Inspection on 07/02/06 for Hillside Rest Home

This inspection was carried out on 7th February 2006.

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

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

Other inspections for this house

Hillside Rest Home 12/09/07

Hillside Rest Home 21/02/07

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 Angela Dalton Unannounced Inspection 7th February 2006 11:00 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.V282375.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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.V282375.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 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 DS0000019429.V282375.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector conducted this unannounced inspection on February 7th 2006 between 11.00am and 2.15pm. The inspection focused upon reviewing progress since the previous visit and requirements made. In light of this some standards have not been inspected on this occasion. 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 DS0000019429.V282375.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: Standards not inspected on this occasion. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9,10 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. Service users who have recently moved in had comprehensive information recorded. Photographs will be available once the film is developed. A requirement has again been made regarding medication. Although improvements have been made records did not reflect amounts given. This had occurred in both ‘regular’ and controlled medication systems. 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. 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 and assist in maintaining hairstyles to a high standard. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 the following 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. Talking newspapers covering local publications are available and the manager is expanding this to national newspapers. Service users commented on how tasty the food was and confirmed that alternatives were available. 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. Some residents are requiring more assistance and staff levels are able to facilitate and provide individual support. Nutritional needs are well met and staff encouragement has reaped rewards with service users’ health improving. Lunch was observed to be of a high standard. Hot and cold drinks and snacks are available throughout the day and night on request. Each table had a cruet set. The main table is beautifully decorated with napkins and table decorations. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: Not inspected on this occasion. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 the following standard(s): 19,20,25,26 EVIDENCE: The home has been redecorated with the exception of five bedrooms. The owners ensure that the home is well maintained and renew the décor before it becomes shabby. During the inspection the electricity supply was interrupted to enable some routine maintenance work to take place. The home had received advance notice and was able to plan for the event. 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 DS0000019429.V282375.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staff numbers and training met the needs of service users. EVIDENCE: The home is generously staffed and there is a high staff to service user ratio over each shift. A core staff team have worked in the home for some time. A small number of staff are recruited from Denmark and they remain in the home for six months. All necessary recruitment checks are conducted and personnel files reflected this. Regular training of a formal and informal nature takes place. Recruitment records reflected that all appropriate checks are conducted prior to staff commencing employment. Service users commented that staff were kind, helpful and patient. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not inspected on this occasion. Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 X 17 X 18 X X X X X X X 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 X X X X X X X X Hillside Rest Home DS0000019429.V282375.R01.S.doc Version 5.1 Page 15 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 OP9 Regulation 13(2) Requirement Medication records must accurately reflect the amount administered. Safe practise must be assured. Timescale for action 09/02/06 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.V282375.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire 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 DS0000019429.V282375.R01.S.doc Version 5.1 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. 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