Inspection on 05/07/06 for Hillcrest Care Home

This inspection was carried out on 5th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 21/03/07

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 Mr Steve Tuck Key Unannounced Inspection 12:00 5 and 24th July 2006 th 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.V302889.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.V302889.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 Miss Pauline Hughes 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.V302889.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 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. All necessary facilities are provided and are suitable for the people who live there. 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.V302889.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days on 5th and 24th July 2006 and was a scheduled unannounced inspection. The inspection process involved spending time talking to a number of the people who live in the home as well as the management team and staff. A sample of records were examined including care plans and rotas. Time was spent examining the building, which included all communal areas and a selection of service users bedrooms as well as the kitchen and laundry. Observations were made of the support the staff offered to service users at mealtimes and throughout the day. Discussion also took place with visitors to the home and several relatives were interviewed. Nine service users and two relatives / friends returned questionnaires to give their views about the service. What the service does well: Service users receive the support that they require from staff to ensure that their personal, physical and emotional health needs are met. 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, experiences and clearly enjoy each others company. The home offers service users a homely, clean and comfortable place in which to live. 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. There are activities both in and outside of the home are available so that people have the opportunity to lead stimulating and interesting lives and relatives and friends are encouraged to take part if they wish. 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. The home has bright, cheerful accommodation. All bedrooms are spacious single rooms with en-suite facilities. The home is warm, comfortable and has a number of different lounges for people to use. There is effective cleaning. One Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 6 relative said, “they take a real pride in their work, its such a pleasure to see the home so well kept.” Staff recruitment procedures are thorough which makes sure that the people employed at the home are suitable to work with vulnerable people. Staff at this home receive training opportunities so that staff have the right skills to support service users. And they work well as a team. The service is managed by a competent leader who successfully directs the way in which the home responds to the needs of service users. 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. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 7 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.V302889.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 and 3 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A range of information about what life is like at the home is available to help people to decide if they want to move there. 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. EVIDENCE: The home has written information called the service users guide, which gives all of the important information that people need to know about the home. This includes information about how to make a complaint and the most recent Inspection report. The manager prefers people to visit the home before they decide to move in and one service users family said this was useful for them. The manager updates the information in the guide to make sure that it is still relevant and accurate. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 9 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 lifestyle needs of people who wish to move to the home to make sure that these can be met there. 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. 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 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. One person said, “I had to move in quickly but the manager and girls (staff) asked me how I wanted things done and helped to make it easier.” Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Each service user has an individual care plan, which sets out in their preferences and how their assessed needs will be met. But some of the measures which staff use to support service users are not recorded in the plan of care therefore making it difficult for staff to consistently meet their needs. The way that staff at the home store and give out medication helps to make sure that service users health care needs are met and that they receive the medical treatment they have been prescribed. Staff have a friendly and respectful approach towards service users, which empowers them and helps to keep in control of their lives. EVIDENCE: Further improvements in the care planning arrangements have taken place since the last inspection. Care plans have detailed information about the healthcare needs of service users. This records how the health of service users Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 11 is monitored and supported and how treatment is to be organised. Needs are regularly reviewed by staff and any worsening in health is noted so that treatment can be arranged quickly. Records are clear, accurate and help the manager to monitor the effectiveness of treatment. Staff are diligent and routinely involve Doctors and community nursing staff so that healthcare needs are properly met. One example of the homes success is that no one who lives there has pressure sores. Staff have a range of ways that they support the personal care and emotional needs of people living at the home. But some of the support and knowledge held by staff is not recorded in the care plans. For example one man who needs the support of staff to eat his meals did not have the support staff give properly described in the care plan. Therefore although the support from staff was good, this benefit could be lost if some staff use a different approach. Similarly some people’s life histories, families and current preferences were known to staff but this pool of knowledge was not recorded in their care plans. This is particularly important for those people who have dementia type illness and may be unable to make informed choices or describe their preferences. Also where service users present behaviour which challenges staff or other service users, this is not currently sufficiently detailed in care plans so that good practice can consistently take place. 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 and records are accurate which enable checks to be made so that errors are minimised. Staff are clear about their role in administering medication and accurate records are kept which indicate when medication was prescribed, received by the home, administered or returned. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. A variety of social activities are provided which help service users to make positive choices about how they spend their day and friends and families are encouraged and involved too. The meals provided offer a balanced diet and help service users to eat healthy food 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 entertainers. 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. An activities co-ordinator now works at the home and service users mentioned that they had taken part in several new activities recently such as art and craft sessions which they had enjoyed. And some spoke of the activities they had planned for the next few weeks and for later in the year. A number of photographs are displayed around the home of activities and events taking place and service users talked about these. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 13 Service users said that they enjoyed the activities. One service user said, “It’s important to fill in your time.” Staff relationships with relatives are good and visitors are made to feel welcome and supported. All relatives said that they felt they could talk to staff easily and would approach them first if they had any concerns. One relative said “It’s a lovely home here, the staff are always friendly and they always greet you at the door to make you feel welcome” Staff talk with everyone living at the home using a variety of skills to help include everyone in conversation and discussion. They are skilled at making sure that people who have dementia type illness or who are unable to communicate with language are supported to make choices and are included in discussions. However records need to indicate the preferences and interests of these service users to prevent this from being lost. For example one person was described by staff as having an interest in a particular type of music and whilst some of his activities included this, it was not included in his plan of care. Service users said that they like the meals at the home and that they are asked what they would like to eat. Staff were observed asking service users about their choice of meal, size of portion to ensure that the element of choice for service users is always followed. 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 are 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 of the food. Service users and their families are involved in choosing the meals which are included in the menu. Where necessary and as identified in the individual assessment, special diets and food supplements are made available and, as part of an ongoing process of monitoring health, records of weight loss/gain are recorded in service users’ files. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. 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 from evidence gathered both during and before the 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. 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 complaints procedure, which describes the actions, and timescales the manager or owner must follow if a complaint is made. All service users said that they knew how to complain if they were unhappy about something. Service users said that they would let staff know if there were any complaints, even small things so that they could be sorted out straight away. On a day-to-day basis staff encourage service users to make choices and service users were seen to actively express their wishes. In this way the home minimises the likelihood of service users being dissatisfied whilst also ensuring that their lifestyle meets their expectations. The manager also ensures that staff have sufficient time to talk to service users about how they are feeling and to ensure that they continue to be happy at the home. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 15 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 demonstrated that they know the actions they must take. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 24 and 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is clean, warm and comfortable offering service users a homely and safe environment in which to live. EVIDENCE: All communal areas and some service users bedrooms were viewed during the inspection. Some of the communal areas have been redecorated and refurbished since the last inspection. On the first floor, some communal areas had been redecorated since the previous inspection although there are high levels of wear and tear in these areas and they will require redecoration in the next few months. Redecoration Work has been completed in the corridor upstairs and the manager has installed a collection of local period photographs which are relevant to service users who have lived in the area. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 17 All service users have individual rooms most of which have been furnished with personal items to make them more individual and homely. Some people have brought in their own furniture. One service user said, “My room is lovely, I’ve got everything I need here.” The garden areas around the home have been improved and are now tended to by the handyman who has been employed by the home to carry out the maintenance work. One service user said that she had enjoyed sitting in the garden during the warm weather. And there is now a programme of routine maintenance and replacement to make sure that the condition of the home continues to improve. There is a thorough cleaning programme at the home which makes sure that there are no unpleasant odours and this maintains a healthy environment for service users. All equipment used at the home to support service users or ensure their and staff safety, is regularly checked, serviced and maintained. Laundry facilities are well maintained and run to ensure that all laundry is hygienically cleaned and reduces the risks of cross infection. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Service users are supported by staff who know them well and are committed to their wellbeing which makes sure that the needs of service users are met consistently. The ways that staff are employed is robust and record keeping gives enough information to make sure that service users are protected from people who are unsuitable to work with vulnerable people. There are sufficient staff working at the home to meet the needs of people who live there. Many of the staff have undertaken training to make sure that their care practice is good and the manager guides them to make sure that they support people properly EVIDENCE: There are sufficient staff available to meet the needs of service users at the home, rotas which organise when staff are working are well structured and arrangements are in place should staff need to take leave at short notice. Staff are also supportive of each other and their manager both in their practice and also in their willingness to remain flexible about their working practices so that service users will benefit. Staff were noted to spend quality time with service users, listening to their opinions and experiences and taking part in discussions and demonstrating Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 19 good humour. Staff turnover at the home remains very low which gives service users and staff the opportunity to get to know each other and helps the manager to structure and train her team. The homes recruitment process ensures that all staff have appropriate checks carried out prior to them taking up employment to ensure that they are suitable to work with vulnerable people. An increasing number of the staff team have now attained NVQ awards in care at level 2 and some are undertaking level 3. 72 of staff have now obtained NVQ at Level 2. The remainder are working towards Level 2 or 3. There is a plan in place which describes the training which staff are to undertake and is being discussed with training agencies who support the home. 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 have the same community and social links which helps to ensure that service users are confident with the way in which they are supported. One service user said “she’s a Jarrow lass (staff) just like me so I knew we would get on.” The manager meets with all staff on a regular basis to examine their work performance and give guidance and structured appraisal of their work. Induction training is in place for new staff to make sure that staff have all of the training they need to carry out their role with skill and competency. This is reflected in staff practices, knowledge and confidence. Staff can describe the needs of service users in detail; they get on well together and with service users and promote an inclusive and supportive structure at the home. The staff team maintain good relationships with relatives and visitors who are complimentary about them and their approach. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 36 37 and 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager is the driving force behind the improvements made at the home. She offers clear leadership and direction to the staff so that they can consistently meet the needs of service users. Staff have support and supervision from the manager to make sure that they carry out their role effectively which helps to make sure that their care practice meets the needs of service users. Arrangements to ensure that the health safety and welfare of service users and staff are in place and are usually successful. Service users financial interests are safeguarded but appropriate records are not kept at the home which makes it difficult for service users and their families should they have a query. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manger has several years experience in a variety of care roles as well as over three years’ management experience at this care home. From observations and discussions, it is evident that the manager is sufficiently competent and skilled to carry out this role and has demonstrated the capacity to undertake additional training in order to update and expand her knowledge. She has recently completed an NVQ Level 4 qualification in management and plans to complete NVQ 4 in care in the near future. The manager has now made sure that formal one to one supervision takes place six times per year as well as effective day-to-day communication between her, senior and care staff. There are clear lines of accountability within the home. The ethos of the home ensures that where possible service users and staff are consulted about issues affecting the home. The manager runs the home in a way that is clear, open and objective. She routinely joins staff to monitor their performance and to make herself available to service users and families. She is outgoing, an active and creative manager who has introduced many new initiatives to the home. Service users are enabled and supported to assert themselves and their opinions are valued by the manager. A number of types of meetings are organised including consultation with families and friends. The manager has developed a quality assurance process for the home which she has began to put in place. This includes finding out the views of service users and relatives and using this feedback to confirm or change the way in which the home works. The home helps some service users to manage their day-to-day spending and accurate records are kept of these transactions. However there is not currently a record kept at the home of each individuals account payment details therefore, there is no evidence that these payments are being appropriately managed. The manager has demonstrated the attempts she has made to get this information from the owner but this information has not been provided. The home is also regulated by the local authority for safe working and hygiene practices and the Fire Protection Authority to ensure that adequate arrangements have been put in place to protect service users and staff. However a record has not been kept where fire instruction training has been given. The local authority has also recently assessed this service to ensure that standards defined in their contract with the home have been met. Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 22 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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 X X 3 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 2 3 2 X 2 3 X 3 Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 Requirement Care plans must be sufficiently detailed to guide staff practice in meeting service users needs and record the work they currently undertake. Previous requirement timescale 1/5/06) The manager must complete an NVQ4 in Care. The homes quality assurance process must be fully implemented. (Previous timescale 01/05/06) A record of payments from each service user must be kept and made available at the home for inspection. (Previous timescale 1/6/05). A record must be kept of the training undertaken by staff to ensure that they are skilled and knowledgeable about the actions they should take in the event of a fire at the home. Timescale for action 01/09/06 2. 3. OP31 OP33 9 24 25/12/06 01/09/06 4. OP35 5. OP38 17 01/09/06 23 01/09/06 Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 24 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.V302889.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hillcrest Care Home DS0000000234.V302889.R01.S.doc Version 5.2 Page 26 - 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!