in their bedrooms. The activities ranged from gardening, boating and cooking to trips to Austria, France and Italy. The owners have a property in rural France where they and the service users spend about four or five months each year. The service users 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. Some of the service users have learned a few words of French to help them communicate with their friends in France. Arrangements have been made so that in the event Mr or Mrs Rooke is unable to care for service users in France as a result of an accident or emergency, there are English-speaking friends living nearby who can respond quickly. The local doctor lives 500 yards from the property so that if anyone is unwell they have access to his services. The owners were keen to stress that this had never occurred. The owners commented that there had never been a situation where a service user said they didn’t wish to go to the house in France, however if this did occur arrangements would be made for them to remain at home with a carer. One service user stated, “I have two homes, one here and one in France”. None of the service users have family members that keep in touch with them. One of the service users said that the owners’ relatives were her family and it was explained that this was largely due to the considerable amount of time the person had lived in the home and the ethos of care as a family home. From observation of the service user present at this visit, it was evident that the person’s independence was encouraged. The service user helped make drinks and lunch and chose where to spend the day. The home does not have a formal menu, which is recorded. Instead service users choose what they want to eat from the weekly shop. Service users provided written comments that they enjoy the food at the home and always have a choice of meal. This was observed in practice during the visit. Service users have opportunities to go food shopping and do some cooking. The owners demonstrated a sensitive approach to helping a service user take part in food shopping by choosing smaller supermarkets as large spaces and crowds increase the person’s anxiety. The inspector was told that no specific diets are required and that service users have food that is reflective of their cultural background, such as roast Sunday lunches. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 13 No records of food consumed by service users are kept. This must be addressed so that it is clear that individuals are receiving a balanced and nutritional diet. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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: Service user personal and health care records were sampled. There was evidence that service users attend regular dental and optician appointments and see their local GP as needed. The owners described providing a nutritious diet and encouraging regular exercise as a means of promoting a healthy lifestyle. The service user present at this visit had clearly been supported with personal care and was considered well dressed, in keeping with the person’s age and gender. No prescribed medicines are needed by service users. This was the same as at the last inspection. One of the owners has completed training in the The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 15 administration of medicines to develop her skills in the event that service users require prescribed medicines in the future. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory arrangements in place for service users to make complaints and safeguard them from potential harm. EVIDENCE: “How to Complain” leaflets issued by Solihull Care Trust are made available to service users. Two service users stated in their comment cards that they were aware of their right to raise complaints within the home and would speak to either the owners or staff at their day placements if they needed to. There have been no complaints about the home in the last twelve months. Since the last inspection, individual bank accounts have been set up for service users so that their savings are separate from the owners’ account. This was a requirement of the previous inspection. The owners were able to describe circumstances under which they would seek professional guidance in the event that service users behaviour changed which might indicate a need to review the service provided in the home. Comment cards received from service users stated that they were always treated well within the home. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and pleasant environment, with facilities available to meet their individual needs and promote their independence. EVIDENCE: The Hollies is a spacious, detached house situated close to the shopping areas of Marston Green and Chelmsley Wood. There are bus routes close by, which meet the needs of service users that travel independently. The home is no different to other properties in the area and is well presented, decorated and furnished. Shared areas consist of a lounge and through dining room with a separate kitchen. Work continues in the extension, which upon completion will provide additional living space for the owners and service users. The ongoing work does not have an impact on service users comfort and well being as the extension is currently sealed off from the rest of the home. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 18 The dining room has sufficient space for the owners and service users to eat together. Each service user has their own bedroom, one of which has an en suite bathroom. Bedrooms were clean and warm, well furnished and reflective of service users personalities and tastes. The owners advised that the ground floor bedroom was due to be redecorated, however they would arrange for the work to take place whilst they were in France to minimise disruption to the service user. There are facilities for service users with mobility difficulties to bathe safely in the ground floor bathroom, with grab rails positioned to promote the person’s independence. Evidence was seen that bathing equipment had been serviced as safe to use within the last five months for the protection of those using it. The kitchen was observed to be clean and hygienic. Temperatures of refrigerated and frozen foods are recorded to avoid risks of food contamination for service users health and well being. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive good support from the owners of the home so that their individual needs are understood and met. EVIDENCE: The owners, Mr and Mrs Rooke live at the home and provide all the care to service users. No staff are employed. In the event that the owners take a break from caring, which was described as infrequent, support is provided to service users at the home by a family member who is a registered care manager and has known the service users for many years. The owners have completed recent training in First Aid, Moving and Handling and Medicines Management. Mrs Rooke described receiving health and social care magazines as a means of keeping up to date in the field of care work. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 20 From observation of service users interaction with the owners, it was clear that respectful and meaningful relationships had been formed. Comments received from service users not present during this visit further supported this. “I always want to live with Tony and Jenny”, “I really like the people I live with” and “My life is much better living here”. Both comment cards stated that service users considered they were always well treated in the home. The owners demonstrate considerable knowledge of service users needs and understand their role in supporting service users to maintain and develop their independence. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and service users health and safety is promoted and protected. EVIDENCE: The owners have run the home for seventeen years, having prior to 2001, been part of an Adult Placement (AP) Scheme. Unfortunately Solihull Care Trust does not have a registered AP Scheme and there are reportedly no plans to introduce one in the future. The owners have very much maintained the ethos of an AP style service to the people who live in the home, including them in family life and decision making. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 Page 22 Whilst there is no formal quality assurance system, service users comments about their involvement in the running of the home were very positive. “We make our choices together, like a family does” and “I get lots of things done by myself. This is important to me”. Service users placements at the home are reviewed each year by a multi disciplinary team of people that have contact with them, including the owners, day centre and work placement staff, health and social care professionals. It was evident from reading review records that service users enjoy living at the home and continue to develop their independence and life experiences. The owners have completed periodic training to assist their care of service users, such as First Aid and Moving and Handling. A tour of the premises showed that there were no obvious health and safety hazards that may place service users at risk of harm. Since the last inspection, the delivery of hot water has been regulated to provide a consistent, safe temperature and reduce the risk of service users being scalded. A report made by the Environmental Health Department in March 2006 about food hygiene practice identified the home as having safe and good standards. No recommendations had been made, which indicates that service users are protected by the home’s food safety practice. Weekly tests of the smoke alarms are made and recorded to make sure that the system is working for the safety of those in the home. A representative of West Midlands Fire Service has visited the home and installed a ten-year smoke detector in addition to the smoke alarms situated around the home for the protection of service users. The home has a fire escape plan, which is kept at the local fire station so that in the event of an emergency the fire service are aware of the layout of the premises and the location of fire exits. Certificates were in place for the maintenance of portable electrical appliances and the electrical hardwiring system, dated January 2007, to show they had been checked for safety. The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Hollies DS0000004552.V328638.R01.S.doc Version 5.2 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. 1 Standard YA9 Regulation 13(4)(b, c) Requirement Timescale for action 20/04/07 2 YA17 17(2) Sch 4(13) Risk assessments must be developed and implemented to clearly state the controls in place to manage known hazards associated with activities that individuals take part in whilst in France. Records of the food consumed by 20/04/07 each service user must be maintained in sufficient detail to enable it to be established that a varied and nutritious diet is provided. 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.V328638.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V328638.R01.S.doc Version 5.2 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. 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