Inspection on 05/11/08 for The Hollies

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Good service.

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 16/11/06

The Hollies 27/01/06

The Hollies 13/07/05

The Hollies 20/01/05

The Hollies 06/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Hollies 27 Church Lane Garforth Leeds West Yorkshire LS25 1NW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sean Cassidy     Date: 0 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: The Hollies 27 Church Lane Garforth Leeds West Yorkshire LS25 1NW 01132871808 01132875591 nicola@garforth-residential.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Nicola Berry Type of registration: Number of places registered: Garforth Residential Homes Limited care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home The Hollies is a care home owned by Garforth Residential Homes Limited and is situated in Garforth, a suburb of Leeds. The home provides personal care and support to twenty-eight older people. Within these numbers, the home is able to accommodate fourteen residents who have dementia. Nursing care is not provided but the home is supported by local healthcare services including specialist services that provide psychiatric advice and support. The property is an Edwardian building, with a more modern purpose built extension and all rooms are single occupancy. The grounds include car parking facilities, and shrubs to the perimeters of the grounds. The companys sister home, St. Armands Court is situated across the courtyard. The home Care Homes for Older People Page 4 of 24 Over 65 14 14 0 0 Brief description of the care home has a passenger lift and communal facilities include a conservatory, three lounges and a dining room. The weekly fees charged at the time of this vist were between Four Hundred and Eighteen Pounds to Four Hundred and forty Four Pounds. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The accumulated evidence used in this report has included: A review of the information held on the home since the last key inspection Information submitted by the registered provider in the Annual Quality Assurance Assessment. Information received from people who use the service in the form of questionnaires. An unannounced visit to the home which lasted six and a half hours. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are appropritely assessed by the service before they move in. They are provided with up to date information to assist them with making the choice about using the service. Evidence: There is an up to date Statement of Purpose and Service User Guide. These documents contained all the required information needed to enable people to make an informed choice about moving in. Three people told me that they were provided with enough information about the service before they moved in. They said they were offered opportunities to come and look around the home as well. The care documentation for three people who use the service were inspected closely. These contained pre assessment documentation that showed they were all assessed by the manager before moving into the home. This is good practice as it enables the Care Homes for Older People Page 10 of 24 Evidence: assessor to identify whether individual needs can be met by the staff working at the home. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of people living in the home are clearly recorded in the care documentation. This helps ensure people receive the correct care. People are not consistently risk assessed in areas such as nutrition, falls and pressure area care. This can place them at unnecessary risk. Evidence: I looked at the care documentation of three people living at the home. Each file contained care plans that highlighted the care that each individual should receive. Two care files showed evidence that consent to care was obtained. They were reviewed monthly and there was also evidence in place to show the care plans were changed when the need arose. One example of this was, a person identified as experiencing mobility problems had her care plan altered to reflect this change. Staff spoken to said they regularly read the care plans and that they kept them up to date after each shift. The daily records were seen and these gave good information as Care Homes for Older People Page 12 of 24 Evidence: to how each person spent their day. Each file showed evidence that death and dying had been discussed with the relevant people and a plan was in place to deal with that persons needs in relation to this area. This is good practice. Clear records were in place to show that community professionals such as the GP and opticians were involved in the care package when needed. The care files of two people identified that significant weight had been lost since they were admitted. No nutritional risk assessment had been implemented and this had not been identified by the staff as a problem for these individuals. Another person who had recently fallen did not have a falls risk assessment in place. People are placed at risk when the assessments are not carried out and action identified to manage the risks.This was brought to the attention of the manager during feedback. Staff were observed interacting well with the people that used the service. There was a lot of joking, singing and laughing throughout the inspection. Staff spoke to people in a kind and helpful manner. People told us that they were happy with the way they were treated by staff who worked at the home. They said, Im really happy with the standard of personal care provided by the staff. The staff are helpful and always help me with my health needs. Mum recently has been helped to get new teeth and new spectacles. During the inspection some people were identified as wearing clothes that were badly stained and in need of changing but this did not happen. Staff should be aware of dignity issues relating to people at all times. The medication administration process was observed and this practice appeared to be good. The Medication Administration Records were filled in correctly with no unexplained gaps seen. Staff are provided with training in medication administration from a local college and refresher training is provided. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with various opportunities to remain mentally and physically active in the home. Activities for people with the specialist dementia needs are provided which helps stimulate the mind. Evidence: Each care document seen included a care plan that informed the reader what activities that person enjoyed doing. This was discussed at their assessment when they first arrived at the home. The staff were involved with various activities during the inspection. These included singing, reminiscence therapy and excercise games. Three people said they often got involved with different activities during the day. There is now a newsletter that informs people about forthcoming events and activities. A Christmas Fayre was being planned for at the time of the inspection. Peoples religious needs were provided for by visits from local clergymen from the Catholic and Protestant churches. We were told by relatives that the home promote contact with their relatives in care Care Homes for Older People Page 14 of 24 Evidence: and that there was always a welcome when they arrived. There was a notice board in the hallway that informed people what activities are planned for the week. This was written in small font and would be difficult to read by anyone with eyesight difficulties. It was also at a raised height and would be difficult to read if you had mobility problems which some had at the home. People were observed having lunch and i was able to join them. Those that needed assistance were provided with it by staff. The food was of a good quality and was quite tasty. People said the food was generally good in the home. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are properly protected by the complaints and safeguarding policies and procedures implemented by the home. Evidence: People told us they knew how to complain if they needed to. The information provided by the servive at admission informs people how to make a complaint and who they should contact. The complaints procedure was also displayed in the home. Staff were asked about their awareness of safeguarding vulnerable people. Those spoken to had recently received safeguarding training. No safeguarding incidents had been reported by the service recently. There is a policy and procedure in place to assist staff with managing safeguarding incidents should they occur. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with an environmernt that is well maintained and suits their needs. Evidence: The home has a programme in place that ensures redecoration is ongoing. A full environmental inspection was not carried out but the areas seen appeared to be well decorated and clean. People told us that they were able to bring their own things into the home when they arrived and this was evidenced in the bedrooms that were seen. There were some malodours in certain areas of the home. This was discussed with the manager who gave assurances that they were working hard to eradicate these. One bedroom in particular had a bad malodour which relatives said was always there. There were soiled pads and night clothes on the floor. This was quickly removed by the staff member. Staff must ensure all soiled pads and clothing are placed in the correct linen baskets as this will help minimise malodours and reduce risk of infection. People told me that they felt the home is clean and that people come round regularly to clean all areas of the home. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home receive ther care packages from a staff group that are trained and recruited to a good standard. Evidence: The staff spoken to during the inspection said the number of staff on duty for that day were suitable for the needs of the people who lived there. They said the management team is supportive in this area and always ensures any outstanding shifts are covered when there is enough time. Staff spoken to said they are provided with a good standard of training. I was able to speak to the internal trainer employed by the home. The trainer was able to provide evidence of the training provided to each member of staff. Evidence was seen that showed each member of staff is provided with a training matrix to help identify what their training needs are. This is good practice. The induction programme for the home is based on the principles of care. Evidence was seen to show staff commence this programme when they start employment. Training is also provided in Mental health care, dementia, advanced care planning and palliative care. Care Homes for Older People Page 18 of 24 Evidence: The recruitment files of the two most recent employees were seen and these contained all the required information needed before they could provide care to vulnerable people. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management structures in place ensure people receive a good standard of care. Evidence: The manager has accessed courses and training to assist her with ensuring the home is well managed and run. Staff spoken to said the manager was very approachable and had an open door policy. The manager has an open door policy which is great. She is always open to suggestions to improve good practice. She recognises that our views are very important and that they are listened to. There was evidence of quality assurance taking place within the service. Questionnaires are sent to residents and relatives and these cover areas such as food, staff, management and activities. This is carried out every year. Care Homes for Older People Page 20 of 24 Evidence: Evidence was provided that showed health and safety is reviewed and assessed by the home. regular checks of the environment and risk assessments are randomly carried out by the manager. the accidents book was seen and also the incidents book. These showed evidence that these are recorded correctly and the appropriate authorities informed when needed. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 12 All people living in the home must be risk assessed in areas such as nutrition, falls and pressure areas. This will help ensure risks can be identified and appropriately managed. 31/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 10 When peoples clothes become stained and dirty staff should be more aware of the dignity implications and should respond quickly to this need. The activities information displayed in the home should be provided in a format that can be read by people with physical disabilities. Staff should ensure soiled pads and clothing are placed in the correct laundry bins and not on the floors of the home. This will help minimise malodours and reduce any possible infection risks. 2 12 3 26 Care Homes for Older People Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!