Inspection on 22/06/07 for Hilda House

This inspection was carried out on 22nd June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 21/12/05

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 HOME ADULTS 18-65 Hilda House 18 Main Street Spittal Berwick Upon Tweed TD15 1QY Lead Inspector Mary Blake Key Unannounced Inspection 22nd June 2007 11:30 Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 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.V345717.R01.S.doc Version 5.2 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 Adults 18-65. 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.V345717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hilda House Address 18 Main Street Spittal Berwick Upon Tweed TD15 1QY 01289 - 302315 01289 302315 brian@briancowan.wanadoo.co.uk 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) 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.V345717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 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. The current fees are £375.45 per week. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key announced inspection and took place over one day. Residents care records and additional statutory records were examined. During the visit the inspector spoke with Mr and Mrs Cowan, all of the residents, one in private. Three resident questionnaires were received prior to the site visit; residents were supported to complete these. These were very positive. It was agreed that due to the change in registration system the home would work to the younger adults standards, as this is the primary reason for admission. What the service does well: What has improved since the last inspection? Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 6 Mr and Mrs Cowan have continued to attend training to enable them to meet the specific needs of people with learning disabilities. 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. The summary of this inspection report can be made available in other formats on request. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 was not assessed, as there had been no new admissions. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents would have access to information to enable them to make an informed choice prior to admission and would have their needs assessed. EVIDENCE: There have been no admissions for over seven years and Mr and Mrs Cowan do not intend to offer places to any new residents. A statement of purpose outlines the service they currently provide. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a plan of care, which reflects their individual needs. Residents, where able, are assisted to make decisions and are consulted and participate in all aspects of life within the home. Residents are supported to taken risks as part of their independence. EVIDENCE: On examination of a sample of service users plans these were found to be comprehensive care plan that assists them to receive the care they need. Mrs Cowan had ensured that all recorded information is reviewed and summarised on a regular basis. Risk assessments were in place but some had not been reviewed and updated. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are part of the local community and participate in appropriate leisure activities. Residents have appropriate personal and family relationships and their rights are respected in their daily lives. Residents are offered healthy diet and a relaxed and social mealtime. EVIDENCE: Residents are offered the opportunity to join in a range of social and leisure activities. Residents have the opportunity to use community facilities for leisure activities e.g. cinema, pub, meals, shopping etc. “I enjoy eating out and going out with a family relative”. They are offered the opportunity to experience new activities and leisure pursuits as well as supported where necessary to continue with hobbies and Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 11 interests. Residents commented, “ I enjoy walking, runs in the car, jigsaws and TV” “I am able to make my own activities in the community” “ I cycle, walk, talk to people, take photographs” “I enjoy my trucking and farming magazines” “ I enjoy my holiday at Haggerston Castle”. Mr and Mrs Cowan assist and encourage residents to maintain family links and previous friendships, respecting the individual resident’s wishes. “ I enjoy going out with a family relative”. Mr and Mrs Cowan support residents to maintain existing friends and social relationships. They seek permission prior to entering individual rooms and were communicating well with residents. Residents were observed to move freely around the home and were able to spend time alone. Daily routines promote independence, choice and freedom of movement. Residents are involved in the review of the food and choice of food available. Residents were observed having a leisurely coffee. Residents commented, “the food is always good” “plenty of it” “I enjoy all my meals especially Sunday roast for lunch” “I enjoy all my meals” “Chicken curry is my favourite” “scotch pie and chips is my favourite”. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 & 21 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents receive personal support the way they prefer and require. Residents physical and emotional health needs are met. No residents currently administer their own medication and residents are protected by the homes policies and procedures in dealing with medicines. Ageing, illness and death of residents are handled with respect. EVIDENCE: It was evident from discussions with Mr and Mrs Cowan and a resident, that personal support is not currently required, but if needed this would be given in a way that protects their dignity and maximises their independence. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 13 From examination of care plans and discussions with Mr and Mrs Cowan and a resident, it was evident that residents’ individual health needs are identified and residents are supported to access community health services such as doctor, district nurse, dentist, and optician. All residents have an annual health check. “I have regular appointments with the chiropodist, doctor, dentist and optician where needed.” The resident present said that his privacy is respected. No residents currently have or require any technical aids or equipment. Psychiatric and learning support team provide specialist health support. Preventative health care is also supported with attendance at well man clinics as required. No residents currently self medicates. The ordering, storage, administration and disposal of medication was satisfactory. The changing needs of a resident have been well managed over the past year; Mr and Mrs Cowan have provided additional support, sought professional advice as necessary. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that their views are listened to and acted upon. Residents are protected from abuse EVIDENCE: There have been no recorded complaints. A complaint procedure is in place. Residents comments “I would speak to Brian or Geraldine” “ I would speak to Brian or Geraldine or staff at the day centre or my sister” “ I know where the social service office is and speak to my old care manager”. Mr and Mrs Cowan were knowledgeable about signs of suspected abuse and the need to protect vulnerable adults. Mrs Cowan has undertaken training in the Protection of Vulnerable Adults. The home has a Protection of Vulnerable Adults policy (this was not inspected). There have been no allegations or cause for concern within the home. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is extremely comfortable and safe. The home is well maintained and clean and hygienic. EVIDENCE: These standards had been previously inspected and met. On the day of the inspection the home was clean, well decorated and maintained. The home is in a residential location. One resident interviewed said that this is a great place to live. “I keep my room tidy and dust my ornaments. Geraldine hoovers and cleans my bedroom” “ I change my bed linen and towels on Saturday” Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All of these standards are not applicable to this home as no staff are employed. Mr and Mrs Cowan appear competent and have the skills to support individual need. EVIDENCE: Mr and Mrs Cowan have provided care and support for many years and were observed using good and effective communication skills to work with each resident. Mrs Cowan has completed National Vocational Qualification in Care level 4 and the Registered Managers Award. There are no staff employed at the home, therefore recruitment systems are not necessary. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are confident that their views, where able to obtain, underpin the development of the home. Residents’ health, safety and welfare are protected. EVIDENCE: On observations of residents it was evident that they felt confident with the openness and approachability of Mr and Mrs Cowan. Mrs Cowan as the Registered Manager is qualified and experienced and communicates a clear sense of direction and leadership. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 18 Policies and procedures are in place and had been reviewed in January 2007. Families are informed of any changes to the service provided. Health and safety systems are well organised, the building is safe and Mr and Mrs Cowan spoke knowledgeably about maintaining and promoting the welfare of the residents. Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 N/A LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 4 4 X 3 X X 3 X Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 20 No 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. 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. Refer to Standard Good Practice Recommendations Hilda House DS0000000567.V345717.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V345717.R01.S.doc Version 5.2 Page 22 - 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. 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