Inspection on 16/08/05 for Hillcote

This inspection was carried out on 16th August 2005.

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

Hillcote 04/01/08

Hillcote 21/12/06

Hillcote 19/02/06

Hillcote 07/03/05

Hillcote 23/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Hillcote 66 Bidston Village Road Birkenhead Wirral CH43 9QT Lead Inspector Jeanette Fielding Unannounced 16 August 2005 th 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 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 Stationary 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. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hillcote Address 66 Bidston Village Road Birkenhead Wirral CH43 7QT 0151 670 0306 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Alternative Futures Limited Kelly Vernon - acting manager PC Care Home 5 Category(ies) of LD - Learning Disability - 5 registration, with number of places Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Only adults with a learning disability may be accommodated. Date of last inspection 7th March 2005 Brief Description of the Service: Hillcote is registered to provide personal care for up to five adults who have learning disabilities. At the time of the inspection, there were four service users accommodated at the home. The home provides each service user with a single bedroom and sufficient communal areas. A new manager has been appointed to the home and an application to register the manager is being processed by the Commission for Social Care Inspection. The home is located in a residential area, close to shops and supermarkets and can be accessed by public transport. The home provides a secure garden that service users are free to access as they wish. The home provides a minibus to give service users the opportunity to go out individually or together. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of six hours and during the inspection, the manager and staff were spoken to. Service users were also spoken to but due to their disability, were unable to communicate their views of the home. Records relating to the care required by, and afforded to, service users were inspected and found to be detailed and informative and provided full information to enable staff to provide the necessary level of care and support. Staff records were inspected and were found to contain evidence that all checks had been made on them to ensure the protection of service users. Training that staff had undertaken was recorded on their individual files. A tour of the premises identified some areas that required attention, and showed that service users individual preferences were taken into consideration when personalising their bedrooms. Two bedrooms now require redecoration due to damage to the décor. The furnishing in the lounge is stained and worn and requires to be replaced. Records relating to the safety of the premises were inspected and only one of the required safety records was found to be missing. What the service does well: What has improved since the last inspection? Since the last inspection, new windows have been fitted to replace those that were in a poor condition. A new manager has been appointed to the home to provide direction and leadership to the staff team. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 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. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 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 standard(s) 2 Full assessments have been undertaken on all service users to ensure that their individual needs are identified in order that staff can provide the relevant level of care. EVIDENCE: There have been no new service users accommodated at the home for several years. All service users accommodated at the home were fully assessed prior to their admission and comprehensive care plans put in place. A procedure to be followed in the event of a new admission to the home is in place and this procedure includes introductory visits and the opportunity to meet the other service users currently accommodated. Daily reports completed by staff, providing evidence of the individual care given to service users, was found to be informative. Reports are documented in individual diaries and are completed by the staff. The care plans are reviewed on a regular basis and are amended to reflect the care required. The home is currently working towards providing independent advocates for two of the service users who do not have any family support. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 9 Comprehensive care plans have been prepared for each service user and are reviewed on a regular basis to provide staff with the information necessary to meet the needs of each service user. EVIDENCE: Care plans have been prepared for each of the service users. These are extremely detailed and are reviewed on a regular basis to ensure that the service users are given the appropriate level of care and support. The care plans include full information regarding the likes and dislikes of each service user and this includes food, activities and lifestyle. These have been developed by the staff over the years through a working knowledge of the service users as none of the service users have verbal or written communication skills to enable them to inform staff of their preferences. Staff have developed a knowledge of each individual’s body language and the new manager is looking to build on the information already held in the home. Comprehensive risk assessments have been prepared on all service users and the activities that they participate in. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 15, 16, 17 The meals in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: None of the service users are able to undertake formal education or employment due to their disabilities. Each service user enjoys an active social life in line with their individual preferences and abilities. Staff assist service users to undertake small tasks within the home to promote their abilities. Service users are taken to local shops by staff, usually on a one to one basis. On the day of the inspection, three of the service users went out to lunch with staff. Social activities include swimming, cinema, music and the local pub. Two of the service users have strong links with their family, one going out on a regular basis with family members. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 11 All service users are given the opportunity to take an annual holiday and funds are set aside for this. The holidays taken are in line with the preferences and abilities of the service users and provide an opportunity for new skills to be developed. Service users preferences are respected by the staff and information regarding these is detailed in the care plans. A record of meals taken by the service users is held in the home. The home provides fresh fruit and fresh seasonal vegetables, supplemented by frozen vegetables to provide a greater choice. Meals are taken in the main dining room or at the table in the kitchen as the service users prefer. The record of meals taken provides evidence that the service users are provided with a varied and well balanced diet. The dietician offers advice and information regarding meals and diets as necessary. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 18, 19, 20 The medication at this home is well managed promoting good health. EVIDENCE: Service users are each accommodated in a single bedroom, one being on the ground floor. Personal care is given in either their bedroom or in the bathroom as appropriate to protect their privacy and dignity. Annual health checks are undertaken and GP’s and other health care professionals are contacted whenever necessary. Medications are reviewed by the doctors and changes made as required. One service user is visited by a Community Psychiatric Nurse in accordance with the plan of care. Security for the medications has improved since the last inspection and now meet the required standards. None of the service users are able to administer their own medications and so the home’s policy and procedure for the administration of medications is followed by the staff. Records of the medications administered to service users were found to be well maintained. Storage areas were clean and no unnecessary medications are stored in the home. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 22, 23 Service users are protected from harm through a programme of training for the staff and the implementation of risk management strategies. EVIDENCE: The home has a comprehensive complaints policy and a procedure to be followed in the event of a complaint being received. Information on how to make a complaint is detailed in the statement of purpose. No complaints have been received by the home in the past twelve months. All staff have been given training on the different types of abuse, how to recognise it and on the action to be taken if it is suspected. This training is reinforced on a regular basis. The home has a copy of Wirral Borough Council’s Adult Protection Procedure. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 24, 30 Improvements require to be made to the décor and furnishings in some areas of the home and although this does not pose a risk to service users, it detracts from the pleasing and pleasant environment that the staff strive to achieve. EVIDENCE: Service users are each accommodated in a single bedroom which has been decorated and furnished to reflect their individual preferences. Two of the bedrooms have now become shabby with damaged paintwork and wallpaper. Consideration should now be given to the redecoration of these rooms. The armchairs in the lounge have now become worn and shabby and their replacement should now be considered. It is evident that the staff strive to provide a homely environment for the service users. Improvements have been made to the home since the last inspection. Some new window frames have been fitted to replace those that were in need of replacement. This has considerably improved the home by the removal of draughts. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 15 The home was found to be basically clean although a programme of high cleaning should be undertaken to remove cobwebs on the first floor of the home. Appropriate measures are in place for the disposal of waste. The home has an infection control policy and it was evident that the staff follow the procedure laid down by the owners. No offensive odours were present in the home. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff morale is good resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. EVIDENCE: The home continues to provide training for the staff team. Seven of the twelve staff now hold NVQ qualifications and one additional member of staff is currently working towards this. All staff have completed a comprehensive induction training programme and additional training is identified through supervision and annual appraisals. Additional training needs have been identified and plans are in place for this to be undertaken as necessary. Updates on core training is undertaken by the staff and records of all training is recorded on the staff’s individual files. Staff spoken to during the inspection were clearly able to demonstrate that they work together as a team and were fully aware of each other’s role and responsibilities. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 42 A new manager has now been appointed to the home to provide leadership for the staff. EVIDENCE: Since the last inspection, a new manager has been appointed to the home. She is experienced in the care of adults who have learning disabilities and holds an NVQ at level 3 in management. She is currently working towards a management qualification at level 4. She is an NVQ assessor which will benefit those staff at the home who undertake NVQ training. An application to register the manager is currently being processed by CSCI. No quality assurance systems have yet been put in place. None of the service users have the ability to express their views of the home and only two service users have family involvement. The views of the family members, staff and other health professionals should be sought and information gathered evaluated to enable improvements to the service to be identified and implemented where necessary. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 18 The NICEIC electrical wiring certificate held in the home is dated 2001 and is valid for a period of two years. An up to date copy is to be held in the home. At the last inspection, the hot water was found not to reach the required temperature. At this inspection, the hot water was found to be excessively hot. This presents as a risk to service users and appropriate measures must be taken to ensure that the service users are not at risk of scalding from the hot water. Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hillcote Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 20 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 24 Regulation 23 Requirement The Registered Person must ensure that the lounge furniture provided for service users is in good condition and replaced as necessary. The Registered Person must ensure that all areas of the home are maintained in a clean condition through a programme of high cleaning. The Registered Person must ensure that service users are not placed at risk of scalding from the hot water. The Registered Person must ensure that a valid electrical wiring certificate is available in the home for inspection. Timescale for action 31st October 2005 12th August 2005 2. 24 23 3. 42 13 12th August 2005 19th August 2005 4. 42 13 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 Good Practice Recommendations Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 3rd Floor 10 Duke Street Liverpool L1 5AS 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 Hillcote F52 F02 S000018897 Hillcote V245494 160805 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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