Inspection on 21/11/05 for Hill View Care Home

This inspection was carried out on 21st November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 View Care Home 05/06/07

Hill View Care Home 06/02/06

Hill View Care Home 24/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

ADULT PLACEMENT SCHEME Hill View Care Home 5 Essex Close Frimley Camberley Surrey GU16 9FH Lead Inspector Vera Bulbeck Unannounced Inspection 21st November 2005 05:00 Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 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 Home DS0000055284.V265423.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 service are those for Adult Placement Schemes. 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 Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hill View Care Home Address 5 Essex Close Frimley Camberley Surrey GU16 9FH 01252 838199 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) Hillviewkher@aol.com Mr Kher Khulpateea Mr Kher Khulpateea Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2004 Brief Description of the Service: Hill View Care Home is a small family run home. The home has been developed as an adult placement to accommodate one service user, within the category of learning disability LD. The home is a considerable distance from the local shops. However, the home has its own transport. The premises are homely and nicely furnished. There is one single bedroom on the first floor, and facilities in the home include a lounge, kitchen with dining table on the ground floor. A bathroom/toilet with shower, an office also used as a sleep in room on the first floor. The garden is small but nicely laid out on levels rising upwards, the patio area on the lower level has a BBQ. There is ample parking in the main car park for the entire house; the home is accessible by a ramp and steps to the main door. There is a small but nicely laid front garden. Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The aim of the announced inspection was to provide an opportunity to meet and speak with the resident and staff and to follow up the previous recommendations made as a result of the last inspection. Mrs V Bulbeck lead inspector undertook the announced inspection over a twohour period. It will be necessary to review both inspection reports for 2005-06, undertaken by the Commission for Social Care Inspection, to obtain a full understanding of the extent to which the home meets the 30 standards of The National Minimum Standards for Adult Placement. Three members of staff were on duty and the atmosphere in the home was relaxed and comfortable. Mr & Mrs Khulpateea, the proprietor/manager and wife cover the management of the home. The inspector received a letter from the resident informing the inspector she was very happy living in the home and would not want to return to where she lived previously. The resident also informed the inspector verbally that she is very happy and has a good rapport with the staff team. The Service user in this home is called a resident and therefore the word resident will be used in the remainder of this report. The resident was seen to be well supported with her personal care needs and to be relaxed and confident with staff on duty. The management and staff were helpful and supportive of the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 6 Documents in the residents care plan needs to be dated and signed and the resident to be involved as much as possible with the care planning. However it was noted that the resident is kept informed but the records are not indicating the involvement of the resident. 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 Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Underlying Principles of Adult Placement (Standard 1) Choosing an Adult Placement (Standards 2-3) Living in an Adult Placement (Standards 4-7) Selecting and Training Adult Placement Carers (Standard 8) Managing an Adult Placement Scheme (Standards 9-10) Scoring of Outcomes Statutory Requirements identified during the inspection Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 8 Underlying Principles of Adult Placement The intended outcome for Standards 1 is: 1. Each person is able to live an ordinary life in their community and to share family life. JUDGEMENT – we looked at outcomes for the following standard(s): 1. The resident has a written contract and was admitted to the home following a needs assessment to ensure that the home can meet the residents identified needs. EVIDENCE: The homes statement of purpose has been updated and includes relevant information as detailed in The Care Homes Regulations 2001, Schedule 1. Prospective residents would be able to understand the service users guide and if difficult to understand staff would support the resident. The document is in a format for the resident to read. One care plan was sampled and it was noted that the care plan has been updated and contains detailed information. The manager informed the inspector that the care plan is updated on a regular basis. For example the resident has improved in a number of areas in the last year, these changes have been clearly documented on the residents care plan. However, the resident should be more involved, and should sign to indicate they understand if this is not possible the care manager, doctor or relative should sign the care plan on her behalf. Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 9 Choosing an Adult Placement The intended outcomes for Standards 2 – 3 are: 2. 3. Each person’s individual aspirations and needs are assessed. Each person knows that the placement they choose will meet their needs and aspirations. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. There is a proactive approach to promoting the independence and life skills of the resident through careful care planning and risk assessment. EVIDENCE: The care plan sampled during the inspection was comprehensive and easy to follow it acknowledged the goals achieved by the resident. Reasons for not achieving aims are also recorded in the care plan. For example the resident likes to go on the bus shopping this is used as a learning curve being able to identify her independence. Risk assessments are in place and have been reviewed in 2005, the manager needs to sign risk assessments. The management of the home has undertaken a regular report on file. There is a recent photograph and description of the resident, which would be used in the event of reporting a missing person. The inspector was informed that the resident assists in the kitchen with meal preparation under close supervision of a staff member. Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 10 Living in an Adult Placement The intended outcomes for Standards 4 - 7 are: 4. 5. 6. 7. Each person is supported to live the kind of life they wish to live. Each person has an individual written Placement Agreement and Service User’s Plan. Each person can be sure that their current and changing needs are met. Each person knows their AP Carer is well supported and their work reviewed by the Scheme. JUDGEMENT – we looked at outcomes for the following standard(s): 4 and 5. Residents have the majority of information they need to make an informed choice about where to live. Resident’s needs are fully assessed prior to admission and all residents have a written contract. EVIDENCE: A written placement agreement had been undertaken. Details of the staff would be included as well as the bedroom allocated. Details of the registered manager’s qualifications and skills need to be included. Perspective residents are invited to visit the home prior to admission, to enable the resident to familiarise themselves with the staff and premises. This can take several weeks prior to admission, and would involve having a meal, perhaps stay overnight and another option is to stay for a couple of nights. The home operates a trial period of three months for perspective residents. This process is carefully reviewed on a regular basis Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 11 Selecting and Training Adult Placement Carers The intended outcome for Standard 8 is: 8. Each person knows they will be supported by a trained, responsible and competent AP Carer. JUDGEMENT – we looked at outcomes for the following standard(s): 8. The resident has the opportunities for personal development, to take part in appropriate activities within the home and in the local community. The resident is supported to maintain and develop appropriate personal and family relationships. Meals are well balanced and varied. Systems are in place to ensure that resident’s rights are respected. EVIDENCE: The resident has a varied lifestyle; she is able to travel on the bus on her own to Guildford every Friday for shopping. There is also a varied programme of activities, which the home is involved in. The home has its own transport and is able to take the resident to the library every week, as well as shopping, which the resident enjoys. She also visits her mother on a regular basis. This year the resident went on holiday to the Isle of Wight with two members of staff. The inspector was able to see the photographs of the holiday and it would appear from the photos that the resident enjoyed her holiday. The resident also informed the inspector she enjoyed her holiday. However, the management of the home needs to speak with the care manager to enable the resident to go on holidays in the future as her funds are low, this is partly because she has to pay for a member of staff as well, there will not be sufficient money for a holiday next year. A member of staff who was cooking the evening meal informed the inspector the resident had informed her that she would like to lose some weight. A healthy eating programme has been introduced, which is well balanced and nourishing. The resident informed the inspector her favourite meal is shepherds pie, she also likes to help with the preparation of meals and laying the table. Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 12 Managing an Adult Placement Scheme The intended outcomes for Standards 9 – 10 are: 9. 10. The person benefits from a properly conducted AP Scheme. Each person is safe in the placement. JUDGEMENT – we looked at outcomes for the following standard(s): 10. All required policies, procedures and practices are in place to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: A number of records were observed; these include the accident book, fire records, training as well as health and safety records and were found to be well documented. There is a need to ensure all fire records are maintained in one folder the fire alarm system was recorded on a regular weekly basis and fire drills are undertaken three monthly. There is a need to produce a fire risk assessment on the whole building room by room, and management needs to produce an emergency plan for use in the event of any emergency and details must be kept in the fire record folder. Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 13 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 UNDERLYING PRINCIPLES OF ADULT PLACEMENT Standard No Score 1 SELECTING AND TRAINING OF ADULT PLACEMENT CARERS Standard No Score 8 3 3 CHOOSING AN ADULT PLACEMENT Standard No Score 2 3 3 3 LIVING IN AN ADULT PLACEMENT Standard No Score 4 3 5 3 6 X 7 X MANAGING AN ADULT PLACEMENT SCHEME Standard No Score 9 X 10 3 Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 14 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 Refer to Standard 1 Good Practice Recommendations To involve the resident and for the resident to sign the care plan. Hill View Care Home DS0000055284.V265423.R01.S.doc Version 5.0 Page 15 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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