Latest Inspection
This is the latest available inspection report for this service, carried out on 28th May 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for Holbrook Hall.
What the care home does well All but one of the recommendations made at the last inspection had been met. People were being asked if they wish to spend some time alone in the bath - though none had said yes to this. The potential risks to people of a staff toilet with an internal bolt and no emergency call bell cord had been well addressed as had the stairs leading to a second floor attic, through a door being put in place. The Service`s job application form had been improved to ensure people are safeguarded from inappropriate staff being recruited. An `at a glance` staff training matrix was in place and an annual development plan was too. The Provider, when asked which improvement, in her opinion, had had the most impact on people`s quality of life answered, "the variety of activities...we`ve become more adventurous". What the care home could do better: Just one recommendation was made at this inspection - to sign and countersign beside all hand written entries on medicine records. Random inspection report
Care homes for older people
Name: Address: Holbrook Hall Makeney Road Holbrook Belper Derbyshire DE56 0TF three star excellent 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: Anthony Barker Date: 2 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Holbrook Hall Makeney Road Holbrook Belper Derbyshire DE56 0TF (01332)880698 Telephone number: Fax number: Email address: Provider web address: Holbrookhall@aol.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Barbara Mee Type of registration: Number of places registered: Conditions of registration: Category(ies) : Fairway Homes (Derby) Limited care home 25 Number of places (if applicable): Under 65 Over 65 25 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Holbrook Hall is a large detached stone building set in its own extensive landscaped gardens. It is situated in a rural setting with a small village, approximately a mile away, which offers basic shopping facilities. 25 single rooms are provided, mainly with en-suite facility accommodation, for older people. There is a shaft lift and stair lift between floors. A copy of the last inspection report from the Care Quality Commission is made available to residents and visitors. Care Homes for Older People Page 2 of 7 What we found:
The time spent on this inspection was 3.25 hours and was a random unannounced inspection. The Registered Provider, two care staff, a person leading a weekly music and movement session, two people visiting a resident, a visiting physiotherapist and four people living at the Service were spoken to. Records were inspected and there was a brief tour of the premises. This inspection was to assess the Services progress in addressing the recommendations made at the last key inspection on 5th June 2007 and to identify other areas of improvement. The pre-inspection Self Assessment Form was reviewed prior to this inspection. The Provider informed us that the Services fees range from £460 to £550 per week. The outcome of this inspection is as follows: Standard 4: The visiting physiotherapist considered the Service to be, excellent. He told us that, staff are very co-operative and know the residents conditions and needs...nothing is too much trouble...very person centred care. Visitors told us, You wont find a better care home...its like a hotel. We spoke to a group of four people in the lounge who live at the Service. They told us that the Service, Looks after our needs...staff are wonderful and will put themselves out. Standard 8: The Provider told us of the positive relationship the Service has developed with the Care Home Support Service, based at a local hospital. The visiting physiotherapist was from this team. He told us that the Service, is willing to try new equipment. The two visitors we spoke with considered that there is, a good range of visiting health professionals. Standard 9: At the last inspection the Service was recommended to sign and countersign beside all hand written entries on medicine records. We found this was still not being done consistently. We noted that controlled drugs were being stored in a locked metal cabinet with a locked wooden wall cabinet. The metal cabinet was not secured to the wall. However, this matter was addressed the same day by means of strong wall bolts. Standard 10: The four people we spoke with all agreed that their dignity was respected by the Service. Staff gave us examples of how they meet peoples need for dignity and privacy - in the bathroom, for example. One told us, We offer to help but step back if the person wants to do for themself. Standard 12: We saw plenty of evidence of a comprehensive and stimulating programme of activities for people. Records of extensive daily activities were being recorded and people were being involved in planning these activities in a person centred way. Entertainers visited on a regular basis and trips out on Community Transport take place every fortnight. The two visitors told us that activities, are based on individual preferences wherever possible. The four people we spoke with also confirmed their pleasure at the activity programme - one spoke of the, marvellous outings. Standard 13: The two visitors we spoke with were very positive about their experiences when they visit three times a week. They find the Service, very welcoming...weve eaten in the dining room with (our friend)... the food is lovely. The Provider told us that relatives have all been told of the Skype facility now in place and of three people who have Skyped their relatives.
Care Homes for Older People Page 3 of 7 Standard 15: The four people we spoke with said that the food here is, excellent..very nice. The pre-inspection self-assessment record informed us that staff had received training in Nutrition. Standard 16: The four people we spoke with all knew who to speak to if they have any concerns. They felt they are, listened to, and in private. The minor complaints from residents were all being recorded appropriately and indicated a very open and responsive attitude by management. There had been no formal complaints made about the Service. Standard 19: We found the premises to reflect high material standards. One person remarked, lovely rooms. Standard 27: Everyone we spoke with felt there were adequate staffing levels at the Service. The staff rota confirmed that three staff are on duty during each of the three daytime shifts. The Provider said that an additional 12 hour laundry post had been provided - releasing 12 extra hours a week for care staff to spend with residents on personalised activities. Standard 32: The two visitors we spoke with told us that, its like a family here...good management...a feeling of togetherness. Staff also reflected these sentiments, telling us of, good team work...approachable management. Standard 33: The Provider told us that the Service uses the pre-inspection Self Assessment Form as a quality assurance tool. She showed us the Services in-house satisfaction questionnaires completed by visiting professionals. The questionnaire format was well worded and the comments were all very positive. What the care home does well: 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 4 of 7 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 5 of 7 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 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 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 1 9 Sign and countersign beside all hand written entries on medicine records. Care Homes for Older People Page 6 of 7 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 7 of 7 - 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!
