Inspection on 17/10/05 for The Hollins

This inspection was carried out on 17th October 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 Hollins 27/02/09

The Hollins 07/03/07

The Hollins 14/02/06

The Hollins 29/03/05

The Hollins 11/10/04

The Hollins 11/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Hollins 260 Congleton Road Butt Lane Stoke On Trent Staffordshire ST7 1LW Lead Inspector Wendy Snell Announced Inspection 17 October 2005 9:30 The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 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.V262153.R01.S.doc Version 5.0 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.V262153.R01.S.doc Version 5.0 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.V262153.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 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.V262153.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on a Monday morning over a period of 3 hours. Mr and Mrs Woodcock, the proprietors, and two service users were spoken with. Both service user’s care information; maintenance and staffing records and the accommodation were inspected What the service does well: What has improved since the last inspection? Manual handling training has now taken place. Risk assessment and complaints documents have been reviewed. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 6 What they could do better: 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.V262153.R01.S.doc Version 5.0 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.V262153.R01.S.doc Version 5.0 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: 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.V262153.R01.S.doc Version 5.0 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): 6 There are good care plans which detail how the service users are supported on a daily basis. EVIDENCE: Both service user’s care information was inspected. Comprehensive and detailed care plans were in place which, as well as support needs, included ambitions, achievements, risks and food likes and dislikes. The plans explained how each objective should be met. Some of the objectives in the plan were discussed with service users who confirmed that what was recorded in the plan takes place. There was some documentary evidence that reviews take place and these include other professionals and other services involved in supporting the service users. It was noted that service users do attend these. One service user attends day services and communication between the home and this service was clearly recorded. There was evidence that risk assessments were in place based on day-to-day activities set out in the service users plan. The service users stated that they The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 10 felt safe at the home and that they were able to talk to either Mr or Mrs Woodcock about things that worried them. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 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): 12, 13, 14 & 17 Service users are supported to have fulfilling lifestyles in and outside the home. Service users are happy with the variety and standard of meals offered. EVIDENCE: The service user are involved in a variety of activities throughout the week all of which are recorded within their plans. The needs of the two service users are very different and therefore each is involved in separate activities which include attending day services, drama, swimming, shopping, involvement with household chores, cooking, looking after the pet birds and bingo. The service user said they liked the different things that they do throughout the week. The proprietors said that the service users are encouraged to participate in community life using the local shops and services. The service users have lived in the locality for some years and therefore have some understanding of the area and the facilities available. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 12 The service users said that they had been on a variety of holidays since moving to The Hollins, which included a number of long-haul holidays abroad. Both service users said they enjoyed the holidays, which they share with Mr and Mrs Woodcock. Both service users said that the enjoyed the meals within the home. One service user confirmed that they are able to help themselves to food when they are hungry. One service user is able to independently make herself a snack. Both stated that there was always enough food available. During the inspection it was noted that service users were involved in menu planning and drawing up a shopping list. One service user said that Mr and Mrs Woodcock always made sure that she had the ‘right food’ because she has diabetes. She also said that Mrs Woodcock ‘is a good cook’. There is a large dining table within the kitchen area where service users and proprietors eat their meals together. It was noted that both proprietors have basic food hygiene qualifications. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 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 the following standard(s): 19 & 20 There are appropriate healthcare systems in place, which provide service users with good support in this area. EVIDENCE: The care-plan documentation provided evidence of the specialist interventions required and received by each resident. There was a record of visits to specialists; General practitioner, Community Nurse, Dentist, Chiropodist, Optician, Well Woman Clinic, Diabetic Clinic and for continence advice. Both service users confirmed that one of the proprietors always supports them when attending the health centre. A health action plan for each service user was in place. There were good running records of all appointments with the outcomes recorded. Medication was appropriately stored in a small metal wall mounted cabinet. The medication and medication administration records were checked and found to be in order. A regular medication review was recorded in the care plan. The proprietors stated that they had received medication training and a certificate was seen. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 Service users were happy that they are listened to and protected from harm. EVIDENCE: The home had a complaints procedure available and displayed in the Home. This included the contact details for CSCI. Both service users said that they would speak with the proprietors if they were unhappy or if they were worried about anything. Both said that they were happy at The Hollins and did not have any complaints or concerns. CSCI are not aware of any outstanding complaints about this home. A whistle blowing and vulnerable adults procedure were seen at a previous inspection. The way in which service users monies are handled is recorded within the care plan. Records and were seen which recorded all transactions. Each service user has a bank account. A service users confirmed that she has her own money which she signs at the bank for. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 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 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.V262153.R01.S.doc Version 5.0 Page 16 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): 32 & 34 Staff are appropriately vetted and trained to safely support the service users in the home. EVIDENCE: Mr and Mrs Woodcock have received a variety of training regarding their respective roles. Mrs Woodcock is primarily involved in care and support and Mr woodcock is involved with the management, finance and maintenance issues. 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. Mr and Mrs woodcock live on the premises and provide all the support. The necessary clearances were seen. It is recommended that Mr and Mrs Woodcock should consider what arrangements would be made to staff the home in their absence. This must include the necessary vetting procedures. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 17 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): 42 Health and safety of service users are promoted through safe working practices within this home. EVIDENCE: The proprietors were aware of safe working practices. An appropriate insurance certificate was in place. There was evidence of regular servicing of the gas and boiler system. An emergency gas-servicing contract was in place. There was documentation, which showed that regular fire system tests and drills take place. Both service users were spoken with about the fire procedures. One service user was aware of what to do in the event of a fire the other would require full support Water temperatures were regularly recorded as were the fridge and freezer temperature. There was also evidence that the water tank is regularly sterilised. An accident book was in place. The Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 18 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 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Hollins Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000005105.V262153.R01.S.doc Version 5.0 Page 19 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. Standard Regulation 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 34 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 Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 20 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 © 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 Hollins DS0000005105.V262153.R01.S.doc Version 5.0 Page 21 - 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. 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