Inspection on 16/02/06 for Hillside Manor

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hillside Manor 23/05/07

Hillside Manor 23/05/06

Hillside Manor 21/10/04

Hillside Manor 24/06/04

Hillside Manor 12/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hillside Manor 133 Barkerend Road Undercliffe Bradford West Yorkshire BD3 9AU Lead Inspector Ashley Fawthrop Unannounced Inspection 16th February 2006 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 Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hillside Manor Address 133 Barkerend Road Undercliffe Bradford West Yorkshire BD3 9AU 01274 735116 01274 743353 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) Mrs Marie Davey Care Home 19 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (15), of places Physical disability over 65 years of age (1) Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd September 2005 Brief Description of the Service: Hillside Manor is a semi detached Victorian building accommodating 19 older people, a number of which have special needs relating to either physical disabilities and/or dementia related illnesses in both single and twin rooms with en suite facilities on two floors. There is one open plan lounge and separate dining room on the ground floor, bathrooms and WCs are situated on each floor. There is a garden and sitting area to the front of the premises and parking to the rear. The home is situated in Barkerend Road several hundred yards from the Cathedral and approximately quarter of a mile from Bradford City centre. There are shops in the locality; the home is situated on a main bus route. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken within one day by one inspector. The inspection process consisted of reading documents speaking to residents, their relatives and where possible staff. The person managing the home was present through out the inspection and has a good knowledge of the conduct of the home. The home provides a good standard of care to the majority of service users. The records are reasonably up to date and the staff receive training in care practices and health and safety however training in mental illnesses must be commenced. The policies on complaints and protection from abuse have been seen to work effectively the home is reasonably well run however due to the manager not being registered and not having a qualification equal to NVQ level 4 this can not be guaranteed. What the service does well: What has improved since the last inspection? The staff training has improved with an increased number achieving NVQ standard. Activities have become more meaning full and delivered by people qualified to do so. The care plans have been brought up to date, and reviewed regularly. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4 The home is attempting to improve the skills of staff to meet the needs of service users with mental illnesses. EVIDENCE: All the standards were inspected at the last inspection and were met with exception of standard 4 relating to the suitability of the home as there were increasing numbers of residents with mental illness, the home does offer training to staff, but nothing had been offered in this relating to the care of individuals with mental health the registered person must ensure staff have the skills to meet the needs of the residents. At this inspection there was evidence that the home was attempting to address this with training, however this had not commenced. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 and 11 Service users are treated with respect and their privacy is maintained. The dying are appropriately cared for and are respected by other professionals. EVIDENCE: On speaking to service users they were happy with the staff and the manager service users said that they are treated with kindness and staff are always there to help. Service users were seen to be enjoying the privacy of their own rooms and staff were seen to respect their wishes and respond to requests. There are policies and procedures relating to the care of the dying there is evidence in care plans of working with relatives and other professionals such as district nurse who said that they were very impressed regarding the approach and attitude of the staff. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The meals appear to be well balanced and nutritious. EVIDENCE: The menus rotate over a four week period and include fresh fruit and vegetables regularly there is at least one cooked meal each day where appropriate and service users have a choice of meal. Service users are involved in menu planning and say they have their preferences included. All service users undertake a nutritional assessment on admission so that any special diets can be provided and any risk from malnutrition is detected. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 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): 18 Service users have seen to be protected by the prevention of abuse procedures. EVIDENCE: There are policies and procedures relating to the prevention of abuse and whistle blowing, there have been a number of occasions where the policies have been used and the home has managed the incidents well and the outcomes have been very positive the allegations that have been investigated have been against any staff at the home. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 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): 20, 21, 22, 25 and 26 Home is maintained reasonably well and is safe. EVIDENCE: The home both inside and out is maintained to a reasonable standard the gardens are well tended and provide a comfortable seating area. The facilities such as toilets and bathrooms are appropriate and all the bedrooms have ensuite WC’s. Where appropriate specialist equipment is available including pressure relieving equipment and hoists. The home is safe and comfortable though there are now signs of wear and tear to the furniture and décor. The home employs staff to clean the home there is appropriate equipment and the atmosphere is clean and hygienic. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 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): 28 and 30 There is an appropriate mix of staff with experience and training, however improvement in training is needed EVIDENCE: Many of the staff have had a lot of experience in the care industry and the staff turn over is low. Staff are offered training in health and safety and personal care, however, training must commence for staff relating to the care of individuals with mental illnesses. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 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, 34, 35, 36 and 38 The manager is not registered therefore her fitness can not be judged accurately and she is not trained to NVQ level 4 standard therefore there is a shortfall in academic training. However, the financial procedures appear sound and the service users and staff benefit from regular supervision and are protected by the health and safety measures within the home. EVIDENCE: As documented in the last inspection the manager is not yet trained to NVQ level 4 or the equivalent therefore the home is failing to meet the standard. She must commence this training as soon as the course she has applied for becomes available. She must also provide information under the Care Standards Act so that the Commission can register her as a fit person to be running a care home. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 15 The homes has a computerised accounting system that deals with the invoices to service users these accounts are checked by a qualified accountant periodically. Staff are supervised formally on a regular basis and there are records available. The home is maintained to a satisfactory standard there are policies relating to health and safety, moving and handling, the safe storage of substances under COSHH and food hygiene. There are machinery and boilers are serviced regularly and records are maintained. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 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 X 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X 3 3 3 X X 3 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X X 3 3 3 X 3 Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? YES 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. Standard OP4 Regulation 18 (1) Requirement Timescale for action 01/06/06 2 OP31 9 (1) 3 OP31 9 (1) Where the home is providing care for individuals with mental illness the staff must be trained to understand the special needs so that the care can be delivered to a good standard. A person shall not manage the 01/06/06 home unless fit to do so. The registered person must ensure that all the relevant information is made available to the Commission so that the fit person process can be completed. The person managing the home 01/06/06 must be trained to NVQ level 4 in management or the equivalent. The registered person must inform the Commission of the date and course the manager is to attend. Hillside Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 18 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 Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Manor DS0000001302.V278454.R01.S.doc Version 5.1 Page 20 - 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. 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