Inspection on 08/05/07 for Hillcrest

This inspection was carried out on 8th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hillcrest 10/12/05

Hillcrest 05/07/05

Hillcrest 06/12/04

Hillcrest 08/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Hillcrest 35 Carleton Road Pontefract West Yorks WF8 3ND Lead Inspector Tony Railton Key Unannounced Inspection 8th May 2007 09:15 Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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 Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillcrest Address 35 Carleton Road Pontefract West Yorks WF8 3ND 01977 702343 01977 705446 HillcrestRH@aol.com 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) Mr Hunt Mrs Hunt Mrs Lynn Binns Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate 4 named service users with learning disability over the age of 65 years, within a total of 20 places. (Category LD (E)) 10th December 2005 Date of last inspection Brief Description of the Service: Hillcrest was established in 1979 as a private care home for people with learning disabilities. The home currently accommodates 20 people. The fabric of the home is currently being extended to enhance the services provided within it. The home provides a variety of social spaces. The home’s décor is well maintained. The home has parking facilities to the front and a garden area to the rear. Hillcrest is situated on the outskirts of Pontefract and the town centre is about 10 minutes walk away. There is a selection of local shops opposite the home. On the 2 March 2007 the providers said that the fee for living in Hillcrest is £373.00 per week. Information about the service and the CSCI can be obtained from the home. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the service commenced at 09.15 and ended at 12.30. During this visit there was the opportunity to speak to the owners, the registered manager people using the service and their support workers. Six records of people using the service were looked at and included, care plans, assessments, and reviews, daily, medical and financial records. Six support workers records were also seen and included, police and POVA checks, references, training and supervision records and appraisals. Other information considered included the Pre Inspection Questionnaire, and eight returned quality assurance surveys from people using the service and their relatives. A tour of the premises was also undertaken. The visiting inspector would like to thank the people who use the service, the manager and her staff team for their warm welcome and hospitality throughout the visit. What the service does well: People using the service are fully involved in every aspect of assessing, planning, and reviewing their care. There is an expectation that people do this and those they are given every opportunity to comment on the quality of the service provided. People are encouraged and supported to use ordinary community based health and leisure services of their choice. One person said that they use the local shops and enjoy going to the pub. Another said that he is a long-standing member of the local church and participates in every aspect of church life. Three people said that they are looking forward to going on holiday to Majorca and that they were packed and ready to go. One person said that they enjoyed going in the swimming pool. Another said, laughing, that last year she fell in the swimming pool and made a splash but that she was ok. The service is good at capturing and reflecting peoples choices, preferences and life experiences. People are also supported and encouraged to comment on the quality of service provided, as are their relatives and other stakeholders. One recent letter from a relative praised the service for the ‘excellent’ work they do. The daily records and monthly reviews contain descriptive words to reflect and show peoples choices, preferences, likes and dislikes. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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 Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service and their representatives have the information needed to choose a home that will meet their needs. People using the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The Statement of Purpose and Service User Guide seen contain the information about the services provided for people to make an informed choice about living in the home. Prospective users who are given a Statement of Purpose and Service User Guide also receive information about the role of the CSCI. Before people use the service they can also arrange tea visits and overnight stays and ‘test drive’ the facilities provided. People ‘s care and support needs are fully assessed first to make sure the service can meet their personal and healthcare needs. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People using the service make decisions about how they live their lives on a day-to-day basis. This was confirmed by their care plans, which are agreed and signed by them. The daily records also contain descriptive words to reflect and show people’s choices, preferences , likes and dislikes. Discussion with people using the service found that they are involved in every aspect of life in the home. This was also confirmed by the minutes of the residents meetings, daily records and monthly reviews. One person said that they can choose what they want to do and that they had chosen to go on holiday to Majorca this year. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 10 The risk assessments show that people are allowed to take risks as part of living an ordinary lifestyle. People were observed throughout the visit making decisions about their lives and being supported to live as ordinary a life as possible. The eight returned quality assurance surveys seen show that people using the service are more than happy with the quality of care provided. Eight returned relatives surveys also show they are very happy with the support and care provided. A letter from one person’s relatives says that the quality of life of those living in the home is excellent. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 People who use the services are able to make choices about their life style, and are supported to develop their life-skills. Social, educational, cultural and recreational activities meet individual’s expectations. People using the service experience excellent outcomes in this area. We have made this judgement based on a range of evidence including this visit to the service. EVIDENCE: People using the service said that they enjoy going to college, local authority run day services, going to the pub, restaurants, swimming , to the cinema, shopping and to the local church. The daily records confirmed this, and use descriptive words to show and reflect people’s choices and preferences, regarding occupational and leisure activities. One person said that they have chosen to go to Majorca on their holidays this year and that they are really looking forward to going. Another said that he is Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 12 looking forward to going on holiday but he will miss going to church on Sunday. The returned quality assurance surveys show that people and their relatives are happy with the support provided and the lifestyles experienced by people in the living in the home. The manager said that people are encouraged to make decisions about their lives and to comment on the running of the home. The Minutes of the residents meetings and daily records confirmed this. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. People using the service experience excellent outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People are supported, encouraged and benefit from having their healthcare needs met by using ordinary community based healthcare services of their choice. This is confirmed by people’s reviews , daily and medical records. One person said that they went to the doctors recently as they had a chest infection and that they were given some antibiotics to make them better. They said that they feel much better now. People’s healthcare needs are met by the service and the reviews and medical records confirmed this. Some of the medicines of people using the service were checked and found to be correct and showed that people are safeguarded and protected by the way medicines are given. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 14 Staff training records show that staff is trained in how to give medicines safely. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service are able to express concerns, and have access to a robust, effective complaints procedure, and are protected from abuse and have their rights protected. People using the service experience excellent outcomes in this area. This judgement has been made using a range of evidence including this visit to the service. EVIDENCE: The Complaints Policy and Procedure seen along with the record of complaints show that people have access to a robust and effective complaints procedure. One person said that they have never had any reason to complain but know what to do if they had to. Another said that they like living in the home and the people looking after them. Eight returned relatives quality assurance surveys show that they know how to make a complaint if they need to. Staff training records show that people are safeguarded and protected from abuse as all staff has Safeguarding training. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person using the service said that they like their room and have every thing they need. Another said that their home is nice and that they like the people they live with. A tour of the home found it to be clean and well maintained and people using the service were observed relaxing in a homely and comfortable environment. People using the service were observed having freedom of access to all areas of the home and those spoken to consider it to be theirs. People using the service benefit from having a new kitchen and a new activities room that has patio doors leading into the garden and to the swimming pool. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff training records show that people using the service are supported and cared for by qualified and trained staff. The manager said that care and support is offered on a needs led basis and the staff rota showed that staff is available in sufficient numbers to meet peoples personal care needs. Eight returned quality assurance surveys show that people using the service and their relatives hare happy with the support provided by the service. One person said that they liked the people caring for them; another said that staff are great. One staff said that the best thing about working in the home are the people living there, as they are all characters and great to be with. Throughout the Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 18 visit positive relationships were observed between people using the service and those supporting them. Discussion with staff showed that people using the service benefit from being supported by staff who have a good understanding of their personal and healthcare needs. One letter from a relative of someone using the service thanks the staff for the ‘excellent’ care and support provided. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care and staff management systems show that the home is run in the best interests of people using the service. The care plans, reviews, daily records, quality assurance surveys, minutes of residents meetings show that people are fully involved with every aspect of their care and in the running of the home. Discussion with people using the service and with those supporting them found that they consider the home to be theirs and there is a sense of inclusion and of ownership. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 20 Staff training and health and safety records show that people using the service and those supporting them are protected and safeguarded by the health and safety systems in the home. Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 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 X 2 4 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 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 4 33 X 34 4 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 4 X X 4 x Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Hillcrest DS0000006189.V333423.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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