Inspection on 18/07/08 for Hill Bank View (21)

This inspection was carried out on 18th July 2008.

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 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

Hill Bank View (21) 27/10/06

Hill Bank View (21) 15/02/06

Hill Bank View (21) 11/11/05

Hill Bank View (21) 19/10/04

Hill Bank View (21) 29/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Hill Bank View (21) 21 Hill Bank View Bogs Lane Harrogate North Yorkshire HG1 4DR Lead Inspector Irene Ward Key Unannounced Inspection 18th July 2008 9:00 Hill Bank View (21) DS0000007845.V368491.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 Hill Bank View (21) DS0000007845.V368491.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. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hill Bank View (21) Address 21 Hill Bank View Bogs Lane Harrogate North Yorkshire HG1 4DR 01423 881911 01423 541889 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) Henshaws Society for Blind People Richard Main Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 3 residents with Learning Disabilities all of whom also have an additional Physical Disability 27th October 2006 Date of last inspection Brief Description of the Service: 21 Hill Bank View is a care home registered by Henshaws Society for Blind People to provide accommodation and personal care to up to three adults with a learning disability and visual impairment who may also have a physical disability. The home consists of a modern detached property located approximately 4 miles from Harrogate town centre. There are good local amenities within walking distance in Starbeck including shops and cafes. All three bedrooms are for single accommodation, one of which, on the ground floor, has en suite toilet facilities. The other two bedrooms, which are on the first floor, are both close to a shared bathroom. The internal design of the house meets the needs of the three people living there. The home has a well maintained garden to front and back and there is an area of hard standing for parking to the front. There is level access to the home. The weekly fees on 18th July 2008 range from £740.00 to £754.00 and do not include costs for hairdressing, chiropody, toiletries and transport to leisure activities. This information was supplied to the Commission for Social Care Inspection during the site visit. Relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that people who use the service experience adequate quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk This is what was used to write this report. • • • • • • • A review of the information held on the homes file since its registration. Two visits to the home by one inspector one of which was unannounced and a second visit that lasted for four hours. Information asked for before the inspection, this is called an Annual Quality Assurance Assessment. Comment cards returned from all the people who live at the home non have been returned from relatives. Looking at two people’s care files in detail. Some time was spent with all of people who live at 21 Hillbank View. Time was spent talking to one member of staff. The first site visit took place on the 18th July 2008. However people living at the home were leaving to attend the Arts and Crafts centre. Also the manager was not on duty. A further visit was arranged for the 22nd July 2008 so that time could be spent talking with people who live at the home. The registered manager was available to assist throughout the visit and was available for feedback at the end of the day. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The management of the home needs to address the tensions within the household, and resolve any issues. This will improve life within the home for everyone concerned. During the visit it was clear there were tensions within the home. These tensions appear to revolve around the lack of permanent staff. This shortfall has inhibited the development of good working relationships developing between staff and the people who live in the home. Subsequently there have been occasions where it has not been possible to follow the care plans. The organisation should look to resolve these issues as soon as they are able. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 7 People should be able to attend the activities that they wish to go to and be supported by sufficient staff being on duty to allow this to happen. This meets people’s social needs. Surveys returned from people living at the home and in conversations held with them raised some concern about the lack of activities. People when asked can you do what you want in the evenings or weekend said, “No, this answer is due to the shortage of staffing at weekend. I cannot go out of Starbeck without staff”. “I have my own mobility. But due to the shortage of staff at weekend. I cannot go out of Starbeck without staff”. “Mostly, but due to lack of staff it is not always possible”. Two of the bedrooms are in need of re-decorating as the wallpaper has become discoloured and in one room damaged. The carpets in these rooms also need to be either cleaned or replaced. The linings of the lounge and dinning room curtains need to be washed or replaced as they were badly stained. This improves the environment for people to live in. 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. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 8 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 Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 9 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): 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People can be confident that the home can meet their needs. This is because people are properly assessed before being admitted into the home. EVIDENCE: There have been no new admissions into the home for sometime. The manager confirmed that if there was a vacancy people would be given the opportunity to visit the home and stay for a meal or overnight or a weekend, whatever they felt comfortable with. Records of two people showed that the home carries out detailed preadmission assessments when referrals are made to the home. They visit people and get information from relatives and other professionals to help them decide if they will be able to meet people’s needs before a place is offered. This is particularly useful for those people who have complex needs and/or difficulties with communication. The pre-admission assessments carried out by the home were very comprehensive and detailed the specific individual needs of people and how these are to be met. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 10 Each person living at the home had an individual statement of terms and conditions or licence agreement, which had been agreed between them and the home. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 11 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 and 9. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are encouraged to be independent and make their own choices wherever possible, however their decisions are not always met. EVIDENCE: People looked well cared for and staff were seen supporting people during the day and it was clear that they understood individual’s needs. They supported people sensitively and supported people to make choices. Each person has an individual service plan (ISP) detailing their individual needs and the actions that staff need to follow to meet these. The individual service plan focuses on the person and contained information about every aspect of the person’s life including areas for developing new skills; they focus on achievement and improving opportunities for individuals. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 12 The individual service plans were very detailed and covered morning and evening routines and how people preferred their care to be provided. All areas of daily life such as people’s daily routines, activities were covered in the plans. The document provided the reader with very good information, was easy to understand and gave a sense of the person. The individual service plans are reviewed regularly. Also present were a range of risk assessments with the purpose of supporting people to live as independently as possible with safeguards in place, these were reviewed regularly. Risk assessments also detailed where people have been assessed as capable of being left in the home alone, for specific lengths of time without any staff being present. People living at the home confirmed that they were able to work towards increasing the hours they were left on their own in the house. They said that they felt that this helped them towards becoming more independent. Discussions were held with the manager about the needs of one person who was indicating that they might want to move from the home. However, it has not been able to develop their care plan fully as the home has been run using either bank or agency staff. As a result the person concerned has been displaying behavioural difficulties. The inconsistent staffing arrangement could be one of the contributing factors to the tension within the house. The home currently only has two permanent staff members. One of which is the newly registered manager. The rest of the staff team are either bank staff or agency staff. This has also been discussed with senior management who have been asked to look at the issues and address them in the interest of all concerned. Some of the people living at the home said that they liked living at the home and comments made were: “Things are all right – still like living here. It’s getting there”. “I still like living here. It has changed has improved”. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 13 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 and 17. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People are not always able to make choices about their lifestyles due to the lack of staff to support them. EVIDENCE: People living at the home do not always have opportunity to enjoy a varied lifestyle due to the lack of support from a permanent staff team although each person has an individual weekly activity programme. This is more evident in the evenings and weekends when there are less staff on duty. Everyone living at the home was in at the time of the site visit. They are involved in various community settings such as attending local specialist day centres. People living at 21 Hillbank View enjoy activities such as going out to the local pub, café, and church. People attend various courses at Harrogate College such as aromatherapy. Learning to speak Spanish, computer skills and pottery. People Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 14 attend the Henshaws Arts and Crafts centre to do woodwork and jewellery making. People also said they liked to go out for meals when it is possible and enjoy shopping at the weekend. Surveys returned from people living at the home and in conversations held with them raised some concern about the lack of activities. People when asked can you do what you want in the evenings or weekend said, “No, this answer is due to the shortage of staffing at weekend. I cannot go out of Starbeck without staff”. “I have my own mobility. But due to the shortage of staff at weekend. I cannot go out of Starbeck without staff”. “Mostly, but due to lack of staff it is not always possible”. People living at the home planned their own menus in advance and shopping is purchased on a weekly basis. They are supported by the staff to prepare and cook their own meals where this was part of the care plan People living at the home also enjoy going to help with the supermarket shopping. One person said when asked what the food was like, “The food is good as I do my own food, whatever I want I cook”. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 15 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 and 20. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and healthcare is provided appropriately and sensitively according to individual needs. EVIDENCE: Each person living at the home is registered with a General Practitioner. People receive support from staff in attending dental and other health care service appointments. People’s health needs were recorded in their individual service plans with additional step-by-step instruction as to how they wished to be supported. Where ever possible and if specified personal care is provided by a member of staff of the same sex. Daily record entries continue to reflect the care that was being provided. The home operates a monitored dosage system. There is a policy in place for the storage and administration of medication for all staff working at the home to follow. The Medication Administration Records show that everyone receives Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 16 their medication as prescribed. The Medication Administration Records were up to date and well maintained. Medication seen in the home was securely stored in a locked cabinet. No controlled drugs are currently held. All staff that administers medication in the home have been provided with safe handling of medication training. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 17 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 and 23. People who use the service experience good outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to an effective complaints procedure and are protected from harm. EVIDENCE: People living at the home are provided with a complaints procedure, which is produced in different formats such as Braille, large print or tape. The complaints procedure is also summarised within the service user guide. In discussions with people at the time of the site visit, everyone knew who they needed to speak to if they had a complaint. Most felt that on the whole most concerns would be addressed properly. There is a comprehensive policy and procedure with regard to safe guarding adults and the procedure to take if there is a suspicion of abuse and staff demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training and further training organised by the organisation, which was confirmed by staff in the discussions held with them. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of unsuitable people working in the home. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 18 People’s finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 19 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 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People generally live in a clean, comfortable and safe environment. However some bedrooms require attention to the décor and carpeting. EVIDENCE: The home is a detached house and the design of the home allows a small cluster of people to live together in a non-institutional environment. The home provides good accommodation for people. This includes a lounge and a through dinning room and kitchen and a ground floor bedroom that has en suite WC and wash hand facilities. There are a further three bedrooms on the first floor. One of which is the staff sleeping in room and office. There is also a shared bathroom on the first floor. The home is well maintained and is pleasantly decorated in most areas. The home was clean and comfortable in all areas apart from two of the bedrooms. The wallpaper in these rooms were discoloured, faded and in one was damaged and in need of being redecorated. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 20 Carpets in two of the bedrooms were badly stained and worn. These will either have to be cleaned or replaced. Bedrooms seen were furnished to a good standard and had been personalised with people’s own belongings. The linings in the curtains in both the lounge and dinning area were badly stained and also need to be cleaned or replaced. The home has a well maintained garden to front and back and there is an area of hard standing for parking to the front. There is level access to the home. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 21 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): 32, 33, 34 and 35. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper recruitment procedures and good staff training meant that people’s care needs are met most of the time. However the lack of permanent staff means that people’s best interests are not always promoted and safeguarded. EVIDENCE: The home is not staffed when there is no one in the house. In discussions with the manager the home currently only have two permanent staff members. One of which is the newly registered manager. At night there is one member of staff doing sleep-in duties. The rest of the staff team are made up of either supply staff or agency staff. The lack of permanent staff and employment of agency staff, some of whom are non-English speaking workers are some of the contributing factors to the tension within the house. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 22 Surveys received from people living at the home when asked do the staff treat you well were; “Our staff is very good, but agency staff I am not keen on” “But sometime agency staff cannot be helpful”. “Prefer our own staff than agency staff because of my routine”. There have been discussions with the service manager regarding staffing at the home. There is a current recruitment drive to employ several more permanent staff for the home. The organisation operates a 24-hour on-call service in case there is an emergency. All the homes managers are on a rota and take it in turn. The staff records of two staff that were recently appointed were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. All records showed completed application forms, two written references, CRB (Criminal Record Bureau) checks had been obtained. A POVA (Protection of Vulnerable Adults) first check had also been carried out. The home provides all the mandatory training that is required. A range of other training has been completed by staff such as: promoting independence and competence in medication training. The organisation provides good induction and a wide range of training for permanent staff, which provides them with the necessary skills to make sure that people living at the home are supported well. Staff confirmed in discussions held with them that they received regular supervision. Records of supervision were seen at the site visit to the home. Because there are only two permanent members of staff there are no formal staff meetings. The manager said that when the organisation employs more permanent staff for the home they would re- commence staff meetings. It may benefit the home if more staff meetings were held with the regular supply or agency staff they employed. This would make sure that all the staff currently working in the home was taking a consistent approach irrespective of being supply or agency staff. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 23 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 and 42. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People have been let down due to a consistent lack of management and a permanent staff team. Although improvements have started to be made to make sure people’s needs and wishes are put first. EVIDENCE: The manager of the home has worked at the home since October 2007. He has a lot of experience in the care sector and has commenced the NVQ (National Vocational Qualification) Level 4 and the Registered Manager’s Award. The manager has commenced introducing good and effective management systems that develops and promotes good practice in the best interests of the Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 24 people that live there. The ethos and philosophy is open and positive as people living at the home said that the manager is approachable. There are regular house meetings, which are normally held monthly and are recorded. However, because the home has not had effective management systems in place and a permanent staff team for sometime. This has impacted on the quality of life for people living at 21 Hillbank View. Activities have been compromised due to the lack of staffing. People living at the home have commented that they were not always able to do what they wanted in the evenings and at weekends. People were clear that they did not always like agency staff and much preferred the permanent staff, as they understood their needs. The home needs clear direction and management and the organisation needs to look towards how they support the new manager to achieve this, so that the best interests of people living there can be met. Comprehensive Quality Assurance systems are in place and the home is audited regularly by the organisation. The schemes manager carries out regular monthly visits to the home and a report is completed and a copy sent to the Commission for Social Care Inspection. All accidents are recorded as required and an accident book is maintained in line with the requirements of Data Protection. People’s finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 25 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 26 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. 2. 3. Refer to Standard YA7 YA12 YA24 Good Practice Recommendations People living at the home should be assisted, wherever possible in carrying out their wishes. This gives people more independence and control over their lives. People living at the home should be supported to attend activities of their choice, which improves their quality of life. Two of the bedrooms are in need of being re-decorated and the carpets in these rooms need to be cleaned or replaced. The linings in the lounge and dinning room curtains need to be washed or replaced. This will improve the environment that people live in. The organisation should look towards employing more permanent staff, so that there is a consistent approach to care and people’s needs are always met. When agency staff are employed by the organisation, they should make sure that staff are able to communicate with people they support. DS0000007845.V368491.R01.S.doc Version 5.2 Page 27 4. YA32 YA33 Hill Bank View (21) 5. YA37 6. YA39 The manager who has commenced management and care qualifications, at NVQ Level 4 or equivalent, should successfully complete those qualifications. This is so that the manager gains further knowledge and skills of running a care home. The home’s management should look at how they resolve issues effectively and how people’s interests are always promoted and protected at all times. Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hill Bank View (21) DS0000007845.V368491.R01.S.doc Version 5.2 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!