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Inspection on 16/03/06 for Hillcrest Residential Care Home

Also see our care home review for Hillcrest Residential Care Home for more information

This inspection was carried out on 16th March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The process for ordering repeat prescriptions has been changed in line with a recommendation made following the previous inspection. Prescriptions are now noted and signed by designated staff before they are sent to the pharmacy. The manager oversees the process and reports that this is working very well. The manager has made substantial progress towards her NVQ Level 4 qualification in management, in line with a requirement following the previous inspection. The manager is confident that remaining three units will be completed by December 31st 2006, to meet the requirement. Contact has been made with the Falls Prevention Team where residents have been identified as being at risk of falls. The manager was told that the team does not visit residential homes and they were given information leaflets on falls prevention. The manager said they would contact the GP or district nurses for advice if needed. Two deputy managers have been appointed in order to make sure that there is always a senior member of staff on duty. One of the deputies has trained in order to be a moving and handling facilitator and has provided training to staff in the home.

What the care home could do better:

Steps should be taken to make sure that all radiators in the building are fitted with guards to prevent accidents and burns.

CARE HOMES FOR OLDER PEOPLE Hillcrest Residential Care Home 12 Hill Top Road Leeds West Yorkshire LS12 3SG Lead Inspector Nadia Jejna Unannounced Inspection 16th March 2006 12:30p 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 Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 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 Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hillcrest Residential Care Home Address 12 Hill Top Road Leeds West Yorkshire LS12 3SG 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) 0113 263 9002 0113 263 9002 Mrs Sandra Eastwood Mr John Eastwood Mrs Susan Kettlewell Care Home 19 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (19) of places Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The places for DE(E) are for the named service users only Date of last inspection 5th July 2005 Brief Description of the Service: Hillcrest is situated in the Armley suburb of Leeds. It is a detached, period property, which has been adapted to provide accommodation to nineteen older people. The home is registered to provide care to residents of either sex over the age of 65. Nursing care is not provided. Many of the features of the property have been retained and add to the character of the building. There are gardens and a patio area to the rear of the building and some car parking is available. The home has two lounges and a dining room and the décor, furnishings and fittings are of a domestic style throughout. The different floors of the home are accessible by stairs, a recently installed shaft lift, or a stair lift. The home is not far from local shops, public houses and other amenities. There is good access to public transport to the city centre. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year. The last inspection was unannounced and took place on the 5th July 2005. This inspection was unannounced and carried out by two inspectors. It started at 12:50pm and ended at 4:00pm on 16th March 2006. Feedback was given to the providers and the manager. The people who live in the home prefer the term residents, and this is the term that will be used throughout this report. The purpose of this inspection was to monitor the home’s progress and to assess whether the care given to residents meets minimum standards. The responsible individual had completed a pre inspection questionnaire (PIQ), which provided information about the home including maintenance schedules, staff details, training given and policies and procedures. During the inspection records were looked at, care staff were seen carrying out their work and the communal areas and some bedrooms were seen. Discussions were held with staff, residents and visitors. Comment cards/questionnaires had been left after the last inspection for residents and visitors so that they could share their views of the home with the CSCI. One comment card had been returned by a relative where the size of the dining room was mentioned. In response the home have placed a dining table in one of the lounges so that people have a choice of where to eat their meals. What the service does well: Residents are cared for by a dedicated and well-trained team of staff in clean, bright and pleasant surroundings. The home has a friendly and welcoming atmosphere. Residents said that staff are kind, caring, and attentive and make them feel looked after and safe. They said that the food was “very good” and were happy with the meals served. They also said that they feel safe, happy and comfortable at the home and that they know who to talk to if they need to. Residents’ meetings take place as often as possible so that resident’s can have their say in the running of the home. The home is well managed and run in the best interests of the people who live there. The building is regularly maintained and continuous improvements are being made to the décor. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 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 Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 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): Core standard 3 was assessed and met at the last inspection. EVIDENCE: Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 9 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): Core standards 7, 8, 9 and 10 were assessed and met at the last inspection. EVIDENCE: Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 10 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): 15. The home provides nutritious food which the residents choose and enjoy. EVIDENCE: A cook is employed at the home and menu planning takes into account the need for the residents to have a balanced diet. The residents said that they have a say in the types of meals that are prepared which makes sure that everyone can have their favourite dishes. If they do not like the choices offered they are given suitably nutritious alternatives. The manager said that the GP and or district nurses would be contacted for advice and support if needed for residents at risk of losing weight or in need of special diets. The dining room is bright and pleasantly decorated and the way in which the furniture is organised makes it feel spacious. Meals are also served in the “quiet” lounge, using the drop leaf dining table. Residents can choose where they want to sit and enjoy their meals. They said that the food was “very good” and were happy with the meals served. The manager had a copy of the most recent environmental health officer’s report. A recommendation had been made to set up pest control monitoring systems. The manager was in the process of dealing with this. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 11 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): Core standards 16 and 18 were assessed and met at the last inspection. EVIDENCE: Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 12 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 and 26. Residents are cared for in a home, which is clean, tidy and well maintained. EVIDENCE: The home’s records show that the building is well maintained and cared for. Substantial improvements continue to be made. The home has a refurbishment programme and is moving ahead with this as quickly as possible. The ground floor bathroom has been completely refurbished, modernised and fitted with specialist bathing equipment. It now looks bright and attractive. Some of the bedrooms have been redecorated recently and the dinning room carpet has been replaced. Both of the home’s lounges were re-decorated twelve months ago. Plans are now being made for the kitchen to be re-fitted. The home had a copy of the most recent fire safety officer’s report. A new fire alarm system was installed recently. Records show that fire appliances are maintained as required. Weekly tests of fire equipment are carried out and recorded. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 13 The home is clean and tidy. It is bright, well lit, attractively decorated and furnished. The home’s refurbishment adds to the home’s appeal. The radiators in the upstairs corridor and two of the bedrooms did not have guards fitted. The providers said that these would be fitted as part of the refurbishment programme. A recommendation has been made. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 14 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): 28 and 30. Resident’s needs are met by trained and competent staff. EVIDENCE: The PIQ said that out of thirteen staff, six had achieved NVQ (National Vocational Qualification) level 2 or above. The remaining staff are either part way through this training or preparing to start it in the near future. Staff are well trained. Records seen showed that training is updated. The deputy manager has qualified as a moving and handling facilitator and she provides training and support to the staff. The home has bought specialist moving and handling equipment as a result of the deputies training. Steps have been taken to make sure that staff are competent in using it safely. Fire Safety Training is provided by the Manager who is qualified to do so. The PIQ showed that most staff have also received the following training: a) Induction b) First aid c) Food hygiene d) Dealing with residents medication e) Dementia f) Care of people with confusion g) Pressure area care Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 15 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, 35, 36 and 38 The providers make sure that residents and staff are supported and protected. The home is well managed and run in the best interests of the residents. EVIDENCE: The manager is working towards the registered managers award and hopes to have completed the course work by December 2006. The providers and the manager have appointed two deputy managers. This is to make sure that there is always a senior member of staff on duty. The home is clearly run in the best interests of the people who are cared for. The welfare of the residents and the staff are made a priority by the proprietors. The providers, manager and staff regularly spend time with the residents and talk about any concerns they might have, ideas and changes that could or are being made. Residents said that they feel safe, happy and comfortable at the Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 16 home. They said that they know who to talk to if they need to. Residents’ meetings take place as often as possible so that resident’s can have their say in the running of the home. The most recent quality assurance survey was done in October 2005. The results have been collated and are available to interested parties. They are also discussed at residents meetings. The home does not act as appointee on behalf of any of the residents. It is preferred that relatives support residents with their financial affairs. All but one of the residents have cash placed in safe keeping at the home to use whenever they need it. Appropriate records are kept of financial transactions. Staff are trained, developed and given formal supervision six times per year in order to provide good quality care to the residents. Appropriate records are kept. Accident records were kept. These gave clear information about the accidents. The manager makes sure that regulation 37 notifications are sent to the CSCI as required. The PIQ showed that all items of equipment and installations in the home are serviced and maintained regularly by appropriately qualified personnel. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X 2 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 3 X 3 Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 18 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 OP31 Regulation 9 Requirement The registered manager must achieve a management qualification equivalent to NVQ 4. Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP25 Good Practice Recommendations Arrangements should be made to ensure that all radiators are fitted with a guard, for the safety and comfort of residents. Hillcrest Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Residential Care Home DS0000001461.V287612.R01.S.doc Version 5.1 Page 20 - 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. 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