Inspection on 07/03/07 for The Hollins

This inspection was carried out on 7th March 2007.

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 14/02/06

The Hollins 17/10/05

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 Kidsgrove Staffordshire ST7 1LW Lead Inspector Mrs Mandy Brassington Unannounced Inspection 7 March 2007 10:00 The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 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.V328406.R01.S.doc Version 5.2 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.V328406.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hollins Address 260 Congleton Road Butt Lane Kidsgrove 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.V328406.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 February 2006 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 home is currently in the process of transferring to the Staffordshire Adult Placement Scheme. The registered person reported on the 14 March 2007 that the fee level for the home is £325 per week. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an unannounced key inspection and therefore covered all of the core standards. The inspection took place over 4 hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection visit, survey information has been obtained from the service users. A tour of the home was undertaken. The inspection included an examination of records, indirect observation, discussions with two service users, and the registered persons. Case tracking of two care plans was undertaken and observation of daily activities took place. Medication storage and records were inspected. No requirements or recommendations were made as a result of this visit. What the service does well: Service users live within a family environment and are involved in all family activities and events. Service users spoke positively about their home, the registered persons and their extended family. Routines within the home are flexible and individuals are able to take the lead role in their care and are given support to make informed decisions. Service users use local community services and facilities and participate in leisure activities of their choosing, having opportunities to develop friendships and maintain contact with family members. Individuals are able to go on holiday with the registered persons and have visited many different countries. The home is furnished to a high standard and individuals are able to furnish their rooms to reflect their interests. There are three lounge areas and a conservatory where individuals can be alone or with friends. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 summary of this inspection report can be made available in other formats on request. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 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.V328406.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable assessments were carried out for the service users prior to admission. EVIDENCE: Two individuals are resident within the home and have lived there for over twelve years. Discussion with the registered person revealed assessments of need were carried out prior to admission and in line with the practices of that time. The home is registered for three persons. However, there are currently two female service users in residence and it is understood that the registered persons do not wish to take any further residents. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The plan of care supports individuals to achieve their life ambitions and sets out in detail how all their current requirements and aspirations are met. EVIDENCE: Each person has an individual plan of care that records details of the support required. The plans include personal details, medication, medical history, likes and dislikes, and goals and aspirations. The plan records life experiences and identified risks. The service users live as part of the family and the registered persons and one family member is responsible for providing all care and support; as a result, there is a consistent approach to the care provided. The plans of care are formally reviewed on a six monthly basis, and informally every day according to individual’s preferences and needs. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 10 The registered persons are committed to providing a flexible service and ensure that the service users take the lead role in the care. Discussion with individuals revealed that they are consulted on all daily events and are able to influence and change routines and the general running of the home. Discussion with the registered persons revealed that they are enthusiastic and committed to providing purposeful activities, and for the two individuals to be as independent as possible within the supportive network of their family. Individuals are able to take responsible risks in the home and the community and the registered persons identified where support would be required to ensure safety. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuals live as part of the family and have opportunities to participate in all family activities. Service users are able to choose all activities both within the home and the community. EVIDENCE: The two service users live as part of a family within the home. The home is owned and managed by the registered persons. From discussion with the registered persons it was evident that they are committed to providing an ordinary and meaningful life for the individuals, and support the two service users to contribute to the general running of the home and participate in all family events and appropriate community activities. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 12 One individual attends a Day Service provision two days a week and is involved with a Drama group. The individual reported that she enjoys working towards performances and activities involving movement and dancing. One individual stated she is retired and enjoys spending time around the home and participating with looking after the home, shopping and preparing meals. Discussion with service users revealed they regularly attend a local Bingo Hall and have collected prize tokens towards gifts. Other activities included sharing meals at restaurants, attending drama performances, swimming and karate. Over the Christmas period large service users spoke highly of all the festive events and being part of the family celebrations. The registered persons are committed to providing an ordinary life within a family environment. One individual has retained contacted with her family and is supported to make visits. Service users comments regarding their lifestyle included; ‘I like living here, this is my home.’ I enjoy going to bingo, going shopping and helping carry the bags.’ I like to help to cook.’ ‘I’ve got lots of friends, I can see my friends when I want.’ Individual have had many opportunities to travel on holidays, including Australia, Dominican Republic, Turkey and Bulgaria. The registered persons discussed how one person now preferred holidays in this country or short flights and alternatives are being arranged. Where any of the service users choose not to go on holiday, one family member lives within the home to ensure continuity of care. Discussion with one service user revealed that whilst on holiday they are able to experience new activities including one person went on a Microlight Flight in Australia. With activities and holidays, the registered persons demonstrated that routines are very flexible and service users are able to make choices. Activities and plans are service user focused and can be changed to meet individuals changing needs, choices and wishes. The two service users are registered to vote. The service users participate with shopping and meal preparation. Individuals are able to choose each meal and eat as a family with the registered providers. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons enable service users to receive flexible support to meet their personal needs. EVIDENCE: Individuals are independent in relation to personal care, requiring only prompts to ensure personal care is completed. Health care needs are recorded in the plan of care and within the Health Action Plan. This records any health care concern, details of any appointments and outcomes. Both service users are registered with a local General Practitioner and receive support from Health Care Professionals when a need is identified. Individuals visit the opticians annually and a chiropodist three monthly. One person has diabetes and the plan of care records how the support is required to maintain the person’s health, a record weight monitoring, of blood The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 14 tests and a recommended diet. The registered persons and the individual demonstrated a good knowledge of diabetes and maintaining a healthy lifestyle. Medication is stored in a locked cupboard and a record of all medicines administered is maintained. The registered persons have attended a course for the safe administration of medication. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are aware of how to complain and how this should be dealt with. EVIDENCE: Discussion with the service users revealed they knew how to make a complaint and would have no hesitation in approaching the registered persons. One individual reported that they would also be able to approach staff at a Day Service provision. Discussion with the registered persons revealed they were aware of the Vulnerable Adults Procedure. Each individual has a bank account and a record of all finances and any transactions is maintained. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuals live as part of the family in a family home. Individuals are able to personalise their rooms according to their interests. 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.V328406.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The two service users live as part of a family and the registered providers and a family member provide all care. EVIDENCE: The registered providers own and live within the registered home. The registered persons carry out all care and support with the emphasis on living as a family. One family member supports the registered persons once a week and when required. A Criminal record Check has been completed as part of the process of transferring to Adult Placement. The registered persons have completed training for Safe administration of medication, First Aid at Work, Food hygiene, and Moving and handling. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons carry out a comprehensive range checks and tests within the home to protect service users health and safety. EVIDENCE: The health, safety and welfare of service users were protected. The registered persons had ensured that all maintenance work, repairs, annual checks, testing of equipment and regular fire drills are undertaken. Electrical Wiring test in November 2006 Gas Safety February 2006 Fire Risk assessment was completed in November 2006 Testing of the water and Tank was carried out in July 2006 The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 19 An environmental Health inspection was conducted in November 2006 The fire system is checked weekly, emergency lights monthly and Fire evacuations are carried out on a regular basis. The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 20 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 X 28 4 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 21 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. 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. Refer to Standard Good Practice Recommendations The Hollins DS0000005105.V328406.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 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 © 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.V328406.R01.S.doc Version 5.2 Page 23 - 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. 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