Inspection on 19/03/08 for Hillcrest Care Home

This inspection was carried out on 19th March 2008.

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

Other inspections for this house

Hillcrest Care Home 24/08/10

Hillcrest Care Home 07/07/10

Hillcrest Care Home 19/10/09

Hillcrest Care Home 09/12/08

Hillcrest Care Home 21/03/07

Hillcrest Care Home 05/07/06

Hillcrest Care Home 06/12/05

Hillcrest Care Home 02/08/05

Hillcrest Care Home 22/03/05

Hillcrest Care Home 30/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Hillcrest Care Home Wear Street Jarrow Tyne And Wear NE32 3JN Lead Inspector Mrs Eileen Hulse Key Unannounced Inspection 19th March 2008 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hillcrest Care Home DS0000000234.V360613.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillcrest Care Home Address Wear Street Jarrow Tyne And Wear NE32 3JN 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) 0191 489 0200 0191 428 6343 Hillcrest Care Homes Limited Jaqueline Karen Wallace Care Home 49 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (23) of places Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21st March 2007 Brief Description of the Service: Hillcrest Care Home is a purpose built three-storey building located within the busy town centre of Jarrow. The building has 49 single bedrooms all of which have an en-suite bathroom. Access around the building is made easier by a passenger lift or there are two staircases, which are located at either end of the building. There are a number of communal areas, such as lounges, dining rooms and quiet areas. A fireplace with surround and easy chairs is located in the corridors of both the first and second floor and provides a popular place where service users can choose to spend their time. A staff call system, which is accessible to the service users, is provided in all parts of the home. The laundry and staffroom are located on the second floor of the home. There is a garden to the rear of the home and parking facilities are available for the convenience of visitors. The home is registered to provide care to 26 people who have varying degrees of dementia and 23 people who are elderly. The home is not registered to provide nursing care. A place at this home costs £355 - £385 per week. Additional charges are made for toiletries, newspapers / magazines, and hairdressing. Items, which are included in the cost, are listed in the homes terms and conditions. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that people who use this service experience adequate quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 31st January 2008 • How the service dealt with any complaints & concerns since the last visit • Any changes to how the home is run • The provider’s view of how well they care for people • The views of people who use the service, their relatives and staff. The Visit: An un-announced visit was made on 19th March 2008. During the visit we: • Observed staff practice and talked with people who use the service, relatives, staff, the manager & visitors • looked at information about the people who use the service & how well their needs are met • looked at other records which must be kept • checked that staff had the knowledge, skills & training to meet the needs of the people they care for • looked around the parts of the building to make sure it was clean, safe & comfortable • checked if any improvements had recently been made. We told the manager and area manager what we found. What the service does well: The home makes sure that all prospective service users have the information they need before deciding to move into the home. Their needs are assessed so that the home knows they can meet the needs before the service user moves in. The staff team are caring and committed. Good healthcare arrangements are made available with district nurses, chiropodists etc visiting the home regularly. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 6 The quality of food is good and service users likes and dislikes are taken into account and they can choose from a number of options on the menu what they would like to eat. All staff receive good training and this helps people to know they will be well looked after regardless of their various needs. The home is clean and generally well looked after and provides a comfortable and homely place for service users to live in. What has improved since the last inspection? What they could do better: Requirements made in previous inspections must be addressed. The care plans need to be improved to make sure they have detailed information in them that is up to date so that staff can meet the needs of the service user and the privacy and dignity of service users must be practiced at all times. Suitably trained staff must follow Royal pharmaceutical guidelines when administering medication and better records should be kept. The mealtime arrangements need to be looked at to make sure that dining is a good experience for people and that it is a sociable occasion with enough staff to meet all of service users needs, choices should be available to service users at all times. Doors requiring to be kept open should have automatic door closures linked into the fire system and not chocked open using chairs. This would help to keep people safe at all times. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 7 Personal toiletries belonging to service users should be returned to their owners after use and not stored in bathrooms and plastic gloves should be stored discreetly for the dignity of people living in the home. 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 Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home uses a good assessment and admission process and gives prospective service users detailed information. This makes sure people have the information they need to make an informed choice about moving into the home. The home does not provide intermediate care. EVIDENCE: Everyone is given information prior to moving into the home. It consists of the homes ‘statement of purpose’ and a brochure of the service. This information explains in detail the services they can expect to receive and what it will cost to live there. The information is made available to people in various formats to suit their needs such as large print, other formats can also be requested from the company head office. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 10 Records evidenced that part of the assessment process involves a pre admission visit to the service users home or hospital by the home’s Manager accompanied by the deputy manager or senior care to complete an assessment that will determine if the home can meet all of the persons care needs. Following the assessment visit, the home manager will then write to the person confirming if they can or cannot meet their needs. Prospective service users are given the opportunity to visit the home with their families or to stay for a meal with other service users living in the home before moving in. Following the visits the service user is then contacted to arrange an admission day that is suitable to them. Prior to the assessment visit, the home requests a care manager’s assessment from the Local Authority Social Services describing the up to date needs of the person. Following admission, a six-week formal review meeting is held and this decides if the service can meet all of the care needs and that the service user wishes to stay at the home permanently. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have access to healthcare facilities and each person has a plan of care that staff can follow to meet the needs of service users. However, the care plans are not completed with up to date information, without this detail staff cannot be sure that the needs of service users are being met at all times. Medication procedures are not always followed correctly and this does not ensure that the health and wellbeing of service users is met safely at all times. EVIDENCE: The care plans do not contain sufficient information that staff can follow. Each care plan has an identified need and a goal to meet the need but there is no information that will tell staff how to do this and not all of the information is consistent or correct. One care plan stated that without staff support the service user would leave the building, but the person’s needs had deteriorated Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 12 so much over a period of time that they needed staff support in all care areas but this was not in the care plan. Although the care plans are evaluated some of the information was incorrect, the last evaluation completed 10/1/08 again stated the need for windows and doors to be locked so that the person would not leave the building. Some detail in the care plans does not guide or give staff any direction, for e.g. staff are asked to assist one person to eat and to ensure they receive the correct diet but no information is given on how this is to be carried out or what a correct diet is. During the visit, one lady was being fed drinks through a syringe, when staff were asked about this practice nobody knew why it was being carried out and no training had been given, no information was recorded within the care plan regarding this practice. The care plans are not monitored or evaluated on a regular basis to ensure the care needs remain unchanged and therefore, staff cannot be sure that the care needs recorded are still in place or that any changes have been made to the original plan of care. Dates and service users or their representative’s signatures are not evident throughout the care plan and therefore it does not confirm that service users are made aware of the content of their care plan. The healthcare arrangements are accessible to all service users regardless of their needs. All service users have their choice of GP following admission into the home and the district nurses, chiropodist, dentist and optician visit regularly to carry out treatment and to address any medical issues that staff raise as a concern. Other healthcare professionals are brought into the home when they are required and staff escort Service users who have to attend hospital appointments. The home has a policy and procedure on the administration of medication and staff responsible for the administering of medication have completed training but staff do not always follow the procedure. Medication administration records in place for individual service users are not well maintained or up to date, some of the records did not have service users photos attached and some of the medication records were not signed by staff, however, a medication audit confirmed the medication was correct and medication had been given. One person’s medication had printed on it ‘Do not use or send back’ and staff could not explain what this statement meant. Medication to be returned to the pharmacy and medication currently in use were stored together in one box. Staff were observed knocking on bedroom doors before entering showing that the privacy of service users is respected. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to join in activities of their choice and ability that can help to contribute to varied and fulfilling days. Service users are offered and receive a varied and nutritious diet and this helps to promote the well being of people. However, some of the dining arrangements need to be reviewed. EVIDENCE: The home have recently employed an activity co-ordinator who works in the home on a part time basis to offer service users a range of activities. All service users are involved in the activity programme regardless of their age, gender or abilities and each service user has an activities sheet that records details of any activities that they have participated in but, this record does not record any service users who have declined to take part or the outcome of the activity detailing if people enjoyed it or not. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 14 On the day of the visit, service users were listening to music as the activity of the day. The home has recently purchased a mini bus and this has been beneficial in service users going out more for outings. Service users and relatives commented positively about the activities and said: ‘The home tries their best to involve people’ ‘Its nice getting out and about’ A meal was taken with the service users in the upstairs dining room but this was not a pleasant experience. Tables had no tablecloths or placemats on them, there were no condiments on the tables and condiments were not offered to people once the meal was served and no serviettes were given. One lady had to repeatedly ask for a tissue. The tables were not set prior to the meal being placed on the tables and some service users had their meal in front of them before being given cutlery to eat their dinner with. There were not enough staff, two members of staff were assisting two service users to eat their meal and one member of staff was serving the meals and some people were finished their meal before others had been given anything. The lunch took so long to serve that service users became impatient and left the tables, at this point staff did not know who had eaten and who had not been given their meal. One service user who clearly could not manage to eat their meal without assistance was not given any support until most people had left the dining room which meant the meal was cold before they received help to eat it. Juice was served with the meal but no hot drinks were offered. Chairs were not pushed into the tables therefore, a number of people had food spilling onto their clothes as the chairs were too far away from the tables to reach. All service users were given a choice of lunch and each person was asked individually what they preferred and some people requiring staff assistance were given support sensitively with staff sitting with them and explaining to them what food was on their plates. However, there were no eating aids available to people such as plate guards or specialist cutlery to assist people who found it difficult to manage. Service users made the following comments: ‘My dinner was lovely but a bit cold’ ‘The meals are not bad but sometimes they are not very hot’ ‘ She (another service user) is always taking my dinner off the plate’ ‘I never feel there is enough staff during mealtimes’ Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is available to service users and their relatives. This provides the opportunity for service users and their relatives to make a complaint should they have any concerns about the service also staff are aware of the safeguarding of Adults procedures and with training ensures service users are protected from abusive situations. EVIDENCE: The complaints procedure details how to make a complaint about the service and the information is accessible and made available to service users, families and any visitors to the home. All complaints are recorded. On receiving a complaint, a letter is sent out within 48 hrs to the complainant and all the information is recorded and held for reference. Past concerns / complaints received by the home in the last 12 months shows they were documented and complainants were happy with the outcome. Service users spoken with knew how to make a complaint and who to speak to if they have an issue they are unhappy about. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 16 One service user said: ‘I would tell one of the girls if I wasn’t happy’ another said ‘The manager sorts anything out that’s not right’. No complaints have been received by Commission for Social Care Inspection in the last twelve months. Almost all of the staff have received safeguarding of adults training. One pova situation arose last year and this has now been dealt with in a satisfactorily way. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of furnishings, fittings and decoration throughout the home present a comfortable and homely place to live in and this offers service users a homely and safe place to live. The home has good procedures in place regarding infection control that helps to keep service users healthy and safe. EVIDENCE: All communal areas and some service users bedrooms were viewed during the visit. The home has recently undergone some refurbishment changes. Both the dining room and TV lounge have been redecorated and four of the bedrooms have had new carpets fitted and curtains purchased. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 18 The dining room and smoking room have both had new floors laid and new replacement furniture in the front lobby has improved the entrance to the home. Service users bedrooms are individualised with personal possessions to make them comfortable and homely. People who have dementia and live on the first floor now have photos on their bedroom doors and signs on the bathrooms and toilets to help people get around the home more easily. The home is generally clean and well maintained with no unpleasant smells. However, in some bathrooms and toilets upstairs, there were shower gels and talcum powder giving the appearance that these are used communally and also plastic gloves on show in bathrooms and toilets that should be stored discreetly. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels that help to meet the needs of the service users and they are protected and safe by a good recruitment policy and procedure. The staff also receive good levels of training that provide staff with the knowledge and skills to ensure that people are cared for efficiently and effectively. EVIDENCE: The home has a policy and procedure on staff recruitment that is used when recruiting prospective staff. The Manager was able to explain in detail the process that is used from sending out an application form to the letter that tells prospective staff if they have been successful in gaining employment. Staff files were organised and all the files sampled held the required information. Thirteen staff members have acquired NVQ Level 2 and one staff member has level three. The home has achieved over 50 of the staff team with a care qualification. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 20 Discussions held with the Manager, senior care staff and care staff during the visit, show that staff have a good understanding of their roles and responsibilities. Staff stated that they are provided with training specific to the needs of the service users and this has allowed the home to have a mix of skills and experience among the staff group. There were good staffing levels on both floors on day the home was visited apart from during the mealtime in the upstairs dining room. The staff-training matrix shows that staff are given regular training and updates. On the day of the visit, care plan training was arranged to take place for the senior care staff. During discussions with the staff on duty, they were positive about their roles and responsibilities and comments they made included: ‘We have loads of training and I have done Alzheimer’s training’ ‘I have just completed refresher training’ ‘We get good support in the home from seniors’ ‘Supervision is in place every three months and regular staff meetings are held, we have just had one’ ‘Training has definitely increased with the new providers’ Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well managed by a person who is experienced and shows good leadership skills and this helps to ensure the service is run in the best interests of the service users and the risks to the health and safety of service users, visitors and staff are minimised. EVIDENCE: The Manager has nine years’ experience of working in management positions and has worked a number of years in various care settings. She has an NVQ Level 4 qualification in management, and other training completed includes Alzheimer’s and the Mental Capacity Act. Recent training to update her Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 22 knowledge and skills has included mandatory training and dementia awareness. All staff receives supervision every three months and all issues discussed are recorded and placed in individual staff files. Service user meetings are also held every two months with minutes recorded, at the time of the visit, a meeting between the manager, service users and their families was arranged for that evening and an invitation was on the main notice board. During the visit, a financial person from head office of the company carried out an audit of money held by the home for safekeeping for service users. Money is stored safely and securely and records showed there are two signatures entered whenever a financial transaction takes place and records follow the guidelines of the Data Protection Act. Observation throughout the day showed that staff observe health and safety practice, however, a number of doors throughout the building were chocked open. This compromises the safety of everyone in the building. Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X x 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP4 Regulation 12 Requirement The responsible individual must make sure that there are effective strategies of support at the home, which follow current good practice, and maintain the rights, dignity, skills and lifestyles of all the people who live there. (Previous timescale of 01 October 2007 not met) Timescale for action 01/07/08 2 OP7 15 The responsible individual must 01/07/08 make sure that care plans are sufficiently detailed to guide staff practice in meeting service users care and lifestyle needs and record the work they currently undertake. (Previous timescale of 01/07/07 not met). The manager must make sure that all support for people with dementia follows current best practice and this is recorded in each persons care plan. (Previous timescale of 01 October 2007 not met) 01/07/08 3 OP7 12 Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 25 4 OP9 13 5 OP9 13 6 OP3 13(5) & 14(2) 7 OP7 15(2)(b) 8 OP8 14(2) 9 OP15 12 10 OP26 12(4)(a) and 13(3) The manager must make sure that accurate administration of medication takes place at the home. (Previous timescale of 01 October 2007 not met) The responsible individual must make sure that records accurately reflect the total levels of medication held and administered at the home. (Previous timescale of 01 October 2007 not met) Staff must be kept informed of the assessed needs of individual residents, including any changes in need. (Previous timescale of 01 October 2007 not met) Care plans must include details of significant behavioural needs, and clear guidelines for staff, so that individual people receive consistent support to help them manage this area of need. (Previous timescale of 01 October 2007 not met) Nutritional assessments must be in place, up to date and reflect the nutritional needs of the people who live here. (Previous timescale of 01 October 2007 not met) Dining arrangements must be reviewed so that dining tables are set with equipment needed when taking a meal and so that service users are treat with dignity and respect. Continence equipment and protective equipment must not be left out on display in bathrooms and toilets. This is to ensure the dignity of residents, and also to protect equipment from possible crosscontamination. (Previous timescale of 01 October 2007 not met) DS0000000234.V360613.R01.S.doc 01/07/08 01/07/08 01/07/08 01/07/08 01/07/08 01/07/08 01/07/08 Hillcrest Care Home Version 5.2 Page 26 11 OP38 23 The manager must make sure 01/07/08 that fire doors are not wedged open. This is to make sure that people are protected in the event of a fire. (Previous timescale of 01 October 2007 & 01 March 2008 not met) 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 Refer to Standard OP12 OP21 Good Practice Recommendations Residents accommodated on the first floor should be offered equal opportunities to access the rear garden area. Residents’ wheelchairs and other individual mobility equipment should be stored in the respective resident’s own bedroom rather than in communal bathrooms. Blinds should be considered for those first floor bedrooms that can be seen from the main road, in order to ensure the privacy and dignity of the people using those rooms. 3 OP24 Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI Hillcrest Care Home DS0000000234.V360613.R01.S.doc Version 5.2 Page 28 - 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!