Inspection on 26/01/09 for Hillswood Lodge

This inspection was carried out on 26th January 2009.

CSCI found this care home to be providing an Good service.

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

Hillswood Lodge 14/07/06

Hillswood Lodge 16/11/05

Hillswood Lodge 24/05/05

Hillswood Lodge 18/01/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hillswood Lodge 9 The Close Endon Stoke On Trent Staffordshire ST9 9JH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Grainger     Date: 2 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Hillswood Lodge 9 The Close Endon Stoke On Trent Staffordshire ST9 9JH 01782504637 01782504777 lib@stabledevelopments.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hillswood Care Ltd care home 16 Number of places (if applicable): Under 65 Over 65 4 16 dementia old age, not falling within any other category Additional conditions: 0 0 Manager must complete the Registered Manager`s Award Date of last inspection Brief description of the care home Hillswood Lodge is a residential care home offering 16 places for older people; four of these may be for people living inthe home with dementia over the age of 65. The home is a large detached property located in the centre of Endon situated at the top of a private drive. Local amenities are within a short walking distance and the local towns are accessible by car or public transport. The fees for the service were £386 for a single room £366 for a shared room a week, day care was £30 per day. The fees were current at the time of the inspection. Readers of this report may wish to contact the service for the current fees. Both the exterior and interior of the property are very well maintained; the home is exceptionally clean and the decor is set to a high standard. The people in the home are offered easy access to all areas of the home by the use of grab rails and a lift. Care Homes for Older People Page 4 of 26 Brief description of the care home All bedrooms meet the required sizes and are equipped with suitable fixtures and fittings. Communal areas are spacious and comfortable. Adequate parking is available. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for this service is 2 star.This means that the people who use the service experience good quality outcomes. This unannounced key inspection was carried out on Monday 26th January 2009 by one inspector who used the National Minimum Standards for Older People as a basis for the inspection. Prior to the inspection we had sent an Annual Quality Assurance Assessment (AQAA) for the manager to complete, this was returned to us prior to our visit and within the requested timescale. The document was comprehensive and provided us with information about the service. The completion of the AQAA is a legal requirement and Care Homes for Older People Page 6 of 26 it enables the service to undertake a self-assessment, which focuses on how well outcomes are being met for the people who use the service. It also gives us some numerical information about the service. We were provided with documents on request, which included: staff training, menus, and care plans. We spent time with the people who use the service and observed the lunch and medication administration. We spent time and spoke to the majority of the people who were present at the service during the day. We had the opportunity to speak to visitors and the staff. What the care home does well: What has improved since the last inspection? What they could do better: The manager needs to schedule more formal supervision sessions with her staff, to ensure that staff have the support they need to meet the needs of the people using the service. To consider recording and signing the medication record administration (MAR) sheet if medication is discontinued at the end of a course or a change in medication. Care Homes for Older People Page 8 of 26 Staff should be asked to sign their attendance at in house training to provide the manager with an audit trail and ensure that all the staff are trained to meet the needs of the people using the service. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to move into the service receive all the information that they require. They are assessed so that they can be sure that the service can meet their needs. Evidence: We were told in the completed AQAA that the manager has developed an assessment document, which was seen to be comprehensive and identifies a prospective persons needs. Following the assessment by the management a letter of confirmation for the placement is sent. This confirmation was evidenced in the care plans. The services Statement of Purpose/Service Users guide sets out the aims and objectives of the service. Included in the document were the current fees payable for single and shared bedrooms. The service provides on request, day care, this provision is also included in the Statement of Purpose. We were told that each person has a copy of the document. This was evidenced during the tour of the premises and was Care Homes for Older People Page 11 of 26 Evidence: seen in individual bedrooms. This service does not provide intermediate care. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service meets the personal, health and emotional needs of the people who use the service. Evidence: From the information in the completed AQAA we were told that care plans were in place. This was evidenced from the plans provided. The manager had developed a complete and detailed documentation for the information recorded on the care plans seen. Personal care, risk assessments and medical requirements were clearly recorded. Reviews were undertaken regularly and any changes recorded. Staff were observed to be kind, professional and sensitive when assisting or asking individuals questions. They were observed to interact with all the people and to meet the persons needs who had limited communication skills and hearing impairment. Arrangements were in place for the continued health care needs for all the people who use the service. During the time at the service we observed the manager contact the general Care Homes for Older People Page 13 of 26 Evidence: practitioner to address the needs for one person who used the service. The home understands the need to comply with the administration, safekeeping and handling of prescribed medication. We were told in the completed AQAA information that staff had received training. The competency of the staff was confirmed during our discussions with those on duty and their training records. We saw that the service keeps an audit of all medication to ensure that they know what is being recived, administered and returned to the pharmacist, we advised that they make it clear on their records who authorised any discontinuation of medication Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are offered the option regarding their daily routines. People are encouraged to maintain contact with family and the community. Meals provided are appropriate to peoples needs. Evidence: We were told in the completed AQAA that the service promotes daily activities. This was part of the daily routine seen during the visit. We saw people completing the crossword, with ideas being shared within the group; they told us they liked to do it every day. We saw that the homes records all of the many activities enjoyed by the people using the service. The service operates an open door policy for visitors. Two visitors confirmed this. Mum has settled in well, we have often been invited for lunch. We looked at a number of homes but this was the most homely. This is the best place I could have found for Auntie, They do everything she needs and keep me in touch. The menu for the service contained local dishes. We observed the lunch served, people had the option of sausage, jacket potato or bacon sandwich. We observed during the Care Homes for Older People Page 15 of 26 Evidence: lunch that each person was asked if they wanted wine, which was a regular thing and was later confirmed by the people spoken with, who also told us that they enjoyed the food and the home made cakes. Some people during the lunch chose to have a soft drink. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make a complaint and are safe guarded by the homes procedures and staff training. Evidence: We had not received any complaints about the service since the last inspection in 2007. The complaints procedure was displayed in various documents and made available to all the people who use the service or visit the service. There had been no referrals to the safe guarding team. We were told by the people that they were aware who they would speak to if they needed to. Staff were able to tell us how they would report any concerns to either the manager, the owner or with ourselves. We saw in the training records that staff receive training for the protection of adults. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service were provided with a warm, safe and comfortable environment. Evidence: We looked around the home and found it a credit to the housekeeping staff. Bedrooms at the time of the inspection colour co-ordinated and well decorated. One person told us she did not mind us looking at her room I am a little untidy but please look. Other people when asked agreed for us to view their rooms, which were personalised to suit their preference. The large lounge was bright, airy and fresh. Recent decoration had been completed in areas of the service. The central kitchen was large as was the laundry, equipment is provided staff, training had been provided to ensure that cross infection control measures were in place to protect the people, this included paper towels, liquid soap and protective clothing. External to the service was a large patio, we were told and it was confirmed by people that it was used in the better weather, when drinks and ice creams were provided. Upgrading of the service was on going; plans included the decoration of the large lounge this year. Care Homes for Older People Page 18 of 26 Evidence: Located off a busy main road near to one of the local public houses, the service stands in its own grounds at the end of a private drive. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well-trained and committed staff team support the people who use the service ensuring that they are safe. Evidence: The manager ensures that all the relevant checks and references would be obtained prior to employment ensuring that the people using the service are safeguarded. Policies and procedures were in place for the recruitment of staff. An inspection of staff files found that they were thorough and contained the required information plus mandatory and other training records. Annual appraisals were evidenced. We discussed the need to ensure that supervison of the staff have the support they need to meet the needs of the people using the service. Staff files contained the services induction, it was suggested that the person signs to confirm they are able to complete the tasks and that the person monitoring the induction signs to confirm competency. The manager and deputy are qualified trainers for moving and handling. With the exception of two of the staff all the remaining staff had NVQ levels 2, 3 and 4. Care Homes for Older People Page 20 of 26 Evidence: During the time spent at the service the staff demonstrated their knowledge and competency in the role they were employed for, by supporting people and interacting in a relaxed professional manner. People who use the service told us that they are good to us, I need help and its never a problem. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are safeguarded by the competent manager and staff team. The service operates to the best interests of the people Evidence: We did have positive feed back during the day, from visitors and people who use the service in respect of the staff and manager. They told us that: I am glad Mum is here. I could not find a better place for Auntie. The staff are welcoming and always offer refreshments. The manager is qualified and has the necessary experience to run the home. On this visit we did not check out all the Quality Assurance records and systems but we evidenced from the documents seen that this document is reviewed annually. The manager had developed extensive information pack for the fire system, risk Care Homes for Older People Page 22 of 26 Evidence: assessments and the involvement of the people who confirmed they took part in the fire drills; and the records maintained for this standard were excellent. People who use the service were encouraged to take control of their own finances, if not then families are involved. We saw records to show that equipment is serviced and maintained to comply with Health and Safety legislation and to keep the people using the service safe. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Records should show who and when the decision was made to discontinue medication. this will ensure that people only get the medication prescribed for their current health needs. Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!