Inspection on 30/08/06 for Hillside House

This inspection was carried out on 30th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hillside House 15/09/09

Hillside House 18/09/07

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 Anthony Barker Unannounced Inspection 30 August & 8th September 2006 09:05 th Hillside House DS0000019915.V307991.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.V307991.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.V307991.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 (01159) 300171 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) United Health Limited Vacant Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 2005 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. The pre-inspection questionnaire, completed by the Manager, gave its fees as currently ranging from £1499 to £1674 per week. Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The time spent on this inspection was 5.75 hours and was a key unannounced inspection. The residents had high levels of dependency and therefore were not able to contribute directly to the inspection process, though they were observed throughout the visit working with and being cared for by staff. The Acting Manager and one social care worker were spoken to and records were inspected. There was also a tour of the premises. Both residents were case tracked so as to determine the quality of service from their perspective. This inspection focussed on all the key standards and on the progress made towards achieving the requirements and recommendations made at the last inspection. The pre-inspection questionnaire was reviewed prior to this inspection. What the service does well: What has improved since the last inspection? What they could do better: Staff must be provided with regular fire training and periodic fire drills must occur. A new 5-year certificate of electrical wiring safety must be in place. Electrical checks of the Home’s fire alarm, and emergency lighting, systems must be undertaken. A risk assessment of the Home’s environment must be Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 6 carried out and measures taken to manage any hazards identified. The Registered Provider must arrange for monthly visits to be made to the Home. 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 House DS0000019915.V307991.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.V307991.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 at least once during a 12 month period. 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. Prospective service users’ needs were being assessed so that staff could provide individually tailored care. EVIDENCE: The two service users moved into this Home in November 2001 and August 2003. A full assessment of both service users’ needs was made prior to their admission, as confirmed by detailed examination of care records at the unannounced inspection in June 2005. Hillside House DS0000019915.V307991.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 at least once during a 12 month period. 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. Service users were benefiting from having individual care plans setting out goals to meet their needs. They were making decisions about their lives, with staff assistance, in order to empower them. They were being supported to take responsible risks. EVIDENCE: Both service users’ care files were examined and showed that well-considered care plans were in place that were guiding staff in meeting the service users’ assessed needs. Associated with the care plans were a good range of risk assessments and progress sheets. The latter provided monthly reviews of each service user’s progress towards care plan goals. Risk assessments were being reviewed at approximately yearly intervals. There were an appropriately descriptive set of notes in each service user’s individual ‘Daily Notes’ diary and one service user had a ‘Life Story Book’ giving helpful insights, through photographs, into life history and interests. Care review meetings were taking place annually. One social care worker, who had worked at the Home for three years, provided a helpful and insightful description of the two service users’ lives and Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 10 personalities. She confirmed that neither of the service users used speech at all. She spoke of staff watching the service users’ response to various options put to them, regarding daily activities, in order to gauge their interest and choice. She gave examples of body language and facial expressions in relation to them making choices about preferred food items. She said that they both make it very clear to staff when they are ready for getting up in the morning, going to bed and having a meal – adding that “it would be disrespectful to get (service users) up before they are ready”. 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, giving help during epileptic episodes and problems with the use of vehicles. The social care worker described how staff enable service users to take responsible risks. For example, one service user is supported by staff to walk within the Home while recognising the risks of falling. Hillside House DS0000019915.V307991.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 at least once during a 12 month period. 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. Service users were involved in fulfilling and age-appropriate activities within the Home and in the local community. They were able to maintain appropriate family relationships and were provided with a healthy personalised diet. Daily routines reflected their individual choice and promoted independence. EVIDENCE: The service users were not attending any day services and were provided with one to one care by the social care workers at the Home. The social care worker spoken to described a range of activities that the service users were enabled to be involved in. She said staff knew from facial expressions how much the service users were valuing these activities and finding them fulfilling. One service user loves music, especially classical music, and colour and movement in the environment. The worker spoke of how car journeys and visits to the theatre, for instance, meet these needs. The service users’ bedrooms were decorated with particular emphasis on visual stimulation. Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 12 The social care worker stated that both service users spend time in the local community at least three to five times a week. Activities include shopping for personal items or for food, attending local social events and going to a pub. She said they have become known by local people. Activities were planned to give the residents experiences that positively challenge them and include them in the social world. The only limit to the frequency of trips out, further afield, is staff availability to drive the Home’s ‘people carrier’ vehicle, the worker commented. One service user was taking a holiday with staff once a year. The Acting Manager commented that he was exploring the need for one service user to have access to funding that would provide opportunities for spontaneous purchases while out in the local community. The mother of one service user was visiting most Sundays for a significant part of the day – taking lunch with the service user and getting involved with personal care activities. The mother of the other service user was visiting every month or two. This service user was also, occasionally, going home to visit relatives. Neither of the service users had friends or any external advocates. The social care worker described daily routines that promoted service users’ independence – such as one service user being encouraged to eat with a spoon. Both service users have two baths a day for reasons of personal hygiene but, also, one service user particularly enjoys playing with water and finds a bath relaxing, the staff member said. Staff were providing the service users with privacy by ensuring doors are closed while they dress and undress and use the toilet. 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. These were displayed in the kitchen and indicated that the service users were being provided with a varied and nutritious diet. Both service users were helped, by staff, to eat. They were 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.V307991.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 at least once during a 12 month period. 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. Service users were receiving personal support in the way they preferred. Their health needs were being met and they were being protected by the Home’s procedures for dealing with medicines. EVIDENCE: The Home’s care plans were laid out in sufficient detail and clarity to ensure that staff care for and support the service users with consistency. Both service users had some mobility problems and used a wheelchair outside the Home. Specialist equipment within the Home was limited to the Parker bath, individual wheelchairs, bed rails for one service user and a plate guard to aid eating by the other. The Acting Manager referred to the value of both service users having their own personal space in their bedrooms and they were observed making frequent use of this highly personalised space. Daily routines, such as getting up and going to bed times, were flexible and based entirely on the service users’ preferences, the social care worker reported. There was no record of the service users’ likes and dislikes and the Acting Manager thought this less important given the longstanding and stable staff group. A discussion took place on the benefit of such a record for new members of staff. Staff were observed to be respectful in their communication with the service users. Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 14 Records indicated that the health care of the service users was properly managed and showed how outside professionals were able to help residents. Each contact with health care professionals was being recorded. The Acting Manager spoke of community physiotherapy and occupational therapy involvement in relation to the service users’ wheel chairs. The social care worker also confirmed that the service users have regular dental checks and a chiropodist visits the Home. Neither of the service users was able to manage their own medicines and systems operated by staff at the Home were acceptable. The two Medication Administration Record (MAR) sheets were examined and found to be satisfactory. Medicines were securely stored. There were no controlled drugs on the premises. Hillside House DS0000019915.V307991.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service. Service users were benefiting from the Home’s complaints policy and procedures and were being protected from abuse. EVIDENCE: The Home had a complaints policy and procedure displayed. This was satisfactory but did not include a timescale in which complaints will be dealt with. The Acting Manager reported that there had been no formal complaints made by anyone within the previous 12 months. However, there was no system to record complaints and this matter was discussed with the Acting Manager. No complaints about Hillside House had been received by the Commission. The Company’s policies and procedures for protecting service users from harm were examined. The ‘safeguarding adults’ procedures were satisfactory but did not make explicit the fact that the local Social Services office should be contacted, as lead agency, following evidence or suspicion of abuse. There was an extensive ‘whistle blowing’ policy and the social care worker, who was spoken to, showed good awareness of this 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. The service users’ finance sheets were examined and cash balance figures were found to be correct when cross-checked against monies held. No ‘safeguarding adults’ referrals, regarding Hillside House, had been received by the Commission. Hillside House DS0000019915.V307991.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is ‘Excellent’. This judgement has been made using available evidence including a visit to this service. The service users were living in a most comfortable, homely and safe environment that was clean and hygienic. EVIDENCE: Hillside House is a purpose-built bungalow with wide corridors and spacious rooms, to allow for people with mobility problems. It had been fitted, to a high standard, with equipment, furniture and fittings of a style that could be expected in an ordinary domestic setting, and security against intruders was covered by a keypad system. The Home is near the town centre of Ilkeston and staff were able to get to local amenities on foot or by car as required. The Home shares a maintenance person with two other local Homes, operated by the Company, and he ensures that all repairs are completed quickly. He also carries out a number of health and safety activities such as the fire safety tests. Decoration of the Hillside House had been carried out to a high 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 - styles and colour schemes had been developed with their help or their relatives. The spaciousness of the premises allowed room to work individually with the Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 17 service users in either the lounge or bedroom areas. The bathroom was also particularly attractive with a number of mobiles hanging from the ceiling. There was a very attractive rear garden that included a ball pool. Hillside House is commended on its high environmental standards. There was a written Infection Control policy in place and there were no unpleasant odours at the time of this inspection. The social care worker was able to describe good practice regarding the Transportation of infected materials around the Home. The service users’ personal toiletries were accommodated in separate cupboards in the bathroom. This minimised the risk of cross-infection. The Home had a well-equipped laundry room with a washer, dryer, sluice and cleaning materials cupboard. Care staff were responsible for the personal laundry and bedding of the service users and there were good standards of cleanliness and hygiene at the time of the inspection. Hillside House DS0000019915.V307991.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 & 36 Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service. The service users were being supported by an effective, qualified, well-trained and supervised staff group. They were also protected by the Home’s recruitment procedures. EVIDENCE: 75 of the social care staff had achieved a National Vocational Qualification (NVQ) in care at level 2. The Acting Manager stated that there were two members of staff on duty at all times – except at night when there was one member of waking staff. The staffing rota, sent to the Commission with the pre-inspection questionnaire, supported this. The social care worker described her colleague group as “a good team of sensitive and caring staff”. Other aspects of standard 33 were not assessed on this occasion. The personal file of a social care worker, appointed in June 2006, was examined. It was found to meet all the Regulation requirements. This newly appointed social care worker had not received a formal induction, the Acting Manager reported. This had been due to him having worked at this Home between 2002 and 2004 and the absence of a manager in June 2006. The Acting Manager accepted that all new staff should have a formal induction, Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 19 to Skills for Care standards, unless already achieved elsewhere. He confirmed that the Learning Disability Awards Framework (LDAF) was not being used due to difficulty finding suitable material. All staff had received training in mandatory subjects – including Basic Food Hygiene, First Aid, Moving & Handling - but fire training had not been provided since 2004. There was no quickly accessible record of staff training and the introduction of a ‘training matrix’ was discussed. The Acting Manager stated that all staff had received formal supervision in July 2006 with the next sessions due in September. He spoke of plans to undertake staff appraisals in January 2007. Hillside House DS0000019915.V307991.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is ‘Adequate’. This judgement has been made using available evidence including a visit to this service. Service users were benefiting from a well run home though the Acting Manager had yet to become registered. They were not benefiting from an effective quality assurance system and their health and safety was not being fully promoted. EVIDENCE: There had been no registered manager at this Home since March 2006. The present acting Manager had been in post since July 2006. He qualified (RNMH) in 1994 and had subsequently completed his NVQ level 4 in management. He was sharing the management of this Home with that of the adjacent Home, also operated by the Company, and judged his allocation of time, to this post to be 10 to 12 hours a week. This is acceptable to the Commission. The staffing rota was showing his working hours at the Home as well as his availability during other parts of the week, so staff knew when he could be contacted. He was planning to put in his application to the Commission, to be registered manager, as soon as his Criminal Records Bureau (CRB) disclosure was received. Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 21 The Acting Manager was not aware of any monthly visits to the Home during 2006, on behalf of the Registered Provider, as required by Regulations. The last recorded visit was in October 2005. The Acting Manager stated that there had been no questionnaires, sent to relatives of the service users, or staff, or visiting professionals, seeking their views on the quality of the service. An Annual Development Plan for the Home had not been developed. The Acting Manager provided evidence of the Fire Officer last visiting in June 2005 and the Environmental Health Officer in April 2005. There were no recommendations outstanding from these visits. It was noted that the Home’s electrical wiring certificate was dated May 2001 and was therefore four months overdue. Regular fire drills with staff and service users were still not being carried out and a risk assessment had not been carried out for all aspects of the health and safety of the building. There had been no electrical checks of the Home’s fire alarm, or emergency lighting, systems, as far as the Acting Manager was aware, though he confirmed they were tested weekly by staff. Accident records were examined and found to be satisfactory. Hillside House DS0000019915.V307991.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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 3 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 3 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 2 X X 2 X Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? 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. 1. 2. Standard YA35 YA39 Regulation 23(4)(d) Requirement Timescale for action 01/12/06 01/11/06 2. YA42 3. 4. YA42 YA42 5. YA42 Staff must be provided with fire training at least once a year and twice yearly for night staff. 26 The Home must be visited at least once a month by a representative of the Registered Provider and a report submitted, as detailed in this Regulation. 23(4) The registered person must arrange regular fire safety drills at the Home. (Previous timescale was 30/09/05) 23(2) A new 5-year certificate of electrical wiring safety must be in place. 13(4) A risk assessment of the home’s environment must be carried out and measures taken to manage any hazards identified. (Previous timescale was 31/03/06) 23(4)(c)(iv) Electrical checks of the Home’s fire alarm, and emergency lighting, systems must be undertaken. 01/11/06 01/11/06 01/12/06 01/12/06 Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 24 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. 3. 4. Refer to Standard YA18 YA22 YA22 YA23 Good Practice Recommendations A ‘likes and dislikes’ list for each service user should be drawn up. The Home’s complaints policy and procedure should include a timescale in which complaints will be dealt with. There should be a system for recording complaints made about the Home. The adult protection procedures should make explicit the fact that the local Social Services office should be contacted, as lead agency, following evidence or suspicion of abuse. All new staff should have a formal induction, to Skills for Care standards, unless already achieved elsewhere. A quickly accessible record of staff training should be introduced. All staff should receive an annual appraisal of their work that identifies training needs and work performance and capabilities. (This was a previous recommendation) Questionnaires should be sent to relatives of the service users, and staff, and visiting professionals, seeking their views on the quality of the service. An Annual Development Plan for the Home should be developed. (This was a previous requirement) 5. 6. 7. 8. 9. YA35 YA35 YA36 YA39 YA39 Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Extracts may not be used or reproduced without the express permission of CSCI Hillside House DS0000019915.V307991.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!