Inspection on 12/09/07 for Hillside Rest Home

This inspection was carried out on 12th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hillside Rest Home 21/02/07

Hillside Rest Home 07/02/06

Hillside Rest Home 04/07/05

Hillside Rest Home 06/01/05

Hillside Rest Home 22/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hillside Rest Home 39-43 Kingsfield Road Oxhey Watford Hertfordshire WD19 4TQ Lead Inspector Mrs Alison Butler Unannounced Inspection 12th September 2007 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 Rest Home DS0000019429.V350458.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 Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Rest Home Address 39-43 Kingsfield Road Oxhey Watford Hertfordshire WD19 4TQ 01923 236 618 01923 233 852 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) Mr R. O`Connell Ms M Shanley Ms Mary Shanley Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2007 Brief Description of the Service: Since it was first registered in 1983, Hillside Rest Home has been extensively upgraded and refurbished and several extensions have been added. Residential accommodation is offered on the ground and first floors and these are connected by a passenger lift. On the ground floor there are two lounges, a conservatory and a dining room. Provision has been made to enable wheelchair users to have full access to the home and gardens. The rear garden has been attractively planted and offers a patio area. It also provides pleasant outlooks from the home. The home is located close to a bus stop and Bushey railway station is about six minutes walk away. There are a variety of shops in Oxhey Village. A superstore and Watford town centre with its vast range of amenities are about fifteen minutes from the home. The fees for the service range from £480.00- £520 per week (these were correct as of 21st February 2007). Information regarding the service can be obtained from the Statement of Purpose and Service User Guide. These and the latest copy of the CSCI inspection report can be obtained from the manager. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The following report has been written following a visit to the service, any information that has been gained from previous inspections or that has been brought to the commission’s attention. The majority of the time was spent talking with the residents and staff. Care records were also examined. Where standards remain the same this information has been brought forward into this report. What the service does well: What has improved since the last inspection? What they could do better: Information for staff that is received in other languages should have the translation recorded and other information signed by the author this would provide some form of authenticity. However, the manager said it had been interpreted verbally. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 6 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 Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 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 Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to residents and their representatives to enable them to make an informed choice. Assessments are carried out on all residents prior to a place being offered or taken up. EVIDENCE: Previous inspections to the home have shown A Statement of Purpose and Service User Guide is available to all prospective residents and their representatives. Each resident is provided with the terms and conditions of admission etc. Pre-admission assessments are carried out prior to admission and this forms the basis of the care plan. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of information recorded is good which enables staff to provide the individual care as required by each person. Residents receive a good quality of care and are supported by knowledgeable and experienced staff. EVIDENCE: Care plans are in place providing staff with the action required to meet the individual’s needs. Where support is required from other professionals such as district nurses, this is sought and information recorded within the individuals care plan. Residents are encouraged to be as independent as possible. Those spoken to during the inspection were extremely pleased with the care they receive and feel they are well cared for. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 10 Medication continues to be well maintained and no incidents of error have occurred. Policies and procedures are in place for the administration of medication. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 11 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. This judgement has been made using available evidence including a visit to this service. Contact with family and friends are maintained. To ensure continued independence autonomy and choice is promoted within the home. EVIDENCE: Various activities take place during the day and residents are able to choose if they wish to take part in them, those spoken to enjoyed quizzes, bingo and watching films. Visitors are able to visit the home at any reasonable time and are made to feel welcome and hospitality offered. There is a good choice of meals on offer and the chef will cook alternatives if required. Residents are able to choose where they would like to eat their meals and tables are provided to meet this need. The meal of the day was nicely presented and hot, residents were clearly very much enjoying it. They did complain that there was always plenty of food and they were gaining weight as a result. The dining table was nicely presented with linen cloths and matching napkins, condiments and flowers. Hot and cold drinks are available throughout the day. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 12 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. This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure the protection of the residents and ensure that any concerns are dealt with appropriately. EVIDENCE: No complaints have been received since the last inspection and those spoken to during the inspection were very happy about the care they received. The only complaint from some of the residents was that the home fed them too well and they were gaining weight. The manager speaks with families regularly and any comments or concerns they had would be dealt with immediately to ensure harmony and residents are well cared for. Staff are clear of the action to be taken in the event of an allegation of abuse being made and are provided with training on safeguarding adults. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 13 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. To ensure everyone’s safety regular checks are carried out on services and equipment. EVIDENCE: The home was well maintained and cleaned to a high standard. Decoration is carried out, as and when required. Good infection control measures are in place and soft disposable hand towels and liquid soap is available throughout the home. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure that residents are protected at all times although all the information had not been fully verified. The numbers and deployment of staff meet the needs of the residents very well. EVIDENCE: The home is well staffed and the deployment of staff is good. There continues to be a core number of staff who have worked in the home for a number of years and they are very clear on how to meet the needs of the residents. There is a good working relationship between staff and residents, the atmosphere in the home is warm and friendly. Staff files were examined of two newly appointed staff whilst all the paperwork had been obtained it was not written in English although the manger assured the inspector it had been translated for her. She assured the inspector that she will ensure that she gets a translated version and that the translator will sign the copy to verify its contents. Also when references are received the author should sign them and spot checks may need to be carried out to verify authenticity. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 15 Training is carried out on both a formal and informal basis to ensure that the staff are able to meet the needs of those who live at Hillside. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 16 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. For the benefit of all who live and work in Hillside Rest Home there is a good management structure in place. The health welfare and safety of residents, staff and visitors to the home is protected at all times. EVIDENCE: The home is run in the best interest of those who live there and the residents were very complimentary about the care they received. There is a good working relationship between the staff and the residents. The manager ensures she keeps herself updated in her skills by attending training as and when required. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 17 Statutory records were well maintained with the exception of the staff records although the Commission have been assured this will be corrected as soon as possible. Previous inspections have shown that policies and procedures are in place covering health, safety and welfare of residents, staff and visitors to the home. Risk assessments are in place and are reviewed at appropriate intervals. Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 18 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 X 3 X X 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hillside Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 19 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 Rest Home DS0000019429.V350458.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. 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