Inspection on 13/12/05 for East Hill House Residential Care Home

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

East Hill House Residential Care... 23/08/06

East Hill House Residential Care... 08/07/05

East Hill House Residential Care... 31/01/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE East Hill House Residential Care Home East Hill Drive Hillbrow Road Liss Hampshire GU33 7RR Lead Inspector Nick Morrison Unannounced Inspection 13th December 2005 09:30 X10015.doc Version 1.40 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 East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 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 Older People. 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. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service East Hill House Residential Care Home Address East Hill Drive Hillbrow Road Liss Hampshire GU33 7RR 01206 828290 01206 828291 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) East Hill (Liss) Limited Mrs B E Hickman Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th July 2005 Brief Description of the Service: East Hill House is a large old house just on the outskirts of the village of Liss. It has been modernised to meet the requirements of the National Minimum Standards but still retains much of the old character and charm of the original house. Caring Homes Limited who have recently acquired it owns the house. The previous Registered Manager has now left and a new manager has been recently appointed. The home is set in three acres of landscaped gardens on a site that also includes seven cottages and a number of apartments that also house older people (referred to as The Cottages). These dwellings do not form part of the homes registration and are not registered in their own right either. It has been common practice for staff from the home to support the people living in The Cottages with some tasks including taking them meals and assisting them at night if required. This has detracted from the support available to people living in the main house. Part of the new manager’s role is to address this problem. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and was the second inspection of this home in the current financial year. The inspection concentrated on the key standards not assessed at the previous inspection, along with those standards where requirements or recommendations had been made last time. During the inspection the Inspector toured the premises, looked at relevant files and spoke with the Manager, four staff and five people living at the home. What the service does well: 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. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Service users moving into the home are clear that their needs will be met. EVIDENCE: The Inspector looked at six service user files and each one contained an assessment that had been completed prior to them moving into the home. The assessments were completed by staff who had received training in assessing and service users were involved in their own assessments. The assessments covered a full range of need areas and were written clearly. Care plans had been written in response to the issues highlighted on the assessments. Service users spoken with were aware of their assessments. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 and10 Service users were respected by staff but were not fully protected by the home’s medication practices. EVIDENCE: Staff involved in administering medication had received only a one-hour training session from the Chemist in administering medication. The new Manager acknowledged that this was insufficient and this was confirmed by the fact that there were multiple errors on the recording sheets for medication. Some medication had not been signed for, some had been signed for where it had not been administered, some had been signed for for the following day and the Manager acknowledged that not all staff were recording in the same way. It was agreed that more in-depth training needs to be put in place for all staff involved in administering medication and a requirement has been made in respect of this. Staff spoken with and observed on the day of inspection demonstrated an ability to support service users in a respectful way and training records showed that this had formed part of their induction. Service users spoken with were East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 9 clear that their privacy and dignity were respected at all times by staff in the home and they had no concerns in this area. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Service users benefited from support to control their own lives. EVIDENCE: Service users spoken with confirmed they were able to bring their own possessions with them to the home. Information on advocacy services was freely available within the home for service users and their families or representatives. Service users were encouraged to be independent in managing their own financial affairs and, where they were no longer able to, relatives took on this role. Service users spoken with said that they were able to control and make choices about their own lives as much as they wanted to and felt there were no unnecessary restrictions placed upon them in this respect. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this occasion EVIDENCE: East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this occasion EVIDENCE: East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 Service users were protected by the home’s recruitment practices and their needs were met by adequate staffing arrangements. EVIDENCE: The staff rota showed that sufficient staff were planned for each part of each day and matched with the number of staff on duty at the time of inspection. Staff numbers were calculated according to the needs of service users and were regularly reviewed. The number of domestic and catering staff ensured that care staff were able to concentrate on supporting service users. The staff are currently covering some care and other needs of people who live in The Cottages in the grounds of the home. This sometimes detracts from the support available for people living in the main house. The new Manager is aware of this situation and the need to ensure that staffing for the main house and The Cottages needs to be separate. This was a requirement from the previous inspection and the company has made this a high priority for the new Manager to address. The requirement remains in this report. Staff files demonstrated that the home’s recruitment policies were being adhered to. References and Criminal Records Bureau checks were received prior to staff beginning work in the home. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33 Service users will benefit from having their views sought when the quality assurance process is fully implemented. EVIDENCE: The Manager had only been in post for three weeks at the time of inspection and so is not yet registered. She is appropriately qualified and has previous experience of managing similar services and has been a Registered Manager in the past. The Commission for Social Care Inspection is waiting for an application for this Manager to become registered. There are regular audits of each aspect of the service, but these are mainly management audits that rely on analysis of statistical information about the service. These are useful, but need to be complemented by information from service users and their families about the quality of the service. The company is keen to ensure that the home is run in the best interests of service users and is introducing systems to support this. They have a questionnaire for East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 15 service users and also one for staff. They hope to use the information gained from these to identify areas for improvements and implement a plan to achieve those improvements. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 2 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X X X X East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 17 yes 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. 1. 1. Standard OP9 OP27 Regulation 18 18 Timescale for action All staff involved in administering 28/02/06 medication must receive accredited training. Staffing arrangements for the 31/03/06 main house must be kept from staffing support for The Cottages. This requirement was made at the previous inspection on 8/7/05. Requirement 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 OP33 Good Practice Recommendations The companys Quality Assurance system should be fully implemented. This recommendation was made at the previous inspection on 8/7/05. East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 East Hill House Residential Care Home DS0000061353.V272909.R01.S.doc Version 5.0 Page 19 - 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. 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