CARE HOME ADULTS 18-65
The Hollins 260 Congleton Road Butt Lane Stoke On Trent Staffordshire ST7 1LW Lead Inspector
Wendy Snell Unannounced Inspection 14 February 2006 9:45 The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 Hollins DS0000005105.V282456.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Hollins Address 260 Congleton Road Butt Lane Stoke On Trent Staffordshire ST7 1LW 01782 779211 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) Mrs Dorothy Woodcock Mr David Joseph Woodcock Mrs Dorothy Woodcock Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (1) of places The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th October 2005 Brief Description of the Service: The Hollins is a large detached house set back from a busy main road between Stoke-on-Trent and Congleton, near to the town of Kidsgrove. The home is within walking distance of a number of shops and is on a main bus route to the city centre of Stoke-on-Trent. The home comprises on the ground floor, three lounges, a large kitchen and dining area, a conservatory, a spare room that was once used as an office, a utility room and a toilet. The first floor consists of five bedrooms, two bedrooms are for the sole use of Mr and Mrs Woodcock and family members. There is a large bathroom/shower/toilet and a separate toilet. Outside there are well maintained enclosed gardens and a large double garage. The property is accessed from a long drive leading from the main road to the rear of the building. The furnishings, fittings and décor had been completed to a high standard throughout. The home is registered to accommodate up to three service users with a Learning Disability. However, there are currently two female service users in residence and it is understood that the proprietors do not wish to take any further residents. The proprietors share the duties of running the home and providing care, with personal care being the responsibility of Mrs Woodcock. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on a Tuesday morning. Mr and Mrs Woodcock, the proprietors, and two service users were spoken with. Day-to-day care and activities of the service users were discussed and staff training and recruitment paperwork was seen. Mr and Mrs Woodcock are presently in discussions with the CSCI and Staffordshire Adult Placement Scheme about future plans for this home. What the service does well: What has improved since the last inspection? What they could do better:
Mr and Mrs Woodcock need to develop a quality assurance system, which seeks the views of the service users about the care, and support they receive within the home. There are risk assessments in place however, these need to be individualised for each of the service users to ensure that all risks are identified and that there are clear systems in place to manage the risk. Further work needs to be completed to ensure that any staff who may be needed to support service users in the future are trained and suitably vetted. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 the following standard(s): 2 The proprietors have assessed the service user’s individual needs in order to support them appropriately. EVIDENCE: This area was assessed during the previous inspection on 17th October 2005. It was noted that both service users have lived at The Hollins for a number of years and therefore comprehensive care management assessment documentation was not in place. However, the proprietors had carried out a needs assessment from which they had developed detailed care plans. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 the following standard(s): 7&9 Mr and Mrs Woodcock are aware of the service user’s rights to make decisions about their own lives. Service users are supported, based on their level of need, to take responsible risks as part of an independent lifestyle. EVIDENCE: One service user was asked about decision making within the home. She confirmed that she is able to make some decisions for herself; for example, she said she is able to go to bed and get up when she likes. The only exception to this was when she had to get up at a specific time to attend day services. Decision making was also discussed with Mr Woodcock, the proprietor. He stated that he and Mrs Woodcock try to involve the service users in every day decisions such as menu planning, activities, outings and holidays. Mr Woodcock said that he and Mrs Woodcock discuss issues with the service users to help them in this process. Risk taking was discussed with Mr and Mrs Woodcock who stated that the service users spent most of their time with them or at day services or other
The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 Page 10 activities. Service users did access the local facilities such as shops, the pub and bingo but, it was stated, that both service users required frequent and regular input and therefore they were always being supported. There were risk assessments in place in respect of fire, slips and falls and for using the shower. It is recommended that the risk assessments be individualised to ensure that areas of risk peculiar to each service user is identified and appropriate management strategies put into place. One service user was spoken with who said that she felt safe at The Hollins. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 the following standard(s): 15 The service users are supported to have links with family and to form friendships outside of the home. EVIDENCE: At the inspection on 17th October 2005 both service users were asked about the links they had with family members and friends. One service user said she had no family members and the other service user said she was supported by Mr and Mrs Woodcock to visit her mother. During this inspection visit Mr Woodcock stated that one service user had made a few friends in the local community who attend bingo. Both service users use a variety of community facilities such as the shops, pub, bingo and day services and have therefore formed a number of acquaintances and relationships outside of the home. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 the following standard(s): 18 The service users receive support in the way they prefer and require. EVIDENCE: The two service users live as part of Mr and Mrs Woodcock’s family, therefore, both Mr and Mrs woodcock have a good understanding of their support needs. Mr Woodcock said that one service user is relatively independent and able to attend to most areas of her own personal care. The other service user requires support from Mrs Woodcock in this area. One service user said that Mrs Woodcock offers support with areas such as shopping for clothes and visits to the hairdressers. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: This areas was inspected in October 2005 and found to be satisfactory. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 the following standard(s): 24 The standard of the environment within this home is good, providing service users with an attractive and homely place to live. EVIDENCE: The home is spacious, comfortable and well furnished and provides the two service users with a ‘homely’ environment in which to live. There is a large garden to the rear and the side of the property, which provides the service users with a safe space to sit outside. The service users rooms are personalised with photographs and personal possessions with each room reflecting the personality of the service user. The service user bedrooms do not have en-suite facilities but there is a large bathroom and toilet on the same floor. There is also a toilet on the ground floor. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Mr and Mrs Woodcock have received core training to enable them to meet the service users’ needs. EVIDENCE: There was certificated evidence that training has taken place. The training included medication, first aid, manual handling, fire, food handling and a number of other courses. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Effective quality monitoring systems, which seek the views of service users about the quality of the service, are not in place. EVIDENCE: Quality assurance systems were discussed with Mr Woodcock who confirmed that The Hollins does not have quality assurance and monitoring systems in place. This need for a system to be implemented was discussed and will be a requirement of this report. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 x 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 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x x x 1 x x x x The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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 YA39 Regulation Requirement Timescale for action 31/05/06 24(1)(2)(3) The proprietors must implement a quality assurance system, which seeks the views of the service users about the service offered at The Hollins. 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 2 Refer to Standard YA24 YA9 Good Practice Recommendations The proprietors should consider how they will staff the home in their absence ensuring that the necessary vetting of staff is in place. The proprietors should ensure that risk assessments are individualised and outline the risks identified for each service user and the actions to be taken to manage the risks. The Hollins DS0000005105.V282456.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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