This inspection was carried out on 19th September 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.
CARE HOMES FOR OLDER PEOPLE
Hillside Farm Care Home Bunny Hill, Loughborough Road Bunny Nottingham NG11 6QQ Lead Inspector
Mary O`Loughlin Unannounced Inspection 19th September 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.V251769.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.V251769.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.V251769.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 04/03/05 Brief Description of the Service: Hillside Farm Residential Home offers accommodation for up to 7 people who are over 65 years of age. 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.V251769.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over 3hours. The owner /manager was present and assisted throughout the inspection. Five residents were spoken with who expressed great satisfaction with the service the home was providing. A brief tour of the premises took place. Individual records of the residents were examined and staff files checked. This inspection report was produced three months after the inspection took place due to the unexpected absence of the inspector. What the service does well: What has improved since the last inspection?
All Requirements and Recommendations from the inspection of March 2005 were seen to have been complied with;
Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 Page 6 Appropriate records were now held of all accidents, incidents and complaints. Staff employment procedure was compliant with the National Minimum Standards and ensured the protection of the residents. 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.V251769.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.V251769.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): 3-4-5 Prospective residents have the opportunity to visit the home and are assured following assessment, that the home is able to meet their needs prior to admission. EVIDENCE: The records examined demonstrated that a thorough assessment had been undertaken prior to the admission of the resident. The home manager had visited the person in their own home to ensure an appropriate assessment was undertaken, ensuring that the home would be able to meet the person’s needs prior to agreeing their admission, which is good practice. Residents confirmed they had been able to visit the home prior to agreeing their admission. Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 Page 9 Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 Page 10 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 Resident’s needs are identified and met. EVIDENCE: Care plans examined demonstrated that each person has their needs assessed and reviewed monthly or as their condition changes. Plans described in detail how the care staff were to support the residents in their daily lives. There was excellent recording of the medical needs of the resident including the involvement of external professionals involved, such as the District Nurse. Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 Page 11 All advise and guidance from external professionals involved was acted upon ensuring timely and appropriate care for the residents. Any risks identified were considered and strategies used to minimise the risks were in place to maintain the safety of the resident at all times. The management of medicines was comprehensive and ensured the safety of the resident. Residents spoken with confirmed they were treated respectfully and discreetly allowing them control over their daily lives and activities. Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 Page 12 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): These standards were not assessed at this inspection. EVIDENCE: Hillside Farm Care Home DS0000008694.V251769.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): 16 The homes policy and procedure on handling complaints ensures that all residents are listened to and complaints are acted upon. EVIDENCE: A complaint policy is in place and all complaints are recorded appropriately. Hillside Farm Care Home DS0000008694.V251769.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 The home is well maintained to a high standard and suitable for the needs of the residents. EVIDENCE: A tour of the home was undertaken, looking at the individual accommodation of the residents. All areas were exceptionally clean and well maintained. Residents rooms were homely and contained personal possessions. The home was clean and warm throughout.
Hillside Farm Care Home DS0000008694.V251769.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): 27-28-29-30 There is sufficient and suitably trained staff employed to meet the needs of the residents. Staff recruitment ensures the protection of the residents. EVIDENCE: Duty records demonstrated appropriate staffing levels in place. All staff are working towards or have achieved National Vocational training. Staff files demonstrated that all appropriate checks were in place to ensure that staff were suitable to work with vulnerable adults. Hillside Farm Care Home DS0000008694.V251769.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): These standards were not assessed at this inspection. EVIDENCE: Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 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 X X 3 3 3 N/A 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 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 4 X X X X X X X 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 X X X X X X X X Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 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. Refer to Standard Good Practice Recommendations Hillside Farm Care Home DS0000008694.V251769.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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