Care Home: Holt Mill House

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What the care home does well Residents benefited from good care planning. Where residents lacked capacity to make decisions, people who would act in their best interests were identified. This meant residents were very well supported and good communication methods used in helping them understand as much as possible and to make their needs and wishes known. The high standard of residents` health care plan helped them to receive the correct support from medical professionals and understand what was happening. They were registered with a General Practitioner and had regular routine health screening. Medication was managed safely. The complaints procedure and the way the home was managed made it very easy for residents and other people to raise any issues or concerns. There were no complaints made against the home. Staff were trained in adult protection, and were also trained to respond appropriately to physical and verbal aggression and fully understand the use of physical intervention as a last resort. They had attended further training on The Mental Capacity act and Deprivation of Liberties. Risk management was very good. What the care home could do better: There were no areas identified for improvement in resident health, personal care and protection. The service continues to provide excellent outcomes for the residents. Random inspection report Care homes for adults (18-65 years) Name: Address: Holt Mill House Lloyd Street Whitworth Rochdale Lancashire OL12 8AA 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: Marie Dickinson Date: 2 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Holt Mill House Lloyd Street Whitworth Rochdale Lancashire OL12 8AA 01617648530 Telephone number: Fax number: Email address: Provider web address: woodleighhouse@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Miss Marie-Louise Bennion Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Anna Geraldine Ellis care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 The service should at all times employ a suitably qualified manager who is registered by CSCI Date of last inspection Brief description of the care home Holt Mill House is registered with the Commission for Social care Inspection to provide personal care and accommodation to two younger adults who have a learning disability. Holt Mill House is an end-terraced property that provides facilities and care in a homely environment. It is situated close to the town centre of Whitworth near Rochdale and is within walking distance of local amenities including shops, post office, bus stop and community health services. The ground floor of the home consists of a dining kitchen, utility room, two spacious lounge areas and a W.C. In addition, there is Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home an office that is also used to store medication and records safely. The first floor can be reached by a staircase and provides two double sized en suite bedrooms. There is a third bedroom that is used for respite care and is adjacent to a separate bathroom. Furnishings and decoration is good quality and domestic in character. There is a smallenclosed garden to the rear of the property. Prospective residents can have a copy of the statement of purpose and a service user guide. Fees at the home are subject to service user need. Additional charges are made for clothing, hairdressing, toiletries, holiday spending, and meals out, admission to places of interest and gifts for families. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The visit to the home was unannounced. An Annual Quality Assurance Assessment (AQAA) was received yearly at the Commission from the service that enabled us to complete a service review. From the information and written comments we received from residents, staff and relatives the review supported our assessment that the service had continued to provide excellent outcomes for the residents living in the home. Two residents were at home on the day of the inspection. Records maintained showed care plans was written in a person centred way. This meant the principle of individuality was respected and residents were cared for as they wished and required. Their wishes and aspirations were accounted for. There was sufficient instruction for staff to help residents according to their need and wishes recorded, and assessment and reviews were ongoing in supporting them to maintain their independence and well being. This provided staff with good guidelines to follow. Focus was placed on residents best interest and identified residents who required responsible people to make decisions in their best interests where they lacked capacity to do this. All new staff employed within the scheme was given an induction training program. The induction covered the basic principles of care such as the right to privacy, dignity and respect. All staff was very well trained to care for people with a learning disability and in other topics relevant to their work. Information sent to the commission showed staff had been trained in for example challenging behaviour, person centred care planning, equality and diversity. Healthcare needs had been properly assessed and residents had health action plans included in their care plan. Daily records showed how healthcare was closely monitored. Residents were registered with a General Practitioner and had regular routine health screening appointments. There was also evidence of other professionals being involved in residents healthcare needs for example, dentist. Healthcare plans were written for to help residents understand. Each area of need was considered and showed the necessary action to be taken to help them through procedures. For example what support staff needed to do to help such as by being supported by people I know. Support me during treatment and reassuring me and talking about other things in a calm manner. Consent to medication assessment identified residents capacity for consent. Staff had good guidelines to follow for administering medication when required only with signs and symptoms listed. For example, When I am in pain I will........ Medication storage was secure and tidy. Medication administration records were up to date, and all staff responsible for this task had been trained. The manager said there were two formats of the complaints procedure within the scheme making it more accessible and more user friendly for the people who use the service and visitors to the home. To offer a non judgmental service and encourage people to understand and use the procedure if and when they need to, time is spent time discussing the complaints procedure with residents, both in a group meeting and in one to one sessions with key workers Care Homes for Adults (18-65 years) Page 4 of 8 There were up to date policies and procedures for staff reference and training provided in Safeguarding Vulnerable Adults. Staff were also trained to respond appropriately to physical and verbal aggression. They had attended further training on The Mental Capacity Act and Deprivation of Liberties Safeguard. Risk assessments for residents had been carried out with written guidelines for staff to follow and manage the identified risk safely. What the care home does well: 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 Adults (18-65 years) Page 5 of 8 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 Adults (18-65 years) Page 6 of 8 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 Care Homes for Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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. 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