Inspection on 16/11/05 for Hillside

This inspection was carried out on 16th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hillside 10/10/06

Hillside 27/02/06

Hillside 10/03/05

Hillside 24/08/04

Hillside 16/01/04

Hillside 15/09/03

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

CARE HOMES FOR OLDER PEOPLE Hillside 21 Adlington Road Wilmslow Cheshire SK9 2BJ Lead Inspector Ms Julie Porter Unannounced Inspection 10:00 16 November 2005 th 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 Hillside DS0000006634.V253386.R01.S.doc Version 5.0 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. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hillside Address 21 Adlington Road Wilmslow Cheshire SK9 2BJ 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) 01625 523351 donmstockton@btconnect.com Mr Donald Mark Stockton Mrs Dorothy Evans Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10/03/05 Brief Description of the Service: Hillside is a 19-bedded care home for older people, situated in its own grounds in a quiet residential area of Wilmslow. It was extensively renovated and refurbished in 2002 and has 17 single bedrooms, four of which have en suite facilities, and one shared room. There are six communal toilets, three bathrooms and a shower. Accommodation is provided on two floors, and there is a passenger lift, stair lift and staircase giving access between the floors. There are three shared lounges and a dining room on the ground floor. There are pleasant gardens surrounding the home. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 16th November 2005 and involved a tour of the building, discussions with four residents living at the home and two of their visitors. All staff on duty were available to speak to the inspector including the owner and the manager. The home’s records were also checked. What the service does well: What has improved since the last inspection? What they could do better: A record of all complaints must be kept and must include the details of the investigation and the outcome. Although staff were confident in what to do should they suspect abuse they would benefit from clear guidance and training. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 6 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 DS0000006634.V253386.R01.S.doc Version 5.0 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 Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-6 Residents are provided with information regarding the home and they are invited to visit to meet with the staff and the manager so they have full information before they make a decision to move in. Care needs are assessed before they move in, to ensure that their needs can be met. EVIDENCE: The home’s statement of purpose and service user guide provides thorough information about the services available in the home. Contracts detail the terms and conditions of living in the home. One resident spoken with during the inspection talked about the process of her moving to the home, how she had been to other places, but from her first visit she knew that this was the place for her; it “would suit me nicely” and she had not been disappointed. An assessment of the needs of the residents had been completed before they moved to the home to ensure that the staff could meet those needs. Assessment of residents continues after they came to live in the home to ensure that their needs are being met. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10 Staff demonstrated a good knowledge of the residents’ needs. Information was recorded and has been reviewed monthly or as the need arose to ensure that their needs can be met at all times EVIDENCE: Two care plans were checked during the inspection. They included information about daily events and changes to the residents’ health and wellbeing. Care plans are reviewed monthly and contain information about contact with health professionals such as doctors, dentists, opticians, district nurses and chiropodists who are involved with the residents’ care. One resident in the home continues to manage her own appointments in respect of her health care, and informs the staff when they need to update her care plan. Three of the four residents spoken with were very complimentary about the care they received in the home and they said they enjoyed life at the home. Comments were made as follows; “you just have to ask” “the girls are great”, “I’ve got everything I need”, “nothing is too much trouble for all of the staff.” One resident said that she had everything she needed in the home, but would prefer to live in her own home. A visitor to the home said that it gave him Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 10 hope for his own older age when he saw how well his friend had settled in the home and how well she was “looked after.” All residents confirmed that staff always knock before entering their rooms, even early in the morning when they bring a cup of tea. Staff were seen during the inspection spending time with residents chatting, laughing and joking. Medication records were inspected and improvements have been made to recording of administration of medication. Anti-coagulant medication had been prepared for the week by staff to minimise errors in medication administration; however, the system of storing this in dated envelopes could lead to errors and therefore a more appropriate storage system needs to be found. See recommendation 1 Improvements should be made regarding the receipt of medication into the home in relation to ‘as required’ medication to enable accurate stock checks to be made. See recommendation 2 Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Residents are able to exercise choice about how they live their lives in the home, to help them stay active and as independent as possible. They get help and encouragement so they can keep in touch with family and friends. The standard of the food provided was good so that residents enjoyed their meals and received a varied and nutritious diet. EVIDENCE: All the residents spoken with said that they can choose how they live their lives; they can come and go as they please as long as they inform the staff if they go out. The residents said that they spend time on their own or in the company of others if they wish. During the inspection two visitors were seen in the home enjoying lunch with their friend and confirmed that they were always made to feel welcome, and offered a drink or a meal if they wished. No special arrangements had had to be made and the visitors commented on the “lovely meal”. During the morning one resident was getting ready to go to a social club in the area for lunch with friends, which she obviously enjoyed. Two residents spoke enthusiastically about the activities in the home and said they enjoyed the carpet bowls and skittles, which were “great fun”. Other activities available include scrabble, jigsaws and television. The home Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 12 manager was heard arranging chair exercise with a local health professional, which has proved to be a great success in the past. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 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 the following standard(s): The home has a complaints procedure; records of how complaints are dealt with need to be improved so that the home can demonstrate that the complaints procedure is effective. Staff are aware of what to do in instances of abuse, they would benefit from training to enable them to understand what abuse is and therefore protect the residents fully from harm. EVIDENCE: The home has a written complaints procedure and residents and visitors spoken with felt confident that should they have cause to complain either verbally or in writing their complaint would be dealt with appropriately and swiftly. As information about verbal complaints and “niggles” is not recorded the home cannot show how it is consistently dealing with these matters. See requirement 1 During the inspection staff on duty were spoken with. They spoke knowledgeably about what to do if they suspected abuse, but would benefit from training in relation to protection of vulnerable adults. See requirement 2 Hillside DS0000006634.V253386.R01.S.doc Version 5.0 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 the following standard(s): 19 - 26 The home is clean and well maintained to ensure that the residents live in a homely, comfortable environment. EVIDENCE: On the day of the inspection the home was clean, fresh and well maintained throughout. The owner continually monitors the quality of the furnishings and fittings of the home and has decorated or is still in the process of decorating the hall, landings and corridors. The inspection involved a tour of the building and some of the bedrooms were seen were well furnished and had been personalised by the resident with small items of their personal possessions. The bedrooms are large and airy and there is an above average amount of shared space, including dining room, lounges and conservatory, for the residents to use. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 & 30 All the staff have worked in the home for a number of years so they know the residents well. The manager has a rolling programme for training and therefore the staff have developed their skills to ensure they can meet the residents’ needs. EVIDENCE: Staff spoken with were aware of the needs of individual residents and what they would have to do to meet those needs. The home manager organises and promotes attendance at training and the staff value the importance of the training available to them. All staff have undertaken mandatory training in relation to 1st Aid, medication administration, fire training and all except one have received training in relation to moving and handling. Staff are undertaking NVQ qualifications although there are some difficulties completing and progressing work, as the organisation that undertakes the assessments is experiencing staff shortages. The owner of the home and the manager confirmed they had a commitment to staff training. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 –33 & 35,37,38 The residents’ welfare and continuing independence are important to the staff and management. Staff enjoy the work they do and feel supported by the management to promote the best interests of the residents. EVIDENCE: The registered manager has been in a management position for a number of years and has many years experience in care although has no formal management qualifications. All residents and visitors spoken with knew the owner and manager by first name, they said “they are always here” the manager is “very nice.” Staff described the management as very supportive, and the home as a good place to work. The manager confirmed that all the residents or their families are responsible for their own finances and that the home does not get involved. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 17 During the inspection the following records were checked and found to be in order; accident records, fire alarm testing, emergency lighting, and service contracts for equipment and the boiler. The home’s health and safety audit was available and was thorough, including risk assessments for the building Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 18 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 3 3 3 3 N/A 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 2 3 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 3 3 Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP16 Regulation 22 Requirement A record must be kept of all complaints made, written and verbal, together with information about the investigation, and the outcome. Staff must receive training in relation to protecting adults from abuse. Timescale for action 31/12/05 2 OP18 13 28/02/05 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 3 Refer to Standard OP9 OP9 OP31 Good Practice Recommendations Safe appropriate storage should be provided for medication that is not supplied in blister packs from the pharmacy. The quantity of medication received in the home should be recorded on the medication administration record to enable a full audit trial The registered manager should achieve NVQ level 4 in management. Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Hillside DS0000006634.V253386.R01.S.doc Version 5.0 Page 21 - 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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