Inspection on 27/06/05 for The Hollies

This inspection was carried out on 27th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Hollies 22/05/07

The Hollies 26/02/07

The Hollies 17/10/05

The Hollies 17/12/04

The Hollies 01/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Hollies 84 Barnham Road Chichester West Sussex PO22 0ES Lead Inspector Mrs K Allen Unannounced 27 June 2005. V234729 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 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 Stationary 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 H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hollies Address 84, Barnham Road, Chichester, West Sussex, PO22 0SN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 555230 01243 555230 United Response Mr David Kim Oaten-Wareham Care Home (CRH) 14 Category(ies) of Learning disability (LD) - 14 registration, with number of places The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 14 male and/or female service users in the category of learning disability (LD) may be accommodated. 2. Up to 8 service users may be accommodated in the main house. 3. Up to 6 service users may be accommodated in the bungalow. 4. Only service users between the ages of 18 and 65 may be admitted. Date of last inspection 17th December 2004 Brief Description of the Service: The Hollies is a care home providing personal care and accommodation for up to fourteen people with a learning disability. It is located in the small town of Barnham, near Chichester, West Sussex and is close to shops, railway station, a post office and bus routes. The premises are divided into two wings, one of which is single storey. All areas are accessible to service users via a passenger lift if necessary. Some of the bathrooms are specially adapted for people with a disablity and everyone has their own room. There are grounds surrounding the building which are satisfactorily maintained, level and accessible to service users. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection, which included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place over six hours on Monday June 27th 2005. During the inspection all of the service users were spoken to either in a group or privately in their room and one resident showed the inspector around the house. Three staff were interviewed, the shift handover meeting attended and a discussion was held with the manager. In addition a number of records were seen. At the time of the last inspection there were two registered premises on the same site and following an application to vary they are now one registration. There is a single manager for the home, which is divided into two wings. Service users are looked after in two distinct groups with a senior person in charge of each one. What the service does well: What has improved since the last inspection? What they could do better: Care plans must set out how individual care will be provided, they should be monitored and reviewed and kept up to date. The retention of staff must be improved to ensure that staff with knowledge of the home and its residents are on duty at all times, in order to more fully meet residents needs. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 6 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 H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 standard(s) None EVIDENCE: The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 & 9 Care plans do not meet the National Minimum Standards. Service users make decisions about their own lives. Service users participate in all aspects of running the home. Residents are supported in taking responsible risks. EVIDENCE: A sample of three care plans were seen. They gave some information on care needs particularly communication, as well as details of some goals which residents wished to achieve. The documents were incomplete and not consistent. There was very little evidence that goals were being met. Each person has a daily programme although in only one case were any of the goals included in this. Staff said that they used the care plans to inform the care provided and therefore these documents must be improved in line with the National Minimum Standards. Reviews of care are carried out although some had not been done for more than two years. The manager confirmed that he was working on these matters and anticipated that appropriate working care plans will be in place in the near future. Residents lead their own lives. They went out to the shops, visited family, had boy/girlfriends and ate where they wished. Three people have an independent advocate. One person meets regularly with their key worker and advocate who The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 10 helps him to discuss any issues. Staff were keen to listen to residents and were able to understand their varying forms of communication. They ascertained their wishes about such things as how they wanted to spend their spare time, what college courses they wanted to do and who they wanted to spend time with. Residents are kept up to date about the running of the home and different events via a notice board. Symbols are used in some documents and regular meetings are held with service users. As previously stated, staff understand service users well and remind them about things like appointments, events and day-to-day matters on an informal and regular basis. Residents have been invited to train to assist in the recruitment of staff and three people have taken this up. They were very enthusiastic and said that news staff should be “polite, kind, able to cook and friendly”. Service users are able to take risks and staff support them in learning new skills to lessen such risks. For example, some residents travel to college on their own and others go to the local shops alone with their own money. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 & 15 Residents have opportunities for personal development. Residents are part of the community. Appropriate leisure activities are available for service users. Service users have appropriate personal and family relationships. EVIDENCE: The majority of residents attend college and were re-enrolling for next year. They were pleased with their choice of courses, which included craft, drama, cooking and gardening as well as ‘life skills’ such as money management and use of transport. One person had a volunteer job until recently but felt he wanted to gain paid employment and therefore left. Staff said that despite every effort it has not been possible to find a job and he now wishes to return to voluntary work. Another spends time at a day centre. Residents use local shops and transport including the local railway station. One session a week is planned for each service user to spend individual time with a key worker and this may include taking part in an activity locally. Service users enjoy a range of leisure activities including social clubs, swimming and board games. They have televisions and the home has its own video and DVD player. Everyone has the chance to go on holiday although The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 12 some prefer day trips. Plans are in hand for three women to go away together in September and individual trips for others are being planned. Family links are maintained for all service users although the level of contact varies. One person spends a considerable amount of time with her family with whom she lived until quite recently. Staff support people in these visits and provide transport to and from family homes if necessary. A number of residents said they had either a boyfriend or girlfriend and staff were careful to support these relationships and to ensure that they were consenting on both sides. Two residents were talking about getting married and staff had set aside time for them to discuss this and consider all of the implications for them. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 standard(s) None EVIDENCE: The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 Service users views are listened to and acted upon. Service users are protected from abuse and good procedures for the follow up of any allegation are in place and used. EVIDENCE: There is a clear written complaints procedure which is provided for each service user. It is written using symbols for those who require it. Residents said that staff listen to them and that they would talk to “Julie or Dave” (manager and deputy manager) if they were worried about anything. As previously stated three people have independent advocates. A recent referral of an adult protection matter shows that this area is understood and managed well. The resident concerned said she felt that the matter was being dealt with satisfactorily and that she was being supported. The organisation has a system for supporting any member of staff who is subject to an allegation of abuse. Good records are kept and relevant people informed including the Commission for Social Care Inspection. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27 & 28 The home is suitable for its purpose. Service users bedrooms suit their needs and promote their independence. There are sufficient toilets and bathrooms all of which provide privacy for service users. The amount of shared space is good and compliments individual service users rooms. EVIDENCE: The house was well maintained, located in a convenient position and is in keeping with neighbouring properties. All areas are accessible to all residents some of whom use the lift to the first floor. Furnishings are modern and of good quality. All service users have their own room and one person, who has an en-suite bathroom hopes to use the room as a bed-sitter. All bedrooms are well fitted out and have a wash-hand basin. Everyone has their own key and each room has a lockable cabinet for medicines. There are sufficient bathrooms and toilets all of which are suitably fitted out, although minor works were required in two bathrooms including replacement of missing tiles and cover to an electric light. Attention was also needed to one The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 16 of the showers and this was in hand. All toilets and bathrooms are fitted with suitable locks. Good communal space is provided including a lounge and separate dining room in each wing and large garden which is enjoyed by many of the residents. Each wing also has it’s own kitchen and there is a separate laundry used for all residents. There is an office in each wing which doubles up as a sleeping in room. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 & 33 Staff supported the aims of the home and understood their roles. Staff are competent and some are qualified. The staff team is not effective due to vacancies and reliance on temporary staff. EVIDENCE: Staff understood and supported the aims of the home. They had job descriptions. A key worker system was in place and both staff and residents understood who ‘worked’ with who. Permanent staff are good listeners, communicate well with residents, are patient, interested and motivated. They adopted a relaxed manner, which in turn created a comfortable environment for service users. They were not restrictive, for example at dinnertime one person ate in the garden as the weather was good and another ate in the lounge. They have knowledge of learning disabilities and understand service users behaviour and communication needs. There has been a considerable turnover of staff since the last inspection. There are three vacancies and two people are on long term leave from the home. This means that the home relies on agency staff to maintain the level of staffing required. They said it was difficult to give agency staff the necessary knowledge to do the job, in the short time that they were at the home. It was also evident that staff were not able to give uninterrupted time to service users The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 18 and were not always clear about what the plans were for the day. One resident spent at least three hours sitting in the lounge without any direct contact with staff as he was undemanding and placid, the staff time being taken up by more responsive or demanding residents. The use of temporary staff also limits what can take place as the home has a policy that they are not left alone in charge of the home. No ancillary staff are employed which means that staff do cooking, cleaning, gardening and administration as well fulfilling their caring role. The staff team has a good mix regarding age, gender and experience. Staff meetings are held. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 42 The registered manager is competent, qualified and experienced. The health and safety of service users and staff is protected. EVIDENCE: The manager has a number of years experience of managing the home and is currently undertaking National Vocational Qualification (NVQ) Level 4. Following an application to vary the registration both The Hollies and the home on the same site (previously know as 84, Barnham Road) are now one home and Mr Oaten-Warehm is the registered manager. He has many years experience of managing a home and is qualifie There is a written Health and Safety Policy for the home and a designated member of staff has overall responsibility for this across the home. She confirmed that weekly checks are made with regard to fire safety equipment, water temperatures, money held at the home, including resident’s funds and medication. In addition, fridge and freezer temperatures are taken each day. A record is kept of these checks. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 20 New staff attend mandatory training in health and safety matters such as first aid, food hygiene and safe lifting. Contracts are in place to ensure that electrical and gas installations are satisfactorily maintained. Accidents and incidents are recorded. The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 3 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Hollies Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 22 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. 2. Standard 6 33 Regulation 15 18 Requirement All service users must have an up to date care plan The staff team must be effective and deployed in sufficient numbers to support users assessed needs at all times. Timescale for action 30 Sept 2005 30 Sept 2005 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 Good Practice Recommendations The Hollies H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 H60-H11 S14779 The Hollies V234729 280605 Stage 4.doc Version 1.30 Page 24 - 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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