Care Home: Holly Bank Nursing Home

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well The home is well managed and run in the best interest of the people living there. Anyone thinking of moving into Holly Bank can go and look around to see for themselves if they think the home is suitable for them. Each person has an individual care plan that sets out what care and support they require from staff. The home has a lively, friendly atmosphere and people are able to pursue a range of activities. Staff have time to sit and talk to people individually. This means that people are kept stimulated. People look well cared for. All the people we talked to spoke well of staff and said that they were kind, caring and nothing was too much trouble for them. People can follow their own routines and relatives and friends are welcome to visit. People living at the home said the meals are good. If people living at the home and/or relatives are not happy about the service they are getting there is a complaints procedure. People were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. The home is clean, tidy and comfortable. People living at the home all said that the home was kept fresh and clean. The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. In the surveys we asked people what the home does well. People living in the home and their relatives said the following: `The owners are caring, friendly people. The home is warm, clean and welcoming.` `Just about everything.` `People are well cared for. The home is kept very clean and well maintained. Visitors are always made to feel welcome.` `It is a very well run home.` `My relative is very well cared for and as happy as they could be under the circumstances.` What has improved since the last inspection? There is written information available about the service and what it has to offer in the Service User Guide. If people decide to move in to Holly Bank staff from the home will carry out an assessment to make sure that they can meet that persons needs. The redecoration and refurbishment programme continues and the facilities at the home are being improved for the people living there. What the care home could do better: When risk assessments are completed and a risk is identified a care plan must be put in place to show what action staff need to take. This will make sure that staff take appropriate action to reduce or eliminate any possible risks to individuals. Key inspection report Care homes for older people Name: Address: Holly Bank Nursing Home Manor Heath Road Halifax W Yorkshire HX3 0BG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Paula McCloy     Date: 0 7 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Holly Bank Nursing Home Manor Heath Road Halifax W Yorkshire HX3 0BG 01422368555 01422882822 hollybanknursing@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): James & Reuben Ltd Name of registered manager (if applicable) Mrs Patricia Beaumont Type of registration: Number of places registered: care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code PC to service users of the following gender: Either whose primary needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP 2. The maximum number of service users who can be accommodated is 25 Date of last inspection Brief description of the care home Holly Bank is a care home with nursing. It is locted near Manor Heath Park in Halifax and is approximately 1/2 mile fom the town centre and all of its facilities. There is a car park at the front of the building and seating for people to use in fine weather. The accommodation is arranged over three floors. There are single and double bedrooms available and a passenger lift serves all floors. There are two lounges on the Care Homes for Older People Page 4 of 26 Over 65 25 0 0 9 0 3 2 0 0 9 Brief description of the care home ground floor. The property is well maintained and there is an ongoing programme of redecoration and refurbishment. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The current weekly charges at Holly Bank range between £500 - £560 per week at the time of this inspection 7 January 2010. Additional charges are made for hairdressing, chiropody and newspapers. This inspection was carried out to assess the quality of care provided to people living at the home. The service completed an annual quality assurance assessment (AQAA), which provided us with information about the service. We have used some of that information in this report. The inspection process included looking at the information we have received about the home since the last key inspection as well as an unannounced visit to the home, which lasted approximately 6 hours. Care Homes for Older People Page 6 of 26 During the visit we spoke to 6 people living in the home, 2 members of staff, 2 McMillian nurses, the manager and a relative. We also observed staff delivering care, looked at various records and looked around the home. Surveys were sent to 10 people living in the home, 10 staff and 5 health care professionals; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Five people using the service or their relatives on their behalf wrote to us with their comments. Their comments have been used in this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? There is written information available about the service and what it has to offer in the Service User Guide. Care Homes for Older People Page 8 of 26 If people decide to move in to Holly Bank staff from the home will carry out an assessment to make sure that they can meet that persons needs. The redecoration and refurbishment programme continues and the facilities at the home are being improved for the people living there. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can visit the home to see for themselves if they think it is suitable. No one moves into the home unless staff are sure they can meet their needs. Evidence: There is a service user guide available that gives people written information about the home and the service it provides. A member of staff from Holly Bank will go and assess anyone thinking of moving into the home. There is an assessment document that staff complete, which means that peoples needs are identified and that staff are sure they can meet those needs before people move in. We looked at the files for four people and found all of the assessment information we would expect, together with a care plan for each. We spoke to two people who had moved into the home recently. They both told us that their relatives had been to look around the home to make sure it was suitable. In Care Homes for Older People Page 11 of 26 Evidence: the surveys everyone said that they had enough information about the home before they moved in. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are being met. Evidence: We looked at three care plans because we wanted to see what individual needs had been identified and what action staff have to take to meet these needs. We found that the care plans were reasonably detailed and easy to follow. All of the necessary risk assessments have been completed but staff need to make sure that they are writing down the action they have taken to reduce or eliminate that risk. For example one person had been identified as being at risk of developing pressure sores, but there was no care plan in place to show what they were doing to reduce this risk. Peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Details of any visits by health care professionals are clearly documented in the residents care plan, together with the advice that has been given. Five people told us that they get the medical support they need. People told us that the staff notice if there is anything Care Homes for Older People Page 13 of 26 Evidence: wrong and always get a doctor. We could see that staff were carrying out instructions, for example, we saw the nurse on duty making sure that one person was doing their exercises that had been set by the physiotherapist. People looked well cared for and we saw that men had been shaved, peoples hair brushed or combed, spectacles were clean and peoples personal and oral hygiene was well maintained. In the surveys people told us that they get the care and support they need and that staff listen and act upon what they say. The medication system is well managed. We watched part of a medication round. The nurse spent time with each individual, offering encouragement when needed. People are receiving their medication at the prescribed times and records are well maintained. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are activities on offer that are keeping people stimulated and active. Meals at the home are good and mealtimes are social occasions. Evidence: People told us that they can follow their own routines and can get up and go to bed when they want to. Peoples personal preferences are written in their care plans and staff are aware of these. Holly Bank is a family run home and the manager, her husband and son all work at the home. They all know people very well and spend time with them finding out about their interests, past lives and experiences. They then use these to provide appropriate activities. For example there are a number of men living at the home and they have collected pictures of cars they used to drive to open up conversation and common interest. This is a good example of how they keep people stimulated. The home has a very lively, welcoming atmosphere. Everyone that visits is offered a drink straight away and made to feel at home. During our visit staff were available to offer people assistance or have a chat. There are two lounges one with a very large TV and the other is a quiet lounge. People choose where they sit and go from one lounge Care Homes for Older People Page 15 of 26 Evidence: to the other as they wish. In the surveys people told us there were activities arranged for them to take part in. People we spoke to told us that staff are available to sit and talk and that they will play dominoes or cards if they want. During the afternoon of our visit we saw staff spending time with individuals and organising a group activity that people enjoyed. Meal times at the home are a social occasion with most people eating in the dining room, unless they choose to eat elsewhere. There was a lot of lively conversation at lunchtime and people ate at their leisure. People told us that the meals are good and that there is always plenty of food available. After lunch about 2pm staff brought the drinks trolley round. People were able to choose tea, coffee, beer or sherry. It also generated a lot of banter between people about which beer they might have and what they though of the one they had yesterday. The presence of a number of staff, various activities, the drinks trolley and visitors means there is something going on most of the time. No one was sleeping and people were interested in everything that was going on. People living in the home are interested and engaged and are being kept mentally active and stimulated. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and adult protection issues are being dealt with properly. This means that staff are listening to people and keeping them safe. Evidence: The homes complaints procedure is on display. People told us that the know who to talk to if they are unhappy or if they want to make a complaint. People we spoke to told us that they would be able to raise any concerns with the manager and were confident that any issues would be sorted out. The home have not received any complaints. The manager told us that all of the staff have completed adult protection training. This means that staff are fully aware of all of the different types of abuse and about the reporting procedures. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, clean, tidy and very well maintained. Evidence: The home is located near Manor Heath Park in Halifax. The local town center is approximately 1/2 mile away with all its facilities. There is a car park at the front of the building and seating outside the front door for people to use in nice weather. There are two lounges one with a TV and one with a music system. Both are well decorated and very comfortable. New recliner chairs have recently been purchased for the TV lounge so that people can keep their feet up if they want without the need for foot stools. Since our last visit more bedrooms have been redecorated and refurbished and the bathing and shower facilities have been improved to make them more accessible to people living in the home. The owners still have a number of improvements on their agenda including the entrance area and a sitting area outside. All of the renovations are to a high standard and have improved the home to benefit the people living there. Infection control procedures are good. Dispensers with protective gloves and aprons Care Homes for Older People Page 18 of 26 Evidence: are evident throughout the building and sanitising hand rub is available in every room. The laundry is well equipped and peoples clothing is well cared for. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by properly recruited and well trained staff. Evidence: There is a qualified nurse on duty throughout the day and night. There are three care assistants on duty during the day and two care assistants on duty at night. The care staff team are supported by domestics and a laundry assistant. At the moment the home is trying to recruit a cook. In the interim the manager or another designated member of staff is doing the catering. Staff told us they felt there were enough staff on duty to meet peoples needs at the current time. The manager is aware that she needs to keep the staffing levels under review as peoples needs change or as more people move into the home. Recruitment procedures at the home are good. We looked at three staff files these confirmed that the necessary checks are being completed to ensure the suitability of new staff. This means that staff are safe to work with older people. All of the care staff team have completed or are in the process of completing their National Vocational Training (NVQ) at level 2 or 3 in caring for older people. This means that they have been assessed as competent to do their job. In the AQAA the manager told us that all new staff complete induction training that Care Homes for Older People Page 20 of 26 Evidence: meets the skills for care standards. This means that staff will be given the training they need when they first start working at the home. The manager told us that staff are up to date with their training and that the home has purchased a training package so that they will be able to keep peoples training needs up to date and deliver training at the home. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people living there. Practices in the home promote the health, safety and welfare of the people living there and staff. Evidence: The registered manager is not a nurse, she has a background in managing care homes for older people and has achieved her registered care managers award. This means she has been assessed as competent to manage a home. One of the nursing staff has the role of clinical lead and takes responsibility for the supervision of the nursing staff and for the delivery of nursing care. At the moment there is no job description for this post. It is important that there are clear job descriptions for the registered manager and the clinical lead nurse. This will make sure each person is clear about their role and responsibilities. The manager talks to people living in the home and relatives on a daily basis and gets direct feedback from them about the service. No formal quality assurance audit has Care Homes for Older People Page 22 of 26 Evidence: taken place. This needs to be done and the results published and made available to all interested parties. This will give people the opportunity to formally comment on the service and for them to see the overall results. The service completed an annual quality assurance assessment (AQAA), which provided us with some information about the service. It did, however, lack detail. We discussed this with the manager and asked her to make sure that in future she gives us more information and uses the National Minimum Standards for Care Home for Older People to assess each area thoroughly. The manager does not hold money on behalf of people living there. People or their representative are invoiced for any additional charges for example hairdressing and chiropody. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. In the AQAA the home told us that servicing of equipment is up to date. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 13 When risk assessments are 12/02/2010 completed and a risk is identified a care plan must be put in place to show what action staff need to take. This will make sure that staff take appropriate action to reduce or eliminate any possible risks to individuals. 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 31 There should be a job description in place for the nurse who is taking the clinical lead. This will make sure that there is written information about their roles and responsibilities. The manager should undertake their own formal quality assessment of the service they provide. The results from this should then be publised and made available to all interested parties. 2 33 Care Homes for Older People Page 25 of 26 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!