Inspection on 05/07/05 for Hillcrest Residential Care Home

This inspection was carried out on 5th July 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hillcrest Residential Care Home 12/03/09

Hillcrest Residential Care Home 13/03/07

Hillcrest Residential Care Home 16/03/06

Hillcrest Residential Care Home 22/02/05

Hillcrest Residential Care Home 28/09/04

Hillcrest Residential Care Home 11/03/04

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

CARE HOMES FOR OLDER PEOPLE Hillcrest Residential Care Home 12 Hill Top Road Leeds West Yorkshire LS12 3SG Lead Inspector Nadia Jejna Unannounced 5 July 2005 at 12:00 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 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 J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hillcrest Residential Care home Address 12 Hill Top Road Leeds LS12 3SG Telephone number Fax number Email 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 Mrs Susan Kettlewell Cae home 19 Category(ies) of Old age (19) registration, with number Dementia - over 65 (4) of places Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The places for DE(E) are for the named service users only Date of last inspection 22nd February 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 19 single bedrooms and one double bedroom. More recently the top floor of the building has been converted to provide 5 single en suite bedrooms. 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. The home is registered to provide care to residents of either sex over the age of 65. Nursing care is not provided. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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; these may be announced or unannounced. The last inspection was announced and took place on the 22nd February 2005. There have been no further inspections until this unannounced inspection. 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 since the last inspection and to assess whether the care given to residents meets minimum standards. During the inspection records were examined, some areas of the home were seen such as the lounges and dining room; care staff were seen carrying out their work. Discussions were held with members of staff, the manager, the providers, three visitors, and 6 residents. Comment cards/questionnaires were left for residents and visitors so that they can share their views of the home with the CSCI. None had been returned when this report was written. This inspection started at 12:00pm and ended at 6:30pm, in addition to the time spent in the home, time was spent preparing for the visit. What the service does well: Care is provided in a clean, tidy and well maintained building. 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. Visitors said that they are able to visit the home at any time; they are made to feel welcome and are offered refreshments by staff. One visitor said that they are made to feel ‘part of the family’ and particularly liked the personal touches that are part of the care and attention provided to their relatives. They said that they could join in with planned social activities if they wanted to. They said that staff keep them informed of any changes in their relatives conditions. Staff said that they enjoy working at the home because they are well supported by the providers and manager. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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 J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 5. People are able to make an informed decision about the home from the written information they receive and from what they see when they visit the home. EVIDENCE: Copies of the homes brochure and combined Statement of Purpose/Service User Guide are given to future residents and/or their relatives. The manager said that all residents in the home have been given their own copies. A copy of the most recent inspection report is kept in the office and people can ask to see it at any time. The home has a block contract with the local authority and residents are advised that a room has been booked there on their behalf. They or their relatives are invited to look round the home and can spend up to a full day there if they want to. The manager said that she would do the homes pre admission assessment at this time or she would visit them. Copies of the local authority ‘Easy Care’ assessment would be obtained and kept in the care plans. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 9 The manager was very clear that residents would not be admitted to the home if their needs could not be met. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10. Staff treat residents with dignity, maintain their privacy at all times and show an awareness of the residents’ needs. EVIDENCE: Two care plans were looked at. They contained clear and very detailed information on how to meet residents identified needs. The plans are evaluated monthly by the allocated key worker and rewritten when changes happen. It was not clear if the residents or their relatives are involved with the care planning process but one of the plans showed that they had read the plan. The care plans are contained in two files and can be difficult for new staff and residents to read, the manager said that she is looking at ways of making the care plans easier to follow. Records of visits by GP’s and other healthcare staff were seen. A visiting district nurse said that staff called them when needed and that advice and instructions given were followed. She said that residents were taken to their own rooms if treatment was needed and that staff treated the residents as individuals, respecting their privacy and dignity. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 11 One resident had fallen a number of times over the last three months. The manager was advised to contact the falls prevention team to see if there might be something that can be done to reduce the risk of further falls. The manager said that the homes medication policies and procedures have been revised in line with national guidelines. The process of ordering repeat prescriptions should be changed so that they are seen and signed in the home before being sent to the pharmacy. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 14. Residents are encouraged to participate in social and leisure activities, to keep in contact with their friends and family and to exercise choice and control over their lives. EVIDENCE: A monthly programme of planned activities was displayed in the reception area. Care plans had details of resident’s social and leisure interests and clearly showed if the individual had joined in with and enjoyed an activity or if they decided to give it a miss that time. Residents and visitors said that they enjoyed these events and gave an example of a sing along session that had lasted over two hours by popular demand. Residents said that they were enabled to choose when to get up, go to bed, how and where they spend their time. Visitors said that they could visit at any time and that staff always made them feel welcome and offered refreshments. One visitor said that they liked the homes family based, personal approach. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 16 and 18 Residents’ are protected by the homes complaints and adult protection procedures. EVIDENCE: The complaints procedure is clear and easy to follow. It was displayed in the reception area and is included in the Service User Guide. The manager said that no complaints have been received since the last inspection. The manager has been to an adult protection training course provided by the local authority. She was very clear on what actions would be taken if abuse happened or was suspected in the home. Staff said that they have received in house training on abuse awareness and that they were hoping to attend a course similar to the one the manager did. They said that they would not hesitate to report actual or suspected abuse to a senior member of staff. Residents said that felt safe in the home. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 14 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 standard(s) None of these standards were assessed during this inspection. EVIDENCE: Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. The home makes sure that there are enough staff on duty to meet residents’ needs. Safe recruitment procedures protect residents. Staff receive appropriate training. EVIDENCE: The staffing levels were suitable for the needs and numbers of residents in the home. The manager said that the number of staff on night duty had been increased to two waking staff. Two staff files showed that safe recruitment procedures were followed and that all required checks were done. Training was in place which includes induction training, moving and handling, health and safety, food hygiene, first aid, fire safety, dementia, abuse awareness and infection control. The district nurses have given training sessions on diabetes. There are plans to provide more training around dementia and other specialist care needs of residents. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31. The home is well managed, the interests of the residents are seen as very important to the manager and staff and are safeguarded at all times. EVIDENCE: The manager has worked at the home for many years as a senior carer and then deputy manager. She has successfully completed the registration process with the CSCI and is well on the way to completing the Registered Managers Award. The manager and the providers work together to make sure that the home is well run and the needs of the residents are met. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x x x x x Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 18 NO Are there any outstanding requirements from the last inspection? 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 31 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. 2. Refer to Standard 8 9 Good Practice Recommendations The falls prevention team should be contacted for advice when residents are identified at risk of falling. For good practice and to prevent the possibility of fraud the process for ordering repeat prescriptions should be changed so that they are seen and signed in the home before they are sent to the pharmacy. Hillcrest Residential Care Home J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley 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 J52 S1461 Hillcrest V237035 050705 Stage 4.doc Version 1.40 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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