Inspection on 23/10/07 for Hillside Resource Centre

This inspection was carried out on 23rd October 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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hillside Resource Centre 20/09/06

Hillside Resource Centre 07/11/05

Hillside Resource Centre 10/05/05

Hillside Resource Centre 23/11/04

Hillside Resource Centre 19/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Hillside Resource Centre Portesbery Road Camberley Surrey GU15 3SZ Lead Inspector Wendy Mills Unannounced Inspection 23rd October 2007 10:00 Hillside Resource Centre DS0000034532.V348744.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 Resource Centre DS0000034532.V348744.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 Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Resource Centre Address Portesbery Road Camberley Surrey GU15 3SZ 01932 794614 01932 794618 alison.palmer@surreycc.gov.uk Tina.Lawton@surreycc.gov.uk Surrey County Council - Adult & Community Care Mrs Julie Denise Wadham-Coxon Care Home 22 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) Category(ies) of Learning disability (21), Learning disability over registration, with number 65 years of age (1) of places Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Accommodation and services may be provided to named persons aged 65 years and over with the prior written agreement of the CSCI. Up to 8 residents accommodated may also have a dual diagnosis of mental health and learning disability. Respite care may be provided to a maximum of 2 persons at any one time. The matters detailed in the attached schedule of requirements must be completed within the stated timescales. 20th September 2006 Date of last inspection Brief Description of the Service: Hillside is a residential home providing care and support for up to twenty-two people with a learning disability. It is owned and managed by Surrey County Council (SCC) Adults and Community Care Services. The home is located in a pleasant residential area close to Camberley town centre. The accommodation is arranged in three self-contained units within the home. All residents have their own rooms. Each unit has its own kitchen and lounge/dining rooms. The home has its own transport. Surrey County Council has given notice of its intention to reprovide this service. There is to be a three month consultation period to allow the views of all those who have an interest in the home to be considered. No new residents will be admitted to the home during this period. There are currently eighteen permanent residents and two respite care beds. The weekly fees for this home are £608 per person. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced. It formed part of the inspection process of the Commission for Social Care Inspection (CSCI) under the Regulations of the Care Standards Act 2000. This report has been compiled using information gained during this visit and information supplied prior to the visit from a variety of sources such as relatives, visiting health and social care professionals and the home itself. During the visit in-depth discussion was held with senior staff and the deputy manager. Residents and staff were spoken to both in private and during a tour of the home. A tour of the home was made and documentation, including staff files and care plans was examined. Both direct and indirect observation was used throughout the visit. The home meets the National Minimum Standards well. Residents say that they like living in the home and have interesting lives. The residents, staff and deputy manager are thanked for the welcome they gave and their help throughout this visit. What the service does well: The home is well managed. It has a good organisational structure. This means all staff are clear about their roles and responsibilities. Staffing levels and staff training at the home are very good. The home supports the residents to make informed choices and to lead active and fulfilling lives. The residents are treated with a great deal of respect and their privacy and dignity are preserved. The home actively promotes their health and wellbeing. There are comprehensive care plans that promote individualised health and personal care for the residents. There is a well-trained and committed staff team who promote the residents’ independence. There is a very pleasant and welcoming environment. The accommodation is well maintained and homely. Hillside Resource Centre DS0000034532.V348744.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 Resource Centre DS0000034532.V348744.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 Resource Centre DS0000034532.V348744.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): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the residents, their relatives and supporters, with the information they need in order to make a decision about moving into the home. Systems are in place for appropriate pre-admission assessments to be made. This ensures that only those residents who are suited to the home and whose needs can be met are admitted to the home. EVIDENCE: A great deal of very good work has been done on translating notices on the notice board into Widget, including a brief summary of last inspection report. Care plans all have good explanations in Widget about the rights and responsibilities of residents whilst living in the home. No new residents have been admitted since the last inspection as Surrey County Council have stated their intention to reprovide this service. Two residents have already moved on to other care homes. There are clear preadmission policies and procedures and care plans show that there are regular reviews of care plans of all residents. Hillside Resource Centre DS0000034532.V348744.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, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home supports the residents to make appropriate and informed choices. This helps them become more independent. EVIDENCE: Residents said that they are able to make a lot of choices about the way they live their lives. Records confirm this. Care plans are in good order and show all aspects of the residents’ lives are considered. Direct and indirect observation showed that those residents who were at home were able to choose how they spent their time. Three care plans selected for examination and case tracking. All were in excellent order. Risk assessments are in place both for the environment and individuals. New details in Widget have been added since the last inspection. Widget is a system of signs, symbols and pictures that make it easy for residents to understand what is written about them. Details in Widget include things like the choices residents have made, their likes and dislikes, goals and action plans, and the way they wish to be cared for. This provided very good Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 10 evidence that residents participate in their care planning and decision-making. Staff said that residents are given lots of opportunities to make informed choices. On the day of this visit there were examples of residents participating in all aspects of daily life. There are straightforward, pictorial instructions on the use of equipment in the kitchen and chores the residents have agreed to do and the rosters for these. Residents are invited to join staff meetings, take part in appropriate parts of the recruitment process of new staff and have input into up-dating the statement of purpose. Residents are encouraged to take responsible risks, and safety guidelines are set out for their various activities. These include shopping, and leisure activities and activities around the home. Hillside Resource Centre DS0000034532.V348744.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): 11, 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents lead busy and interesting lives and are able to choose how they spend their time. This means that they can lead fulfilling lives and be as independent as possible. EVIDENCE: It was possible to speak to several of the residents during the course of this visit. Not all were able to give their views on the home but those who were able said they like living in the home. They were very happy to speak about their lives both in and out of the home. One was proud to speak of her job in a local department store restaurant; another talked and signed about his interest in photography. Those unable to give their views were indirectly observed and all appeared very happy and relaxed with the staff on duty. Care plans are excellent and show that activity planning is tailored to individual residents. The staff are creative about the way they support interests; for example, one resident is very keen on photography and was spending a lot of money on developing films. He now has a computer and a Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 12 digital camera and is learning how to use the computer to select the photographs he wants to keep. He talked and signed enthusiastically about this hobby. Residents are encouraged to make decisions and choices with support from staff. Information relevant to residents has been translated into resident friendly formats to enable them to participate and make informed decisions. This includes the complaints procedure, care plans and health action plans. No resident manages his or her own money totally independently but a number are able to deal with some aspects of their finances, such as banking and personal shopping with assistance from staff. Residents are encouraged to take responsible risks and safety guidelines are in place for a wide variety of activities. Some residents have been supported to do a basic food handling and hygiene course. One resident has her own laundry room and takes responsibility for her own laundry. Residents participate well in local community life. One member of staff said, “They’re never in, they go to the cinema, swimming –all sorts of things”. Activity plans confirm that residents use local facilities including banks, shops, the theatre and the local college. Other activities include swimming, walks and drives, discos and health and beauty sessions. Recently, some of the residents have been able to choose whether to go to their college placements or to attend a local project that helps find work experience placements. Through this project they have been on work experience at a local supermarket. Records of educational and leisure activities including trips out and holidays are kept for each resident. The home supports the residents well to maintain family and friendship links. Residents said that they could have visitors when they like. Visiting is open and flexible and staff give appropriate support to friendships made both in and outside the home. Recently this has included ensuring that one resident has one-to-one support to continue a long-term friendship. On the day of this visit all of the residents were out of the house at some point. Some were able to go out independently, some went with staff to have their flu jabs, others went out shopping and some were at their work or educational placements. Those who were at home were observed to be comfortable moving around the home and choosing what they wanted to do. Staff gave the necessary encouragement and support for activities and staff rosters showed that there are enough staff on each shift to ensure that activities and appointments are not missed. Residents have “home days” when they are supported to clean their rooms, carry on with their hobbies, do their laundry and help prepare menus and meals. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 13 Meals are flexible and residents are encouraged to be as independent as possible in all aspects of nutrition, from understanding healthy eating to planning and preparing meals. They can help themselves to drinks and snacks and make light meals if they wish. Some residents said that they like working in the kitchen and have done a food hygiene course. They said that they help decide on the menus and help out with the shopping. Staff said that they try to promote healthy food choices whenever possible. On the day of this visit there were large bowls of fruit in the kitchen areas and plenty of fresh vegetables and salads in the fridges. Staff understand the residents’ food and nutritional needs. Special dietary needs are documented on residents’ files. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 14 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. The home promotes the health and well-being of the residents and protects their privacy. This means that they can enjoy as healthy a lifestyle as possible and can be confident that their dignity will be respected. EVIDENCE: Care plans clearly identify personal care needs and the way residents wish their personal care to be managed. There was good evidence to show that the residents have a lot of input into their own care plans. There are clear policies and procedures in respect of support with personal care and the home produces a monthly report for each resident. Documentation setting out personal care needs is in a friendly format, which makes it easier for residents to participate in planning their own care. Examination of care plans and tracking to health and social care appointments showed that specialist advice is sought appropriately and acted upon. Appointments are made with local dentists, opticians and other health care professionals as necessary. Staff said that they maintain very good relationships with visiting health and social care professionals. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 15 Infection control and nutrition in the home are both good. On the day of this visit several of the residents went out to get their flu jabs. Others had received theirs the previous week. Medication is well managed. No residents are entirely self-medicating but some keep their medicines in a locked cabinet in their rooms. Medication is stored appropriately in a locked cupboard in a locked medication room. Records are in good order. Only two very minor issues were noted. There were three handwritten entries on the Medicines Administration Record (MAR) that should have been signed and countersigned but were not. The deputy manager and senior staff agreed to ensure this was rectified immediately. They said that they would be informing all staff who administer medication as soon as possible. A sharps box (left by district nurses) was undated. On the day of this visit there were no omissions on the MAR sheets sampled. There are currently no controlled drugs at this home. All staff administering medication have been trained to do so and one person has overall responsibility for ordering stock. There have been no medication errors since the last inspection. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 16 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. The home has sound policies and procedures for the management of concerns, complaints and protection that residents and staff understand. This means that residents and their supporters can be confident that the home will do its best to listen to their views and protect them from harm. EVIDENCE: There are sound policies and procedures in respect of concerns, complaints and protection. Many of the staff have been working at the home for several years. However, due to the proposed service reprovision, some staff have felt uncertain about their jobs and have left. The home is now using a significant number of bank and agency staff. Staff said that the bank staff are well known to the home and that there are also permanent staff members on each shift. However, the home should be vigilant in the coming months and make sure that staff continue to have a consistent and supportive approach. Staff have been trained in the Protection of Vulnerable Adults (POVA). They understand the whistle-blowing procedure and said that they would always report concerns to the manager. Staff said that they could always talk to the manager or senior staff if they had concerns and are confident that their concerns would be heard and acted upon. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 17 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, 25 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is welcoming and pleasant but more attention to detail in respect of cleaning areas such as toilets and stairwells is needed. Residents have a homely place in which to live and develop their independence. EVIDENCE: The home is spacious. It is divided into three units, each with its own kitchen, bathrooms and lounge/diners. Each unit has its own character and allows the residents to live and interact in small groups. All the communal areas are well furnished, well decorated, welcoming and clean. Some residents were pleased to show us their rooms. They said that they like their rooms and have been able to decorate them as they wish. All the rooms visited were clean and tidy reflecting the personalities and lives of the residents. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 18 The communal areas and bedrooms at the home are all sweet smelling, however, due to the ventilation problems with the bathrooms and toilets in some areas, there is a musty odour in these areas. More vigilance is needed to ensure that damp bath mats are not left in situ and that windows are opened after bathrooms have been used. Due to the proposed reprovision of the service, some of the requirements from the last inspection have not been met, for example, several of the toilets and bathrooms are still poorly ventilated and the grounds still need improvement. Some improvements have been made. Cones have been placed to prevent parking at the least safe part of the approach road to the home. This has improved safety for the residents but has not solved the problem entirely. A glass panel has been put into a door that opens directly onto a toilet door so that residents and staff can check that the corridor is clear before they open the door. Two perching stools had been left in the corridor, making it difficult to see a mirror and a fire extinguisher. A wheelchair and delta walker had been left in a stairwell. These were identified at the last inspection and a requirement was placed to remove them thirteen months ago. The dust around the walker and the wheelchair suggested that they had not been moved for a long time. Although the home does not have a great deal of storage space, the space there is could be used better. If existing storage areas were to be tidied, there would be space to store the items left in communal areas. In each corridor packets of latex gloves had been left on the radiator covers. This detracted from the homely feel of the home. These items should be stored more appropriately. Despite the minor concerns noted above, the overall feel of the home is good. There is a pleasant, safe and welcoming atmosphere and residents were clearly comfortable in their home. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 19 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): 31, 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. Staffing levels, staff training and team working are good. Recruitment practices are thorough and despite the proposed reprovision of the service, staff morale is being maintained. This means that the residents are cared for by a well-trained and enthusiastic staff team. EVIDENCE: The proposed reprovision of the service has unsettled some staff and some have moved on to other jobs. This had led to an increase in the use of bank and agency staff. The home is managing to maintain a consistent approach at present and makes sure that there is at least one member of permanent staff on every shift. Examination of staff rosters showed good staffing levels. Staff said that there are enough staff on duty to ensure that the residents are supported at their various activities and keep their healthcare appointments. There is a comprehensive training matrix and staff files contain good evidence of both specialist and statutory training being undertaken. Since the last inspection more staff have achieved the National Vocational Qualification at Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 20 level three (NVQ III). Two more staff are currently working towards the NVQ III in care Recruitment practices are thorough. All staff files examined had evidence of appropriate pre-employment checks having been made. A separate file of Criminal Records Bureau (CRB) checks is kept. This was reviewed. It showed that all staff working at the home have received satisfactory CRB checks. Residents take part in the recruitment process and are invited to sit on interview panels, meet candidates informally and are able to give their views about prospective staff. Staff said that they love working at the home and expressed sadness at the proposed closure. It was good to note that they are determined to continue to care for the residents to the highest standards and to work to ensure that the changes are managed as well as possible. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 21 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, 38, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. The views of the residents and their supporters are listened to and acted upon. This means that the home is run in the best interests of the residents. EVIDENCE: The registered manager was not in the home on the day of this unannounced visit, as she was undertaking a training commitment. However, she offered to return if requested. This offer was declined as it was felt that the deputy manager and senior staff were very knowledgeable and had been able to supply all information and documentation requested. It was possible to have a telephone conversation with the registered manager during this visit. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 22 It is clear that the registered manager has a good overview of the running of the home and the issues that are likely to arise during the period up to the closure of the home. The registered manager holds the Registered Managers Award and NVQ4. She has a good history of ensuring that the aims and objectives of the home are achieved and the budget is well managed. Staff said that she is pro-active in making bids for funding to improve the quality of life of the residents. One senior staff member described how funding had been obtained for additional work in translating care plans and other documentation into Widget. Staff said that the manager communicates a clear sense of direction to the team and that they are encouraged to put forward their ideas and to be creative. They said that the home is well run and that the manager listens to their concerns. They said that they have regular supervision and that there are monthly staff and residents meetings. Prior to these meetings, residents are consulted about agenda items. Quality assurance systems are good and include a number of ways of ensuring that high standards are maintained. These include day-to-day feedback from residents, their supporters and staff, regular meetings and monthly visits made by a senior social services manager. The senior staff and deputy manager who assisted during this visit were able to put their hands on all documentation requested – some was even offered before needed. Records are up-to-date and well stored. Health and safety arrangements are generally good. A sample of health and Safety documentation was examined. All records examined were up-to-date and in order. The hazardous substances cupboard was secure. Some minor health and safety concerns were noted during a tour of the home and these have been dealt with in more detail in the outcome area for the environment. Hillside Resource Centre DS0000034532.V348744.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 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 3 2 3 3 3 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 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 24 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 YA24 YA42 Regulation 23(2)(l) Requirement The registered person must ensure that equipment is stored safely. In particular with regard to the perching stools; the wheelchair; and the delta walker left in the corridor. This requirement is carried forward from the last inspection with an extended timescale. Timescale for action 30/11/07 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. Refer to Standard YA20 Good Practice Recommendations The home should ensure that all handwritten entries on the MAR sheets are signed and countersigned by staff who are trained in the management and administration of medicines. The home should introduce a means of daily checks to ensure that bathroom toilet windows are opened appropriately to allow for better ventilation and to ensure that there are no wet bath mats and towels left in the DS0000034532.V348744.R01.S.doc Version 5.2 Page 25 2 YA24 Hillside Resource Centre 3 YA24 4 YA42 bathrooms. The home should review the way it uses the available storage areas. If these were to be tidied, more space could be created to store the items left in the corridor and stairwell. The home should ask visiting professionals who leave equipment in the home, for example, district nurses leaving sharps boxes, to ensure that this equipment is safe and correctly labelled. Hillside Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House, 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Resource Centre DS0000034532.V348744.R01.S.doc Version 5.2 Page 27 - 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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