Inspection on 19/12/05 for Hillside Farm Care Home

This inspection was carried out on 19th December 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 Farm Care Home 19/07/06

Hillside Farm Care Home 19/09/05

Hillside Farm Care Home 04/03/05

Hillside Farm Care Home 21/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Hillside Farm Care Home Bunny Hill, Loughborough Road Bunny Nottingham NG11 6QQ Lead Inspector Paula Dutton Unannounced Inspection 20th December 2005 10:00 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 Farm Care Home DS0000008694.V273216.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 Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hillside Farm Care Home Address Bunny Hill, Loughborough Road Bunny Nottingham NG11 6QQ 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) 01509 852 900 01509 852 900 Mrs Rita Karen Linley Mrs Rita Karen Linley Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (7) of places Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/05 Brief Description of the Service: Hillside Farm Residential Home offers accommodation for up to 7 people who are over 65 years of age. Currently there are 5 residents living at the home. The building is located just off the main road through to Nottingham from Loughborough. There is ample parking space to the front of the premises. The owner/manager resides in a house connected to the residential home. The building is surrounded by countryside. All areas of the premises are accessible for people with limited mobility. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of two and a half hours. The owner/manager was present during this time and participated in the inspection process. All five residents were present at the home on the day of inspection. One member of staff was interviewed about services offered by the home. Two residents’ record files and medication records were viewed. One resident was seen whilst in her room. A brief tour of the premises took place. A visiting vicar expressed her opinions of the services offered by the home. This process of gathering information is known as ‘case tracking’ and considers outcomes for residents. What the service does well: This is a very well managed service. Some strengths within the service include: • • • • • • • • A constant accessible support of the owner/manager. A small close staff team of 5 staff. A homely environment and programme of investment and renewal offering exceptional standards. A good working relationship with outside health professionals. The environment is always maintained to a good standard. Staff are always helpful and visitors are made welcome. Residents are offered the choice to attend Communion services. The home works closely with Church so that individual visits can take place including during the night if necessary. A visiting Vicar stated: What has improved since the last inspection? This is a very well managed and organised service where good standards of care are achieved and maintained. Some improvements were identified: • Investment in the provision of ensuite facilities. • Completion of National Vocational Qualifications in Care (Level 2 and 4) Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 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 Farm Care Home DS0000008694.V273216.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 Farm Care Home DS0000008694.V273216.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): 3 Assessment of individual needs ensures residents can effectively inform the home of their expectations and care needs prior to admission so that their needs are met fully and safely. EVIDENCE: Discussion took place with the owner/manager about the needs of older people. The owner/manager demonstrated a good working knowledge of the issues affecting older people entering care services. Evidence indicated a thorough assessment process takes place prior to admission. The owner/manager had a good understanding of the limits of the home’s registration details to consider when admitting a new resident. The home’s registration certificate was displayed for viewing. Hillside Farm Care Home DS0000008694.V273216.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, 8, 9, 10 Residents’ care needs are identified and met. EVIDENCE: The owner/manager stated all residents have a care plan that reflects care needs and the actions to be taken by staff to ensure needs are met. Evidence showed residents’ care plans identified residents’ care needs and instructions to staff on action to take. The home’s policy and procedure was viewed for the safe management and administration of medication. This contained clear directions on how to store and administer medication. The home has a weekly delivery of medications stored in a NOMAD sealed unit. A member of staff responsible for the administration of medications discussed the process of administering medications. The home routinely uses name labels in plastic pots as a matter of promoting safety when administering medications within the presence of the receiving resident. Staff were observed to interact respectfully with residents. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 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): 15 Residents receive a varied and nutritional choice of food and drink. EVIDENCE: The kitchen was clean, tidy and organised. The manager stated meals are cooked fresh each day and only fresh produce is used. Residents are offered a choice of meal but other choices of meals are accommodated according to requests. The home works closely with outside health professionals including the District Nurse in monitoring the nutritional needs of residents. Evidence was seen of monitoring weight and fluid intake. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 11 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 Residents’ rights and safety are protected. EVIDENCE: The home has a complaints policy and procedure however there have been no complaints. Discussion with a member of staff demonstrated staff have an understanding of the prevention of abuse and how to uphold residents’ rights. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 12 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, 20, 21, 22, 23, 24, 25, 26 This service offers an environment that is suitable to residents’ needs and maintained to a very high standard. EVIDENCE: A tour of the premises found all areas of the home to be very clean, tidy and well maintained. Work was under way in some bedrooms to create ensuite facilities. All areas of the home were level and accessible for people with mobility impairments. All rooms were tastefully decorated and equipped with small furnishings and fittings. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 13 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, 29, 30 There are sufficient competent staff provided to meet the needs of residents. EVIDENCE: There is a stable small team of staff (five) who provide staffing for the home. A rota records who is working each day. One staff file was viewed which demonstrated appropriate checks are completed before a new member of staff works in the home. This included a Criminal Record Bureau check and two written references. Discussion with a member of staff established the staff group have access to training opportunities including National Vocational Qualifications. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 14 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, 32, 37 This is a very well managed and organised service, which ensures residents receive a consistent planned service. EVIDENCE: The owner who is also the manager is available at the premises constantly. The owner and her family live in a property attached to the home. The ethos of the service is to create a family atmosphere in a homely environment. The owner/manager has a career in nursing and has recently achieved a Registered Manager’s Award. The owner/manager is available constantly to observe the standards of care services being delivered to the residents and is instrumental in the provision of care to residents. Staff were observed receiving instruction from the owner/manager who offers decisive and clear leadership. The owner/manager stated there are good open relationships between all staff. There are only 5 Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 15 staff and the owner/manager available at the home, which encourages close and effective communication. All records were securely and individually stored. Entries were signed and dated. The content of records were factual and productive. Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 16 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X 3 X Hillside Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 17 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 Farm Care Home DS0000008694.V273216.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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