Care Home: Holly House Residential Care Home

What the care home does well The home has moved to new premises. The home is bright, clean and well maintained throughout. Rooms are decorated to reflect the personality of the persons who live there. The people who live in the home told us that they were well looked after and well supported in their daily lives. They are supported to have activities outside the home. Care plans were well written and gave good detail on the needs of the residents and how their needs are to be met. The care plans conained good risk assessments to ensure people are kept safe. We spoke to visitors who told us that their relative was being well supported and efforts were being made to ensure she has a social life outside the home. The resident involved was in agreement. On the second day of the inspection there was a power cut. The home dealt with this very well and the residents organised themselves to ensure they had their choice of `take-a-away` meal. Staff are well trained and are supervised appropriately by the Registered Manager and senior staff. The home is well managed in the best interests of the people who use it. What has improved since the last inspection? The last inspection was positive. The home has moved to larger premises and is newly decorated offering suitable premises to the people who live there. What the care home could do better: This was a positive inspection with no requirements. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Holly House Residential Care Home 38 Barnet Road London Colney St. Albans Herts. AL2 1BG     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Marian Byrne     Date: 1 8 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 21 Information about the care home Name of care home: Address: Holly House Residential Care Home 38 Barnet Road London Colney St. Albans Herts. AL2 1BG 01727825559 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Beena Dooraree Type of registration: Number of places registered: Vijay Dooraree care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommadated is 10 The registered person may provide the following category of the service only: Care home only - Code PC To service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Holly House is a privately owned small care home for people with enduring mental health needs. The house has been converted from a family home to provide ten private single accommodation rooms for service users aged 18-65 years. Within the aims and objectives of the home are the provision of therapeutic techniques such as developing/maintaining life skills, domestic skills, budgeting skills and positive assertiveness. The home also aims to promote good mental health and prevention of Care Homes for Adults (18-65 years) Page 4 of 21 Over 65 0 10 Brief description of the care home relapse, medication compliance and participation in local community life. Holly House is just a short journey to St Albans town centre, which boasts a busy tourist attraction, being an old major Roman settlement with a well maintained Abbey and various other buildings. St Albans provides the opportunity to enjoy a variety of entertainment venues and resources. Service Users social and health support is provided with the involvement of the multi agency and local GP/Dental Services. Care Homes for Adults (18-65 years) Page 5 of 21 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We visited this home on two occasions once on the 18th September 2008 and again on the 20th October 2008. On the first occassion there was one inspector and on the second there were two inspectors. We spoke to the residents and we spoke to visitors to the home. We toured the premises. We inspected care plans and other relevant records including staff recruitment records and their training records. Care Homes for Adults (18-65 years) Page 6 of 21 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 21 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 using this service can be sure that a full assessment of their needs will be carried out to ensure their needs are identified and met. Evidence: On our first visit we looked at two care plans and we found evidence to show that a full assessment was carried out. Four more people had been admitted when we conducted our second visit to the home and their files all contained full assessments and showed that the home does not rush people to make decisions on moving in. The people we spoke with assured us that they were helped to make decisions to ensure that this home was appropriate for them. One recently admitted service user was given several months to make a decision on whether Holly House was the right home for them. Care Homes for Adults (18-65 years) Page 9 of 21 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 who use this service can be sure that they will be asssisted in living as full as life as possible. Evidence: There are currently eight people living in the home we spoke with four people and saw five of them. The care plans are very detailed and highlight the needs of the people who live in the home. Each care plan has a quick glance profile that contains all relevant information to meet immediate needs and a quick summary of needs and an action plan to monitor moods, provide a safe environment and risk of relapse to those residents who have a recurring problem. Discussions with the residents showed that they are able to make decisions about their lives. They are kept under regular review and changes made to ensure they have an optimum lifestyle. All the residents we spoke with were fully involved in risk assessments and in drawing up their care plans. They are ecouraged to live as full a life as is possible. Care Homes for Adults (18-65 years) Page 10 of 21 Care Homes for Adults (18-65 years) Page 11 of 21 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 who live in this home take part in activities of their choice they have freedom to come and go and to be part of the Community. They can be sure that they will be consulted on the running of the home. Evidence: On the second day of the inspection there was a power cut in the local area. The home had emergency lighting to cope. The residents had a discussion on what to have for their evening meal, they decided to have a choice of two take-a-ways. The Registered Manager was arranging to take them to get the food. We witnessed this decision making process, one of the residents took charge and asked the others what their preference was. They made a list. All of the residents took part in the decision making. It was clear that they all had an opinion and were confident in expressing it. We spoke with the family of one of the residents who assured us that they are always welcome Care Homes for Adults (18-65 years) Page 12 of 21 Evidence: at the home. Their relative is free to spend weekends or any time with them. They are included in discussions as appropriate and find the Registered Manager easy to talk to. They told us that the staff have and are continuing to assist their relative to find useful occupation in the outside community. Residents have regular input into menu planning. There were large quantities of food in the home both fresh and frozen. Care Homes for Adults (18-65 years) Page 13 of 21 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. People who live in this home can be sure that their health care and personal needs are recognised and met. Evidence: Care plans detail the health and personal care of the residents, they are reviewed regularly and care is taken to ensure the resident returns to independent living as soon as possible. Care is taken to assess the risks of relapse for the residents and strategies put in place to eliminate or reduce the risk. Medication is stored, administered and recorded appropriately. Care Homes for Adults (18-65 years) Page 14 of 21 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 who use this service can be sure that their complaints will be listened to and responded to. They can be sure that they will be sufeguarded from risk. Evidence: There is a complaints procedure in place. Those spoken with during the inspection were aware of the complaints procedure. The residents and the families we spoke to said that they would have no trouble complaining to the manager or staff if they felt the need. Staff spoken with were aware of safeguarding procedures. Care Homes for Adults (18-65 years) Page 15 of 21 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 people who live in this home can be sure that the environment meets their needs. Evidence: The home has recently moved to new premises. The house is tastefully decorated with good quality furniture. The home is decorated in bright colours and is warm and welcoming. All the residents are invited to decorate their room in a way that reflects their personality. The home was clean, fresh, well maintained and odour free. Care Homes for Adults (18-65 years) Page 16 of 21 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 who live in this home can be sure that the staff are recruited and trained appropriatley. Evidence: We found that the staff were recruited appropriaetly. We checked three files and found that they contained two references, proof of identity and a Criminal Records Bureau check. Staff had been trained to provide care to this care group. The providers are trained nurses with extensive background in the provision of care to those with a mental health impairment. Other training includes food hygiene, safeguarding adults, fire safety and moving and handling. The home is on course to have 50 of staff trained to NVQ level 2 or 3 by the required date. Care Homes for Adults (18-65 years) Page 17 of 21 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. We found the home to be managed with the best interests of the people who live there at heart. Health and Safety of the residents is promoted thus ensuring their safety. Evidence: The people who live in this home can be sure that it is managed and run in their best interests. The home is well run and we found that the loss of electricity mentioned earlier in this report was not a problem. emergency lighting came on and plans were made for the evening meal with the minimum fuss yet included consulting all the residents. Residents and their realtives told us that they are consulted on all aspects of life in the home. We saw the care plans reflect the wishes of the residents and we saw that arrangements are being made to ensure that all teh residents had useful occupation. All records checked showed us that the health and safety of the residents is promoted at all times. Care Homes for Adults (18-65 years) Page 18 of 21 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 Adults (18-65 years) Page 19 of 21 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 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 Care Homes for Adults (18-65 years) Page 20 of 21 Helpline: 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 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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 21 of 21 - 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!