Inspection on 09/11/05 for High Hilden

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

High Hilden 17/09/08

High Hilden 10/10/06

High Hilden 22/07/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE High Hilden Limited High Hilden Close Tonbridge Kent TN10 3DD Lead Inspector Wendy Jones Unannounced Inspection 9th November 2005 11:00 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 High Hilden Limited DS0000064651.V261588.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. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service High Hilden Limited Address High Hilden Close Tonbridge Kent TN10 3DD 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) 01732 353070 High Hilden Limited Mrs Carol Ann Tincombe Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2005 Brief Description of the Service: High Hilden has been a residential home for the elderly for 60 years. It is registered with the Charities Commission and its articles of association state that the home’s land and buildings are vested with the Official Custodian of Charities. A board of Trustees consisting of a chairman and seven other members governs the home. The Trustees provide their services on a voluntary and unpaid basis. The home is registered for up to 40 older people, but only offers shared accommodation in specific instances and currently all clients are in single rooms on the ground and first floors. There are office facilities, a meeting room, an activities room, a hairdressing salon, a staff room, storage facilities and a visitors’ suite on the second floor. The house is surrounded by extensive grounds and has car parking for visitors to the front. It is about one mile from Tonbridge town centre and the train station and there is a bus stop at the end of the Close. High Hilden Limited DS0000064651.V261588.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 carried out by Wendy Jones, Regulatory Inspector between 11am and 3pm. Judgements are based on conversations with clients, relatives, staff and a trustee, reading of some records, observation and a tour of the home. What the service does well: What has improved since the last inspection? What they could do better: The home should fit a ramp in place of the steps leading from the fire door on the ground floor as quickly as possible. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 6 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. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 7 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 High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 8 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, 4 and 5 Prospective clients and their representatives know that their needs can be met and are clear about the terms and conditions of the home. EVIDENCE: Clients and/or their representatives can visit the home, have a meal or stay for a trial period before deciding whether the home is for them. Two clients said they had moved into the home over recent months and had been able to visit and spend a trial period. One in particular was very pleased to have been able to move to the home. They had been very anxious about having to move from the home they were living in previously and felt very fortunate that a room was available that suited their needs. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 9 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): 10 Clients are treated with respect and their right to privacy is respected at all times. EVIDENCE: Clients said that all their needs are being met and they get the help and support they need. They are “very happy and feel lucky to be there”, “happy and comfortable and have no complaints” and staff are always polite and helpful. Staff got on well with the clients, treated them with respect, were clearly trusted and had a good relationship with them. A relative who was visiting during the inspection said that they were extremely happy with the service their relative received in the home and felt it was “one of the best”. High Hilden Limited DS0000064651.V261588.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): 12, 13, 14 and 15 Clients enjoy a wide range of cultural, social and religious activities and have regular contact with their family and friends. There is a wide choice of wholesome and appealing meals, which are taken in very pleasant surroundings. EVIDENCE: The home employs an activities organiser to arrange events and outings. A programme of events planned was displayed in the home. There is an extensive library in the entrance area. Clients were sitting in the lounges and conservatory listening to music and reading magazines etc. Clients spoken with said that they enjoyed sitting in the lounges and “looking out at the lovely grounds”. They are able to make use of the extensive and attractive gardens and communal areas in the home and have favourite areas where they like to sit. There is a visitors’ suite on the second floor that has a shower room and separate lounge area with a sofa bed, table and chairs, and kitchenette. Visitors can book into this suite overnight and can purchase breakfast at a modest cost. Clients can also use this suite on a daily basis when they have visitors and the lounge had been laid out ready for a client and their visitors to have lunch there today. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 11 Menus are prepared in advance and clients choose what they want from the menu each morning. The menu choices are also displayed on a board in the dining room. Most clients prefer to take their meals in the dining room and can sit at attractively laid out tables. One client said they always “eat well” and “enjoy the food”. Others said that there is always a good choice and the food is well cooked and there is always plenty. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 12 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): These standards were not inspected on this occasion. EVIDENCE: High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 13 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): 19, 20, 21, 23, 24, 25 and 26 Clients live in a clean, pleasant, safe, comfortable and well-maintained environment. EVIDENCE: The home is situated on the edge of Tonbridge with views of the surrounding countryside. A maintenance person is employed to carry out planned maintenance and to do odd jobs on a daily basis. The home has a large and airy entrance hall with a staircase leading to the first and second floors. There are two lifts for clients to access their rooms and other facilities. There is a hairdressing salon on the second floor and the hairdresser was there today. Eamonn Kelly, Regulatory Inspector had visited the home in September 2005 to discuss the circumstances following the death of a client. The client had High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 14 fallen after going through a fire door on the ground floor. The Environmental health officer and fire safety officer have visited and made assessments. The home has now fitted a bolt and alarm to this door as recommended and a ramp is to be fitted in place of the steps. It is recommended that this work be carried out as quickly as possible. Although there are rooms that can be shared, all were being used as singles at this time. The Senior member of staff on duty said that the only time the rooms would be used as doubles would be if a married couple requested a room together. The home is working towards providing en suite facilities to rooms that are large enough. There are now eight rooms with en suite facilities, one of which is being worked on at present. There are six bathrooms, three shower units and 12 communal toilets. Clients can choose between five comfortably furnished and attractively decorated living rooms. Rooms still retain many of their original features and have beautiful ceilings and large picture windows with views of the gardens. There is car parking to the front of the house for visitors and staff parking to the rear. The gardens are well tended and attractive and clients said they thought they were extremely lucky to live there and commented on how beautiful the gardens were. Clients’ rooms are comfortably furnished and contain their own furniture and effects. Clients said they have all they need and are very happy with their rooms. Everywhere was extremely clean and there were no offensive odours. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 15 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 There is an appropriate number of skilled and competent staff on duty at all times. EVIDENCE: The manager was not on duty at the time of the inspection. However, there was a senior carer in charge, who carried out the role very efficiently, and four care staff. The maintenance person, hairdresser, four domestic staff, cook and kitchen staff were also on duty. A trustee also visited towards the end of the inspection. There were clearly enough staff on duty to meet the needs of the 36 clients in the home at this time. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 16 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, 32, 33, and 34 Clients benefit from living in a home that is well managed, safeguards their best interests and promotes and protects their health, safety and welfare. EVIDENCE: The registered manager is very experienced and the home is run competently and in the best interests of the clients. She has achieved the Registered Managers Award and the Senior Carer on duty is also completing the Registered Managers Award. Staff are supported by the trustees and management and a trustee who visited the home towards the end of the inspection said they were there to offer counselling and support to staff. There is a calm and pleasant atmosphere in the home and clients spoken with were happy and contented. A relative who was visiting that day was very High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 17 complimentary about the home and staff and said they felt it was “one of the best”. Clients like living there, feel well cared for and are treated with respect. Although financial records and accounts were not seen on this occasion there was evidence that the home was financially viable. Ample resources were available for staff to meet the needs of the residents and the structure and contents of the home were in good condition. Appropriate insurance cover is provided for the home and a current insurance certificate is displayed in the entrance are along with the most recent inspection report, the home’s service user guide and comment book. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 18 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 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 2 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 3 x x x x High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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 19.5 Good Practice Recommendations It is recommended that a ramp be fitted outside the fire door on the ground floor as recommended by the fire safety officer. High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 High Hilden Limited DS0000064651.V261588.R01.S.doc Version 5.0 Page 21 - 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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