Inspection on 18/09/07 for Hillside House

This inspection was carried out on 18th September 2007.

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 House 15/09/09

Hillside House 30/08/06

Hillside House 02/12/05

Hillside House 08/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hillside House 31 Albany Street Ilkeston Derbyshire DE7 5AD Lead Inspector Vanessa Davies Unannounced Inspection 18th September 2007 09:30 Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 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 House DS0000019915.V352519.R01.S.doc Version 5.2 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 House DS0000019915.V352519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside House Address 31 Albany Street Ilkeston Derbyshire DE7 5AD (01159) 300171 0115 9300171 hillside@unitedhealth.co.uk www.unitedhealth.co.uk United Health Limited 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) David Wagstaff Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Hillside House Care Home is registered to care for younger adults between the ages of 18 and 65 years whose primary need is that of a learning disability The maximum number of service users to be accommodated at Hillside House Care Home is 2 30th August 2006 Date of last inspection Brief Description of the Service: Hillside House offers care to 2 adults who have a learning disability and who may also have a physical disability. It is situated in a residential area near the town centre of Ilkeston. The Home is spacious, with a pleasant garden and patio area leading from the lounge. The bathroom is also spacious and offers a specialist bath that ease the arrangements for people who need help with bathing. There is an additional shower room. The staffing levels at the Home have been set high, with a minimum of 1 to 1 being employed. Hillside House is situated adjacent to another home in the Company with which it is able to share some facilities such as the sensory room and fax machine. The Home aims to offer a community life for two people who previously might only have expected a life in a much larger establishment. Information on the contracts of the two service users detail fees as £1342 £1593. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information for this report was gathered from information provided prior to the visit and during the visit. The inspector read service users records and records kept by the home relevant to safety and monitoring. The fees for the home were detailed within the contracts held for the service users and range from £1342 - £1593. What the service does well: Service users receive a full assessment of need prior to admission and are kept up to date with regular reviews. Care plans and risk assessments are developed from the assessment of need, to enable staff to meet the service users’ needs. Staff have good, positive relationships with the service users and although the service users have no verbal communication the staff are able to assess what they need. Service users develop social skills with the help of staff, supporting them in the community and developing skills within the home, promoting choice and independence. Relatives are supported and encouraged to visit the home without restriction. Medication is stored securely and administered by appropriately trained staff. Service users are supported to access the services of other professionals as necessary. The home has a detailed complaints procedure and staff are aware of how to document any complaints received. The home also has a new Safeguarding Adults procedure which meets with the requirements of the local authority. Hillside House is a clean and well-decorated home, which provides necessary equipment to meet the needs of the service users. Staffing levels are set to meet the needs of the service users. A rigorous recruitment procedure is in place to ensure the safety of the service users. Appropriate audits and safety checks are carried out on a regular basis to help to ensure the safety of the service users. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 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 House DS0000019915.V352519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments of need, being kept up to date ensure that staff are able to continue to meet the changing needs of the service users. EVIDENCE: The two service users have lived at the home a number of years and were admitted with a detailed assessment of need. Both assessments of need have been regularly updated with input from relevant professionals and relatives, the last review for each service user was 09.01.07 & 11.04.07. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care plans and risk assessments and positive relationships between the service users and staff ensures that service users needs are met. EVIDENCE: Both service users’ care files were examined and held detailed care plans and risk assessments. A number of the care plans and risk assessments had not been regularly reviewed. This was discussed with the Registered Manager who agreed to undertake reviews. A number of care plans and reviews were not dated or signed, however the manager agreed to complete this on reviewing them. Staff spoken with knew the service users very well and had built up a good, positive relationship with them. None of the service users were able to communicate verbally, however staff were able to assess what they needed via other means of communication. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 10 Recorded risk assessments were being used to ensure that staff were aware of the risks and hazards likely to be experienced by the two service users and to identify risk management strategies. Examples of the areas covered included poor walking ability, car outings and playing with plastic bags. One of the care workers described how staff enable service users to take responsible risks and the example given was a service user being supported to walk around the home, although there was a risk of falling. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed information regarding social history, minimum 1:1 staffing levels and positive links within the local community assist staff with meeting the holistic needs of the service users and promote a positive self image. EVIDENCE: The service users do not attend day services and are provided with one to one care by the staff at the home. The staff spoken with discussed a range of activities that the service users are involved in. One service user was playing with a number of noisy toys on the days of inspection and staff were clearly aware of which ones were liked and which were the favourites. Each of the relatives and friends are able to visit without restriction and within the service users file there is a detailed social history/life story. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 12 The service users’ bedrooms were decorated with particular emphasis on visual stimulation and the staff stated that they were trying to arrange to have further visual stimulation on their ceilings and clearly a great deal of thought had gone into it. Care staff stated that they access the local community with the service users regularly throughout the week and are well known within the community. The kitchen was well stocked with food that included fruit and vegetables and home baked meals in the freezer. The service users’ food preferences were reflected in highly personalised menus. Both service users are involved in food shopping but not in its preparation. However, the social care worker said that staff may involve a service user in baking, as therapy. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Input from other professionals and appropriate administration and storage of medication ensures that service users receive the support required without risk of harm. EVIDENCE: Both service users had some mobility problems. The staff referred to the value of both service users having their own personal space within their bedrooms and one service user was observed making frequent use of this highly personalised space. Daily routines, such as getting up and going to bed times, are very flexible and based entirely on the service users’ preferences. Records indicated that the health care of the service users was properly managed and showed how other professionals were involved with service users as necessary. Each contact with health care professionals was being recorded. Neither of the service users are able to manage and administer their own medication, therefore medication is administered by staff trained to do so. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 14 Medicines were securely stored. premises. There were no controlled drugs on the Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed complaints and safe guarding policies and procedures help to ensure that staff are clear about their role and service users are safe from harm. EVIDENCE: The Home has a complaints policy and procedure displayed. This was satisfactory. The Manager stated that there had been no formal complaints made by anyone since the last inspection. The Company’s policies and procedures for protecting service users from harm were examined. The ‘safeguarding adults’ procedures had been rewritten since the previous inspection and now included all of the necessary information. There was an extensive ‘whistle blowing’ policy. Records confirmed that staff had recently been provided with training on the subject. It is also covered by staff who are undertaking a National Vocational Qualification (NVQ) level 2. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clean and bright environment helps to promote a good positive image for service users. EVIDENCE: Hillside House is a purpose-built bungalow with wide corridors and spacious rooms, to allow for people with mobility problems. It has been fitted with necessary equipment. The Home shares a maintenance person with two other local Homes, operated by the Company, and he ensures that all repairs are completed quickly. The Manager also manages the home next door, however he has no immediate access to Hillside and has to use the road, which can take some time if there is an emergency. Decoration of the Hillside House had been carried out to a good standard and the environment was attractive and homely. The two service users’ bedrooms were well personalised with plenty of visual stimuli. They had been fitted out to suit the service users’ individual tastes. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 17 There is a written Infection Control policy in place and there were no unpleasant odours at the time of this visit. The home had a well-equipped laundry room with a washer, dryer, sluice and cleaning materials cupboard. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in sufficient numbers, with appropriate training and supervision helps to ensure that service users are supported to meet their full potential within a safe environment. EVIDENCE: Staff spoken with were clear about their roles within the home and those of the manager and deputy manager. The staffing levels within the home are a minimum of 1:1, on the day of the visit there were 2 care staff and the Deputy Manager on duty. There is one person on duty during the night. Staff training records examined evidenced that Fire Safety training, Infection Control, Food Hygiene, First Aid, Manual Handling, Safeguarding Adults. All staff have completed NVQ 2 training, 3 staff have completed NVQ 3 and 2 staff are undertaking NVQ 3. Staff spoken with stated that they have monthly 1:1 supervision with the manager, with one member of staff having supervision on the day of the visit. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 19 The Manager stated that the home has a rigorous recruitment procedure, each member of staff has 2 written references, a Criminal Records Bureau check and 2 forms of identification. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Regular monitoring and up to date safety checks and audits help to ensure service users safety and highlight any necessary changes required to meet their changing needs. EVIDENCE: The Registered Manager manages Hillside house and the home next door. It is clear from the care plans, observing the service users and speaking with the staff that he is able to do this without it having a negative effect. The manager and staff at the home undertake regular audits on various aspects of care and safety. Regular Regulation 26 visits are completed by the Operations Manager. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 21 Fire Alarm and emergency lighting tests are carried out weekly, fire drills are carried out 6 monthly, the last one being in April 2007. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 23 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. 1. 2. Refer to Standard YA6 YA42 Good Practice Recommendations All risk assessments and care plans should be reviewed, dated and signed. The Organisation should consider making an easy access route between the two homes managed by the Registered Manager, to ensure quick, safe access in the event of an emergency, particularly during the night. Hillside House DS0000019915.V352519.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 House DS0000019915.V352519.R01.S.doc Version 5.2 Page 25 - 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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