Inspection on 18/05/07 for Hill Top Manor Care Home

This inspection was carried out on 18th May 2007.

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

Hill Top Manor Care Home 10/02/10

Hill Top Manor Care Home 18/08/09

Hill Top Manor Care Home 21/02/06

Hill Top Manor Care Home 07/07/05

Hill Top Manor Care Home 08/02/05

Hill Top Manor Care Home 06/07/04

Hill Top Manor Care Home 29/01/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Hill Top Manor Care Home High Lane Chell Stoke-on-Trent Staffordshire ST6 6JN Lead Inspector Mrs Yvonne Allen Unannounced Inspection 18th May 2007 09:40 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 Hill Top Manor Care Home DS0000026948.V338895.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 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. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hill Top Manor Care Home Address High Lane Chell Stoke-on-Trent Staffordshire ST6 6JN 01782 828480 F/P 01782 828490 hilltop.manager@fshc.co.uk www.fshc.co.uk Four Seasons (DFK) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Kathleen Mary Barcroft Care Home 80 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) Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (1), Old age, not falling within any other of places category (80), Physical disability (10) Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 19 Beds for Intermediate Care aged 18 to 60 years 61 OP - long, short & respite stay 10 PD - long, short & respite stay minimum age 18 years Date of last inspection 21st February 2006 Brief Description of the Service: Hill Top Manor is a care home that can provide nursing care for male and female service users requiring long, short or respite care. The majority of service users are frail elderly people but the home can also accommodate people above the age of 18 who require intermediate care. The home has a separate dedicated intermediate care unit for up to 19 people that enjoys its own facilities. The home is a two-storey purpose built building situated in Chell, a small residential suburb within the Potteries conurbation. It is situated on a main road and provides easy access to local shops and amenities. It is within walking distance of bus routes and the home provides ample parking space. There are well-tended gardens that are accessible to service users. The home provides care for up to 80 people on two floors. There is lift access between floors. The majority of rooms at the home are single but there are four companion rooms available. Many of the rooms have en-suite facilities. There are a number of communal rooms, three dining rooms, an activity room and adapted bathing facilities. There is a central kitchen and laundry. Fees charged by the home range from £288.00 to £526.00 per week. Additional charges are made for hairdressing, private chiropody, private dentistry, newspapers and magazines, private transport and special toiletries. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector over two visits to the home – the first visit commenced at 09:40 hours on 18/05/07 and finished at 14.30 hours. The second visit commenced at 09:30 hours on 21/05/07 and finished at 2pm. 10 comment cards were returned to CSCI and comments from these relatives/advocates have been referred to throughout the report. All the key standards for older persons were assessed at this inspection visit. Evidence was gained by the following methods – Direct observation Discussions with people who use the services Discussions with the manager and staff who work in the home Tour of the home Examination of relevant records and documentation This was a positive inspection with almost all the key standards found to be fully met and in some cases exceeded. The outcomes for people who use the services in this home are good. There were two areas in need of some improvement and recommendations have been made accordingly. There were no requirements made as a result of this inspection. What the service does well: Comments received from relatives and advocates about what they think the home does well include – “To meet my friend’s needs and requirements.” “Good activities programme. Regular Church services and caring and cheerful staff.” Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 6 “As far as my relative is concerned, the staff meet her needs in a friendly, sensitive manner with a sense of humour, encouraging her to take part in activities and to keep her mobility.” “Provides entertainment for the residents.” “They tend to my relative’s needs with respect and are attentive to her needs.” “Residents are usually well looked after and kept clean and tidy. Activities are arranged for the residents to join in – if they are able to.” “Good communication. Nursing staff excellent. Activities good.” “It looks after the physical and medical needs of the individuals in the home – eg – feeding, bathing, clothing, etc – very well.” “My relative always says how hard working and kind the staff are towards her. The qualified staff are always looking after her interests.” The home is well managed and is run in the best interests of the people who live there. The Providers and Manager acted positively to a recent complaint raised in relation to tissue viability issues. Policies were reviewed and documentation altered and staff update training was given. The Company are pro-active in their approach and the Manager is determined to maintain and promote the high standards of the home. What has improved since the last inspection? What they could do better: Comments received from relatives and advocates about how they feel the home could improve include – “My relative has mentioned that the cooked food at times is not very appetising and not as hot it could be.” “More staff and quicker response to the bleepers.” Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 7 “As always, probably, if there were more staff to cope with the workload it would make a difference.” “Staffing levels are lacking on occasions.” “Another hoist for the residents as they have to wait if it is in use.” “I don’t feel that kitchen staff always meet the needs. My relative has recently been taken off her PEG feed and has limited food variety but kitchen staff can’t always meet requirements.” “Residents often have to wait for extended periods to use toilets and showers. Staff will often acknowledge the resident’s need but not meet that need with action immediately. Also laundry is done in house – cleaned and ironed but belongs to other residents and is often left on the floor of wardrobes not hung up.” “Most residents stay in the lounge areas for most of the time. We feel that each lounge area should have one staff member in constant attendance to see to the needs of the residents – not just to sit with them but to stimulate those residents who are mentally able through conversation etc.” The following areas were identified as in need of review and improvement at the time of the inspection – 1. The deployment of staff on the units in order to ensure that call buzzers are answered on time and that people who live at the home are attended to without delay. 2. The implementation of the programme of redecoration to help improve the presentation of the environemnet. 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 Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 8 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 Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 9 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. 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. Individuals are only offered a place at the home following a thorough assessment of their needs. Those entering the home for intermediate care can be assured that their assessment will be planned around maximising their independence with a view to returning home. EVIDENCE: Standards 3 and 6 were assessed. A random selection of 4 care plans were examined and it was identified that individuals had been assessed prior to admission. There was evidence of a comprehensive assessment of needs having been carried out by the manager Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 10 or deputy manager of the home. There was also evidence, where applicable, of a needs assessment having been undertaken by funding bodies such as Social Services. In respect of individuals being admitted for intermediate care, a full and thorough assessment of their needs had been carried out by the Health Authority together with a short-term care plan aimed at enabling the person to go home. Discussions with the manager confirmed that only individuals with needs as per the registration category of the home are accepted. Although some individuals were accommodated with dementia care needs, these were secondary to their physical care and nursing needs. No individuals were accepted at the home with challenging behaviours. The inspector noted that the home had a waiting list for admissions at the time of the inspection visit. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 11 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. 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. Personal care is planned and delivered with dignity and respect. Nursing needs are met and health and wellbeing promoted. EVIDENCE: Standards 7,8,9 and 10 were assessed. Comments received from relatives and advocates about the health and personal care received by their relatives in the home include – “My relative requires full care and I feel as though she receives it. Of course there is no place like home but my relative feels that she is well looked after here.” Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 12 “My relative recently became unwell and had to go into hospital to be assessed. The qualified staff informed me straight away and I was able to go to the hospital and be there when she arrived. They also sent a care worker with her in the ambulance.” Examination of a random selection of care plans identified that care was planned based on a thorough assessment of needs. There was regular review of these needs and long and short-term plans were put into place as and when required. Assessment, planning and meeting of personal care and nursing care needs was good. Evaluations were regular and comprehensive and there was documentation in place to evidence where residents and their representatives had been informed of any changes to their plans. The involvement of specialists including healthcare professionals such as GPs, opticians, tissue viability nurses, chiropodists and occupational therapists was good. The policy on tissue viability had been reviewed in light of a recent concern raised and changes to the homes’ documentation had improved this. Trained staff had also received update training in this area. The medication procedures were observed and relevant documentation examined. This was found to be satisfactory with no areas for concern. People who use the services were enabled to self medicate should they wish to following a satisfactory risk assessment. The people spoken to at the time of the visit confirmed that they felt that their dignity was respected by the staff who work at the home. Staff were observed treating residents with dignity and in a respectful manner during the inspection visit. People were also afforded privacy as and when they wanted this. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 13 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. 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. The people who use the services are enabled to make choices wherever, and as much as possible, in respect of the activities of daily living in the home. EVIDENCE: Standards 12,13 14 and 15 were assessed. Evidence contained in comment cards received from relatives and advocates confirmed that the home had a good activities programme and that social and spiritual needs of individuals in the home were met. This programme contained the following activities – Crafts, board games, music and movement, gardening and plant potting, flower arranging, reading, film shows, musical entertainment, sing-a-long, trips out to – theatre, shopping, local picnics, church meetings, pub meals, Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 14 local bowling club. There is also a visiting library service and Church services held at the home. In respect of autonomy and individuals being able to live the life they choose in the home – the following comments were received – “As far as possible taking into account health and lack of mobility.” “Recent improvements have been noticed by myself.” “My relative has her own phone and nurses/staff always contact me if needed.” Information contained in the PIQ identified that residents have a choice of menu, dietary needs of people from minority ethnic groups are catered for and that special diets are also provided. Discussions with residents about the meals served in the home identified that most were happy with the quality and choice of the food served. Observation of the lunchtime meal identified that this was appetising and nutritious. Nutritional needs were documented in individual care plans. Discussions with the kitchen staff and manager identified that menus had recently been reviewed and changed. Preferences and choices in relation to activities of daily living were documented in individual plans. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 15 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. 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. There is a clear complaints system in the home and the people who use the services can be assured that any concerns they have will be listened to and taken seriously by the staff and managers. The systems in place at the home help to ensure that people are kept safe. EVIDENCE: Standards 16 and 18 were assessed. Comments received from relatives and advocates about raising concerns and complaints at the home included – “If we see that my relative’s needs are not in someway being met we talk to the staff. These needs have been sorted out promptly.” Information contained in the Pre-Inspection Questionnaire identified that the home had received 12 complaints in the last 12 months 1 of which had been substantiated and 1 partly substantiated. 100 of these complaints had been responded to within 28 days. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 16 There had also been 2 Adult protection issues and 1 referral had been made to POVA. Examination of the complaints log at the home confirmed that formal complaints were documented and investigated by the manager and that any action taken as a result was recorded. The CSCI had received a complaint recently in relation to the nursing care of a resident admitted to hospital with a pressure sore. This had been investigated by CSCI where some areas for improvement had been identified. The Provider had dealt with these issues effectively and relevant action had been taken. The people who use the services are protected by the robust staff recruitment and staff-training programme. This includes training in protection of vulnerable adults. Staff spoken to at the time of the inspection visit were aware of the vulnerable adults procedure and safeguarding referrals. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is purpose built, clean and adapted to meet individual and collective needs. The implementation of the programme of redecoration is needed in order to ensure that environmental standards are maintained. EVIDENCE: Standards 19 and 26 were assessed. A tour of the home was conducted during which all communal areas and a selection of bedrooms were inspected. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 18 Inspection of the ground floor identified that some areas were now looking worn and tired and in need of redecoration. The manager confirmed that the programme of redecoration and refurbishment includes plans for refurbishment of this area as well as some other areas of the home. It is recommended that this work begin as soon as possible. The kitchen and laundry areas were visited and found to be clean and well presented at the time. Bedrooms had been personalised and adapted to suit the needs of the individual resident. The intermediate care unit offered facilities to help people develop and regain their independence with a view to going home. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are carefully selected to work at the care home and are competent to do their jobs. Staff training is good at the home. The deployment of staff throughout the units should be reviewed in order to ensure that prompt attention is afforded to the people who use the services. EVIDENCE: Standards 27, 28, 29 and 30 were assessed. The following comments were received in respect of the staff who work at the home – “Everyone appears to be able to perform their job to a high standard.” “A lot of young or very little English speaking staff make some tasks difficult.” “Nursing staff are excellent.” “Facilities good but sometimes a long wait for commode or answering buzzer.” Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 20 “My relative is left in her wheelchair too long. In my opinion the wheelchair is supposed to be used for transporting her from and to her room not for her to be left sitting in for 2-3 hours at a time as this causes a lot of pain in her back.” Examination of the staffing rota and discussions with the manager and some staff members identified that minimum staffing was provided and that there was a good skill mix of staff. However discussions with some of the people in the home who use the services at the time of the visit highlighted that, in their opinion there were insufficient staff on duty and that there were occasions where they had to wait for long periods of time for their call bells to be answered. This was discussed with the manager during feedback and it is a recommendation that staff deployment on units is reviewed and that all staff are reminded of the policy in relation to the answering of call bells in the home. Information contained in the PIQ identified that there was an NVQ training programme in place at the home and that, currently, there are 45 of care assistants trained to NVQ level 2 and above in Care. 15 of staff also hold a first aid certificate as well as the qualified nurses. Discussions with staff members confirmed that they received support with their training needs. There was an annual staff-training programme in place and a copy of the stafftraining matrix was given to the inspector at the time of the visit. The staff-training programme contained in the PIQ consisted of – Fire safety and evacuation, moving and handling, health and safety, POVA, COSHH, infection control, risk assessments, food hygiene, first aid, customer care, senior care development, continence management, nutrition and care, death, dying and bereavement, dementia care, challenging behaviour, professional conduct, wound management, catheter care, medicine management, palliative care, sub-cutaneous fluids, death verification. Examination of a random sample of 4 staff files identified that the recruitment procedure was robust and that all required checks on staff had been carried out prior to employment. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of the people who live there and effective systems are in place to ensure that high standards are maintained. EVIDENCE: Standards 31,33,35 and 38 were assessed. Information contained in the Pre-Inspection Questionnaire identified that the key management responsibilities are allocated as follows – Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 22 Company Nursing Director – Operational Director – Regional Manager – Home Manager and Deputy Manager. From Registered Home Manager and Deputy Manager through training sessions, unit meetings, staff meetings, policies and procedures and staff notices. Discussions were held with the Registered Manager during both visits. She identified that she felt supported by the Company Regional Manager. Discussions with people who use the services, visitors and staff identified that they felt supported by the manager of the home and that she is approachable, as is the deputy manager. The visitors stated that if they had any concerns then they approached the manager and she would “sort them out” and had done so in the past. Examination of the Quality Assurance system identified that the home had a very effective system in place. This had been developed since the last inspection to include a Company Audit tool entitled “Team Audit Process”. This tool audited all services and areas of the home and involved staff at all levels in different areas. Examination of the tool showed that actions had been taken where areas of weakness had been identified. All areas scored above 80 with a scoring of 100 for Activities – which confirmed what comment cards said. The maintenance of personal allowances was examined at the time of the inspection visit. There were 4 residents who handle their own financial affairs. The Manager/Provider does not act as appointee for handling financial affairs. Information provided in the PIQ indicated that all residents receive their full personal allowance to dispose of as they wish. Records were kept of the management of personal allowances. Savings for residents are put into personal accounts and pocket monies are banked in the “Residents Account”. There is a small amount of monies kept in the safe at the home for Residents’ use. The manager ensured that health and safety were maintained at the home at all times. The manager audits health and Safety on a regular basis and staff receive training in all aspects of health and safety – written evidence was seen to support this in the form of a booklet. Staff receive training in fire safety including fire drills and records of this had been maintained. Equipment used at the home was serviced and checked regularly and the required tests were carried out. Records had been completed as required by the maintenance person. The Company carries out regular checks and tests over and above those required by CSCI. Accidents involving people who use the services were recorded and audited as were any encountered by staff and visitors. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 3 3 3 Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 24 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. Refer to Standard OP19 OP27 Good Practice Recommendations It is recommended that the programme of redecoration is implemented without delay It is recommended that the deployment of staff across the units is reviewed and improved in order to ensure that the nurse call bells are answered promptly and that the people who use the services receive attention without having to wait too long. Hill Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Top Manor Care Home DS0000026948.V338895.R01.S.doc Version 5.2 Page 26 - 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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