Inspection on 14/06/05 for The Hollies & Hollies Lodge

This inspection was carried out on 14th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 & Hollies Lodge 04/11/08

The Hollies & Hollies Lodge 14/11/06

The Hollies & Hollies Lodge 22/11/05

The Hollies & Hollies Lodge 07/12/04

The Hollies & Hollies Lodge 30/06/04

The Hollies & Hollies Lodge 22/01/04

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 The Hollies/Hollies Lodge Brick Kiln Lane Morningthorpe Norwich NR15 2LH Lead Inspector Susan Golphin Unannounced 14 June 2005, 13:00 th 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/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hollies/Hollies Lodge Address Brick Kiln Lane Morningthorpe Norwich Norfolk NR15 2LH 01603 438394 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) Calrhyros Ltd Mrs Linda Quarendon Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (5). The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07 December 2004 Brief Description of the Service: The Hollies and Holly Lodge is situated in a rural area close to the village of Long Stratton in South Norfolk, and provides residential accommodation in single rooms, for people with mental health needs. Holly Lodge offers self contained accommodation to service users who wish to remain within the general support services of the home but who are able to maintain a more self caring and independent lifestyle. The service provision available includes personal care and support by care staff to promote and maintain their individual lifestyle. There are a range of activities and social events that take place on a daily basis including therapy sessions, outings or shopping trips for which transport is readily available. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which took place between 1pm and 5.30pm. Some areas of the home were seen during the discussions with two staff and two residents. There was also the opportunity to talk to a small group of residents during the course of the visit. A sample of records relating to residents care were also seen and discussed. What the service does well: What has improved since the last inspection? What they could do better: There are no outstanding issues to address. The management constantly monitor care practice and new approaches to mental health care by maintaining and developing a sound network of support with other healthcare professionals and specialists. Refurbishment and redecoration of the property is ongoing. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 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/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 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/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 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) 2,3 There is a clear and well documented assessment process in place The health needs of the service users are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: The assessment details for each resident forms the basis for the plan of care and is comprehensive enough for the management and staff to assist prospective residents to decide whether they want to live at The Hollies. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 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 There is a clear planning process in place which provides staff with the information they need to meet the needs of residents. The system in place for consulting residents is good with a variety of evidence that indicates their views are sought about their care routines. EVIDENCE: Each resident has a care plan which provides a comprehensive account of individual healthcare needs and personal wishes and aspirations. The plan is reviewed regularly by the manager and the key carer. Fifteen of the residents receive three monthly reviews which are carried out with the management of the home and other mental health care professionals . Residents also have their own care diary which is used when they meet with their key carer. The resident and key carer can record shared comments or views and residents can express personal wishes and comments . The manager reviews the diaries weekly and also as part of the wider review process. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,17 Links with the community are good and support resident’s social and educational and religious opportunities The dietary needs of the residents are well catered for with a balanced and varied selection of foods that meets their individual choices and tastes. EVIDENCE: Residents can access activities and recreational sessions in the home and include a music appreciation group, a music to movement group . Once a week a tutor from the learning enhancement ( learning skills unit) attend the home and residents can be involved in further education projects which include developing English and maths skills. Residents can undertake supported learning projects or work independently. Residents also have the opportunity to be involved in the local community and church activities. The management and staff arrange short trips everyday to the city or local county towns or villages. Residents are actively encouraged and supported by staff to pursue and maintain their personal interests. Residents said that they are offered a nice choice of meals, and gave examples of favourite dishes and snacks. One resident said that she had really The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 11 enjoyed the lunch time meal of vegetable curry followed by lemon meringue pie and fresh fruit. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Good arrangements are in place for meeting the mental health care needs of the residents and is clearly documented in the needs assessment and care plan. The care information provides staff with all the details they need to support and meet the needs of the residents EVIDENCE: Residents confirmed that the staff are helpful and kind and spend time with them on a one to one basis. They also said that the management and staff help them with their medication and visits to the hospital as well as meetings and reviews with the community nurses. One member of staff gave a good account of care practice, where they are promoting individual lifestyles and self expression. One member of staff spoke confidently and competently about her role and responsibility and confirmed that the staff group are well supported by the management. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home operates in such a way as to promote and protect the views of the residents. The homes policies and procedures and good training practices ensure residents are fully protected. EVIDENCE: There have been no formal complaints made about this home in the last five years. Staff receive adult protection training which is in place on site as the manager has become a session leader in conjunction with a training group. Residents meet every Thursday afternoon and can raise any issues through their peer group or with staff and management (not all the meetings are attended by staff ). On this occasion and on previous visits the residents have always expressed their views openly. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Residents live in a homely and comfortable environment. EVIDENCE: This standard was only inspected in part to acknowledge the ongoing redecoration of the communal areas in the house and the rebuilding of the extensive patio area to the rear of the premises. 2428, The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 The staff have a good understanding of the residents needs. This is evident from the positive relationships between staff and residents. The staff in the home can demonstrate a clear understanding and awareness about their roles and responsibilities. EVIDENCE: The staff employed clearly know the residents well and were able to give examples of residents personal development and progress in determining their own lifestyles. Residents confirmed that the staff are caring and helpful and two residents said that they like their key carers. Two staff have achieved NVQ2 this year and one other is about to commence formal training. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37,38 The home is well managed with clear leadership and direction, both by the registered provider and the manager who give the highest priority to the wishes and needs of the residents. EVIDENCE: Based on previous visits to the home and from discussions with residents and staff on this occasion, the management are liked and respected, and there is a very democratic process in place between residents staff and management. Residents are central to the homes function and their views and those of the staff are sought and listened to on a regular basis. The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x x Standard No 11 12 13 14 15 16 17 3 x x x x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Hollies/Hollies Lodge Score x 4 x x Standard No 37 38 39 40 41 42 43 Score 4 4 x x x x x I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation none Requirement Timescale for action 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 none Good Practice Recommendations The Hollies/Hollies Lodge I55 s45189 The Hollies v223486 (un) 190505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 3rd Floor - Cavell House St Crispins Road Norwich NR3 1YF 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. 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