Latest Inspection
This is the latest available inspection report for this service, carried out on 7th August 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Holly Cottage LLP.
Annual service review
Name of Service: Holly Cottage LLP The quality rating for this care home is: The rating was made on: two star good service 1 2 1 0 2 0 0 7 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Shirley Christopher Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 1 Egremont Street Ely Cambridgeshire CB6 1AE 01353661297 01353661297 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Holly Cottage LLP Number of places (if applicable): Under 65 Over 65 6 0 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Holly Cottage is a limited liability partnership (LLP) which is owned and managed by four members of the same family. It has been established for many years. Accommodation and staff support is provided for six residents with learning disabilities. The house is situated close to Ely city centre and full use is made of the local facilities. The home has its own transport and residents are encouraged to pursue a range of activities throughout the day and evening. Residents use to attend local day services, but day services have faced cuts so now Holly cottage provide their own day services from home. There is a designated room for activities, but most of the time residents are supported to access community facilities. There is a member of staff employed specifically to organise activities, but all staff are involved. The home is warm, comfortable and decorated to extremely high standards. It has six single bedrooms some are on the ground floor. The home has adequate bathroom
Annual Service Review Page 2 of 7 1 2 1 0 2 0 0 7 facilities. The owners recently purchased a second property, which enabled them to extend the garden to Holly Cottage and to create an activities room. This is separate from the main living accommodation. The key inspection reports are available on the CQC website or copies are kept at the home. The home will be given a copy of the Annual service reviews and members of the public can request these. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We, The Care Quality Commission (CQC) did an unannounced key inspection to this home on the 12 December 2007. At the time of this inspection we gave the home a two star, good rating. As for all good and excellent services the following year it had an annual service review, (ASR) on the 8 October 2008. It was due a key inspection this year but because of changes to our work practices we are not inspecting good services this year, but focusing our efforts on poor and adequate services. We looked at all the information we had received, or asked for, since the last key inspection. This included: The service history which is a record of any incoming correspondence from the home, or outside agencies, relatives or the service users. The home are required to notify us of any event affecting the safety and, or well being of service users. This is called a notification. We also act on other information such as complaints and safeguarding concerns. We have not received any concerns about this home. The manager notified us of a recent incident and this was dealt with satisfactorily. The home were asked to complete and return to us their Annual Quality Assurance Assessment, (AQAA) which they did in the timescale given. This is a detailed self assessment tool which provides us information about how the home is managed and is meeting the needs of the people living at the home. Resident and staff surveys were returned to us. What has this told us about the service? The Annual Quality Assurance (AQAA) was completed in good detail and told us how the home are continuing to meet the needs of the residents and are complying with regulation. You told us that: Holly Cottage offers a safe, secure environment for all the people living there. The home have person centered plans which assist staff in meeting residents needs and identifying when needs are unmet or changed. The home hold regular house meetings and care plans are reviewed. Annual reviews are held and records are updated accordingly. Our residents enjoy a very involved and varied lifestyle. The home have a designated area to provide social activities, and staffing ratios enable residents to have one to one time with staff. The home source and access alot of activities in the local community, both through the day and weekend. We have implemented health action plans and also body mapping for the staff to use to clarify any health care needs, concerns. No complaints have been made against the service. We have not received any Annual Service Review Page 4 of 7 complaints or safeguarding referrals for this home. The manager stated that the complaints procedure is clear and explained to everyone. Care plans are reviewed monthly and any concerns are dealt with directly. The home is well decorated and maintained and the owners take pride in the environment. After a stringent recruitment and fair selection process, all potential staff will undertake a maximum of three interviews to determine the best person for the job. You told us that staffing ratios are good and staff turn over is low. The home try to ensure that all staff complete the mandatory training within the three month induction period. New staff complete a foundation course, Learning Disability Qualification (LDQ.) and then go on to be registered for a National Vocational Award. 50 percent of staff already hold a nationally recognized qualification. The home stated that staff did not want regular supervision. It is a requirement that staff have regular supervision. The home is registered as a limited liability partnership and is made up of a family group , father, mother and their grown up children. Between them they have a wealth of experience and are able to utilize each others strengths. We received five surveys from people living at the home. We asked them what the home does well and what they could do better.They told us: That the home could do nothing better. They told us what the home does well. Clean house, staff nice to me. Liked the holiday. garden, nice dinner. I like the day service because we do lots of different things and meet lots of people. They look after me well and cook me nice dinners. I like the home as it is, I dont want anything to change. We received four completed staff surveys. We asked staff what the home did well. They told us. I have enjoyed every moment so far and feel honoured to have been chosen for a position here. They said they had received good training. Provides healthy, nutritious food. Clean home, trips out, keeps up with all health appointments, opticians ect. The home I work in meets all the needs of the residents. I think providing them with day care facilities is a good attribute. Staff told us what the home could do better: Slow down sometimes as average age is now over 60. Offer more individual activities. Annual Service Review Page 5 of 7 Providing the residents with more choices. Could provide staff with Scip training. What are we going to do as a result of this annual service review? We will not change our inspection plan and plan to do a key inspection by the 12 October 2010. We are able to inspect a registered service at any time if we receive information which warrants an inspection. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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. Annual Service Review 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!
