Inspection on 16/06/05 for Hilda House

This inspection was carried out on 16th June 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

Hilda House 22/06/07

Hilda House 21/12/05

Hilda House 22/12/04

Hilda House 22/06/04

Hilda House 19/02/04

Similar services:

22 Sandown Road

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Craigmore House

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

CARE HOMES FOR OLDER PEOPLE Hilda House 18 Main Street Spittal Berwick upon Tweed TD15 1QY Lead Inspector Anne Urwin Brown Unannounced 16 June 2005 09.30 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 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. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hilda House Address 18 Main Street Spittal Berwick upon Tweed TD15 1QY 01289 302315 01289 302315 geri@hildahouse.fsnet.co.uk Mr Brian John Cowan Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Brian John Cowan CRH 3 Category(ies) of LD - Learning Disability (1) registration, with number LD(E) - Learning Disability over 65 (2) of places Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 22.12.04 Brief Description of the Service: Hilda House is situated on the main street in Spittal in a residential area near the sea front. The house is registered to accommodate three residents with learning disabilities, two of whom are over sixty-five years. The house is comfortably furnished and each resident has his own bedroom with en-suite. There is a small enclosed patio area to the rear of the building next to the new conservatory. Hilda House is well situated for local transport links to Berwick upon Tweed with buses passing the door regularly. There is a main line train station in Berwick about five minutes away by car. The owners of Hilda House have a car that residents use regularly. One resident regularly uses his bicycle in Spittal and the surrounding area. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two visits were made for this inspection. The unannounced inspection lasted three hours in total. The inspection involved discussion with owners, one of whom is the Manager and the three residents. Three residents records were inspected and other records were seen relating to the operation of the service. A tour of the building was undertaken. 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. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 6 Prospective residents are supplied with information to help them make a decision about where they live. Minor amendments are needed to reflect the change of registration to two older people with learning disabilities and one adult with learning disabilities. Residents have their needs assessed before moving into the Home and are clear that their needs can be met by the service. The Home does not provide intermediate care. EVIDENCE: The Statement of Purpose needs minor changes to reflect the registration changes within the last year, but apart from that appropriate information is available to help prospective residents make decisions about living at Hilda House. The changes were made to the registration as two of the residents are now over sixty-five years. The owners described how prospective residents and their representatives are provided with information about the service before moving in. Each person has an assessment carried out before moving into Hilda House. Copies of assessments were available in each resident’s file. The Home does not provide intermediate care. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 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 standard(s) 8, 9 Residents’ health care needs are met. None of the residents administer their own medication. Written guidance for dealing with medicines is in place to protect residents. The records for the administration of drugs would be improved by keeping a record of the dosage of each medicine prescribed. EVIDENCE: Evidence was available from records that individual’s health care needs are identified and met. Records showed regular appointments are scheduled and that appropriate support is provided to individuals. The owners were able to give examples of how individuals’ needs are identified. They said that there is good support provided to residents by local doctors and nurses. Records showed that regular checks by dental, optical and chiropody staff are organised to suit individual needs. Written guidance is in place for handling medication. None of the residents keeps their own drugs. Records are in place to show the administration of medicine, but these would be improved by noting the strength or dosage of each drug taken. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 9 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 standard(s) 13, 15 Residents are encouraged and helped to maintain contact with family, friends, representatives and the local community. A varied diet of home cooked food is provided for residents. EVIDENCE: Examples of how residents are helped to maintain contact with relatives and friends show that the owners are supportive and sensitive to individual needs. One resident is encouraged to maintain telephone contact with a friend. There are no restrictions on relatives or friends visiting the house. Records show how residents are supported to regularly see their social worker. Evidence was available from talking to residents and from the owners that there are opportunities to join in activities in the local community. Involvement in community clubs and events includes the Swan Trust, Spittal Gala, People First, Interest link. Residents said that they are satisfied with the food provided. Residents take their meals with the owners and have a diet of well-cooked and varied food. Their likes and dislikes are well known to the owners and they can have snacks and drinks when they like. None of the residents has a special diet, but the owners are aware of health eating principles. The owners described how meal times are flexible and arranged to suit any activities planned. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 10 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 standard(s) 16, 18 Residents are confident that their complaints will be taken seriously and acted upon by the owners. Residents are protected from abuse. EVIDENCE: Written guidance is in place for dealing with complaints. Residents said that they were satisfied that they could raise an issue/complaint and that it would be dealt with appropriately. The owners were able to appropriately describe how they would deal with a complaint. A system for recording complaints is in place. There is information available about the protections of vulnerable adults. Copies of Northumberland and Scottish Borders guidance is available in the Home. The Manager has completed Protection of Vulnerable Adults training and was able to appropriately describe how she would deal with an allegation. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 19, 21, 24, 26 Residents live in a safe, well-maintained environment. Each resident has their own en-suite accommodation. Residents’ bedrooms are very well-furnished, safe and comfortable bedrooms and they have their own possessions around them. The Home is clean, pleasant and hygienic. EVIDENCE: Hilda House is well-maintained and safe and meets the needs of the residents living there. The house is a family home and is warm and welcoming. Evidence was available that there is a programme of routine maintenance and renewal of the decoration and furnishings. The patio at the rear of the building is small, but is safe for residents and is used regularly. The home complies with requirements of the Fire Officer and environmental health department. Each resident has their own en-suite toilet with bath or shower. Residents’ rooms are well furnished and carpeted. They are comfortable and homely. Residents said they were very happy with their rooms. Each room is fitted with a lock. Hilda House is very clean and hygienic. Arrangements are in place for the control of infection. There is a separate laundry in the cellar that is appropriately fitted. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29, 30 Residents are protected by the home’s recruitment policy and practice. Staff are trained and competent to care for the residents. EVIDENCE: This is a small home and the owners provide most of the care. It is only very occasionally that staff are needed. One person provides staff cover and has been employed since the owners took over the house. Appropriate written guidance is in place for recruitment of staff. The owners are aware of the importance of carrying out reference and Criminal Records Bureau checks on any prospective staff members. They were able to describe the appropriate procedures for employing staff. The Manager has almost completed training in care and management leading to a Manager’s award. As part of her course she has completed Food Hygiene, First Aid, Caring for people with learning disabilities living in care. Both the owners have gained considerable experience of the provision of care in the last few years and the Manager has considerable experience of teaching children with special needs. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 38 Residents live in a home where the Manager is experienced and has almost completed management qualifications in the provision of care. Residents’ health, safety and welfare is promoted and protected at Hilda House. EVIDENCE: The Manager is experienced in the care of people with learning disabilities. She is completing training in management and attends regular training events. Written guidance is in place for health and safety. Risk assessments are in place for the premises and for fire. Fire records are maintained and show that regular tests and fire training is provided. Maintenance and gas safety checks have been carried out. Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 x 4 x x 4 x 4 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x x 3 Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 15 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. Standard 9 Regulation 13 Requirement The dosage of each drug administered must be included in records kept. Timescale for action 31.08.05 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 Good Practice Recommendations Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 16 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland NE23 6UR 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 Hilda House B53-B03 S567 Hilda House V227127 160605 Stage 4.doc Version 1.30 Page 17 - 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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