Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/05/07 for Hillside Nursing and Residential Home

Also see our care home review for Hillside Nursing and Residential Home for more information

This inspection was carried out on 16th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents who spoke to the inspector liked the staff who cared for them, they said staff were "always willing", "cheerful" and "friendly". "I have seen care staff respond immediately and appropriately to a person`s medical needs" wrote a social worker. Relatives are made to feel welcome, and can visit anytime. Relatives reported that the home kept them in touch with what was happening to their relative in the home. The relaxed atmosphere of the home supports residents to meet with other residents, their visitors and talk to staff. Staff are given clear guidance on how residents wish to be looked after. Staff understand their roles clearly and receive regular training to maintain and improve their skills. Care plans are regularly reviewed, with the resident and relatives if they so wish. The provider has a comprehensive quality assurance policy, which includes regular audits of the home by visiting managers, questionnaires to residents and relatives, and residents` meetings.The activities coordinator is expanding the range of activities to try and suit as many residents as possible. One respondent to the questionnaire wrote, "The service provides a good calm atmosphere and consistently provides a good caring service."

What has improved since the last inspection?

The environment has been improved by refurbishing an upstairs toilet and reconfiguring the layout of the landing and corridor around it for greater privacy of the room occupants. A new wet room/shower room has been created from an unused bathroom. Fire prevention and safety works are underway to increase the effectiveness of doors in preventing the spread of fire and smoke. The kitchen has been upgraded to remove problems with drainage. The manager has introduced a complaints log, which records action taken to investigate and, if necessary put right, the complaint. The laundry has been made more hygienic with a new impermeable floor. The manager is sending notifications to the Commission of any event which adversely affects the well-being or safety of any resident, as required by the Regulations.

What the care home could do better:

No requirements or recommendations have been made as a result of this inspection. The home will shortly have completed its extension, adding three bedrooms, a sun lounge and an assisted bathroom to the home. The home has applied for these to be registered and a site visit may be made before the new rooms can be brought into use.

CARE HOMES FOR OLDER PEOPLE Hillside Residential Home 20 Kings Hill Great Cornard Sudbury Suffolk CO10 0EH Lead Inspector John Goodship Unannounced Inspection 16th May 2007 09:00 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 Residential Home DS0000024418.V341809.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 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 Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Residential Home Address 20 Kings Hill Great Cornard Sudbury Suffolk CO10 0EH 01787 372737 01787 319506 hillside@caringhomes.org 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) Stour Sudbury Limited Mrs J Warner Care Home 40 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (40) of places Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three persons with the category DE(E) may be admitted pending completion of work taking place at Mellish Care Home. Once the work is complete the variation will cease. 15th May 2006 Date of last inspection Brief Description of the Service: Hillside Residential Home is owned by Stour Sudbury Limited, part of the Caring Homes organisation. The home is a large detached building located in a residential area on the outskirts of Sudbury. Although there are no shops within walking distance, there is a Public House located close by, and the town of Sudbury offers a range of shops and amenities. The home is located on 2 floors, with bedrooms, communal toilets, bathrooms, lounge and dining room on each floor. There is a passenger lift and stairs to the first floor. All 40 single rooms have a wash hand basin, with 24 also having en-suite toilet. There is a patio/decking area, with a wheelchair accessible path leading down to the adjacent home (Mellish House - owned by the same company) and car park. Fees: £331 - £500 pw Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and covered the key standards which are listed under each Outcome Group overleaf. This report includes evidence gathered during the visit together with information already held by the Commission. The inspection took place on a weekday and lasted five and a half hours. The manager was not on duty but the deputy manager was able to be present throughout, together with staff on the morning shift and, later, those on the late shift. Later in the day the regional manager visited the home and was able to assist the inspection. The inspector toured the home, and spoke to some of the residents, and the staff, both individually and in a group. The inspector also examined care plans, staff records, maintenance records and training records. A questionnaire survey was sent out by the Commission to residents and to relatives. Another one was sent to one of the social workers who had clients in the home. Eight relatives responded but no residents. Their answers to the questions and any additional comments have been included in the appropriate sections of this report. What the service does well: Residents who spoke to the inspector liked the staff who cared for them, they said staff were “always willing”, “cheerful” and “friendly”. “I have seen care staff respond immediately and appropriately to a person’s medical needs” wrote a social worker. Relatives are made to feel welcome, and can visit anytime. Relatives reported that the home kept them in touch with what was happening to their relative in the home. The relaxed atmosphere of the home supports residents to meet with other residents, their visitors and talk to staff. Staff are given clear guidance on how residents wish to be looked after. Staff understand their roles clearly and receive regular training to maintain and improve their skills. Care plans are regularly reviewed, with the resident and relatives if they so wish. The provider has a comprehensive quality assurance policy, which includes regular audits of the home by visiting managers, questionnaires to residents and relatives, and residents’ meetings. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 6 The activities coordinator is expanding the range of activities to try and suit as many residents as possible. One respondent to the questionnaire wrote, “The service provides a good calm atmosphere and consistently provides a good caring service.” What has improved since the last inspection? What they could do better: No requirements or recommendations have been made as a result of this inspection. The home will shortly have completed its extension, adding three bedrooms, a sun lounge and an assisted bathroom to the home. The home has applied for these to be registered and a site visit may be made before the new rooms can be brought into use. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 7 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 Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 8 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 Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5. Standard 6 is not relevant to this home. Quality in this outcome area is good. Prospective residents have information about the home which is up to date and sufficient to enable them to decide if they wish to move into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose had recently been updated to include additional staff qualifications. This had also been necessary in making the variation application for three residents from the other home on the site to be moved temporarily to Hillside if the building work made that essential. It had been assessed at previous inspections to contain all the items of information to meet the regulations. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 10 Residents’ survey forms confirmed they had received contracts as required by Standard 2. Care plans contained the pre-assessment forms completed by the manager before a final decision was made to offer a place. At previous visits, resident had said that they had visited the home to see what it was like before deciding to come and live here. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. Residents can expect staff to identify and review their care needs to ensure appropriate care is given. Their safety is protected by the home’s medication procedure and medication audits. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although one resident had been showing signs of dementia, this had not been diagnosed by the Consultant when they had been referred. The doctor had confirmed a level of confusion which would be kept under review. There had been an annual review with the Social worker and the relatives. This was recorded in their care plan. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 12 One resident who had developed a mental disorder had moved to a specialist unit. A sample of care plans was examined. These showed a similar format throughout, conforming to a policy of regular, usually monthly, reviews. One resident confirmed they were involved in care planning and the annual reviews. Care plans recorded this. Appropriate risk assessments were complete and were reviewed monthly. There were the appropriate consents as well as a record of the visits by health professionals. The inspector discussed a recent admission with their keyworker. The carer was able to describe the resident’s needs and abilities in detail, and described how the assessments were done. These covered all actual and potential care needs. The home used the Braden scale for risk assessing for pressure area care. The resident had been admitted in May and their review was set for a date in June. A resident who was in the home for respite care was sitting in a lounge with two relatives. They had come into the home while their spouse was in hospital. They were now anxious to return home. However they did say “I love it here.” The relatives were very pleased with the home. “The room is nice and the food is good.” Since the last inspection, a Stand-aid had been bought by the home. Staff confirmed how useful this was in reducing discomfort to residents when being moved. A sample of Medication Administration Record (MAR) sheets showed no gaps in signatures for administered medication. Part of the midday medication round by the deputy manager was observed. Correct procedures were seen to be followed for checking that the right medication was given to the right person, and that this medication was taken. The inspector examined the records of the fortnightly audit, which was carried out by the manager. This was done with a checklist format and included a ’Corrective action sheet’ where necessary. The manager also gave each member of care staff responsible for administering drugs an annual competency assessment. One resident had stated at a recent meeting that they were not always asked what they wanted to wear each day. The manager had brought this to the attention of staff. Residents spoken to by the inspector all said that they were able to choose what to wear. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. There are many opportunities for residents to participate in activities. Residents’ nutritional needs are monitored, and they have a good choice of meals with safe catering procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had had an activities coordinator for some time. The current post holder had been in post for three months. They had done a training course on the provision of stimulatory activities which emphasised person-centred activity. So the coordinator had asked residents what they would like to do. From their replies she had developed a number of activities for residents to take part in small groups, as residents preferred these. She had also been able to fit in one-to-one sessions with the oldest resident who liked to play Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 14 dominoes in their room. All activities were recorded and a separate record kept for each resident. Staff and residents told the inspector about some recent events in the home. They talked about the way in which the home celebrated St Georges Day. There had been a quiz night in February for residents, relatives and staff. Easter bonnet making had taken up activity afternoons leading up to Easter with prizes for the best. Photographs of this event were on display as were some of the bonnets. Some residents had asked if they could grow some plants. Sunflowers were chosen and were progressing well. Relatives who replied to the survey all said that the home kept them up-todate with what was happening with their relative. All said that the home helped the residents to keep in touch with their families. The cook had recently attended a two-day training and development initiative programme with the company. He was waiting to do the Intermediate Food Hygiene course. The menus were on a two weekly cycle with two roast meals each week. One relative commented “The food is fine but the tea time sandwiches are always the same.” This was put to the cook who said that there was always a choice of fillings each day. The choice may often be similar however. The cook agreed to look at providing a changing choice of fillings through the week. The nutritional status of all residents was subject to the Malnutrition Universal Screening Tool, which collated information on a persons body mass index, weight loss and the presence of acute disease. The measurements were recorded in the care plan. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. Residents and relatives can be assured that their concerns and complaints will be investigated and action taken. Their safety is protected by the staff’s training and awareness of the vulnerability of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had instigated a complaints log following the last inspection. There were four complaints recorded since the last inspection. 3 had been upheld and the log included details of the action taken to put right those complaints. All were investigated within the required timescale. The Commission had investigated one of these complaints during a random inspection. It concerned the action taken by the home to prevent a confused resident from leaving the home unnoticed. The complaint was upheld and the home took immediate action to rectify one of the issues, and implemented action to meet other requirements of the investigation. These actions were verified during this inspection. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 16 All responders to the survey agreed that they knew how to raise a complaint if that proved necessary. Training records showed that staff had attended sessions on the protection of vulnerable adults. When questioned, staff were able to identify possible abuse scenarios and correctly explain the action they would take. The cash float for one resident was checked. The cash tallied with the balance in the cash book, and with receipts. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,24,26. Quality in this outcome area is good. The home has become safer with the upgrading of fire doors. The new shower room and the extension provide more bathing facilities to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The extension to provide three extra bedrooms, a sun lounge and an assisted bathroom was nearing completion. This would be the subject of a separate site visit when it was completed before a new certificate authorising its occupancy could be issued. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 18 The last key inspection report noted that the number of assisted bath/shower rooms was less than had been available when the home was first registered in 2002. To rectify this, a new wet room had been created from an old bathroom, and an assisted bathroom would be part of the extension. A sample check of hot water temperatures in room 55 and in the toilet next to room 37 showed that both were within the safe limits. The WC next to room 45 had been required at the last key inspection to be taken out of use. It had now been refurbished and made safe and hygienic. The area around it had been re-designed to re-locate the entrance to room 45 which increased the privacy of the occupant. In the laundry both tumbler driers were out of action. The home was able to use the facilities at the adjacent home on the site, although it needed 2 staff to carry the baskets of wet clothing down the hill. The comment by a relative about the standard of ironing was passed to the deputy manager for investigation. She was not sure if this matter had been raised with the home by the relative. Pigeonholes for residents’ clothes were placed in the laundry where residents’ clothes were sorted prior to being taken to their rooms. Ten had not yet been emptied that morning. The deputy manager said they should have been done by the keyworker and took action to get the clothes taken to the residents’ rooms. A new impermeable floor had been laid in the laundry since the last key inspection. The Environmental Health Officer of the local authority had visited the home on 21/03/07 and was satisfied that action had been taken to improve previously unhygienic drainage in the kitchen by moving the dishwasher, the sink and the worktops to another part of the kitchen. It was noted that there was still some making-good to be done. The home had been required by the Fire Officer to upgrade many doors, fit them with smoke seal strips and replace hinges with fire rated ones. This work had been due to finish in early May but the start had been delayed. The work was now due to be completed by 8th June 2007. The communal areas were no longer used by the staff for training sessions according to the deputy manager. Residents were seen to be using all the communal rooms on each floor. Residents’ rooms continued to be personalised with their own items which helped to give a homely and familiar feel to the room. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. The home can demonstrate safe recruitment procedures, which protect residents. The number of staff rostered on duty is sufficient to support the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff rota for the week was examined. All shifts were planned with the appropriate staffing levels. The number of care staff rostered and present on the early shift on the day of the inspection was sufficient for the needs of the residents. The staffing level for the early shift had been reduced from six to five while five residents were in hospital. This had been notified to the Commission. The deputy manager said that they would re-assess staffing levels when those residents who were currently in hospital returned to the home. The inspector had a discussion with a senior carer. They were studying for NVQ Level 2 and confirmed that they received regular supervision. They were a keyworker for eight residents and were able to explain that role clearly. They said that staff levels were adequate for the current needs of the residents. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 20 Two personnel files for recently appointed staff were examined. All identification and protection checks had been made before the individuals started work. Training records showed that there was a full induction and training programme for each person, with a Skills For Care log with dates and signatures. The training record for staff at the home was examined together with the latest internal audit of training. This showed that all mandatory courses were being arranged and attended, with a training matrix on the wall to show progress through the year. All the staff on duty during the inspection for whom English was not their first language were heard to be fluent and understandable. Over 50 of care staff were trained to NVQ Level 2 or above. The deputy manager had recently completed NVQ Level 3. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38. Quality in this outcome area is good. Residents can be assured that there is a system for obtaining their views on the running of the home to ensure it is run in their best interests. A process of staff supervision protects residents by continually monitoring and improving the skills of the staff. The system of auditing, and the regular maintenance checks ensure that the home is safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home was qualified to NVQ Level 4 and was experienced in the care of older people. She was supported by regular visits from the Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 22 Regional Manager, and company financial and estates support. The home was waiting to be sent the new certificate of registration authorising a minor variation to allow three residents from the other home on the site to be temporarily accommodated in Hillside as part of the enabling work on that home’s extension. The regional manager reported that the move might not be needed. The provider had a comprehensive quality assurance process. A monthly visit report by the Regional Manager acted as the report required by Regulation 26 of the Care Homes Regulations. It was also a useful management document identifying the need for action and whose responsibility it was to take action. There was a system of monthly audits by the Regional Manager, with a full audit of the home annually. The latest one was dated May 2006, and the current one was being completed by the manager at the time of the inspection. It required an assessment of all areas of the operation of the home, together with any remedial action required. There were numerous audits including cash, care records, training, and medication. Questionnaires were sent annually to residents and to relatives, and to staff asking for comments on aspects of the home. The last survey was sent out in November 2006. No major issues were raised in the replies, which were seen by the inspector. Meetings were held for residents and relatives. The most recent one took place on 19 April 2007. Six residents attended, but no relatives. Two comments were actioned. One person asked for scrambled eggs to be on the breakfast menu. This was done. One resident stated that they were not always asked what they wanted to wear each day. The manager had brought this to the attention of staff. Residents spoken to by the inspector all said that they were able to choose what to wear. There was a regular planned and recorded programme of staff supervision. Sessions took place every two months, and there was also an annual appraisal. Staff were able to confirm that these sessions took place and that they were helpful. Records were seen for the regular testing of fire detection equipment, for the operation of the door closers, and for the testing of the hot water temperatures. The accident/incident log was examined. There were monthly analyses of all reports, by resident and by type of incident. The regional manager stated that two reports on one resident would trigger a review to determine if further action was necessary to identify any particular cause of the repeated incident. Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 23 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 3 3 3 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Hillside Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 24 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 Residential Home DS0000024418.V341809.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Residential Home DS0000024418.V341809.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!