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Inspection on 15/10/09 for Hilton Road

Also see our care home review for Hilton Road for more information

This is the latest available inspection report for this service, carried out on 15th October 2009.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Hilton Road The quality rating for this care home is: The rating was made on: two star good service 0 3 1 1 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Tina Smith Date of this annual service review: 1 5 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Hilton House 92 Hilton Road Lanesfield Wolverhampton West Midlands WV14 6DR 01902820069 01902651616 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Arcare (West Midlands) Ltd Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is: 3 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: Learning disability (LD) 3 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Registration Certificate Review 31/07/09 age restrictions removed so that the service is registered for adults with learning disabilities from 18 years of age. 0 3 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Hilton House is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and care for up to three adults with a learning disability. The home is one of four services owned and managed by Arcare (West Midlands) Limited. Annual Service Review Page 2 of 6 The property is semi-detached and situated in a residential area of Lanesfield; approximately 3 miles from Wolverhampton City Centre and is accessible to local amenities, transport and relevant support services. Accommodation is provided over two floors offering single bedrooms and shared areas to include a lounge, dining room and kitchen. Accommodation is provided over two floors; people have a single bedroom and have access to communal areas to include a lounge, dining room and kitchen. A small paved garden is provided at the rear of the property. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection: The home tells us in their annual quality assurance assessment (AQAA) what has improved and is planned for the future, and current information about the running of the home. We receive information from the home, statutory agencies and other people about how the service has managed any complaints, and adult protection concerns. The home tells us about events called Notifications and are a legal requirement. We consider the previous key inspection and registration changes by the Commission. We sent 11 surveys to people and others with an interest in people and the service, however no surveys were returned to us. and the manager reported that none were received. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) after a reminder, so it was not on time. It gave us most of the information we asked for and had an adequate self assessment. There have been no new admissions or discharges during the past year. The home told us how they continue to involve people, improve their outcomes and respond to their views: Person centred plans and health action plans encourage more independence so people are more involved in daily living activities and continue learning. People had advice on healthy eating from Community Nurses. Menus changed and more activities take place in the community to meet peoples wishes and needs. The responsibility for peoples finances transferred to the council. Staff had accredited medication training and the medication policy was reviewed. A training chart is used to identify staff training needs so that these can be planned for but some training still needs to be arranged. The manager gained the Registered Managers Award. Four out of five workers now have NVQ2 qualifications, and seniors are working on NVQ3, which exceeds minimum standards. Most staff are trained in safe food handling, all were trained in infection control and there is an action plan to prevent and control infection. There were more visits by the gardener to maintain outdoor spaces, and the cleaning rota is more robust. One worker left. The home told us that recruitment had been tightened up so that no new staff start before police checks and a full induction. Management know what further improvements they want to make and told us what they are planning: pictoral support plans; updating policies and procedures as a company; source outstanding training; maintain decoration of the premises; seek health professional views on areas for service development. Annual Service Review Page 4 of 6 We looked at the information in the AQAA and our judgement is that the home is still providing a good service. Although efforts have been made to improve healthy living, there is no nutritional screening and staff are not trained to recognise or respond to malnutrition. We were only able to identify from the AQAA one policy that was reviewed, although the manager contacted us to say that this was an error in their AQAA as many were reviewed. We could not tell whether all the maintenance checks have been undertaken. There have been no complaints and the home made one safeguarding referral under the council protocol which we were informed about. We had concerns about a block put on the telephone system and how this could affect outcomes for people living at Hilton Road as it was not possible for everyone to get through to the home using their published telephone number. We did not have a satisfactory explanation or verbal response from the Responsible Individual so we followed this up to prevent harm to peoples health or disrupt people maintaining relationships important to them. We were told by the manager that the block was removed following our query. What are we going to do as a result of this annual service review? We will follow up maintenance checks to ensure the environment remains safe. We are not going to change our inspection plan, and will do a key inspection by 30th December 2011. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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