Inspection on 22/11/05 for Hill View Care Centre

This inspection was carried out on 22nd November 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hill View Care Centre 14/12/07

Hill View Care Centre 24/10/06

Hill View Care Centre 28/06/05

Hill View Care Centre 01/02/05

Hill View Care Centre 31/08/04

Hill View Care Centre 10/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hill View Care Centre Crankshaw Street Rawtenstall Rossendale Lancashire BB4 7RA Lead Inspector Mrs Janet Proctor Unannounced Inspection 22nd November 2005 08:45 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 View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hill View Care Centre Address Crankshaw Street Rawtenstall Rossendale Lancashire BB4 7RA 01706 218484 01706 218484 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) Southern Cross Care Homes Limited Care Home 45 Category(ies) of Dementia - over 65 years of age (2), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (45), Physical disability (2), Physical disability over 65 years of age (25) Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Within the overall total of 45, 2 named service user srequiring personal care who falls into the category of PD. maximum of 45 service users requiring personal care who fall into the category of OP. Within the overall total of 45, a maximum of 25 service users requiring personal care who fall into the category of PD(E). Within the overall total ogf 45, a maximum of 20 service users requiring nursing care who fall into the category of OP. Within the overall total of 45, a maximum of 2 service users requiring nursing care who fall into the category of DE(E) or MD(E) The service should employ a suitably qualified and experienced manager who is registered with the Commission 28th June 2005 Date of last inspection Brief Description of the Service: Hill View was purpose built in 1990. It is a two-storey building with car parking available to the front of the building. There is wheelchair access via a ramp. The home is situated close to the town centre of Rawtenstall. Local amenities, including the market place, are near by. The registered persons for Hill View are Southern Cross Care Homes Ltd, who are a company providing care throughout the UK. The day to day management of the home is undertaken by a Manager. Hill View provides both nursing and personal care for men and women over the age of 65 years. Accommodation is provided on 2 levels and a passenger lift enables access to the first floor. All accommodation is provided in single rooms. There is an enclosed garden where service users may sit when the weather permits. Hill View is part of a larger company providing care throughout the UK. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day on the 22nd November 2005. The Pharmacy Inspecting Officer also attend the home and examined the standard relating to the control of medications. The previous inspection was done on 28th June 2005 and information on the findings of this can be obtained from the home or from www. CSCI.org.uk . No additional visits have been made since the previous inspection. On the day of the inspection there were 36 residents at the home. Thirteen of these were in need of nursing care and 23 in need of personal care. Information was obtained from staff records, care records, and policies and procedures. Information was also got from talking to 6 service users, the Manager, 1 staff member and 1 visitor. Three questionnaires were returned from relatives/visitors. Wherever possible the views of residents were obtained about their life at the home. Due to memory and communication difficulties, some of the residents were unable to engage in conversation or make comment about their experience of living in the home. Detailed notes were taken, which have been retained as evidence of the inspection findings. What the service does well: Residents had a thorough assessment of their needs before admission and then had a plan of care written as soon as they were admitted. This plan of care identified all their personal and health care needs. The care given to residents was in a friendly and professional manner. There was a good rapport evident between residents and the staff. The residents had no hesitation about approaching the staff and talking to them. Residents said, “The staff are all very good”, “You see different staff but they’re all OK” and “The staff are helpful”. One of the comment cards returned said that they felt that the food choices were limited. All of the residents spoken to at the time of the visit said they were provided with food that was to their liking. The menus were decided week by week. The menu of the day was displayed in the dining room. Residents were happy to have a light lunch and a larger meal at tea-time. A resident said, “The food’s good. I have porridge every morning. They give me double if I ask”. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 6 Residents were provided with clean and nicely decorated bedrooms that were well maintained. They could make these as individual as they liked with their own ornaments and small items of furniture. A resident said, “My room’s lovely. Its got yellow paper and it’s nice and warm” What has improved since the last inspection? What they could do better: The records relating to the diet taken by each resident must be clear and accurate. This enables a judgement to be made as to whether the diet taken is nutritious and appropriate for their needs. An application for registration must be received from the new Manager. This is so that the Commission can be satisfied that she has the qualities and qualifications to undertake her responsibilities at the home. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 7 There should be an easy way of showing what training each staff member has received each year. This is so that all the staff files do not have to be looked at to see what training has been done. There should also be a record to of the information they have received on their first day of work. This is so that it can be shown that they have been told about important health and safety issues e.g. fire safety. The Pharmacy Inspector looked at the control of medications within the home. A separate report has been issued on the ways in which staff at the home can improve their practice 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. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 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 View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Residents could be confident that the home could meet their needs. This was because they had their needs assessed before moving into the home and received a letter confirming whether the home could meet these needs. They were issued with a contract so that they were aware of the terms and conditions of residency. EVIDENCE: An assessment was done before a resident came to live at Hill View care Centre. The assessment covered a full range of personal and health care needs. It gave sufficient information for the manager to make a decision about whether the proposed resident’s needs could be met at the home. A letter was then sent to the prospective resident telling them whether the home could meet their needs or not. Each resident was issued with a contract when they were admitted. This statement of terms and conditions of residency did not include details of the room to be occupied. The Manager was very definite about the fact that residents would not be moved from their current bedroom unless they requested this. Or if they needed to be moved to another room because of Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 10 specific health needs. The Manager said that the resident or their relatives would be consulted about this before any changes were made. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9 Each resident had an individual care plan. This meant that staff were provided with the information they needed to satisfactorily meet residents’ personal and health care needs. EVIDENCE: A plan of care was prepared as soon as the resident was admitted. Assessments to ensure that residents’ health care needs were identified were done. These included: risk of developing pressure sores; nutrition; risk of falls; risk of using bed-side rails; moving and handling needs; and continence needs. The individual plans of care included good directions to staff on how to meet these needs and were reviewed monthly. The reviews made a statement to show what progress was being made towards meeting the needs of the resident. Relatives were invited to a review meeting so that they had the opportunity to be fully involved in the care planning process. A review sheet was completed that showed any concerns, queries or agreements reached. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The meals offered at the home were to the liking of residents. The lack of accurate records meant that it could not be demonstrated that the individual dietary needs of residents were met. EVIDENCE: Residents spoken to were happy with the meals at the home. The menus were planned week on week and the day’s menu was displayed and residents knew where this was. They could have alternatives to the menu if they wished. If anyone required a pureed diet, this was served with all the components of the meal blended separately, which meant the meal looked more attractive and appetising. The records did not include details of any alternative meals served at the home. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The procedures at the home ensured that residents were protected from abuse. Staff were now being given training in Protection of Vulnerable Adults to ensure that they knew what to do if there was an incident. EVIDENCE: There were procedures for Protection of Vulnerable Adults. There was also a copy of No Secrets in Lancashire available for staff to refer to. There was a Whistle Blowing procedure. Staff received a copy of this in the Staff Handbook at the beginning of their employment. There was also a confidential hotline that they could use to report any concerns. Training for staff in Protection of Vulnerable Adults had commenced. Twelve staff had done this as part of their NVQ course. Training for the remaining staff was due to be done in the near future. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Recent decoration, new carpets and curtains had improved the overall appearance of the home. Residents were happy with their accommodation and lived in a safe, clean, well-maintained environment. EVIDENCE: The home was clean and well maintained. A number of bedrooms had been redecorated and had matching bedspreads and curtains. The reception area, the conservatory lounge and the landing had been fitted with a new carpet. New curtains had been fitted in the reception area and conservatory lounge. New chairs had been purchased for the lounges. All these had improved the general appearance of the home, making it look bright and cheerful. A number of ornaments and pictures gave the lounges and reception area a homely atmosphere. There was a part time Handyman and a part time Decorator employed. This meant that repairs and items of decoration could be done in a short time scale. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Residents’ needs were met by the numbers and of staff on duty. The recruitment procedures were thorough and ensured the protection of residents at the home. The amount of training given to staff had increased. This meant that they had the skills and competencies to undertake their duties. EVIDENCE: There was a duty rota showing the names and grades of staff and what hours they worked. The number of staff rostered for duty was sufficient for the number of residents living at the home. There was an Administrator employed. There was at least one member of Domestic staff on duty each day, and also a designated person for doing laundry. There was a Cook on duty from 8.00 am – 5.00 pm each day and a Kitchen Assistant worked in the morning and in the evening. There was also a Handyman and a decorator employed. Two staff files were viewed. These showed that they had completed an application form and had a face-to-face interview. A Criminal Records Bureau clearance was done and there was now evidence that a POVA First check had been completed prior to employment. Two references were requested and received and one of these was from the previous employer. There was proof of the employee’s identity, including a recent photograph. All new staff received a copy of the Staff Handbook and the GSCC code of conduct and practice. Staff received a contract of employment after 8 weeks. All new employees received a First Day Induction, which included fire safety and health and safety issues. The record of this was included in an Induction Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 16 workbook that the new employees worked through over the next few weeks. This book was kept with the staff member so there was no evidence on hand to show what they had been told on their first day of employment. Staff were now receiving a higher input of training. Training in mandatory subjects of: fire safety; moving and handling; first aid; basic food hygiene; and health and safety, was being done. Some staff had attended a course on ‘swallowing awareness’. Records of training were on file but did not make it clear whether each member of staff had received 3 days training in a 12-month period. 30 of the care staff had obtained NVQ Level 2 in care. Another 12 carers were enrolled on the course and due to complete this before the end of 2005. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 36 The residents’ finances were well managed ensuring that these were safeguarded. The manager was a Registered Nurse and had the necessary experience and qualifications to manage the home. Residents meetings should be held. This is so that they have an opportunity to make comment about how the home is run and whether this is being done in their best interests. Staff were being appropriately supervised so that they fully understood their roles and responsibilities. EVIDENCE: There had been a recent change in Manager. The previous Manager was now working as the Deputy and a new manager had been employed. She is a Registered Nurse with a BA in Nursing. She had completed a year’s trainee management course and worked as a peripatetic Manager in the North West. An application for registration needed to be submitted for the new Manager. Residents and staff spoken to said that they had every confidence in the Deputy and the manager. They said that they would have no hesitation in Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 18 going to either of them if they had problem. They said that the Deputy and the Manager were very approachable. A number of audits were done to ensure that the home was running smoothly and was at the expected standard. These audits included: care plans; environment; finances; social care; complaints; records; equipment; and health and safety. A survey of residents’ views had been done but the results not yet collated. Meetings for residents were not held but relatives were invited to discuss care issues when the plans of care were reviewed. Staff meetings were held monthly. The issues discussed were recorded and minutes produced. The policies and procedures were produced by the Company and staff had access to these at all times. They were reviewed on a regular basis. One resident managed all her own money. For those residents who did not have anyone to manage their money, their Pension Benefits were paid into the Company bank account. The personal allowance for these residents was then sent to the home. Small amounts of money were kept for residents. This was securely stored in a safe. Receipts were issued for any money or valuables left with staff. There was a recording system to show amounts deposited, withdrawn and the balance. The money held for 3 randomly selected residents was checked against the records. One of these was 30 pence less than the balance shown. Supervision for care staff was done. Records were kept of this that demonstrate: the issues covered; any areas of lack of understanding; any concerns; and topics for next sessions. There was indication of the action to be taken to address any areas of lack of understanding or concerns raised. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 19 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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 X X X X X X X STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 3 X X Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP15 Regulation 17(2)S4(1 3)16(2)(j) Requirement Appropriate records relating to the individual diet taken by residents must be kept. (Previous timescale of 30/06/05 not met) An application for registration must be received in respect of the new manager. Timescale for action 31/12/05 2. OP31 8 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP2 OP9 OP9 OP9 Good Practice Recommendations The statement of terms and conditions of residency should be amended to include details of the rooms to be occupied. That all transcribing onto a Medication Administration Recording chart is signed and witnessed. That dressings and other medication products are not kept after the resident leaves the home. That action to cool the medication storage room is taken should the temperature be recorded as being above 25 degrees Celsius. DS0000022484.V268564.R01.S.doc Version 5.0 Page 21 Hill View Care Centre 5. 6. 7. 8. 9. 10. 11. OP9 OP18 OP28 OP30 OP30 OP33 OP35 That a system to prompt a Medication Review with the GP or Practice Nurse is commenced. The training in Protection of Vulnerable Adults should continue to ensure that all staff receive this on an annual basis. That 50 of the care staff have NVQ level 2 in care by 2005 The use of a training matrix would ensure that there is an easy method of determining whether staff have undertaken 3 days training in each 12 month period. A record of the information given to new staff on their first day of work should be kept on file. Residents meetings should be held so that they have an opportunity to be involved in how the home is run. The balance of money held should be checked after each transaction to ensure that it is correct. Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hill View Care Centre DS0000022484.V268564.R01.S.doc Version 5.0 Page 23 - 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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