Inspection on 16/04/07 for Hillside

This inspection was carried out on 16th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 24/11/05

Hillside 15/06/05

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 Judith Roan Unannounced Inspection 16th April 2007 02:30 Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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 Hillside DS0000012814.V333482.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 Adults 18-65. 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. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Address 2 Denford Way Wellingborough Northants NN8 5UB 01933 674518 01933 673458 hillsidehomes@aol.com 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) Mrs Carol Ann Hill Mrs Carol Ann Hill Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 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 DS0000012814.V333482.R01.S.doc Version 5.2 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 people using the service and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 2 people and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspection took place during the afternoon, over a period of 4 hours and was carried out on an unannounced basis. The inspection report also reflects information received from surveys sent to people using the service and a pre inspection questionnaire from the provider. What the service does well: What has improved since the last inspection? Person centred plans are completed for all people using the service. The quality assurance system continues to improve practice. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 6 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. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A detailed assessment involving people who may potentially use the service is always carried out prior to admission. EVIDENCE: There have been no new admissions at the home since the last inspection. All people using the service were fully assessed prior to admission and are fully aware of the information about the service. The current statement of purpose and service users guide is available to all people using the service, commissioners and relatives. People using the service have their needs reassessed on a regular basis. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Practices within the home ensure that the service is person centred and fully inclusive of the views of people using the service. EVIDENCE: Detailed care plans that are prepared with the involvement of people using the service are evident within care records. These records are accessible to each person using the service and are maintained in a secure system at the home. The provider has ensured that person centred care plans have been undertaken with each plan written in the first person. In discussion with people using the service they told the inspector that they were part of decision-making and that the manager ensured that their views where central to how they wished to be supported. All activities were supported by risk assessments that were reviewed with care plans on a regular basis and at times of change in their needs. Confidentiality was seen to be an important aspect of the support provided at the home with all staff respecting the privacy of people using the service. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 10 Independence is promoted with clear guidelines on how staff promote this within the home. The monitoring of practice is a regular part of the service provided. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service have a range of options to reach their potential and develop their involvement in community activities. EVIDENCE: People using the service have a range of options to develop life skills and personal development. Changes to day care options have affected one person using the service. At present due to the decision by the local Social Services to introduce a charge for day centre attendance they no longer attend due to insufficient funds. The Registered manager has appealed on their behalf and will be keeping the situation under review. Additional space has been created within a garden outbuilding so that peers from Hillside 2 can share the day care activities. In discussion with people using the service it appears that several activity options have been made available at the home to ensure they are supported. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 12 There is a range of leisure activities that individuals choose to do, one person likes music and a separate lounge facilitates this. There are two Televisions on the ground floor as well as individual ones in bedrooms. People using the service were observed to be relaxed and happy at the home. One person told the inspector that it was their family home and would wish to continue living with the registered manager and their family. People using the service are supported to welcome family and friends into the home in accordance with their choices. Rights and responsibilities underpin care practices within the home with people using the service being supported to take on responsibility in making choices and in carrying out independent living skills that are safe and within their capability. Menus at the home are chosen daily and preferences are met. On occasions people using the service choose to go out for a meal or have a takeaway. Holidays are taken several times a year and people using the service meet and agree where they would like to go. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A proactive support team monitors healthcare needs of people using the service. EVIDENCE: Health care is central to the support of individuals living at the home. Regular contact is maintained with the community nurse who visits the home monthly. All people using the service have health action plans and health assessments. All healthcare appointments are recorded and individuals are supported to attend all health checks at local surgeries, hospitals, opticians and dentists. Where appropriate people using the service are independent with the administration of their medication. One person who was case tracked on the last visit is now fully capable of undertaking this task. The registered manager ensures that records are kept that meet with the home’s policies and procedures. All staff are fully trained in the administration of medication in accordance with the Royal Pharmaceutical Society guidelines. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service are positively supported to share their views, concerns and complaints. EVIDENCE: There is a comprehensive complaints procedure in place with all people using the service being fully aware of what to do if they were not happy in the way that they were supported. Support workers were also knowledgeable about the complaints procedure. Any concerns would be fully discussed with the registered manager. If the complaint or concern involved the manager staff would report their concerns to Social Services and CSCI. No complaints have been received since the last inspection. Staff training about safeguarding is maintained by the proactive registered manager. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The family environment enables people using the service to feel relaxed and comfortable in the well maintained home. EVIDENCE: Hillside is also the family home of the Registered provider and members of their family also work within the service. The environment is comfortable, homely and safe. Outside space includes a landscaped garden that is well maintained and a converted outbuilding that is now used for some day activities. The home is well maintained and regular checks are in place to ensure that the environment is safe. Gas & electrical systems are checked along with the testing of small appliances. All people using the service are aware of fire safety and practices ensure that the environment remains free from hazards. Individual bedrooms are available for people using the service and there is a good washing and bathing facilities available. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 16 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A competent staff team that are supervised and supported protect people using the service. EVIDENCE: The staff team remains unchanged since the last inspection. All employees’ files contain the required employment checks and training certificates. Criminal Record Disclosures were found on all staff files. People using the service are fully involved within the recruitment process of all new employees, and do have the final choice on appointments. Mandatory training is kept updated and the staff team have all undertaken LDAF training (Learning Disability Award Framework at level two. It was evident that staff had specific knowledge about the people using the service in relation to their learning disabilities. The registered manager ensures that they are up to date with new legislation and was aware of the new Mental Capacity Act by attending training. All staff receive regular supervision and there are team meetings to discuss issues of practice. The registered manager and the staff team cover all shifts that ensure continuity of service. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 17 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Proactive management ensures that people using the service are listened to and protected by the services policies and procedures. EVIDENCE: The home is managed to provide a person centred service to all people using the service. The support of individuals is central to all decisions made and the registered manager ensures that the service is run in their best interest. Quality assurance is maintained by the continual checks made with people using the service through their reviews and the completion of surveys. The registered manager is fully aware of the new self-assessment procedures that they will be expected to complete as part of the quality self assessment for inspection. The manager has already begun to prepare evidence that will support with this process. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 18 Records are maintained and were found to be up to date. People using the service are fully involved with the preparation of their records and have access to them. Accidents records are recorded, however it is recommended that the records for people using the service have the same system as staff to ensure that data protection is maintained. The registered manage took action immediately to change the system. All health and safety checks are undertaken in accordance with statuary requirements. Full records were seen at the time of the inspection. All people using the service have individual bank accounts and are supported to manage their finances. Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 19 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 Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 4 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 4 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 4 4 X 4 4 X Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/A 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. 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. Refer to Standard Good Practice Recommendations Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Hillside DS0000012814.V333482.R01.S.doc Version 5.2 Page 22 - 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!