Latest Inspection
This is the latest available inspection report for this service, carried out on 7th May 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Hollies, The.
What the care home does well The service has complied with all seven requirements issued at the last inspection. We examined six care plans. These plans outlined the needs of each individual and how staff are to meet these needs. This included the number of staff needed to assist residents with personal care and mobility. The manager and staff have undertaken moving and handling training and risk assessments relating to moving and handling were more detailed, with clear instructions for staff concerning the safety of each resident. People we spoke with told us the staff were kind and considerate and that they felt safe when staff helped them with personal care and mobilising around the home. One person commented that, "Nothing is too much trouble". Another person told us, "They look after me well". It was clear from discussion and observation that the manager observes staff and ensures that moving and handling techniques are adhered to. It would however be prudent for the manager to record staff competencies in this area. We made this recommendation at the last inspection and we are reissuing it as a result of this inspection. Care plans were being reviewed on a regular basis and we saw evidence that yearly reviews were taking place. The manager has developed a format for yearly reviews of residents who are not placed by a local authority. We did not see much written evidence that residents are being regularly consulted about their care needs and risk assessments when care plans are being reviewed each month. The manager and staff have undertaken safeguarding training. Staff we spoke to were clear about their responsibilities to report any suspicion of poor care practices to the manager. We saw evidence that any potential safeguarding issues are now beingreported to the appropriate authorities. The service is also now notifying the Commission of any event that could affect the well being of residents at the home. We examined staffing files for that last two staff to be employed at the home. These files contained all the information needed to protect residents and provided evidence that recruitment procedures were being followed. Staff we spoke with confirmed that these recruitment procedures were being adhered to. Both residents and visitors we spoke with told us they were happy with the care and support they receive and that the home has a friendly and relaxed atmosphere. It was clear from observation that staff and residents have good relationships. People we spoke with also told us that the manager and provider were very supportive and approachable. Staff also indicated that the home was a good place to work and that the manager and provider gave them the support and training they needed. One staff member commented, "The home is a very good care home to work for. I am very happy". Another staff member told us, "The home manager and the management are marvellous". The record of fire drills indicated that these happened on a regular basis and that night staff were included in these drills. However it would be prudent to have fire drills at night were there are only two staff on duty. We have restated this good practice recommendation. What the care home could do better: Some care plans we examined did not provide enough detail relating other issues apart from personal care and moving and handling. This included likes and dislikes and personal preferences. For example, one person told us that they would sometimes like to go to bed later. We would expect this information to be documented on care plans. Risk assessments relating to issues other than moving and handling did not always contain clear information to staff about how identified risks could be minimised. We spoke at length about this with the manager who agreed to review all risk assessments with staff and individual residents. It may be very useful for the manager to attend further training in risk assessment planning. Residents have the right to be consulted about their care needs and any risks associated with daily living. Two new requirements have been made relating to these issues. It may be helpful to include a summary of residents` care needs, likes and dislikes and preferences as part of their overall care plan. This should include preferences around meals, preferred times for getting up and going to bed as well as social activities. Although we saw evidence that staff have attended training it would be good practice for the manager to sign staff off as competent in areas such as moving and handling and medication. This would ensure that the manager is confident that staff have learnt from any training they undertake. Random inspection report
Care homes for older people
Name: Address: Hollies, The 9-11 Fox Lane London N13 4AB two star good 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: David Hastings Date: 0 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Hollies, The 9-11 Fox Lane London N13 4AB 02088863068 Telephone number: Fax number: Email address: Provider web address: johnoak@blueyonder.co.uk Name of registered provider(s): Name of registered manager (if applicable) Tracy Simcox Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Patricia Phillips,Mr John Phillips care home 19 Number of places (if applicable): Under 65 Over 65 19 old age, not falling within any other category Conditions of registration: 0 Five specified service users who have dementia may remain accommodated in the home. The home must advise the registering authority at such times as any of the five specified service users vacates the home. Date of last inspection Brief description of the care home The Hollies is a private care home registered to provide care and support for a maximum of nineteen people over the age of sixty-five years. The aim of the home is to ensure that service users feel safe and relaxed as they would in their own home, but with the added security of knowing that help is always on hand if they need it. The home is a large detached Victorian, two-storey building with 15 single and 2 double bedrooms located on the ground and first floors. There are two bathrooms and two
Care Homes for Older People Page 2 of 9 Brief description of the care home toilets on the first floor and an assisted bathroom and two toilets on the ground floor. The home has kept many of the original Victorian features. The managers office, lounge, dining area, kitchen and laundry room are on the ground floor. There is a small parking area at the front of the home and a well-maintained accessible garden at the back of the home. The home is situated on a residential street, close to a variety of shops, restaurants and public transport located along the high street at Palmers Green. A copy of this report can be requested directly from the home or accessed via the CQC website. Care Homes for Older People Page 3 of 9 What we found:
We carried out this unannounced random inspection on Friday 7th May 2010. We were assisted by the registered manager and registered provider who were open and helpful throughout the inspection. The reason for this visit was to check compliance with the seven requirements and four recommendations we made at the last inspection in April 2008. We spoke with six residents, three relatives and three staff members on duty during the inspection. Prior to this visit we also received surveys back from both staff and residents and their views were taken into account during this inspection. The home also prepared a self-assessment (AQAA) and this was submitted to the Commission. This information was used as part of the inspection. What the care home does well:
The service has complied with all seven requirements issued at the last inspection. We examined six care plans. These plans outlined the needs of each individual and how staff are to meet these needs. This included the number of staff needed to assist residents with personal care and mobility. The manager and staff have undertaken moving and handling training and risk assessments relating to moving and handling were more detailed, with clear instructions for staff concerning the safety of each resident. People we spoke with told us the staff were kind and considerate and that they felt safe when staff helped them with personal care and mobilising around the home. One person commented that, Nothing is too much trouble. Another person told us, They look after me well. It was clear from discussion and observation that the manager observes staff and ensures that moving and handling techniques are adhered to. It would however be prudent for the manager to record staff competencies in this area. We made this recommendation at the last inspection and we are reissuing it as a result of this inspection. Care plans were being reviewed on a regular basis and we saw evidence that yearly reviews were taking place. The manager has developed a format for yearly reviews of residents who are not placed by a local authority. We did not see much written evidence that residents are being regularly consulted about their care needs and risk assessments when care plans are being reviewed each month. The manager and staff have undertaken safeguarding training. Staff we spoke to were clear about their responsibilities to report any suspicion of poor care practices to the manager. We saw evidence that any potential safeguarding issues are now being
Care Homes for Older People Page 4 of 9 reported to the appropriate authorities. The service is also now notifying the Commission of any event that could affect the well being of residents at the home. We examined staffing files for that last two staff to be employed at the home. These files contained all the information needed to protect residents and provided evidence that recruitment procedures were being followed. Staff we spoke with confirmed that these recruitment procedures were being adhered to. Both residents and visitors we spoke with told us they were happy with the care and support they receive and that the home has a friendly and relaxed atmosphere. It was clear from observation that staff and residents have good relationships. People we spoke with also told us that the manager and provider were very supportive and approachable. Staff also indicated that the home was a good place to work and that the manager and provider gave them the support and training they needed. One staff member commented, The home is a very good care home to work for. I am very happy. Another staff member told us, The home manager and the management are marvellous. The record of fire drills indicated that these happened on a regular basis and that night staff were included in these drills. However it would be prudent to have fire drills at night were there are only two staff on duty. We have restated this good practice recommendation. 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 5 of 9 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 6 of 9 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 1 7 15 The registered person must 01/07/2010 ensure that all care plans are reviewed in consultation with the service user and contain detailed information as to how the individual service users needs are to be met in respect of their health and welfare. This should ensure that staff are given clear written instructions on how best to meet the needs of individual service users. 2 38 13 The registered person must 01/07/2010 ensure that all risk assessments are reviewed in consultation with individual service users and contain detailed information for staff regarding acknowledging and minimising risks to service users. This should ensure that all staff and service users at the home understand any identified risks and have information regarding Care Homes for Older People Page 7 of 9 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 minimising these risks. 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 7 The registered person should ensure that each service user has a summary of all their identified needs so staff are clear about each service users individual likes, dislikes and preferences. The registered manager should ensure that all staff are observed following moving and handling and medication training and then signed off as competent. This should ensure that the manager is confident that staff are following the correct safe practices. The registered person should ensure that fire drills take place during the night to ensure that staff are aware of the particular safety issues where there are only two staff on duty. The registered person should ensure that the manager attends training with regard to risk assessing and risk assessments. 2 30 3 38 4 38 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
