Inspection on 12/12/07 for Hillcrest Residential Home

This inspection was carried out on 12th December 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 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 Home 20/10/08

Hillcrest Residential Home 21/02/07

Hillcrest Residential Home 16/06/06

Hillcrest Residential Home 08/11/05

Hillcrest Residential Home 14/04/05

Hillcrest Residential Home 22/09/04

Hillcrest Residential Home 09/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hillcrest Residential Home 14 Northgate Avenue Bury St Edmunds Suffolk IP32 6BB Lead Inspector Jane Offord Unannounced Inspection 12th December 2007 09:30 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 Home DS0000024417.V356590.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 Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillcrest Residential Home Address 14 Northgate Avenue Bury St Edmunds Suffolk IP32 6BB 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) 01284 760774 Mr Christopher J and Mrs Magda Hope Mrs Magda Hope Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13), Physical disability (1) of places Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual as notified to the Commission on 23/11/06 in the category of Physical Disability. Condition to expire on 07/01/09. 21st February 2007 Date of last inspection Brief Description of the Service: Hillcrest Residential Home is a privately run care home based in a Victorian property that has been extended and adapted to provide residential care since 1997. The home is located in a quiet residential area of Bury St. Edmunds. It is close to a small shop that is accessible to some residents. Hillcrest provides two single bedrooms and one double bedroom on the ground floor along with nine single bedrooms on the first floor. Access to the first floor is by stair lift. There is a step between the lift and the bedrooms, which may prove difficult for service users with mobility difficulties. One of the bedrooms benefits from the provision of en-suite facilities. There are two communal assisted bathrooms and five assisted toilets within the home. Residents have access to a lounge that overlooks the pleasant garden with seating provided. There is also a separate dining room on the ground floor. Smoking is not permitted at the home. Fees at this home range from £331 to £415 per week but do not include the cost of newspapers, hairdressing, toiletries, chiropody and transport. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 9.30 and 15.30. The manager was present throughout the day and assisted with the inspection process by providing information and documents. This report has been compiled using information available prior to the inspection, including a completed annual quality assurance assessment (AQAA) and a number of survey forms from staff and residents, as well as evidence found on the day. During the day a tour of the home was undertaken, care practice was observed and a number of residents and staff were spoken with. A selection of folders and documents were inspected including two residents’ files and care plans, the files of two new staff, the policy folder, the duty rotas and menus, some maintenance certificates and the fire log. The lunchtime meal was seen served and a medication administration round was followed. Residents were observed occupied in different parts of the home as they chose, either remaining in their own room or spending time in the lounge. They looked relaxed and cared for. Visitors were welcomed by staff. Interactions between residents and staff were friendly and appropriate. The home was clean but some areas retained odours. The lunch looked and smelled appetising and was clearly enjoyed by the residents. What the service does well: What has improved since the last inspection? Some additional activities have been offered to residents who wish to participate including a regular visit from an art teacher encouraging residents to draw and paint. A new vehicle has been made available for taking residents out and about. Following requests from residents a priest visits the home monthly to conduct a service. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 6 A bath in one of the communal bathrooms has been replaced and all the toilets have been redecorated. There has been a commitment to ongoing staff training and encouragement for staff to undertake NVQ study. The manager has also continued personal development training in the form of the registered managers award training. 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. The summary of this inspection report can be made available in other formats on request. Hillcrest Residential Home DS0000024417.V356590.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 Residential Home DS0000024417.V356590.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. Quality in this outcome area is adequate. People who use this service can expect to have sufficient information to make an informed decision about living in the home but cannot be assured that a pre-admission assessment of need will take place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service users guide were both seen during the inspection and contained full information about the services offered by Hillcrest and the accommodation available within the home. The complaints procedure for the home was included in the information but the contact details for CSCI need updating. The admission procedure outlined in the documents includes undertaking a pre-admission assessment of need by senior staff from the home and offers visits to the home and a trial period. The service does not offer intermediate care. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 9 The files of two recently admitted residents were seen but only one contained evidence of a pre-admission assessment of need. It covered areas of care such as mobility, continence, eating and drinking, oral and foot care, history of falls and pain relief needs. Information about social and cultural needs, religion, mental state and family members was also recorded. The document was not dated making it difficult to establish that it had been completed before the resident’s admission. The manager said the second resident had been seen prior to admission but the assessment form had not been completed. Hillcrest Residential Home DS0000024417.V356590.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. People who use this service can expect to have a care plan to help meet their needs, have their health needs monitored and be protected by the medication practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of both residents seen contained care plans based on the activities of daily living (ADLs) assessments completed on admission to the home. ADLs cover areas of daily living where the resident may require some support such as maintaining personal hygiene, continence, communication, diet/weight, falls and oral health. Social interests, family involvement and the residents’ mental state were also recorded. Interventions aimed to promote independence so one recorded, ‘XXXX needs prompting with their care but are happy to be reminded’. There was evidence that care plans had been reviewed. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 11 One of the resident’s files contained a tissue viability assessment tool that had been completed to assess the resident’s potential for needing pressure relieving equipment or care. The score was low indicating that the resident was at risk of skin damage but the care plan had no interventions recorded to reflect the low rating. Both files contained contact details of any health professional involved in the support of the resident including GP, community nurse, chiropodist and dentist. Past medical history and present health status were recorded with a list of current medication on admission. There was a record of visits to or by any health professional with details of treatment or medication changed or prescribed. The medication policy was seen and offered guidance on all aspects of ordering, storing, administering and disposing of medicines. Medication is securely locked in the office and the keys held by the senior on duty. The home does not hold any controlled drugs (CDs) at present. The lunchtime administration round was observed and the MAR sheets looked at. Residents were offered choices about taking their medicines with their lunch or later and helped sensitively when required. Identification photographs were attached to each MAR sheet. No signature gaps were noted and codes were used if medication was not given for any reason. One entry was ‘G – see overleaf for reason’ but there was no entry overleaf. As required drugs that had a choice of dose had the number of tablets given recorded but liquid medications with a choice did not. The system for managing the changing doses of Warfarin after a blood test was explained and was robust with correct records kept. Hillcrest Residential Home DS0000024417.V356590.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. People who use this service can expect to be offered meaningful pastimes and a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of both residents seen contained contact details of the next of kin and the relationship to the resident. Daily records documented visits and outings with relatives and friends. A number of visitors came and went during the day and staff made them welcome directing them to where they would find the person they were visiting. Surveys received by CSCI prior to this inspection from relatives said the home always had a friendly atmosphere and that they were kept well informed about their relative. The home was decorated for Christmas and one resident said they had put up the Christmas tree the previous day. They pointed out a number of Christmas cards that had been received and identified their own. They said they were looking forward to the celebrations and the Christmas meal. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 13 The dining room had several art displays on show and one resident said they had a teacher visit monthly to help them with artwork. They demonstrated which pictures they were responsible for producing and said they had never done any painting before but had enjoyed these lessons. Residents’ files seen contained an activities sheet that detailed the interests of the resident. One included puzzles, sewing, quizzes, dominoes, some television programmes and chatting with people. Other residents spoken with said they did not particularly want group activities organised but were happy with the level of pastimes offered, which included one to one contact to read or do manicures, completing jigsaws, playing cards and watching television. On the day of inspection there was a ‘needle’ match of dominoes taking place for most of the morning between two residents. One of the carers said they played most days and usually started directly after breakfast. The garden is enjoyed by the residents during the good weather but does not have wheelchair access from the lounge. Wheelchair users can access the garden by going out of the front door and around the house but the manager has said they are having some quotes from builders to make an access from the lounge. Following requests from residents arrangements have been made with a local priest to visit the home monthly and hold a Christian service. A selection of menus was seen and showed that there was a choice of main dishes each day with the second dish usually a vegetarian option. One day the choice was fried fish and sauce or stuffed mushrooms, another day it was liver and bacon casserole or macaroni cheese with desserts of rhubarb crumble and custard or Bakewell tart. There was a full roast each Sunday. At teatime there was a choice of sandwiches, soup or a hot snack such as spaghetti rings on toast. The lunch on the day of inspection was roast pork with peas, carrots, roast potatoes and gravy. The mealtime was friendly and sociable with one resident helping another to cut up their meat and another giving extra potatoes from their plate to a neighbour. Unfortunately during the transfer the potato dropped into a glass of squash causing great merriment all round. One of the carers laughingly replaced the glass. The dining room had been prepared with cruets and napkins prior to the meal and looked attractive and well presented. The meal was clearly enjoyed by the residents. Special equipment such as plate guards was available for residents who needed some assistance to maintain their independence. One resident who did not want a full lunch, as they were not feeling well was offered a light meal of soup and toast as an alternative. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 14 The kitchen was visited after lunch and found clean but cluttered. One set of metal shelves held a wide mixture of items including cakes in boxes, a handbag belonging to a member of staff, a scarf, some rolls of cling film, some cereal packets and a variety of other objects. These shelves need urgent attention to sort out their contents and store items correctly. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. People who use this service can expect to have their complaints taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a robust complaints policy that is available with the statement of purpose and in the entrance hall of the home. The contact details of CSCI need updating but otherwise the policy offers full investigation of any concerns and a written response within a time frame. The home has received one complaint since the last inspection and CSCI were made aware of it. It was from a person who had had respite care in the home and contained a number of elements relating to perceived lack of services and care. The manager did an investigation and responded to each issue raised in a written response also shared with CSCI. The response whilst full did not acknowledge that the complainant’s experience of the respite care was less than satisfactory. This was discussed with the manager who agreed that recognition of the complainant’s perception of the experience could have been included in the response. The policy relating to protection of vulnerable adults needs to be updated to the most recent guidance for Safeguarding Adults. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 16 The AQAA states that all staff have received POVA training in the last year and evidence was seen in staff files that abuse training is covered during the initial induction programme. Staff spoken with were clear about their duty of care and could give hypothetical examples of situations that may cause concern. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is adequate. People who live in this home can expect to live in comfortable, homely surroundings but cannot be assured that there will be no unpleasant odours. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The house is a large Victorian detached building set in a residential part of Bury ST. Edmunds. The accommodation is over two floors with the upper floor accessed by stairs and a stair lift. The large lounge and a dining room are located on the ground floor. Everywhere was clean on the day of inspection but a number of residents’ rooms had a smell of urine present. This was raised with the manager who agreed that it was problem they needed to deal with. A lot of the décor looked ‘tired’ and in need of refreshing. Some of the surveys received from relatives by CSCI prior to this inspection also commented on the décor, one said, ‘it could be updated’. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 18 The manager said they had had plans to renew the furniture in the dining room this year but due to an unexpected expense in renewing their boiler and hot water tank had been unable to go ahead. Plans for next year include redecoration of the banisters and the kitchen and replacement of some bedroom furniture. Residents’ own rooms seen were individually furnished with matching soft furnishings and pieces of personal furniture. Personal items such as pictures, photographs and ornaments reflected the resident’s interests and taste. The laundry is situated outside the main building and linen is taken to it via a side door of the house to avoid going through communal rooms or the kitchen. The policy for managing soiled linen was seen and gives out of date guidance. It was clear talking to staff and observing the equipment available that soiled linen is managed with the use of alginate bags, protective clothing and sluice wash programmes on the machines. The manager agreed that the guidance needed updating. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. People who use this service can expect to be supported by adequate numbers of staff but cannot be assured that all recruitment checks are carried out prior to employment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that during the day there are two carers on duty with a cook in the kitchen and the manager who is usually supernumerary. Overnight there is one waking and one sleeping member of staff. The manager is on-call. Staff and residents spoken with indicated that there were adequate numbers of staff to meet needs. It was noted that call bells did not ring for long periods showing that they were responded to rapidly. The files for two new members of staff were seen and both contained evidence of a criminal records bureau (CRB) check but neither had a POVA 1st check. The files did not contain a recent photograph of the member of staff or any documentary evidence that the person’s identity had been verified. One file contained two references and the other only had one reference for the person. Both files had evidence of an induction programme that had covered moving and handling, communication, health and safety, food hygiene, abuse and medication management. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 20 The home employs ten carers of whom three have achieved an NVQ qualification at level 2 or above. Five further carers are in the process of undertaking the course. When they have successfully completed the home will have an 80 ratio of staff with NVQ level 2 or above which is in excess of the recommended standard of 50 by the national minimum standards (NMS). Surveys from staff received by CSCI prior to this inspection state that they are receiving training that is relevant to their job. Staff spoken with on the day talked about recent medication training given by external consultants. Certificates were seen for updates on mandatory training such as fire awareness, moving and handling and health and safety. The AQAA states that 33 of staff have completed their food hygiene certificate. There was evidence in the office that further sessions of moving and handling and first aid training have been booked for the new year. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is adequate. People who use this service can expect to have their views sought but cannot be assured that their personal monies will be correctly managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post at Hillcrest for a number of years. They hold a trained nurse qualification and had twelve previous years experience of working with older people. They are currently completing the registered managers award (RMA), which they said had been very helpful to understanding some of the regulations that govern residential care. Staff spoken with said the manager was clear and approachable. Interactions between the residents and the manager were friendly and informal. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 22 The manager said that they undertake a survey of residents soon after their admission to the home and some responses were seen. The questions covered areas such as how helpful were staff, was there enough information, is the home clean, are mealtimes as you would like and what is the best thing about Hillcrest. Responses were positive with the best thing here being, ‘the lovely atmosphere’ and, ‘everyone is so friendly’. The manager plans to devise questionnaires for longer stay residents and visiting health care professionals in the next year. There are regular staff and residents’ meetings and minutes show that the discussions are wide ranging covering meals, activities, laundry and care practice. Minutes show that some residents declined to join the meetings and one decided to leave before the end. The system for managing residents’ personal monies was explained by the manager. Individual wallets are kept in the safe and the senior carer has a key. Records are made of money paid in by families and taken out by the resident or used to pay for a resident’s service such as hairdressing. Two wallets were checked at random and neither tallied with the records, both contained more than the balance recorded. The manager said they would verify the records. A number of maintenance files and certificates were inspected. There were generic risk assessments for fire, hot water, trips/slips and falls, the use of the stair lift and hospital beds. The specialised bath equipment had been tested by external consultants in August 2007 and the fire alarms in July 2007. The fire log showed that fire alarms are tested weekly within house. Fire extinguishers had been checked in December 2007. Temperature records of refrigerators and freezers in the kitchen showed they were functioning within safe limits for food storage. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 1 X X 3 Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO. 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 (1) (a) Requirement All prospective residents must have a pre-admission assessment of need to ensure the home is a suitable place to meet their needs and staff have the necessary skills. All assessed needs that show a resident may need interventions to prevent health problems must be reflected in the care plan to ensure the resident receives the care they require. All medication administration records must be completed to allow a full audit trail of medication to protect residents and ensure they receive the medicines they are prescribed correctly. Storage arrangements in the kitchen must be reviewed to ensure that food is stored without possible contamination from other objects to make sure there is no risk of deteriorated food being given to residents. DS0000024417.V356590.R01.S.doc Timescale for action 12/12/07 2. OP7 15 (1) 12/12/07 3. OP9 13 (2) 12/12/07 4. OP15 13 (4) (c) 12/12/07 Hillcrest Residential Home Version 5.2 Page 25 5. OP29 19 (1) (b) (i) Sch 2 6. OP35 16 (2) (l) Correct recruitment procedures must be followed and documentary evidence retained to ensure residents are protected. A robust system for the management of residents’ personal monies must be developed, with an audit trail, to ensure residents’ interests are protected. 12/12/07 12/12/07 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 OP19 OP38 Good Practice Recommendations An ongoing redecoration programme for the home should be developed and implemented so residents live in pleasant fresh surroundings. A review of all policies and procedures should be undertaken to ensure that guidance and contact details are all up to date. This will make sure residents receive timely, appropriate care. Hillcrest Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Residential Home DS0000024417.V356590.R01.S.doc Version 5.2 Page 27 - 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!