Latest Inspection
This is the latest available inspection report for this service, carried out on 6th May 2010. CQC found this care home to be providing an Good 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 Holywell Dene Care Home.
What the care home does well Mrs Fender, and her team, worked with the inspector in a positive, constructive and open manner, and provided every assistance during the inspection. Mrs Fender made an immediate response to the concerns raised and provided feedback the following day. Staff treat people in a kind, respectful and dignified manner. The home is clean, hygenic and tidy. Holywell Dene has a domestic atmosphere and visitors are welcomed. The acting manager is taking action to make sure that all staff training is up to date. What the care home could do better: Make sure that each person has an `end of life` care plan which sets out how their needs will be met. Where people, or their relatives, have expressed a wish for non-resuscitation in the event of death, make sure that the relevant professionals have been consulted and the appropriate documentation is in place. Make sure that people`s moving and handling risk assessments are kept up to date so that they accurately reflect changing needs. Make sure that people`s weight is checked on a monthly basis. This will help to make sure that people`s health and well-being is protected and promoted. Random inspection report
Care homes for older people
Name: Address: Holywell Dene Care Home Holywell Dene Holywell Whitley Bay Tyne & Wear NE25 0LB two star good service 30/10/2008 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: Elizabeth Gaffney Date: 0 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Holywell Dene Care Home Holywell Dene Holywell Whitley Bay Tyne & Wear NE25 0LB 01912374424 01912374420 holywelldene@highfield-care.com www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Care Homes Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 3 0 1 0 2 0 0 8 Holywell Dene Care Home was purpose built in 1993. The home provides residential care for up to 50 people over the age of 65 years. The building is on a sloping site in the village of Holywell. The main entrance at the front of the building gives access to the middle floor. The building has three floors. There are pleasant views of Holywell Dene from the rear of the building and there is a large patio to the side of the premises. A passenger lift provides access to all floors. Parking is available to the rear Care Homes for Older People Page 2 of 8 Brief description of the care home of the building and ramps at the front door provide access for people with mobility difficulties. Care Homes for Older People Page 3 of 8 What we found:
We carried out this inspection to check whether the provider and acting manager continue to provide good outcomes for people using the service. Before the visit, we looked at the providers Annual Quality Assurance Assessment and any changes to how the home is run. We also checked information that has been shared with us by other professionals with an interest in the service, as well as any surveys returned to us. A new manager has been appointed and they are in the process of making application to register with the Care Quality Commission (CQC). An unannounced visit was made on 06 May 2010. During the inspection we spoke with the acting manager and some of the staff. We also sampled relevant records and looked at improvements that have been made since the last inspection. Action is being taken to improve infection control management. Mrs Fender, acting manager, is arranging for all staff to complete a 13 week, infection control distance learning course. She was able to clearly describe the arrangements that had been put in place to manage a recent outbreak of sickness and diarrohea. The outbreak was appropriately notified to the CQC. Anti-bacterial hand wash is provided throughout the home and staff carry gel hand wash. Plastic gloves and aprons are available at all senior staff stations as well as information about how to ensure effective hand washing. Unauthorised staff are not permitted to enter the kitchen and staff wear colour coded aprons according to whether they are providing personal care or handling food. The home is clean and hygienic throughout. Although there was a strong and unpleasant odour in one persons bedroom, the acting manager reported that the mattress is dis-infected each day and the carpet is shampooed daily. Since commencing work at the home, Mrs Fender has reviewed all staff training to make sure that each employees mandatory training is up to date. For example, in April 2010, each member of staff updated their moving and handling training. All staff have been booked on to a safeguarding vulnerable adults course and Mrs Fender has completed advanced training in this area. 76 percent of the care team have completed a relevant qualification in social care. A further five staff have been registered to complete this training. This will help people to be confident that they are being cared for by staff who have the knowledge and skills to meet their needs. The care staff on duty were sensitive, respectful and polite. A test of the nurse call system was carried out and was answered promptly. People are treated in a caring and dignified manner. End of life arrangements were looked at. One person receiving end of life care looked comfortable and well cared for. Staff were attentive to their needs and regularly checked their well being. Some of the persons care plans had been updated to reflect changes in their needs. Food and fluid charts, as well as a pressure sore risk assessment and management plan have been completed. However, a number of concerns were identified: * The persons admission profile states that there should be no resuscitation in the event of death. However, it was not clear with whom this had been agreed and appropriate documentation was not in place. Mrs Fender acknowledged this and said that she would
Care Homes for Older People Page 4 of 8 arrange an immediate review with the persons GP; * A detailed and overall end of life care plan was not in place. Mrs Fender acknowledged this and agreed that immediate action would be taken to address this shortfall; * The persons moving and handling risk assessment had not been updated to reflect changes in their condition and needs. However, their moving and handling care plan had been updated and included information that would help staff to keep the person safe. Mrs Fender explained that the assessment had not been updated as a consequence of staff sickness. 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 Older People 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 Older People 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 1 7 Make sure that peoples moving and handling risk assessments are reviewed and updated as peoples needs change. Ensure that: * Each person has an end of life care plan that has been agreed with their family, GP and any other relevant healthcare professional; * End of life care plans are subject to review by the multidisciplinary team, the service user and their carers/family, as and when peoples condition, or wishes, change. 2 11 Care Homes for Older People 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 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 8 of 8 - 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!
