Inspection on 06/02/06 for Hill View Care Home

This inspection was carried out on 6th February 2006.

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 View Care Home 05/06/07

Hill View Care Home 21/11/05

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.

CARE HOME ADULTS 18-65 Hill View Care Home 5 Essex Close Frimley Camberley Surrey GU16 9FH Lead Inspector Vera Bulbeck Unannounced Inspection 6th February 2006 17:00 Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 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.V281853.R01.S.doc Version 5.1 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 View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 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.V281853.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2005 Brief Description of the Service: Hill View Care Home is a small family run home. The home has been developed 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 front door. There is a small but nicely laid front garden. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection to be undertaken by the Commission for Social Care Inspection year April 2005 to March 2006. However, this inspection undertaken on 06/02/06 is the first inspection under a care home, the previous inspection was undertaken as an adult placement. Mrs Vera Bulbeck, Regulation Inspector, carried out the inspection. Mr Khulpateea the manager/proprietor for the home was present. The inspection commenced at 17.00 until 20.00. One resident is living in the home. The resident was happy to talk with the inspector and confirmed she is very happy in the home and is very fond of the staff. A full tour of the premises was undertaken. The care plan and staff files were inspected, as well as a number of other records. The inspector would like to thank the manager/proprietor, staff and resident for their time, assistance and hospitality during the inspection. The resident living in the home wishes to be called resident, therefore service user will be referred to as resident throughout the report. What the service does well: What has improved since the last inspection? The home is well maintained and furnishings within the home are of a good standard. There were no immediate changes to the home. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. The resident has the majority of information she needs to make an informed choice about where to live. Resident’s needs are fully assessed prior to admission and the resident has a written contract. EVIDENCE: The statement of purpose is regularly reviewed and updated when necessary. Management to ensure relevant details of the complaints procedure and fire procedures are included in the statement of purpose. The statement of purpose was observed to be service user-friendly and the resident has been provided with an individualised copy of her terms and conditions. The resident’s needs were well documented and from evidence on file and with discussion with the resident were being met. A full assessment was undertaken prior to the resident moving to the home and assessments are regularly reviewed and up dated. The resident has signed the majority of assessments and clearly is involved with her care planning. However, the manager or a member of staff completing the assessment also needs to sign and date. The home is only registered for one person, therefore does not currently have any vacancies. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. The residents’ individual plan is clear and comprehensive including details of needs and goals. The plan also incorporates known or indicated preferences and choices, and includes in depth risk assessments. EVIDENCE: The inspector observed from the resident’s file that the care plan had been updated as required. Evidence was also observed on the file that these plans were reviewed on a regular basis, some of which had been reviewed but not signed or dated by the person completing the review. Members of staff advised the Inspector that the resident was involved in the development of her care plan. The resident spoken to was able to confirm she is involved. The resident stated that she is able to let staff know about her likes, dislikes and needs. The care plan was comprehensive and contained considerable information however, previous health issues were missing from the file. The Inspector advised the registered manager to contact the care manager regarding previous health care and any operations the resident may have had in the past. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 10 The inspector observed from the resident’s file that risk assessments had been reviewed. Again there was evidence on the file that the risk assessments had been regularly reviewed. However, they need to be signed and dated by the member of staff completing the documents. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. The resident has the opportunities for personal development and to take part in appropriate activities within the home and in the local community. She is supported and enabled to maintain and develop appropriate personal and family relationships. Systems are in place to ensure that resident’s rights are respected. EVIDENCE: The resident informed the inspector that she works part time in a shop and attends various other activities including cooking, budgeting skills and numeracy skills at the local adult education centre as well as assisting in daily chores, for example food shopping and keeping her bedroom clean and tidy. The resident is able to travel every day by bus and does so Monday to Saturday. She has set routes on set days which enables her to be independent this programme has been designed specifically for the resident, by the management of the home. Her travel fares are met by the homes budget. On some days and occasions the registered manager picks the resident up with the homes transport car. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 12 Evidence was also observed in review documents and care plans that the resident votes at local and general elections and is very clear about whom she is voting for. The resident also attends community activities, for example she likes to attend the local church on Sundays and stays for coffee after the service, and last year went on holiday to the Isle of Wight with the proprietor and family. The resident also visits her family and stays for the holidays; she also spends time with her sister and her family. She has a brother in America who she rings the last Friday in every month, this expense is covered by the homes budget. Care plans detailed the important people in the resident’s life, and where appropriate the resident is supported to visit friends or have friends visit them. It was observed that the resident residing at Hill View is quite independent. The resident was completing personal chores, for example polishing at the time the inspector arrived at the home. On the day of inspection the resident had cooked her main meal at her cookery class and in the evening had a light meal. The resident is encouraged to help with the evening meal generally and resident and staff eat together. The menu is well balanced and nourishing, this is completed with input from the resident. The resident receives her benefit by direct payments into her own bank account. She is able to manage her own personal account, at times with staff support. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. Sound policies and practices are in place for the administration and management of medication. EVIDENCE: The inspector observed from the care plans that guidance is available to direct staff on how to support the resident with personal care, for example bathing guidelines. The resident and relationship with the staff observed during the inspection was positive. Routines within the home were observed to be flexible, and the resident was freely choosing what she wanted to do on returning to the home. All healthcare appointments attended since the last inspection had been recorded on forms in the residents file. Theses healthcare records detailed that the resident had attended the dentist, and GP as required, and where appropriate the resident had received input from specialist health professionals. However, there was no previous history on file regarding the resident particularly any operations she may have had. The Inspector advised the registered manager to contact the residents care manager regarding previous health care the resident may have had in the past. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 14 The registered manager advised the inspector that the wishes of the resident and her relatives had been obtained with regard to ageing, illness and in the event of death. These wishes were detailed on the residents file. The staff administers medication, however, at lunchtime the resident needs to administer her own medication as she is out all day, staff monitor and support the resident during this period of time. Medication is administered from a blister pack; all staff has received medication training. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. All required policies and procedures are in place to ensure that the resident feels her views will be listened to. Policies are in place to protect resident’s from abuse and neglect. However, policies and procedures need to be updated some staff training and full recruitment procedures are placing them at possible risk of harm and abuse. EVIDENCE: A complaint logbook needs to be implemented, to enable staff in the event of a complaint to register as detailed in the documents to be available. Both members of staff and the resident who were spoken to advised the inspector that to the present date no complaints have been made. The resident informed the inspector that she would speak with a member of staff or her family in the event of making a complaint. The registered manager must clarify with members of staff what their understanding of a complaint/informal complaint is, to ensure that the resident’s concerns and complaints are always heard and dealt with appropriately. The inspector observed training records on personnel files. It was recorded that some staff had received training in protection from abuse from previous posts. However, all staff require this training. The policies and procedures with regard to the protection of vulnerable adults need to be updated, and will be looked at in more detail at the next inspection. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet resident’s’ individual and collective needs in a comfortable and homely way. EVIDENCE: The home was observed to be neat and orderly. The resident spoken to during the inspection stated that the home is always “kept nice”. The resident said she was able to choose the colour of her bedroom. At the time of the inspection the resident spoken to stated that she liked living in the home, and confirmed that she liked her bedroom. The resident showed the inspector her bedroom, which was greatly personalised. The bedroom had been furnished to meet her needs. The bedroom was observed to be a good size and provided ample space for the resident to keep her personal items. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. All interactions observed between staff and resident evidenced a high degree of respect and skill in working with the individual resident at the home. Staffing is kept under review and provided to meet the needs of the resident at all times. Action must be taken to improve the staff training and recruitment procedures. EVIDENCE: Personnel files were held in a locked cupboard in the office/sleeping in room. The files sampled contained an application form, references, and original Criminal Records Bureau certificates. However, management to ensure the required documents as specified in Schedule 2 of the Care Homes Regulations must be followed. All staff working in the home require a job description and a copy should be placed on staff files. Supervision needs to commence on a regular basis for all staff as well as an annual appraisal. The registered manager confirmed that mechanisms of support had been put in place, and that although they had not been receiving regular supervision; group meetings are in place and any information or issues are discussed during this period of time. The registered manager is to commence his Registered Managers Award in March 2006 and it was identified that a number of staff need to complete various training courses. A training plan is to be implemented to ensure the management of the home is aware of staff training needs at a glance. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 18 Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40 and 42. The resident, benefits from the management approach at the home, providing an open, positive and inclusive atmosphere. The systems for the resident’s consultation are varied and have been devised specifically to enable the resident to make their views known. Action must be taken to ensure that staff training promotes and protects the health, safety and welfare of the resident. EVIDENCE: The Manager has registered and in the process of commencing the Registered Managers Award in March 2006. The inspector discussed the temperature of the radiator in the bathroom, which was extremely hot; the radiator was also loose on the wall. This is a new radiator without a cover. This area needs to be attended too without delay. Management of the home to produce an annual development plan. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 20 The inspector discussed the fire risk assessment held by the home, which needs to be reviewed and updated on a yearly basis. The inspector advised the home to implement a contingency plan in the event of an emergency it would be clear what action to be taken. All staff must receive appropriate training on fire safety. All staff should be aware of the homes policies and procedures and should sign to indicate they have read and understood. All the homes policies and procedures need to be updated and reviewed on a regular basis each document to contain a review date. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 21 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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 3 X 2 X Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 34 Regulation 19 Timescale for action Full recruitment procedures must 06/03/06 be followed as specified in Schedule 2 Care Homes Regulations 2001. All staff must receive induction 19/05/06 training as well as other relevant training. Supervision must be undertaken 31/03/06 on a regular basis and records to be held. The radiator in the bathroom 08/02/06 needs attention it is very hot and loose on the wall. Requirement 2 3 4 35 36 42 18 18 23 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 5 Refer to Standard 9 34 35 39 39 Good Practice Recommendations All documents including risk assessments must be signed and dated by the person involved. All staff must have a job description. Management to produce a staff-training programme. Management to produce an annual development plan. Policies and procedures to be reviewed and updated on a DS0000055284.V281853.R01.S.doc Version 5.1 Page 23 Hill View Care Home 6 7 39 42 regular basis. Staff need to read and sign to indicate policies and procedures have been read and understood. A contingency plan to be produced in the event of an emergency action to be taken would be clear. Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI Hill View Care Home DS0000055284.V281853.R01.S.doc Version 5.1 Page 25 - 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!