Random inspection report
Care homes for older people
Name: Address: The Hollies 11 St Catharines Road Broxbourne Hertfordshire EN10 7LG two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Bijayraj Ramkhelawon Date: 0 9 0 4 2 0 0 9 Information about the care home
Name of care home: Address: The Hollies 11 St Catharines Road Broxbourne Hertfordshire EN10 7LG 01992445044 01992446911 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Ronald Hollywood,Shawlmist Ltd care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 The Hollies is a large Tudor-style Grade II listed building that is located in a quiet residential area of Broxbourne. It was converted to its present use as a care home in 1984. It offers residential accommodation to a maximum of twenty-seven elder people and there are bedrooms on each of the three floors, served by a passenger lift. There are local shops, a Post Office, bank and pharmacy nearby. Public transport is available a short distance away and the home is equidistant from the town centres of Hoddesdon and Broxbourne. Accommodation is provided in nineteen single occupancy bedrooms and four double bedrooms. There are two lounges, a dining room and a conservatory, which leads on to a mature garden. A copy of the homes Statement of Purpose, Service Users Guide and the last inspection report can be obtained from the care home on request. Currently fees for the home range from £429 to £531 per
Care Homes for Older People Page 2 of 9 Brief description of the care home week. Care Homes for Older People Page 3 of 9 What we found:
Care plans examined showed that individuals needs were being met and their general wellbeing maintained. However, specific plan of care for each identified needs as per preadmission assessment were not devised. These should be planned, updated and reviewed on a regular basis to reflect the changing needs of each resident. However, risk assessments were carried out and updated. Information about the residents were displayed on the cupboard doors in the room next to the main kitchen and also recorded in the communication and workbooks. Therefore, care plans should be person centred in that all information about the needs of each resident should be kept confidential and protected. The management and administration of medicines were kept in good order. However, it was noted that hand written instructions on Medicine Administration Records (MAR) sheets were not signed and dated by the person making the entries for ease of auditing. The home has a complaints procedure and residents spoken said that they were aware of what to do should they have a concern. Staff spoken to said they were aware of safeguarding adults from abuse but training was not provided. All staff must be provided with this training so that they are aware of the necessary actions to take should they observe or are reported an incident of abuse. Generally, the home is reasonable well maintained. Residents spoken to said that they were happy with their bedrooms. However, one of the large bedrooms (01) on the ground floor occupied by one resident were noted to be also used as storage and were cluttered with old chairs, commodes, wardrobes, vacuum cleaner and mattresses. These must be removed so that residents and staff are not put at risk and that the residents dignity is respected. Staff files examined showed that training in manual handling was provided to care staff. Some care staff had undergone this training in November 2008 and the others attended on the 16/03/09. However, it was noted that training in fire safety, infection control, COSHH, First Aid were not provided. These must be provided and kept up to date so that residents and staff are not put at risk. The bath hot water temperature on the first floor was recorded at 49.3 C and rising. This must be reduced to the safe required level close to 43 C so that people using the service are not put at risk. An immediate requirement was made. What the care home does well:
Residents spoken to said that they were being well looked after and that they did not have any concerns about the home. They also said staff were caring and that they were happy with their rooms and the food. The home was generally well maintained.
Care Homes for Older People Page 4 of 9 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 2. Care Homes for Older People Page 5 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 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 1 25 13 The bath hot water 14/04/2009 temperature was recorded at 49.3C and rising. This must be reduced to the safe required level close to 43C so that residents are not put at risk. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 7 15 Care plans must be person centred and each specific identified need must be planned and reviewed on a regular basis. This is to ensure that staff are aware of the identified needs of individuals and are able to deliver care and support appropriately. 15/05/2009 2 18 13 Training in Safeguarding Adults must be provided to all staff. This is to ensure that staff are aware of what action to take should they observe or are informed of any abuse or malpractice so that residents are not put at risk. 15/05/2009 3 30 18 All mandatory and other 15/05/2009
Page 7 of 9 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 relevant training for safe work practices must be undertaken by all staff. This is to ensure that residents receive care and support by a trained and competent staff team. 4 38 23 The large bedroom occupied by a resident must not be used for storage. This is to ensure that the dignity of the resident is respected and both the resident and staff are not put at risk. 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 30/04/2009 1 9 Hand written instructions on Medicine Administration sheets (MAR) should be signed and dated by the person making the entries for ease of auditing. Information about residents should not be displayed openly on the cupboard doors and should be protected. 2 37 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
