Inspection on 27/02/06 for Hillside

This inspection was carried out on 27th February 2006.

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 10/10/06

Hillside 16/11/05

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 27th February 2006 2:00 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.V286773.R02.S.doc Version 5.1 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.V286773.R02.S.doc Version 5.1 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 manager@hillsidecare.com Mr Donald Mark Stockton Ms Dorothy Evans Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2005 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.V286773.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over an afternoon of the 27 February 2006 and involved a review of the records held at the Commission for Social Care Inspection, a tour of the building, some of the records in the home, conversations with the residents; the owner and manager and staff working on the day. What the service does well: What has improved since the last inspection? A thorough process is now in place to ensure that a record is maintained for all medication held in the home enabling a full audit trail to be achieved. Information is now available to staff regarding all the medication for residents including any contra indications. A complaints log has been established to record any verbal complaints that are made which will work alongside the formal complaints procedure for the home. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 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. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 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.V286773.R02.S.doc Version 5.1 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): 1-5 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 statement of purpose and service users guide provides information of the services available in the home. The home has contracts that detail the terms and conditions of living in the home. On the day of the inspection a prospective resident was visiting the home, to look around and meet with the other people living in the home. The manager or a member of senior staff meets and assesses the needs of the residents before they move into the home, assessments continue after they move to the home to ensure their needs continue to be met. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 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): 9 Storage, recording and audit trail of all medicines in the home has been improved to ensure the residents are safe guarded. EVIDENCE: The home has policies and procedures for administration of medication, senior staff receive training relating to administration of medication. Service users can retain their own medication subject to the home undertaking a risk assessment. The home manager has worked with the local pharmacy to provide the staff with information relating to all medicines in the home, which is seen as good practise. The medicine administration record was reviewed and recorded appropriately. A clear audit trail of all medicines received in the home has been established to ensure there is no mishandling. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 10 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 - 14 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. EVIDENCE: During the inspection eleven residents were spoken with, all confirmed that they were enjoying life in the home. They were very forthright with their opinion of the service they received and said the owner, manager and staff encourage them to “speak up for themselves,” all confirmed that they would not have a problem in doing this because the staff are all “so lovely” and “nothing is too much trouble.” Activities are the same as at the last inspection with the inclusion of a chair exercise session once per week and residents said that they could chose to join in or not according to their wishes. Visitors are welcome at the home and encouraged to spend time with friends and relatives, residents spoke of how they enjoyed having meals with relatives, or a cup of tea and a chat. The manager confirmed that meals can be arranged and visitors are always welcome to spend time either in the lounge or in private with their relative. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 11 Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 12 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): 16 & 18 The home has an effective complaints procedure and staff have received in house training regarding signs and symptoms of abuse to ensure residents are protected from harm. EVIDENCE: A written complaints procedure is available and since the last inspection a log has been developed for staff to record any verbal complaints made by residents or their families. The staff need to have further guidance regarding the purpose of this book as some of entries were not complaints regarding the service and should have been communicated to the management team in another way. Residents spoken with said that they have no complaints about the home, only about getting older, however they felt sure that should they need to complain the situation would be taken seriously and dealt with quickly and efficiently. The home has produced literature for all staff regarding the protection of vulnerable adults titled “What is Abuse” this needs to be developed further to instruct staff what to do and reporting should they suspect abuse. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 13 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): 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 internally and externally. 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. There is an above average amount of shared space, including dining room, lounges and conservatory, for the residents to use. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 14 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): 29 The home has robust recruitment processes to ensure staff are suitable for the work they are employed and that the residents are safe. EVIDENCE: Three staff files were reviewed as part of the inspection and containing information as required by Schedule 2 of the Care Homes Regulations for Older People. The manager or the manager and senior member of staff interview all prospective employees, following appointment a comprehensive record of all matters covered during induction was available along with certificates of any training achieved. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 15 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): 35, 36 & 38 Staff receive guidance and support to ensure they can fulfil their responsibilities in supporting the residents in maintaining their independence. EVIDENCE: The owner confirmed that he has no involvement with residents’ money and that no money is held on account for any of the current residents. A member of the senior staff has responsibility for supervising the support staff. Staff confirmed that his happens both formally and informally. The home employs a number of staff who are related, while there is no evidence to conclude that these relationships are not professional the owner needs to be aware of the potential and should continue to monitor the situation. The home has a low turn over in staff and many of them have worked for the home for a number of years, staff spoken with said that they enjoy their work and feel that they receive support and training to enable them do their job. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 16 Environmental Health officer visited the home on 23 February 2006 and the premises were satisfactory. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 17 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 18 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. 3. Refer to Standard OP31 Good Practice Recommendations The registered manager should achieve NVQ level 4 in management. Hillside DS0000006634.V286773.R02.S.doc Version 5.1 Page 19 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. 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