Care Home: Holly Lodge Secondary Treatment Centre

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Annual service review Name of Service: Holly Lodge Secondary Treatment Centre The quality rating for this care home is: The rating was made on: two star good service 2 4 0 2 2 0 0 9 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: Denise Upton Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 361 Clifton Drive North St Annes on Sea Lancashire FY8 2PA 01253726666 01253726692 hollylodge@pierpoint.co.uk www.pierpoint.co.uk Mr John Noel Grady ACIB Solicitor Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : past or present alcohol dependence past or present drug dependence Conditions of registration: Number of places (if applicable): Under 65 Over 65 18 18 0 0 The maximum number of service users who can be accommodated is: 18 The registered person may provide the following category of service only: Care home only - Code PC, to people of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependence: Code A, Past or present drug dependence: Code D 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 Lodge is a treatment recovery centre for men and women aged 18-65 with substance dependency or addiction and is a secondary treatment facility within the Pierpoint group. Situated in a large modernised Victorian building in St. Annes - on Sea, the home is close to local shops and amenities and is a short walk from the promenade. The centre has good transport links, being close to bus routes and the local railway station. 2 4 0 2 2 0 0 9 Annual Service Review Page 2 of 7 The centre is part of the Pierpoint Group, which provides effective intervention through, assessment, self discovery, self acceptance and treatment for adults who have drug and/or alcohol addictions. Holly Lodge provides a holistic approach to residential and community based addiction treatment and enables people to identify their strengths and weaknesses so by the end of the programme, the person will have an understanding of the changes needed in relation to their addiction. The service supports people to achieve independence and reintregration with their family (where appropriate) the work place and the community as a valued and valuable member of society. The fees for the home are currently £644 per week, with additional expenses for items such as hairdressing, toiletries, tobacco and sweets. There is a Statement of Purpose/Service User Guide, which is given to all prospective users of the service users. This written information explains the care service that is offered, the owners and staff and what service users can expect from the centres treatment and recovery programme. 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 looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned by to us by five people accommodated at Holly Lodge. Surveys returned to us by five members of staff working at the centre. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that Holly Lodge is still providing a good service to the people that are accommodated there. People accommodated at Holly Lodge told us that they always or usually received the care and support that they needed, staff were available when they needed them and that in the main, staff listened and acted on what they said. Residents also confirmed that there was somebody they could speak with if they were unhappy about anything and that they knew how to make a formal complaint. The Annual Quality Assurance Assessment (AQAA) completed by the registered manager confirmed that on admission to Holly Lodge, each newly admitted resident is provided with an individual copy of the complaint procedure and Service User Guide. This is good practice and helps to reassure people using the service that complaints are taken seriously and acted upon so as to help improve the service offered. Residents that completed a Care Quality Commission (CQC) survey were very positive about the support offered. One person told us that Holly Lodge, Supports me with any issues I may have providing good advice and many alternatives to explore. Another person said, Breaks down your denial, is very supportive, gives you an understanding of addiction, makes you aware you have the disease of addiction. A third person said that Holly Lodge, Provides a safe environment, when you can look at your issues and helps you find emotional coping skills to deal with your problems with on-going support. Annual Service Review Page 4 of 7 Comments from staff were also generally very positive and confirmed that up to date information about the needs of the people that the service supports are always provided and that they were well supported by the management team. In answer to the question, What does the home do well one person said, We offer the clients a safe environment to work on any issues around their addition, and give them insights/awareness on how to live life free from drink/drugs. Another member of staff in answer to the same question told us, Provides a safe environment for people to explore their secondary issues and rebuild relationships. However there was also some constructive criticism and a suggestion for improvement from both people using the service and members of staff. This common theme mainly centred on the physical environment at the home. For example a member of staff said, The home could provide our clients with nicer and newer furnishings and fixtures. The home could also provide our clients with a newer modern kitchen as our clients also learn cooking skills to prepare them for when they are living in the community. Another member of staff said that Holly Lodge could , Provide a more modern, comfortable, well furnished environment. Similar comments were also echoed by people using the service with one person telling us that, The environment is clean and pleasant but the decor is depressing and shabby. It was noted at the last key inspection that took place in February 2009 that the physical environment at the home needed some attention to make it a more pleasant and comfortable place for people to live. A requirement was made to improve the physical environment at the home. The AQAA told us that it had been difficult for the home to improve the physical environment as much as they would like because of financial constraints caused by the way the service is funded. However the funds that had been made available were used to improve communal areas of the home, so that these areas were more comfortable and inviting, as most of the people accommodated at the Holly Lodge tended to spend the majority of their day in these areas. Although some improvements have been made to the physical environment at Holly Lodge, a programme of environmental improvements for the home should be developed as soon as possible, initially concentrating on areas of most need. Whilst it is acknowledged that financial constraints can impede on the timescale for improvement, this should be given some priority so as to ensure that all of the physical environment at the home is maintained to a good standard. The views and opinions of people living at Holly Lodge are considered important and promoted and incorporated in the daily life of the home. In order to capture peoples views, all people living at the home are provided with a questionnaire to complete each month. We were told that comments made on the questionnaires are acted upon or else explained more fully if any suggested changes cannot be made. A questionnaire is also provided to each resident just prior to them leaving the service. This encourages the soon to leave resident, to express their overall view of the service they have received so that any improvements can be made. In addition, there is a weekly community meeting that takes place where residents are encouraged to air their views and opinions. During this meeting, any practical shortfalls are highlighted and discussed. This inclusive approach to decision making helps people to feel a valued member of the community of the home as well as providing opportunity for every body to have their say and influence change. Annual Service Review Page 5 of 7 Staff training is also considered important in order to ensure that the staff group are skilled and competent for their work role. We were told by staff that completed a CQC staff questionnaire that they were given appropriate training to help them understand and meet the individual needs of the people that they supported and that the training provided also kept them up to date with new ways of working. We were also told that a policy and procedures regarding the Deprivation of Liberty Safeguards has been developed and some thought has also been given to providing staff with appropriate training. This important training would help to equip staff with the understanding and knowledge to be more confident about Deprivation of Liberty issues in order that residents are protected. The AQAA showed that in the last twelve months no complaints had been received by the home. The Care Quality Commission also received no complaints or concerns about the service. The registered manager at Holly Lodge continues to let us know about anything that affects the health or welfare of people living at the home. The notifications show us that the registered manager manages issues well. What are we going to do as a result of this annual service review? We will continue to monitor the service. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. 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). 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