Inspection on 15/06/05 for Hillside

This inspection was carried out on 15th June 2005.

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

Hillside 16/04/07

Hillside 24/11/05

Hillside 15/11/04

Hillside 30/06/04

Similar services:

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Chestnut Grange Care Home

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

CARE HOME ADULTS 18-65 Hillside 2 Denford Way Wellingborough Northants NN8 5UB Lead Inspector Sheila Smith Unannounced 15th June 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hillside Address 2 Denford Way Wellingborough Northants NN8 5UB 01933 674518 01933 673458 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) Mrs Carol Ann Hill, 2 Denford Way, Wellingborough, Northants, NN8 5UB Mrs Carol Hill CRH 3 Category(ies) of LD - Learning Disability - 3 places registration, with number of places Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No Additional Conditions Date of last inspection 15th November 2004 Brief Description of the Service: Hillside is a care home providing personal care for up to three Service Users with a Learning Disability.The home is owned and managed by Mrs C Hill who lives in the property and owns another home in the area also providing care for three residents.Hillside is a large detached property situated in a suburb of Wellingborough and has good access to local facilities and amenities via public transport or the homes ‘people carrier’.The home provides 3 single bedrooms for Service User accommodation, one of which is on the ground floor. The home is spacious and well decorated with a range of communal areas and an accessible garden area. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Residents, and upon their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 2 residents and tracking the care they receive through review of their records, discussions with them, and with the Owner, and observations of care practices. The inspection took place during an evening over a period of 2.75 hours and was carried out on an unannounced basis. Communal areas, and bedrooms were visited. A selection of care records, and essential records of the home were reviewed. All of the residents were spoken to as part of the inspection process. Mrs Hill was present during the inspection. The Commission had received comment cards from residents and relatives prior to the inspection, and the Owner had provided a pre inspection questionnaire. Comments recorded were positive and praised the home and the staff for the way in which the care is provided What the service does well: The residents live as part of the family and have full access to all areas of the house. It is evident that great care has been taken to create a pleasant and homely environment for residents and a high standard of cleanliness was observed throughout. The Registered Manager has a good system of back up arrangements; staff are available for residents who may need to return to the home during weekdays when they usually attend day centres and activities. Residents are involved in the decision making in the home and are consulted and involved in any changes. Residents are involved in completing their care plans, and in the reviews, and one resident was able to summarize the contents of her care plan very well. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 6 Residents help themselves to drinks and snacks and were positive in their comments about the food provided. 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. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, and 5 The information provided, and the assessment process will enable prospective residents to make an informed choice about where to live. EVIDENCE: The residents spoken to were aware of the Statement of Purpose and its contents The three present residents have lived at the home for some time. The owner is quite clear about carrying out an in depth assessment and having a lengthy admission process of a new resident, to ensure that the staff can meet the identified needs, and that they were compatible with the other residents. No new resident would be admitted without a contribution to the assessment from other professionals involved in their care. Care management assessments were seen in the residents files inspected. The residents sign an agreement with the home that outlines the terms and conditions. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, and 10 Resident’s rights are respected and they are encouraged to be involved in decisions about the home, and in their own lives within the home. EVIDENCE: One of the residents discussed her care plan during the inspection. The plan was written in the first person, where she has clearly described her needs, and the help she requires to maintain an independent lifestyle. The care plans, examined contained full information about the resident and account was taken of residents preferred lifestyle routines, and likes and dislikes. Service users confirmed that the Owner provided them with information, assistance and support to enable them to make decisions about their lives. They felt that they were respected as individuals and that were encouraged to develop and maintain independence as far as possible and were allowed to do things for themselves. It was observed during the inspection that residents were consulted about everyday matters, and there was much excitement because they were going to Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 10 stay at a hotel shortly and attend a dinner and dance, with the owner and her husband. Residents confirmed that they are encouraged to participate in the household tasks according to individual risk assessments. One resident understood why he was not allowed to go out alone during the dark, and risk assessments were seen in the files. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17. Residents are given opportunities for accessing the local community, given opportunities for employment according to individual skills, encouraged to make friends and maintain family relationships. EVIDENCE: Residents confirmed that they had opportunities to increase their practical life skills and were encouraged to do things for themselves, and to assist with tasks around the house. One resident said that because he had a difficulty in using the Hoover, the owner had bought him one, which was easier to manage. One resident works three days in an office where she said she assists with the filing, and makes tea for her colleagues. She also works in a café every other weekend. The resident said ‘ I also enjoy staying at home and helping with the paperwork’. Another resident spends two days a week at a day centre. Residents said that they enjoyed going to the cinema, gardening and going out for meals, one resident said ’ I love going out for a beef burger’. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 12 The residents are regularly taken on caravan holidays by the owner, or to a hotel. The Owner enables residents to maintain contact with whosoever they wish to. A resident confirmed that relative’s visit the home and that friends are invited to have a meal with them. Residents spoke of their satisfaction with the leisure activities provided, one resident said that he enjoyed his music and was allowed to play it whenever he wanted to providing it did not disturb the other residents. One resident said that one of the best things about living in the home was feeling involved with the owner and her family. When asked about the menu, a resident replied ‘ We do not have a written menu, but decide on the day what we would like to eat- just like any other family’. The resident’s spoke highly about the quality of the food provided, and were seen to make drinks during the inspection. Records were kept of outside restaurants where food is bought so that it can be tracked if there is a problem. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, and 21. The outcome that the service user’s health, personal and social care needs are set out in an individual plan of care was achieved. EVIDENCE: From discussion with a resident, about how the personal needs are met, it was evident that the staff have a sensitive approach to the provision of personal care, and are aware of privacy, dignity and independence issues. All residents have access to the usual healthcare facilities, and residents confirmed that they were taken to see the Doctor if they were ill. There was evidence that one of the residents attends the audiology department. None of the residents have been assessed as able to administer their own medication. The Home has a contracted Pharmacist and a pre-packed blister system is used. There is an incoming medication record with medication checked off by the Owner and a medication disposal record is maintained and signed by the pharmacist on receiving the medication. Each resident has a medication profile and a signed homely remedy agreement. A resident described her individual plan, of what she wanted to happen to her if she died, this included the choice of burial or cremation, what she wanted to wear, who is to be informed and what is to happen to her personal effects. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Complaints are handled objectively and residents are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: Residents spoken to confirmed that they were aware of the complaints procedure .One of the residents said ‘I would speak to the Owner if I had a complaint, or would ring the Inspector’. Another resident said that he would speak to his Community Nurse if he was not satisfied with the Owners response. The complaints procedure is available to all in the home and the owner keeps a record of all issues and complaints raised. There have been no complaints since the last inspection. The residents comment cards received were positive in their replies regarding the question ‘ If you were unhappy with your care do you know who to speak to’? Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, and 30 The environment provides safe comfortable surroundings and is maintained to a high standard. EVIDENCE: Three residents are accommodated on a permanent basis in this home along with the owner and her husband who live on the premises. It is a family house in a residential area of Wellingborough and fits in with the local community in an unobtrusive manner. A tour of the home was conducted by one of the residents, who demonstrated that she was at ease, and able to access all areas of the home. The areas viewed on this inspection were well decorated and furnished to a good standard. General hygiene and domestic maintenance was very good. All of the residents have their own bedrooms, which contained a washbasin and there was evidence of personal possessions. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 16 Residents have free access to communal facilities that include a large lounge, a smaller lounge, and dining room that were comfortably furnished to a good standard Residents also have access to the kitchen for making drinks and snacks. The garden area was well maintained and contained a well-stocked aviary, for the enjoyment of the residents. The kitchen area was tidy, with work surfaces clean, and all perishable foodstuffs appropriately refrigerated. Kitchen equipment, such as the cooker, refrigerator, and freezer were suitable in capacity for the needs of the residents. The laundry is sited away from the kitchen area in the utility room with hand washing facilities Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Hillside is in the main staffed by the owner, with assistance on a voluntary basis from relatives. There are staff employed for the second home owned,and these individuals do frequently visit, and there is a crossover of working practices. These standards were not assessed during this inspection and may be looked at in more depth at the next inspection. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 There is a very open and inclusive management style where the well being, health and safety of the residents is promoted, and protected. EVIDENCE: The Manager has a considerable number of years experience in working in the residential care setting and has obtained National Vocational Training level 4 and the Registered Managers award. The residents and staff spoken to were very positive about the management of the home and they were seen to be comfortable and relaxed in the home, with positive interactions seen between the owner and the residents. The style of management adopted by the Registered Manager is particularly inclusive and transparent. Residents, in particular, and staff and relatives are encouraged by the Registered Manager to be involved in how the service is run Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 19 Residents are confident that their views and comments are listened to, on a daily basis and completed annnual questionnaires regarding the service. The owner indicated that she has a good understanding of her responsibilities regarding health and safety. The Inspector examined the accident book, which was found to be in order. Gas and electrical tests had been carried out during the last year, and the water system has been tested for legionnaires disease. Control of substances hazardous to health forms were available for staff. One of the residents clearly knew the fire procedure and explained how she would evacuate the house in the event of a fire. Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hillside Score 3 4 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 21 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Hillside D C51 C08 S12814 Hillside V232709 150605 stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Newland House, First Floor Campbell Square Northampton NN1 3EB 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. 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