Inspection on 21/03/07 for Hillcrest Care Home

This inspection was carried out on 21st March 2007.

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 19/03/08

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 Steve Tuck Unannounced Inspection 7:30 21st March 2007 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.V334057.R02.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.V334057.R02.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 vacant 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.V334057.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2006 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. There is a garden to the rear of the home and parking facilities are available for the convenience of visitors. The laundry and staffroom are located on the second floor of the home. 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.V334057.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took one day, which included one site visit of about ten hours. The inspection was planned in advance but unannounced so that the manager and staff at the home did not know that it was to take place, The inspection looked at how good the home is at meeting the key National Minimum Standards and how the homes work effects the outcomes for people who live there. The Inspector spent time talking to a number of the people who live at the home as well as the manager, deputy and staff. He watched the way that care staff carried out their work and joined service users for lunch. Some of the records that staff and the manager use were looked at including care plans and staff duty rotas. The inspector looked around the house and grounds, which included all areas that people use together with some service users’ bedrooms. Discussion also took place with visitors to the home and several relatives have given their views. All of these comments have been included in the rest of this report and have been used to make judgements about how the service is performing. What the service does well: People who move to the home have their needs assessed in detail by social or healthcare workers and the manager so that everyone is sure that this is the right place for them to live. All service users are able to choose the food that they would like to eat which is made from fresh ingredients. So that all service users can have a healthy, well-balanced and interesting diet. Staff are very respectful and courteous to the people who live at the home. Service users described how their privacy is respected during their stay. All Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 6 bedroom doors are lockable by service users, and some said that it was “a bit like living in my own flat.” The building is a homely and a comfortable place in which to live where service users can bring their own possessions and make bedrooms more personal. Relatives and other visitors are encouraged to call in and take part in activities. All of which makes a good welcoming atmosphere at the home. One visitor said “Staff are always pleased to see you, its just like they’ve become part of the family.” Staff and service users know each other well, there is a good atmosphere at the home where service users and staff get on well with each other, share jokes and experiences. All service users living at the home have require support which is provided by staff without prejudice to their level of need, preference or background. The people who live at the home had many positive comments to make about the service they receive. They were complimentary about the staff and the manager and felt that their views were listened to. What has improved since the last inspection? The manager and staff now follow specific instructions from healthcare professionals about how service users are to be supported and have taken steps to make sure that people are not likely to be abused. There have been a number of improvements to the home. Several rooms have been redecorated, worn and damaged furniture has been replaced and new floor coverings have been fitted. There is now hand washing and drying facilities in all bathrooms to encourage good hygiene practice. Cleaning at the home has improved and is free from unpleasant odours. Prescribed creams, service users underwear and personal items are no longer stored in bathrooms and there is a thermometer available so that staff can check that water temperatures are not dangerous. All new staff have suitable introductory training when they begin working at the home. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 7 What they could do better: The manager must also write to each service user after they have been assessed to confirm that their needs can be met by the home. The home must improve the ways that people who have dementia are supported so that current good practice is followed, and the rights, dignity, skills and lifestyles of all the people who live there are maintained. Service users must have care plans must reflect this approach Staff must be trained in these ways of working and there must be enough of them to support people in this way. There must be adaptations to the home that support people with dementia and planned structured activities which will stimulate and interest them. Care plans must improve so that they are detailed enough to guide staff practice in meeting service users care and lifestyle needs and record the work they currently undertake. The administration of medication at the home must be more accurate so that people get the treatment that they have been prescribed and better records are kept. There must be a plan in place to maintain the home which makes sure that outdated areas of the home are periodically renewed and worn out or broken furniture is replaced. There must be a manager of the home who has been assessed by the Commission to make sure they are fit to be in charge. Staff must be skilled and have training so that they can support the needs of people living at the home and they must all have regular supervision with their manager or senior staff. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 8 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.V334057.R02.S.doc Version 5.2 Page 9 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.V334057.R02.S.doc Version 5.2 Page 10 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): 2 3 4 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each service user’s needs are assessed before they move to the home. This helps to make sure that their needs can be met at the home and inappropriate admissions are avoided. The way that the service supports people with dementia does not follow current good practice so their care, lifestyles and opportunities are not as good as they could be. EVIDENCE: Each service user’s needs are assessed before they move to the home either by a local authority social worker, the manager, or by both. This is so that the manager can be sure that the home is suitable for meeting the needs of people who are going to live there. The manager also finds out the cultural and Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 11 lifestyle needs of people who wish to move to the home to make sure that these can be met. As a result of these measures, all of the people living at the home at present have been properly placed and the home is able to meet their needs. However the manager has not written them to confirm that this is the case. Where people have specialised needs or they are already having treatment the manager asks for advice and guidance from other healthcare specialists to make sure that these needs are best met. The home Registered to provide care to twenty-nine people who have dementia, most of whom live together on the first floor of the home. Whilst the manager has begun a programme of education for the staff, arrangements for their care does not yet follow best practice so that there are effective strategies of support at the home, which follow current good practice, and maintain their rights, dignity, skills and lifestyles. Care planning arrangements for these people do not yet reflect current best practice. For example, care plans do not specify how people who have an altered sense of time or reality are to be supported or what their personal timescales actually are. Care plans, which place the person at the centre of a network of support for their needs and lifestyle requirements, are yet to be put in place. This can be particularly important for service users who become increasingly reliant on staff as their level of dementia increases. The home does not provide care for those people who have been admitted on a short-term basis to get special therapy while they recover from injury or hospital treatment. No one has been admitted to the home with these needs. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 12 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. Each service user has an individual care plan, which should set out in their preferences and how their assessed needs will be met. But these do not fully describe the measures which staff use to support service users therefore making it difficult for staff to consistently meet their needs. Peoples’ health care needs are generally met by the home which helps service users to remain as active and independent as they can. The way that staff at the home store and give out medication should help to make sure that service users receive the medical treatment they have been prescribed. But there have been errors made and poor recording which could lead to service users receiving the wrong medication by mistake. Service users feel that they are treated with respect and their privacy is upheld which helps them to stay confident and empowered. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 13 EVIDENCE: Staff organise and write down how they support people at the home in care plans. These should state each service user’s physical, emotional and lifestyle needs and the ways that staff are to meet these. Staff are encouraged by the manager and senior staff to write significant events or monitoring observations into care plans. However, some people did not have plans in place to support all of their needs and for others the care plans did not match the actual support and intervention that staff currently carry out. Staff have a variety of knowledge and experience of caring for service users at the home but this information is not yet successfully combined in the care plans so that these can be used to consistently provide co-ordinated care. All of the staff interviewed could describe the needs of service users in great depth, their needs, preferences and histories, however the potential areas of good practice were not generally shared with colleagues nor were these recorded in the care plan. As well as this, the amount of information that is written in the plans is variable; some people had a lot written about them, others had very little. The home is registered to provide care to people who have dementia. Care planning arrangements for these people do not yet reflect current best practice. For example, care plans do not specify how people who have an altered sense of time or reality are to be supported or what their personal timescales actually are. Care plans, which place the person at the centre of a network of support for their needs and lifestyle requirements, are yet to be put in place. This can be particularly important for service users who become increasingly reliant on staff as their level of dementia increases. The health of service users is monitored and supported so that people get the treatment they need. Service users needs are reviewed by staff and any worsening in health is noted so that treatment can be arranged quickly. Staff are diligent and routinely involve Doctors and community nursing staff. For example the observation of skin conditions and the treatment of pressure sores. Due to their levels of need, most service users are not able to organise their own medicines, and appointed staff therefore help in this area. Staff at the home have taken training in relation to medication administration. Medication is securely stored but some records were not accurate and the amount of medication prescribed and administered did not match making it impossible to tell whether service users had received the correct medication. Service users are treated with respect by staff who know them well. Relationships between service users and with staff are relaxed, friendly and informal which helps people to feel comfortable. Staff were observed to treat Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 14 service users who took part in discussions with respect and one service user described staff “they’re really nice here.” “Another said I can’t praise them highly enough they’re just superb.” When asked, staff talked about service users’ needs in a sensitive and respectful way. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported by the staff to lead fulfilling lives with their rights as individuals being respected. Contact with family members and friends are supported where possible so that service users keep links outside of the home. The meals provided offers an interesting balanced diet which helps service users to eat healthily and supports their physical and emotional wellbeing; and service users and families are involved in planning the menu. EVIDENCE: Service users talked of the things that they do both inside and out of the home, in the local and wider community. For example games sessions, shopping visits, social events and entertainment. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 16 There are photographs of celebrations and events and service users talked about these. For some of the people who are unable or do not wish to leave the building there is a range of activities taking place some of which have been suggested by service users. Whilst people with dementia take part in some activities, a structured programme, specifically designed to support and interest people with these needs is not yet in place. There were several visitors to the home, all of whom appeared comfortable with the environment and staff. Service users are encouraged to make choices about their diet. Most service users said that they like the meals at the home and that they are asked what they would like to eat. Staff were seen asking service users about their choice of meal, size of portion to make sure that service users can make choices about what they eat. Staff were available during meals to offer support and assistance where needed and this makes meal times a relaxed and unhurried experience for service users. Menus were available which confirmed that a range of meals is provided which give service users a balanced diet and refreshments are available throughout the day and night. A range of fresh fruit and vegetables are used in the preparation of food at the home which increases the nutritional benefit for service users. Service users and their families are involved in choosing the meals which are included in the menu. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 17 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. The home has a complaints system which service users can use if they are unhappy, have a grievance or dispute. They also give feedback when they are happy with the service. This helps them to have control over their lives and shows that their views are valued. The home has measures in place which protect service users from being harmed which helps to promote their safety and security. EVIDENCE: There is a clear procedure in place at the home which tells people how to complain and the length of time a response will take. Observations of the manager and staff’s day-to-day practices show that they ask for the views of service users and promote choice and decision-making. Some service users and relatives have made complaints and these have been dealt with by the manager in accordance with the homes procedures. In discussions service users and their visitors said that they would feel Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 18 comfortable about approaching senior staff if they had any concerns, and were confident that these would be dealt with. The home has an adult protection procedure which is robust and complies with the Public Disclosure Act and the Department of Health Guidance. Information about the role of the local authority is available and included in the homes procedures. There is a staff guide which gives clear instructions about the actions which they must take if abuse is disclosed or witnessed. All staff spoken to are knowledgeable of these practices and have had ongoing training. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 19 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 20 21 22 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally clean and warm offering residents a homely environment in which to live. This contributes to their comfort during their stay at the home. Aids and adaptations have been provided to promote service users’ independence and safety. Maintenance takes place so that service users can continue to live in safety but there are no plans to renew areas of the home which become outdated. EVIDENCE: All communal areas and some service users bedrooms were viewed during the inspection. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 20 The home has been purpose built so that all service users can have safe access to the areas of the home in which they live. Service users are able to lock their bedroom doors so that they can have privacy and there are areas where people can meet in private. All service users have individual rooms most of which have been furnished with personal items to make them individual and homely. Some people have brought their own furniture with them which one person said, “its good to have your own things around you.” People who have dementia live on the first floor of the home but there have been few adaptations or changes so that current best practice can be followed. For example, changes to signage around the home, the placing of appropriate photographs and creating distinct colour contrasts / schemes to support service users to find their way around. This would help to support service users with dementia who may become increasingly needy. The home is kept clean by staff who take steps to make sure that there are no unpleasant smells. The home has had recent repairs and improvements have been made to the environment but there is no ongoing maintenance plan nor is there a plan for major renewals. For example some bedrooms and lounge areas have not been updated since the home was built over ten years ago. There are adaptations around the home so that people are able to use the facilities more easily. For example, bathrooms have a hoist which is to help people to get in and out of the bath more easily. Laundry facilities are properly maintained so that they don’t break down unexpectedly and run to make sure that all laundry is hygienically cleaned. The home is also inspected by the Fire Prevention Service and overseen the local authority to make sure that risks from an accidental fire are lessened and a safe and healthy environment is promoted for service users and staff. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 21 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 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall, the general skills and experience of the staff team is enough to make sure that the needs of the people who live at the home can be met and there and training is taking place which helps them to improve. But there are too few trained and experienced staff to support people who have dementia in a way which follows current good practice. New staff have had the minimum checks required before they are employed to make sure that service users are protected from people who are unsuitable to work with vulnerable people. EVIDENCE: The home is organised on two floors with people who have dementia living on the first floor. There are sufficient staff to support people who live on the ground floor. However there are not enough staff qualified and experienced in the area of dementia care on duty so that they can use good practice techniques to support people with dementia who live on the first floor. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 22 The manager makes deliberate attempts to recruit staff from similar cultural backgrounds as the service users living at the home. In some cases service users and staff share the same community and social links, which helps to ensure that service users are confident with the way in which they are supported. All new staff who have been employed have undergone a specific programme of induction training within the first weeks of their employment which follows the programme standards set by the national training organisation, ‘Skills for Care.’ As well as this, the manager has looked at the training needs of staff and has developed a training plan which should give staff the training they need, in particular training about dementia and the best ways of supporting people who have the illness. The manager keeps accurate records which show that staff have been employed on the basis of the “POVA First’” check while awaiting the full CRB disclosure. The manager must ensure that this is not a routine employment practice but is done in “exceptional” circumstances only. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 23 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 34 35 36 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides commitment so that the home can improve the quality care. And offers leadership and direction to the staff so that they can meet the needs of service users. The views of service users and their families are taken into consideration when planning how the home is to be run which empowers people living there who can have their say. Steps are in place which makes sure that service users financial interests are safeguarded. The relatively new supervision programme has the capacity to support staff to carry out their role effectively and help to make sure that their care practices Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 24 meet the needs of service users. This requires on-going assassment. Arrangements to make sure that the health safety and welfare of service users and staff are in place and are successful. EVIDENCE: There has been a new manager appointed at the home since the last Key Inspection. While she has applied to the Commission to be the registered manager, she has not yet been assessed by the Commission to see if she is “fit” and suitable for this role. The manger does have several years experience in a variety of management roles and has began to make significant changes at this home in the three months she has worked there which has helped to improve the quality of the service. The views of service users, families and friends are collected and checked to see if the service is meeting the needs and expectations of all parties. There are also meetings held at the home where the manager is able to check that people are satisfied with the service. This helps her to make management plans, monitor progress and develop the service. Satisfactory insurance and public liability cover is in place to protect the service, its staff, the people who stay there, and visitors. The home helps most service users to manage their day-to-day spending and accurate records are kept of these transactions which match the amounts of finances held. Arrangements for the home to keep service users valuables are carried out with diligence. Supervision is important for service users as it gives home managers the opportunity to analyse the strengths and needs of staff and help to develop their working skills. The manager has not yet made sure that formal one to one supervision takes place with each member of staff at least six times per year. There were no noticeable hazards at the home throughout the inspection and arrangements are in place to minimise risks for service users and staff. The home has been subject to inspections by the Fire Authority and local authority environmental health officers to make sure that it home is safe. Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 25 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 2 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 2 X 3 X 3 STAFFING Standard No Score 27 2 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 3 2 3 3 Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 26 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 OP3 Regulation 14 Requirement The responsible individual must send a letter to service users after they have been assessed to confirm that their needs can be met by the home 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. The responsible individual must 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. 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. The manager must make sure that accurate administration of medication takes place at the home. DS0000000234.V334057.R02.S.doc Timescale for action 01/05/07 2 OP4 12 16/05/07 3 OP7 15 01/07/07 4 OP7 12 01/07/07 5 OP9 13 01/05/07 Hillcrest Care Home Version 5.2 Page 27 6 OP9 OP37 13 7 OP19 23 8 OP22 23 9 OP27 18 10 OP29 19 11 OP30 18 12 OP36 18 The responsible individual must make sure that records accurately reflect the total levels of medication held and administered at the home. The responsible individual must make sure that there is a plan in place to maintain the home and make sure that outdated areas of the home are periodically renewed. The responsible individual must make sure that adaptations to the home are in place that support people with dementia and follow current best practice. The responsible individual must make sure that there are sufficient, suitably qualified and experienced staff at the home to meet the needs of service users with dementia. The manager must make sure that ‘POVA First’ checks are only used in exceptional circumstances. The responsible individual must make sure that all staff working with people who have dementia type illness are suitably trained to do so, including an understanding of current good practice. The manager must make sure that the supervision programme (staff having one to one supervision at least every two months) operates consistentlyand effectively. 01/05/07 25/05/07 29/06/07 01/06/07 25/04/07 01/06/07 25/05/07 Hillcrest Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 28 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 Care Home DS0000000234.V334057.R02.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South Shields Area Office 4th Floor 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.V334057.R02.S.doc Version 5.2 Page 30 - 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. 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