Inspection on 21/12/05 for Hilda House

This inspection was carried out on 21st December 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 16/06/05

Hilda House 22/12/04

Hilda House 22/06/04

Hilda House 19/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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 Inspection 21st December 2005 05:00 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 Hilda House DS0000000567.V271147.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. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hilda House Address 18 Main Street Spittal Berwick Upon Tweed TD15 1QY 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) 01289 - 302315 01289 - 302315 geri@hildahouse.fsnet.co.uk Mr Brian John Cowan Mrs Geraldine Mary Newbold Cowan Mr Brian John Cowan Care Home 3 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (2) of places Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th June 2005 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 DS0000000567.V271147.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in the early evening and it involved discussion with the owners and three residents. Residents’ records and other records concerning the management of the home were inspected. 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 DS0000000567.V271147.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 Hilda House DS0000000567.V271147.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): 4 Residents and their representatives know that the home they enter will meet their needs. EVIDENCE: Records show that the need for individuals to seek specialised services is identified. The manager described how one resident has been helped to access specific services to meet his needs. The owners are experienced in caring for the residents and have the skills to meet their needs appropriately. Evidence is available that they undertake appropriate training. Hilda House DS0000000567.V271147.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): 7, 10 Each resident’s health, personal and social care needs are set out in an individual plan of care. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Records showed that each person’s health, personal and social care needs are identified and set out in an individual plan. The manager described the arrangements in place for risk assessments and for regularly reviewing residents’ needs. Two residents have not had formal reviews for some time and evidence was available that the owners have contacted the local authority to seek support. Residents said that they are happy with the arrangements for their support at Hilda House. They said that Mr and Mrs Cowan know what they need help with. Each resident has his own room with en-suite shower/bath, toilet and wash basin. Records show that the owners support residents with personal care tasks in an appropriate manner. All residents are called by their first name and this is their choice. If residents are visited by the doctor or require any medical treatment they use their own room. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 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 the following standard(s): 12, 14 Residents find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational needs and interests. Residents are helped to exercise choice and control over their lives. EVIDENCE: Records show that routines are organised to suit individuals’ needs and preferences. Daily routines suit their lifestyle and take into account the regular activities they enjoy. Two residents attend day services during the week and their routines are arranged to suit this. At weekends and for the other resident there is a more relaxed routine to allow them to enjoy their leisure time and follow their own interests. Each person’s interests are recorded. One resident keeps his own personal allowance and the others have assistance from the owners with managing their money. Residents’ rooms show evidence of their personal interests and they have brought personal items with them when they came to live at Hilda House. Residents are able to request access to their personal records, but none of the residents has done so. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 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 the following standard(s): 16 Residents and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Guidance is in place for dealing with complaints. Residents said that they felt able to raise concerns or complaints with the owners and these would be taken seriously. No complaints have been made in the past year. A recording system is in place for complaints. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 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 the following standard(s): 20, 23, 25 Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents’ rooms suit their needs. Residents live in safe, comfortable surroundings. EVIDENCE: The sitting and dining areas are spacious and comfortably furnished. The rooms are well decorated and maintained. Since the last inspection a conservatory has been added to the rear of the house and residents said they enjoyed using this room. The lighting in all areas of the house is appropriate. Residents’ rooms are above the minimum size and provide good facilities. They are comfortably furnished and each room is fitted with an en-suite bath/shower, wash hand basin and toilet. Residents said they like their rooms and that they are satisfied with the accommodation provided. Gas central heating is fitted and is regularly serviced. Radiators are fitted with thermostatic controls. Each bedroom has a double glazed window. Lighting is appropriate in all rooms. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 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 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 Residents’ needs are met by the staffing arrangements in the home. EVIDENCE: This house accommodates three residents and is run like a domestic house. The owners provide most of the care for the residents. It is only very occasionally that staff are needed. The owners live in the house and are available to support the residents. . Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 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 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, 33, 35 Residents live in a home that is run and managed by a person who is fit to be in charge, of good character and able to discharge her responsibilities fully. The home is run in the best interests of the residents. Residents’ financial interests are safeguarded. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 Page 14 EVIDENCE: The Manager has completed the Registered Manager’s Award and is experienced in providing care. She undertakes training to keep up to date and gain appropriate skills and records confirm this. Residents said they feel satisfied with the way the home is run. They said that they are consulted about their views when any changes are planned. Questionnaires are used to seek residents’ views about the service. The residents are helped to complete these by an independent person. Information from questionnaires is kept and was available for inspection. This showed residents were satisfied with the service provided. Records are kept of any money held on behalf of residents. These showed that an appropriate record is kept of all transactions. The money held balanced with the records available. Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 Page 15 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 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X 3 X X 3 X 3 X 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 4 X 3 X 3 X X X Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 Page 16 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. 1 Standard OP7 Regulation 15 Requirement Each resident must have an annual review carried out. Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hilda House DS0000000567.V271147.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Cramlington Area Office 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 DS0000000567.V271147.R01.S.doc Version 5.0 Page 18 - 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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