Care Home: The Hollies

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What the care home does well This service meets the key national minimum standards A family based placement for three people is provided in a relaxed, comfortable homely setting with people being actively involved in daily living activities as part of the lifestyle of living on a "smallholding" Peoples care plans reflect their assessed needs in enough detail to ensure that appropriate support is provided. Similarly risk assessments enable people to take meaningful risks in a safe manner. People are actively supported to make decisions about their lives both on a daily and more long term basis. People are supported to participate in activities of their choosing. These include attendance at a local day centre as well as participating in their interests, hobbies and leisure pursuits. These are varied and reflective of individual likes and dislikes. Relationships with families and friends are important to people, and are encouraged and supported.Home cooked meals are provided in discussion with everyone who lives in the family home, and are tasty and nutritious. Drinks and snacks are freely available for people to help themselves to. People`s personal care needs are minimal, with only prompting by the staff needed. Health and wellbeing is also promoted via attendance at routine and more specialized healthcare appointments as necessary. Medication procedures and storage arrangements are in place to ensure that it is managed safely on people`s behalf. What has improved since the last inspection? No requirements were made following the last inspection of this home. What the care home could do better: A good practice recommendation is made regarding the odour generated by the numerous cats that live in the home. CARE HOME ADULTS 18-65 The Hollies Church Road Shustoke Coleshill Birmingham B46 2JX Lead Inspector Justine Poulton Key Unannounced Inspection 21st August 2008 13:30 The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hollies Address Church Road Shustoke Coleshill Birmingham B46 2JX 01675 481139 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Alison Thorneywork Mr Anthony P Shepherd Mrs Alison Thorneywork Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th July 2006 Brief Description of the Service: The Hollies is a detached house located in the small village of Shustoke, which is an about 1 ½ miles out of Coleshill. The home is currently registered for 3 people with Learning disability, men or women. The property is set in about 3 acres of land and is also home to a number of animals and house pets. The ground floor consists of two lounges, a toilet, kitchen/dining area and a utility room. Upstairs are five bedrooms, two bathrooms and a toilet. The registered provider manages the home and also lives there. The home has limited off the road parking in front of the main gate. A large amount of parking space is available if needed beyond the gate. A bus service goes through the village hourly. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was carried out to establish the outcomes for people living in the home, and to confirm whether they are protected from harm. Identified key standards were looked at, along with a review of progress towards meeting any requirements made at the previous inspection of this service. The pre fieldwork inspection record was completed, as well as a site visit to the home, during which time people living in the home and the carers were spoken with. A completed annual quality assurance assessment was received from the service prior to the inspection along with four completed surveys. Two people were identified for close examination by reading their care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ where evidence is matched to outcomes for service users. Records, policies and procedures were examined and the environment was looked at. All three of the people living in the home was at home for all or part of the inspection. The inspector would like to thank the people living in the home and the carers for their hospitality and co-operation during the inspection. What the service does well: This service meets the key national minimum standards A family based placement for three people is provided in a relaxed, comfortable homely setting with people being actively involved in daily living activities as part of the lifestyle of living on a smallholding Peoples care plans reflect their assessed needs in enough detail to ensure that appropriate support is provided. Similarly risk assessments enable people to take meaningful risks in a safe manner. People are actively supported to make decisions about their lives both on a daily and more long term basis. People are supported to participate in activities of their choosing. These include attendance at a local day centre as well as participating in their interests, hobbies and leisure pursuits. These are varied and reflective of individual likes and dislikes. Relationships with families and friends are important to people, and are encouraged and supported. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 6 Home cooked meals are provided in discussion with everyone who lives in the family home, and are tasty and nutritious. Drinks and snacks are freely available for people to help themselves to. People’s personal care needs are minimal, with only prompting by the staff needed. Health and wellbeing is also promoted via attendance at routine and more specialized healthcare appointments as necessary. Medication procedures and storage arrangements are in place to ensure that it is managed safely on people’s behalf. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The people living in this home can be sure that their needs continue to be fully understood by the people caring for them and that they will be involved in any decision-making regarding their needs and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person has moved into the home since the previous key inspection carried out in July 2006. A copy of the community care assessment and all other information relating to the needs of the service user had been obtained and was in place on the service user’s file. The registered person said that this information had been used to compile a plan of support that was satisfactory to the person involved. This person was chatted with during the inspection, and said that they had settled in well, and liked living in the home. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. People living in this home can continue to be sure that their assessed and changing needs and personal goals are reflected in their care plan through a review system that involves themselves, family members or friend and other care professionals. Risk management ensures that people are able to take calculated risks within a safe framework. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two peoples support plans were looked at as part of the case tracking process for this visit. These continue to be up-to-date and in good order. Information contained within them included such things as accommodation, personal hygiene, community outings, in house activities, household tasks, health and The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 10 day services. Information was available to confirm that these are reviewed on a regular basis, with the involvement of relevant other interested parties such as a social worker, day centre key worker and relatives. Included in peoples individual support plans were risk assessments that were aimed at promoting independence and ensuring that people could take known risks within an appropriately assessed setting. These were reviewed in line with the support plans. As this service is a family based placement for the three people who live in the home it was apparent that independent lifestyles are promoted and supported as part of this style of living environment. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. People living in this home continue to have the opportunity to live ordinary and meaningful lives appropriate to their needs. Lifestyle in the home continues to promote and respect people’s rights and responsibilities. People are supported to maintain family links and friendships. Food provision continues to be good and ensures a healthy and well balanced diet for people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the three people who live in the home attend formal day services for 5 days each week. The third person chooses not attend any kind of formal day service, preferring instead to spend time at home participating in a variety of The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 12 activities. Information within the support plans looked at gave a variety of activities that people enjoyed, and included such things as writing poems, craft work, making jewellery, shopping, cooking, various forms of craft work, sailing, karaoke, car boot sales and looking after the various animals and birds at the home. Two people spoken with said that they enjoyed life at the home making things and doing things, and especially liked all of the animals. One person told of how she had enjoyed watching a baby goat being born, whilst another told of his enjoyment at looking after the egg incubator and his pleasure when the eggs hatched. People also talked about their forthcoming holiday to Blackpool that they were looking forward to. All of the people that live in the home have some form of contact with family and friends. This is supported as required, and recorded appropriately. The kitchen in the home is the heart of the family, and was a large farmhouse style kitchen. As the home is a family based placement, menu’s are not planned on a formal basis, instead meals are decided upon jointly a on a daily basis, with a take away once a week. All three people were looking forward to the take away during the inspection and were busy choosing what they wanted off the menu during the afternoon. Plentiful stocks of fresh food were available, and people were obviously comfortable with helping themselves to drinks and snacks. A considerable number of cats also live at the home, and these were seen to be wandering freely around the house, including around the kitchen and over the kitchen table. The manager confirmed that she cleans all of the kitchen surfaces and the dining table with an antibacterial product before preparing or serving food, and that as a general rule everyone knows to keep the cats off the surfaces. Health and safety records pertinent to food hygiene were available. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. The health-care needs of the people living in this home continue to be assessed and met with evidence of local and specialist health-care services being readily available to them. The management of medication continues to be safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three people who live in this home a relatively independent with regards to their personal care needs, requiring prompting from the owner and her partner only. This information was recorded within their personal support plans. Records were also available to confirm that people are supported with maintaining both their general and more specific health needs. Appointments The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 14 for the dentist, GP, chiropodist and opticians are recorded on the registered persons calendar, as were more specialist appointments with associated healthcare professionals such as with a consultant Psychiatrist. None of the current people living in the home manage their own medication, relying instead on the registered person to undertake this for them on their behalf. Medicine management continues to be good with well maintained records and secure medication storage. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. There continue to be systems in place for listening to peoples concerns by carers who have a good understanding of the importance of protecting service users from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has not received any complaints since the last inspection, and neither have we. Conversations with people living in the home and observations of care practices demonstrated that their views are listened to and acted upon. People were seen to be comfortable and relaxed with the carers and contributed to discussions freely and openly. Conversation with the registered person confirmed that she has a good understanding on abuse issues and would act according if required. The service provision is from the provider’s own home and no other staff are supporting the care. The Registered person and her partner continue to have a written plan of emergency care provision that could be implemented in the event of them not being available to provide care, which ensures that people The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 16 living in the home would be protected from harm by the nominated relief staff cover. This includes ensuring emergency carers have had Criminal Records Bureau, (CRB) checks. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. The home is set in approximately 3 acres of land. The ground floor consists of two lounges, a toilet, kitchen/dining area and a utility room. Upstairs are five bedrooms, two bathrooms and a toilet. The home has limited off the road parking in front of the main gate. The registered person manages the home and also lives there, along with numerous animals and fowl. A tour of the environment took place and was found to be homely, safe and comfortable, however there was quite a distinct odour generated by the number of cats living within the home. People’s bedrooms were in good order and reflected their personal interests and lifestyles. The registered person said that she is planning to completely redecorate the home throughout, and was able to confirm the colours that people had chosen for their bedrooms and the wallpaper that she had chosen for the main lounge. People spoken with during the inspection confirmed that they had chosen their own bedroom colours. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 18 A recommendation is made regarding the odour that was apparent in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is set in approximately 3 acres of land. The ground floor consists of two lounges, a toilet, kitchen/dining area and a utility room. Upstairs are five bedrooms, two bathrooms and a toilet. The home has limited off the road parking in front of the main gate. The registered person manages the home and also lives there, along with numerous animals and fowl. A tour of the environment took place and was found to be homely, safe and comfortable, however there was quite a distinct odour generated by the number of cats living within the home. People’s bedrooms were in good order and reflected their personal interests and lifestyles. The registered person said that she is planning to completely redecorate the home throughout, and was able to confirm the colours that people had chosen for their bedrooms and the wallpaper that she had chosen for the main lounge. People spoken with during the inspection confirmed that they had chosen their own bedroom colours. A recommendation is made regarding the odour that was apparent in the home. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Quality in this outcome area is good. The registered person has completed training suitable to enhance her care and support to the people living in this home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As the home offers a family placement type service no staff are employed. As the registered person and her partner are the sole care providers none of the key standards within this outcome group are applicable. It must be noted however that the registered person has complied with condition previously imposed and has completed a recognised training course in dementia care. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. The ethos of this home continues to be to provide a living environment in a family based atmosphere of openness and respect in which people feel involved. People can be sure that the Carers are competent and have sufficient knowledge to promote and maintain their safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a family placement type service, with the people currently resident living as members of the registered persons family. It was apparent through discussion and observation that excellent relationships have developed The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 21 between all concerned. The registered person and her partner demonstrate a commitment to ensuring that people are able to live varied and fulfilling lives. A quality assurance policy has been developed which aims to ensure that people’s views and opinions regarding life in the home are at the forefront of service delivery. This was apparent during the inspection with people appearing comfortable and relaxed in making their opinions known to the registered person. Health and safety is maintained within the home with records available to demonstrate this. A sample of records that included the landlords gas safety certificate, Control of substances hazardous to health (COSHH) data sheets for cleaning chemicals used; fire safety records and generic risk assessments were looked at and found to be up to date. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations It is recommended that the registered person take measures to eradicate the odour within the home generated by the numerous cats. The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Hollies DS0000004357.V370482.R01.S.doc Version 5.2 Page 25 - 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. 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