Inspection on 24/11/05 for Hillside

This inspection was carried out on 24th November 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 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 24th November 2005 04:30 Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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.V264593.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 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.V264593.R01.S.doc Version 5.0 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 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.V264593.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 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.V264593.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting two service users 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 and early evening, over a period of 3.75 hours and was carried out on an unannounced basis. What the service does well: An admission process ensures that service users know that staff at the home can meet their assessed needs. There is good information available to service users about the home and policies /procedures. The residents live as part of the family and have full access to all areas of the house. Service users live in an environment that has been created to provide a relaxed and homely atmosphere. The home is comfortable, safe, clean throughout and maintained to a high standard. Clear plans ensure that identified needs are met. Service users are involved in decision-making within the home and are consulted and involved in any changes. Service users are involved in completing their care plans, and in the reviews. One service user has completed their person centred plan and encouraged to present this to their family and care manager. The staff team ensure that opportunities are made available to services to choice from. Policies and practices in relation to adult protection ensure service users safety. The Registered Manager has a good system of back up arrangements. This is provided by the registered manager or support workers, who are available for Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 6 service users who may need to return to the home from day centres or activities during weekdays. A well trained and supervised staff team supports Service users. The management style within the home ensures that service users benefits are central to the service provision. 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 DS0000012814.V264593.R01.S.doc Version 5.0 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.V264593.R01.S.doc Version 5.0 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 the following standard(s): 2,3,4,5 Service users can be assured that the homes assessment process demonstrates how their needs can be met. EVIDENCE: Service users experiences of moving into the home were all positive, whether they had taken sometime in making the decision by visiting and having trial stays or had chosen to move in immediately. The homes admission process is to work with service users at their pace. The homes assessment tool enable the registered manager to consider whether the home can meet the individuals service users needs and that it will be a suitable placement for them. The terms and conditions are set out in the service users guide together with individual plans of support. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8 Care planning processes ensure that service users are involved and fully consulted about their personal goals and preferences. EVIDENCE: During the inspection one of the service users talked through her person centred plan that she had set out in a visual form. The service user had presented the plan to her family and other care professionals as part of setting out her choices for the future. In discussion with the registered manager she has plans to support other service users living at the home to complete a plan if they wish to do so. Care plans demonstrate how service users wish to be supported and in discussion with them they confirmed that they are fully involved with all decisions about their care. Daily routines within the home mirror family life and enable service users to be natural. Everyone helps out within the house and is supportive of each other’s choices. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 10 Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15,16,17 Opportunities available enable service users to develop their skills and involvement within community activities. EVIDENCE: Through planning and having a good knowledge and understanding of individuals needs, service users have opportunities for personal development. Service users have different and varied activities during the week. One service has options for supported employment, attending college whilst another attends day care options within the community. Accessing the varied options as well meeting scheduled appointments mean that the registered manager has to be well organised and plan how individuals are supported. Service users between the two homes often join together to share meals and with other from other homes. This encourages service users to enjoy the company of friends and extend their peer group. Families are encouraged to maintain contact and are included within reviews and invited to special events. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 12 Daily routines are drawn up with service users and they enjoy taking part within the home. In discussion with service users they acknowledged that their rights are respected and that they would be supported in their choices. Service users were consulted about their meal and made choices. Meals are a relaxed affair and opportunity to share information about their day. The dining room provides a warm and comfortable environment in which to take meals. Meals are well presented and are nutritious. Meals are often taken out where service users enjoy some of their favourite treats. The registered manager ensures that overall meals are healthy and balanced. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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 the following standard(s): 18,19,20 Service user choice is central to the support available within the home. EVIDENCE: Service users preferences are noted and respected by the staff team. Health care needs are met and service users are supported to attend appointments. The registered manager had been to the hospital with one service users on the day of the inspection. It was sometimes difficult to juggle the times but with a good network of support built up by the registered manager no individual needs were unmet. Service users are supported in the administration of their medication but are encouraged to be more independent. During the inspection one service responded to an alarm to remind the manager that it was time for his medication. Medication is stored in the kitchen within a locked cabinet with medication sheets for signing. Each service users has a clear medication profile and a signed homely remedy agreement. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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 the following standard(s): 23 Practices and systems in place ensure that service users are protected. EVIDENCE: The home has clear policies; procedures and work practices that ensure service users are protected. In speaking with service users they confirmed that they would seek support from the registered manager or anyone of the staff team if they had a concern. The registered manager has included within the policy that if anyone is concerned about her practices with service users they must inform CSCI. There has been no protection of adult incidents concerning service users living at the home. This was confirmed in discussion with support workers. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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 the following standard(s): 24,25,26,27,28,30 Service users have a warm and comfortable home that is maintained to a high standard and includes their choices. EVIDENCE: The home is also the family home of the registered manager and her husband that is shared with three service users. The house is in a residential area and does not reflect that it is a residential home fitting well within the community. The house is well maintained and service users are involved in the day-to-day routines that keep the home clean & tidy. The décor is maintained to a high standard and service users individual bedrooms reflect their personal choices. Service users enjoy and share the communal space creating a family environment. There is a range of communal rooms available, two lounges, and dining room with seating area, and conservatory so that personal choice of activity can be met. The inspector was informed that there is a garden area that contains an aviary that service users help with and enjoy. As it was dark it was not possible on this inspection to see the gardens. A clean and tidy kitchen is available to service users to make drinks and snacks of their choice. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 16 There is a separate laundry /utility room with separate hand washing facilities. Upstairs service users have access to a bathroom with a choice to have a shower or bathe. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 Service users development benefits from a staff group that is organised trained and clear about their role. EVIDENCE: Service users spoken with during the inspection were clear about the support they needed and that the staff team were good at meeting their needs. The support for service users at Hillside is mainly provided by the owner/registered manager that is supplemented by family member and support workers from the second home owned by the owner. It was evident that the staff team is well trained and ongoing training is a central part of the support available to all. The registered Manager has good records of training undertaken and ensures that there are regular reviews of training needs through supervision. In observing practices the team demonstrates that they have a sound knowledge of individual service users needs and deliver the service with a person centred approach. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 18 The staff team have begun to support service users with their person centred plans. The registered manager was keen to develop her skills in this area so that service users benefit from the process. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,40,41 Effective management ensures that the service is run in the best interests of service users. EVIDENCE: The open management style of the owner/Registered Manager enables service users to be fully involved in the running of the home. Decisions are made jointly with service users and their views are fully respected. The Registered Manager has gained her National Vocational Qualification in care at level four and the Registered Managers award. She continues to develop her practice and undertakes research to ensure that she maintains up to date knowledge on ‘good practice’ regarding the service user group. In speaking with service users and staff it was evident that they valued the registered managers ability to manage the service and ensure that they were fully involved with developments. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 20 The registered managers zeal about the rights of individuals, enables service users to advocate for themselves or with the support from external advocates. Policies and procedures are in place and accessible to staff. Support workers spoken with are fully aware of their responsibility to read and understand the policies/procedures and sign to confirm that this has been completed. Support workers felt that the communication between them, service users and the registered manager was built on trust and openness. In an emergency the home has effective plans with another independent home in the Rushden area that is based on a mutual agreement. Hillside DS0000012814.V264593.R01.S.doc Version 5.0 Page 21 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 X 3 3 3 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hillside Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 3 X X DS0000012814.V264593.R01.S.doc Version 5.0 Page 22 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. 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.V264593.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House 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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