Care Home: The Hollies

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What the care home does well The Hollies provides a homely environment for the people who live here. It is within walking distance of local amenities including shops, the library, park and post office. All areas of the home are reasonably maintained and clean. People who wish to move in to the home have their needs thoroughly assessed; they are able to visit and spend time in the home before deciding to move in. Each person who lives in the home we spoke with said they liked living at The Hollies; they receive the care and support they need. They like the staff team who support them and said staff are available when they need them. One relative we spoke with told us they are always happy with the care and support provided at the home. They visit each week and have never had caused to complain. There are some very positive comments from people which we have included in this report. There have been many improvements made since we last visited, despite there being a change in management of the home. What the care home could do better: When we last visited an activities programme has been started for people who live in the home. The records we looked at and discussions with the manager and people who live in the home showed that activities are continuing, although this is an area which the home wishes to improve further and the Registered Person must ensure this is done. Since our last visit the previous manager has left the home and a new manager has been appointed. The new Manager must therefore now register with us to ensure each person who lives in the home is provided with a safe and accountable service. The Registered Person must ensure each member of staff is supervised regularly. This would ensure staff are being given support to provide good quality care to people who live in the home. Random inspection report Care homes for older people Name: Address: The Hollies Florida Street Castle Cary Somerset BA7 7AE one star adequate service 07/09/2009 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: David Smith Date: 2 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Hollies Florida Street Castle Cary Somerset BA7 7AE 01963350709 01963351396 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Judith Marion Adams Type of registration: Number of places registered: Conditions of registration: Category(ies) : M & J Care Homes Ltd care home 16 Number of places (if applicable): Under 65 Over 65 0 16 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is 16 The registered person may provide the following category of service only: Care home only (code PC) to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home The Hollies provides care and support for up to 16 older people. The home is located in the small town of Castle Cary; it is in a quiet residential road, close to local amenities Care Homes for Older People Page 2 of 11 0 7 0 9 2 0 0 9 Brief description of the care home including shops, cafes, the park, a small museum and the post office. There are limited parking space for visitors at the front of the property. The home is not purpose built and has accommodation arranged over two floors; there are two stair lifts, but no shaft lift. On the ground floor there are two lounge areas, a kitchen, staff room, a small office, laundry rooms, bedrooms, a bathroom, staff toilet and two dining rooms. The remaining bedrooms are on the first floor together with a bathroom and one small dining area where one couple choose to eat their meals together. There are currently two members of care staff on duty in the morning and again in the afternoon. Overnight, one member of staff works in the home with a senior member of staff on call. The current fees for this home is between 450 and 550 pounds per week. Care Homes for Older People Page 3 of 11 What we found: This Random Inspection visit was carried out by one inspector and lasted approximately four hours; the term we is used within this report as this and the judgements within it are made on behalf of the Care Quality Commission. The last Key Inspection of this home was carried out in September 2009; The Hollies was rated as 1 star, which means people who live in the home experience adequate outcomes. We asked for a number of improvements to be made following the last Key Inspection; this visit was used to determine whether these improvements have been carried out. The manager told us that each person who lives in the home has had their care plan and risk assessments improved since our last visit; we looked at the care records belonging to two people who live in the home. Each now has a plan which clearly describes the care and support they require and how staff should provide it; information is also included about their life history, who the important people in their life are, how they communicate and what daily routines they may have. New people moving into the home have their care and support needs fully assessed; we spoke with one person who has recently moved into the home and they told us I wanted to move back to Somerset as all my family are around here. My sisters visit every day; I am very happy here and the staff are really good. Peoples care plans are regularly reviewed and changes made when this is necessary. In one persons plan health professionals had asked that fluid levels be monitored; the home had put this into place immediately and the records were being well kept. Risks to people are identified using assessments; the assessments we looked at covered areas such as how to move and handle people safely and how to keep a person safe while they are out of the home. A new, clearer form is now in use which describes the level of risk and how this reduced if the care plan is followed. The requirement we made in relation to development and improvement of each persons care plan and their risk assessments has therefore been complied with. This ensures staff have clear and accurate information relating to each persons care needs. We looked at staff recruitment records; these showed that appropriate checks are carried out on new staff to make sure they are suitable to work with vulnerable people. Staff also had to provide at least two satisfactory references and proof of their identity. We noted that the homes application form now asks for a full employment history, so the recommendation we made has therefore been acted upon. The manager told us that staff training has been improved; further courses are also planned. The records we looked at showed that staff have now completed training in health and safety, how to support people who have dementia and medication administration; manual handling, food hygiene and fire safety are all planned. The requirement we made to ensure every member of staff completes their training Care Homes for Older People Page 4 of 11 programme has therefore been complied with. This helps to ensure staff have the knowledge and skills to support people properly. Staff members have not been formally supervised since we last visited. The manager told us they hoped to supervise staff monthly but this had not started yet. They are to be assessed supervising staff as part of their current college course and they wanted to have this assessment carried out before regular staff supervision sessions were started. The requirement we made ensure each member of staff is supervised regularly has therefore not been complied with as yet. This is an area the home needs to improve in as this would ensure staff are being given support to provide good quality care to people who live in the home. The people who live in the home we spoke with said they like the staff and they are available when they need them. One person told us I am very happy here, the staff are nice and another person told us I have no complaints, I tell them what I think and they do listen to me. One person we spoke with told us about a party the staff in the home had secretly organised for them; they said staff did it off their own back, lots of family came to it. We spoke with one relative who was visiting when we were in the home. They told us I always find things are fine here, I visit every week. [My relative] always looks very well and well cared for. They have a very nice lounge to sit in and a lovely dining room. People told us they know who to speak to if they are unhappy and they know how to complain if they need to. We noted that the homes complaint procedure has been updated since we last visited and our contact details have been changed. The recommendation we made has therefore been acted upon and this ensures that people are provided with correct information should they wish to complain or raise any concerns. When we last visited an activities programme has been started for people who live in the home. The records we looked at and discussions with the manager and people who live in the home showed that activities are continuing. One member of care staff leads activities when they are working in the home, although the home still wishes to recruit a dedicated activities co-ordinator. The records we looked at confirmed that people are being offered flexercise, holy communion, word games, quizzes and occasional trips out of the home. The manager told us that the home make best use of the resources they currently have available. Staff members have worked extra hours to ensure that people who live in the home have the opportunity to go out; one example of this is when people were supported to attend the childrens carnival in the centre of town. This is an area which the home wishes to improve further, although occupancy levels in the home may need to increase before any additional staff are recruited. The requirement we made to developed and improve activities so that each person receives adequate social stimulation has therefore been partly met. Since our last visit the previous manager has left the home and a new manager has been appointed. The new manager, Mandy Phillips, has worked at the home for over four years and therefore has a very good knowledge of the home and of the people who live here. Care Homes for Older People Page 5 of 11 Ms Phillips told us she is currently completing a Leadership and Management Award through Strode College and has started the process to register with us. The requirement we made that the last Manager must start the registration process with us as soon as possible has therefore not been met as this staff member has left the home. The new Manager must therefore now register with us to ensure each person who lives in the home is provided with a safe and accountable service. We looked at the homes fire log and this showed that a fire drill was carried out in August 2009. We discussed the frequency of drills with the manager for staff who work during the day and those who work at night. The requirement we made to ensure that regular fire drills are carried out has been partially met; more regular drills need to be carried out, especially for staff who work alone at night. This would ensure people would know what to do in the event of a fire and help to keep people safe. 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 Care Homes for Older People Page 6 of 11 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 36 18 The Registered Person must 07/11/2009 ensure each member of staff is supervised regularly. This would ensure staff are being given support to provide good quality care to people who live in the home. Care Homes for Older People Page 8 of 11 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 1 36 18 The Registered Person must 20/07/2010 ensure each member of staff is supervised regularly. This would ensure staff are being given support to provide good quality care to people who live in the home. 2 37 9 The new Manager must complete the registration process with us. This would ensure ensure each person who lives in the home is provided with a safe and accountable service. 20/09/2010 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 12 When we last visited an activities programme has been started for people who live in the home. The records we looked at and discussions with the manager and people who live in the home showed that activities are continuing, although this is an area which the home wishes to improve further and the Registered Person must ensure this is done. Page 9 of 11 Care Homes for Older People 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 Older People Page 10 of 11 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. 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