Inspection on 04/07/05 for Hillside Rest Home

This inspection was carried out on 4th July 2005.

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 12/09/07

Hillside Rest Home 21/02/07

Hillside Rest Home 07/02/06

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 Angela Dalton Unannounced 4 July 2005 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 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 I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hillside Rest Home Address 39-43 Kingsfield Road, Oxhey, Watford, Herts, WD19 4TQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01923 236 618 01923 233 852 Mr R OConnell Ms Mary Shanley CRH Care Home 26 Category(ies) of OP 26 places registration, with number of places Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 06/01/05 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. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector conducted this unannounced inspection on July 4th 2005 between 11.30am and 4.15pm. The front of the house was attractively adorned with large hanging baskets. Hillside Rest Home has a homely relaxed atmosphere. The mornings are spent engaging in activities and the television remains switched off until after lunch at the request of service users. Service users enjoy meals that are prepared to a high standard with a selection of choices available. What the service does well: 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. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4&5 Service users are able to make an informed choice prior to moving into the home. Documentation reflects needs are assessed. EVIDENCE: Each service user has information about the home either prior to admission or on arrival to the home. The manager encourages relatives and service users to ‘shop around’ and visit other care homes. Because of the high standard of care service users invariably return to move into Hillside Rest Home. Relatives and friends can meet with service users in the lounge, dining room or conservatory. In warmer weather there is seating in the attractive garden. A copy of individual contracts is kept on file. The manager assesses service users’ needs prior to admission to the home or will reassess if service users have been in hospital. This ensures that staff are able to meet service users’ requirements. The home does not provide intermediate care. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10&11 Service users’ needs are identified in comprehensive care plans. An accurate medication recording system is not in place. EVIDENCE: The manager and staff team have worked hard to ensure that care plans identify service users’ needs and how they are met or managed. Funeral wishes were recorded. All information is kept in individual files so that staff can understand all aspects of care requirements. The home liaises with appropriate professionals e.g. district nurse when required. A requirement has been made regarding medication. Amounts that were checked were inaccurate. Medication containers were not dated on opening. It was not possible to track that the amount of medication that had been given as the amount did not reflect the total that should have been left. As stated earlier a more accurate recording system should alleviate this problem. A recommendation has been made to replace a lock that is accessible from the outside on the downstairs toilet as it is currently broken. Service users’ dignity is obviously observed in the way service users are dressed and groomed. Staff encourage service users to take a pride in their appearance. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14&15 Service users are able to exercise control and choice regarding activities, meals, and other aspects of their lives. EVIDENCE: The staff engage service users in activities most mornings and they are provided with a choice. Newspapers are delivered to the home and other items such as toiletries are purchased where required. Visitors are able to visit at convenient times throughout the day. Meals are an opportunity for service users to converse and plan their day. The size of the dining room compromises everyone from eating together but those who wish to dine together do so. The other service users eat in their rooms, in the lounge or conservatory. Staff were sensitive in meeting individual requirements at lunch and ate alongside service users. Hot and cold drinks and snacks are available throughout the day and night on request. Each table had a cruet set and service users were highly complimentary about the food that was served. The main table is beautifully decorated with napkins and table decorations. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17&18 The home has an effective complaints procedure. EVIDENCE: The manager ensures that she is available to service users and their friends and relatives during the week and at weekends. This ensures that any concerns are immediately dealt with and they do not escalate. The manager is researching Adult Protection training for the staff team to build on the knowledge they currently have. Service users who wish to vote are assisted to do so. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25&26 The home is well maintained and appropriate for service users’ needs. EVIDENCE: Six bedrooms are in the process of being redecorated. Part of the home has been recarpeted and the remaining carpet in the main areas of the home is due to be replaced. Curtains have been purchased to match the new colour scheme in redecorated rooms. The home manages the continence needs of service users exceptionally well. This is due to the high levels of staff able to meet service users’ needs as they arise. The home is clean and odour free. The homely atmosphere extends into individual rooms which are personalised with service users’ belongings. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29&30 Staff numbers and training met the needs of service users. EVIDENCE: The home is generously staffed. Regular training of a formal and informal nature takes place. Recruitment records reflected that all appropriate checks are conducted prior to staff commencing employment. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37&38 The health and safety of service users is observed. The home is well managed and run for the best interests of service users. EVIDENCE: The manager is researching completing the Registered Manager’s Award to ensure compliance with the National Minimum Standards. Supervision takes place and the manager plans to implement a system to delegate supervisions between the management team. Service users finances are not managed by the home. A service user has recently purchased an electric recliner chair and the manager has almost completed a risk assessment to ensure safety is observed. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 15 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Medication amounts must be recorded on arrival to the home. Amounts of medication must accurately reflect the medication administered. Medication containers must be dated on opening. Where medication is carried forward this must be reflected. Timescale for action From 05/07/05 & Henceforth 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 OP10 Good Practice Recommendations The lock on the downstairs toilet door should be replaced as it is currently broken. The lock should be able to be opened in an emergency. Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City, Herts AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hillside Rest Home I52 s19429 Hillside Rest Home v236324 040705 Stage 4.doc Version 1.40 Page 17 - 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. 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