Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd June 2010. CQC found this care home to be providing an Excellent service.
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 Hollymede Cottage.
What the care home does well People using the service receive the care and support they need including in relation to their healthcare. Medication is safely managed and records are well maintained. Care plans give staff the information they need to be able to provide care to people in the way they need and prefer. Surveys from people using the service generally told us that they receive the care and support they need, that staff are available when they need them, that the home arranges activities they can take part in if they want to, that they like the meals at the home and that the home is always fresh and clean. Comments received in surveys about what the home does well include did "Everything is done well", "cleaning is good, cooking is good, I get on well with all of the staff, they are all nice", "general care", " lovely home", "the home is always fresh and clean and my relative`s room is kept lovely", and "my relative, like a lot of older people can be difficult at times and grouchy but the staff all take it in their stride and treat them very kind and understandingly and they always make time for the family". There are clear systems in place to safeguard people living at the home that include training for staff, policies and procedures to help them in everyday practice and robust recruitment procedures to help ensure that only appropriate people are employed at Hollymede Cottage. People also feel able to raise concerns and speak up if they are not happy about something. Surveys received from residents/relatives confirmed that people feel that staff usually listen to them and act on what they say and that there is someone they can speak to informally if they are unhappy. While there has been a change of manager at the home, the new manager has worked at the home for some years and continues to be supported by the previous manager. The new manager told us that they had been trained by the previous manager and so `only knew the right way to do things` but is also willing and interested in developing their skills further. There is an established and stable staff team at Hollymede Cottage which supports consistency and continuity for residents. In surveys received, staff told us that they practice person centred care, that the needs of residents always come first and that staff are well trained to support this. Comments included "the residents are well looked after and have their say in the running of things... carers and management work together as a team.. all communicate very well and life at Hollymede is very good", "we strive to improve our practices through encouragement and training given by our excellent management team. Hollymede is a great place to work .. I have enjoyed the challenges and opportunities it has given me" and "it caters and provides whatever staff and residents require enabling them to enjoy their work and residence at the home ... I enjoyworking in a friendly and well organised and run environment". What the care home could do better: There could be clearer information on the complaints procedure including accurate contact details for the Commission. The way that information about complaints is kept could be better organised and separate for each one to support better confidentiality. Comments in surveys from residents/relatives on what the home could do better included " nothing", "more games". Random inspection report
Care homes for older people
Name: Address: Hollymede Cottage 61 - 63 Church End Lane Runwell Wickford Essex SS11 7DP three star excellent 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: Bernadette Little Date: 0 3 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Hollymede Cottage 61 - 63 Church End Lane Runwell Wickford Essex SS11 7DP 01268450908 01268450908 Sueathollymede@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Marie Robson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hollymede Cottage Limited care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 14 The registered person may provide the following category of 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: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Hollymede cottage offers accommodation with personal care for 14 older people over 65 years of age. The premises is situated in a residential area and successfully presents a homely and comfortable environment. There is a dining room and two
Care Homes for Older People Page 2 of 10 Brief description of the care home additional communal seating areas one of which is a conservatory style lounge overlooking the garden. Residents bedrooms are sited on the ground and first floors and all are single occupancy. The shaft lift provides access to all areas used by residents. The bathrooms are available on both floors and the downstairs bathroom is equipped with an assisted bath. A range of individual and group social activities is provided by/or supported by staff. Outside entertainers visit and residents attend community events. The management at Hollymede Cottage offer general hairdressing services free of charge and more specialist services are readily accessible. Hollymede Cottage has been registered since 4th May 2007. Care Homes for Older People Page 3 of 10 What we found:
This was an unannounced random inspection. The visit took place over one day by one inspector and lasted a total of four hours. The purpose of the site visit was to monitor compliance to the Outcome Groups relating to Health and Personal Care, Complaints and Protection and Management and Administration. The manager was present and assisted throughout the site visit. As part of the process records relating to people who use the service, staff and the general running of the home were examined. Prior to the site visit, surveys for people who use the service and for staff who support them were sent to the manager for distribution. We for received completed surveys from seven service users and five staff that gave us information about the service. We also looked at all the information that we have received or asked for about the home since the last key inspection, including the Annual Service Reviews undertaken on 21st August 2008 and 25th October 2009. Prior to this inspection, the previous manager submitted an Annual Quality Assurance Assessment (AQAA). This is a self assessment document, required by law, detailing what the service does well, what could be done better and how they plan to improve it. Information given in this document has been incorporated into this report. The new manager confirmed that a preadmission assessment is always undertaken before a service is offered and evidence of this was seen on files sampled. This allows the manager to be sure they can meet the persons needs at Hollymede Cottage and forms the basis for the persons plan of care. Surveys received from people using the service told us they received enough information to help them decide if this home was the right place for them before they moved in. Care plans are undertaken through a computerised system where information is inputted and a care plan is then produced. Those sampled were clear and easy to read, cover a wide range of areas of needs and link to associated risk assessments, helping to promote the well-being and safety of the resident and staff. There was a clear format to record monthly reviews and a full review of the document every six months. This helps to ensure that peoples needs are monitored and updated so that staff have current information and how to meet peoples needs at any time. Surveys received from people using the service confirmed that they always or usually receive the care and support they need. One survey had the comment its not just a job to all the staff, they really do care. Care plans indicated that health care needs were taken into account and monitored and that appropriate equipment was in place to support good preventative care and health and safety. This included appropriate cushions/ mattresses, planned bed rest, good fluid and dietary intake monitoring as well as intervention by appropriate health care professionals. The manager explained that residents are weighed regularly and details are entered on the computer for each person. Fluctuations over or above a set limit are highlighted for further monitoring and action. An annual record graph is then produced for the file. Surveys received from people using the service tell us that the home make sure that people receive the medical care they need.
Care Homes for Older People Page 4 of 10 Care plans recorded what the person said they liked and respected their views including respecting their dignity and maintaining the persons independence skills. In a survey, a resident commented they help me to stay independent. Resident dignity was also seen to be respected during the site visit when the district nurse visited to see some residents. Staff spoke to the residents telling them that the district nurse was here to see them, the reason why and that they would need to go/be taken to their bedroom. Staff were also observed or heard throughout the site visit to knock on bedroom doors and wait. Medication recording and management was reviewed. A monitored dosage system is used. Records were maintained of medications received. The Medication Administration Record (MAR) folder was well organised with a separate section for each resident with their name and photograph to support accurate identification as well as information on any allergies. The manager confirmed that no residents self-medicate and a minor issue in relation to clarity of wording was amended. An overview of medication records in the file demonstrated no omissions, indicating that people receive the medication they are prescribed. Medications in the blister packs were sampled for some residents in line with their MAR sheets and were found to tally. The manager demonstrated awareness of the reasoning for a resident receiving one of their medications at a different time to their other medications and confirmation that this happened in practice. A record was available of names of staff the manager has deemed competent to administer medication along with a record of their most recent medication training date. We reviewed the management of complaints and safeguarding of vulnerable people at Hollymede Cottage. The complaints procedure was displayed. The manager was recommended to update the Commissions contact details, advise people they can inform the Commission of complaints and also that complaints can be investigated by Social Care (social services). The manager was also recommended to review the way information on complaints was maintained so that it is more confidential. The manager confirmed that both of these recommendations would be implemented immediately. All surveys received from people using the service/their relatives confirmed that they would know how to make a complaint and also that there is somebody they can talk to informally should they wish to do so to raise any concerns. Information on protecting vulnerable people from abuse was displayed in the home. The training matrix indicates that staff have received training on safeguarding. Both the staff on duty spoken with and the manager confirmed that they had attended this training, and were able to advise on types of abuse and appropriate actions in response to safeguard people living at the home. Surveys received from staff confirmed that they would know what to do if anyone had a concern about the home. Staff recruitment records checked indicated robust recruitment procedures are in place to ensure prospective staff are suitable people to work at the home. The Commission has not been made aware of any concerns or complaints regarding Hollymede Cottage. A new manager has recently been appointed and has experience working as the deputy manager at the home for some time. The previous manager informed us of this and has supported the new manager with their induction which is still ongoing. The new manager confirmed that they will make an application with the Commission to be registered as the manager at that time. The manager provided evidence of having achieved NVQ level 4 in
Care Homes for Older People Page 5 of 10 Care and is currently seeking opportunity to complete additional management training. The previous manager is still working within the company and has completed the required visits and reports to demonstrate monitoring that the home is being effectively managed and run in the best interests of the residents. No health and safety hazards were identified at the site visit. We reviewed a number of safety inspection certificates and all were found to be satisfactory. Current liability insurance was displayed. What the care home does well:
People using the service receive the care and support they need including in relation to their healthcare. Medication is safely managed and records are well maintained. Care plans give staff the information they need to be able to provide care to people in the way they need and prefer. Surveys from people using the service generally told us that they receive the care and support they need, that staff are available when they need them, that the home arranges activities they can take part in if they want to, that they like the meals at the home and that the home is always fresh and clean. Comments received in surveys about what the home does well include did Everything is done well, cleaning is good, cooking is good, I get on well with all of the staff, they are all nice, general care, lovely home, the home is always fresh and clean and my relatives room is kept lovely, and my relative, like a lot of older people can be difficult at times and grouchy but the staff all take it in their stride and treat them very kind and understandingly and they always make time for the family. There are clear systems in place to safeguard people living at the home that include training for staff, policies and procedures to help them in everyday practice and robust recruitment procedures to help ensure that only appropriate people are employed at Hollymede Cottage. People also feel able to raise concerns and speak up if they are not happy about something. Surveys received from residents/relatives confirmed that people feel that staff usually listen to them and act on what they say and that there is someone they can speak to informally if they are unhappy. While there has been a change of manager at the home, the new manager has worked at the home for some years and continues to be supported by the previous manager. The new manager told us that they had been trained by the previous manager and so only knew the right way to do things but is also willing and interested in developing their skills further. There is an established and stable staff team at Hollymede Cottage which supports consistency and continuity for residents. In surveys received, staff told us that they practice person centred care, that the needs of residents always come first and that staff are well trained to support this. Comments included the residents are well looked after and have their say in the running of things... carers and management work together as a team.. all communicate very well and life at Hollymede is very good, we strive to improve our practices through encouragement and training given by our excellent management team. Hollymede is a great place to work .. I have enjoyed the challenges and opportunities it has given me and it caters and provides whatever staff and residents require enabling them to enjoy their work and residence at the home ... I enjoy
Care Homes for Older People Page 6 of 10 working in a friendly and well organised and run environment. 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 7 of 10 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 8 of 10 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 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 16 Maintain individual records for each complaint and ensure the complaints procedure has current contact details for the Commission. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
