Inspection on 02/08/05 for Hilltop Manor

This inspection was carried out on 2nd August 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

Hilltop Manor 14/11/06

Hilltop Manor 15/12/05

Hilltop Manor 01/03/05

Hilltop Manor 07/09/04

Hilltop Manor 16/03/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hilltop Manor 15 Finkle Hill Sherburn In Elmet Leeds LS25 6EB Lead Inspector Terry Downey Unannounced 2 August 2005 09:30 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. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hilltop Manor Address 15 Finkle Hill, Sherburn In Elmet, Leeds, North Yorkshire, LS25 6EB 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) 01977 683898 01977 685567 Mrs Alison Jayne Green, Mr Allen Williams & Mrs Claire Louise Buckle Mrs Alison Jayne Green Care Home 35 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 1st March 2005 Brief Description of the Service: Hilltop Manor is registered to residential personal and social care for up to 35 people over 65 years of age who may suffer from dementia. The property is a two storey building which has been extended and adapted for its present use. There is a lift to provide access between the two floors and pleasant secure gardens at the rear of the property. The home is situated in the village of Sherburn-in-Elmet, and is close to local services and amenities. The registered providers are Mrs Alison Green, Mr Allen Williams, and Mrs Claire Buckle. The registered manager is Mrs Alison Green. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 2nd August 2005. Both Mrs Green and Mrs Buckle were available to assist with the inspection and it was also possible to speak to 6 members of staff and many of the residents. I also spoke to a visiting nurse, the local doctor who has a lot of contact with the home and a relative of one of the residents. They all spoke very highly of the home and the quality of the staff and care in the home. The inspection also involved a check on the recommendations from the previous inspection, a tour of the premises, and a check on some of the records. The inspection took 8 hours which includes preparation time. The home was very clean, well decorated and furnished, and there was a pleasant atmosphere. The residents were in the lounges, talking and listening to music and the staff were busy in a variety of care duties. All the residents spoken to said it was a nice home and that the staff were courteous and helpful. The inspection showed that the home was very well organised and managed and that the staff were well trained and aware of their duties, and the residents were well cared for. What the service does well: It was clear that the registered providers and manager work very hard to ensure that a high quality of care is provided for the residents. Training the staff to ensure that they can meet the residents care needs. It provides a safe and comfortable home for the residents to live. There is a nice atmosphere in the home and staff and residents work together very well. Residents said that they ‘ liked living at Hilltop Manor’. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 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. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,6. Residents know that if they choose to live at Hilltop Manor they will be well cared for. EVIDENCE: The manager assesses all residents prior to coming into the home and they have an opportunity to visit and look around before being admitted. The home was able to demonstrate this following a recent admission. All residents have the information they need before they come into the home. All residents have a contract which gives the conditions of their stay in the home. The home is not registered to provide intermediate care. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10. The residents’ health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home. EVIDENCE: All residents have good care plans which are used by the staff to ensure that appropriate care is provided. It was recommended that more detail should be included on how the objectives will be met. Staff meet regularly to discuss the care plans to ensure that consistent care is provided. . The home has good access to the local health professionals who visit regularly to ensure that the residents’ health needs are met. The local GP and a visiting nurse both assured the inspector that the communication between the home and themselves is very good which promotes good health care for the residents. The GP visits the home weekly and knows most of the residents. The nurse visits the home regularly and both considered that the care practices in the home were very good. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 10 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. Residents eat well and have a suitable range of activities both inside and out of the home and are part of the local community. EVIDENCE: Food is an important part of the residents’ lives and they help to choose the menus with the cook. Special diets are well catered for as are personal preferences as some of the residents were happy to testify. All the residents spoken to were happy with the food provided. Friends and relatives visit regularly and are welcome in the home. A visiting relative was pleased to report on the care in the home and the good communication between the staff and herself. A member of staff has the responsibility for organising activities and outings. She spoke enthusiastically about her role and plans for future events. The residents said they were happy with the level of activity in the home. One resident has a hobby and is given lots of encouragement and support to continue with it. Daily and local newspapers were in the home which helps the residents to keep up to date with events in the world and locally. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 11 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) 16,18. The residents physical and emotional health needs are met. Residents are protected from abuse neglect and self harm EVIDENCE: All staff have been trained in the protection of vulnerable adults procedure and they were aware of their responsibilities, which safeguards the residents from abuse. Residents said that they would speak to the manager if they had any concerns and felt happy that she would help them. The home has a robust recruitment procedure to ensure the safety of the residents. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 12 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) 19,23,24,25,26. The home is clean and well decorated and furnished throughout, making it a comfortable place to live. EVIDENCE: There are four lounges and two dining rooms which provide comfortable space for a variety of activities or just quiet places to sit and talk or read. On the day of the inspection one dining room was being for a game of dominoes. Overall the standard of furnishings and decorations did make the home a pleasant place to live. Residents are encouraged to bring their personal items into the home to make their rooms feel homely. The home was clean and free from unpleasant smells and a good infection control policy was in operation. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 13 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) 27,29,30. The staff are well trained and well supported by the manager and this ensures that the residents feel supported and that the staff are aware of their duties. EVIDENCE: Staff training, related to the needs of the residents, is ongoing which ensures that the staff felt more confident in their roles and this is reflected in the levels of care provided. A senior member of staff has taken responsibility for staff training and the recording and monitoring of this and the level of support she offers were excellent. The benefits of this are mentioned above and demonstrated by the confidence given to the staff and the quality of care provided for the residents. Residents said that they liked the staff and felt comfortable with them. The staff work well as a team which makes it a happy place to work and staff said they felt valued. One member of staff said it was the ‘best place she had ever worked.’ It was clear from observation that the staff enjoyed their work, knew what they were doing and were very competent. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 14 Both staff and residents felt that there were sufficient staff available to meet the needs of the residents. . The home prefers to employ staff on a part time basis which provides a greater degree of flexibility to meet the residents needs. The home has a robust recruitment procedure which ensures that the right people are employed. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 15 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) 31,32,33,35,36,38. There is clear leadership and guidance from the manager which ensures consistent quality care for the residents. This also means that the health, safety and welfare of the residents is promoted. EVIDENCE: It was clear from this inspection that the registered providers and manager work very hard to ensure that quality care is provided in the home. This is reflected in the recruitment and training of staff, the communication with healthcare professionals, the proper assessment of the residents, and the comfortable environment and pleasant atmosphere in the home. The residents views are taken seriously and their dignity and respect is promoted by good staff supervision and on going training. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 16 Health and safety in the home is promoted and good records maintained to demonstrate this with the exception of the hot water temperatures which should be checked weekly rather than monthly. Because there are so many outlets to check it was agreed that so many should be done each week. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 17 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 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 x 2 Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 18 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 Regulation none 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. 1. 2. Refer to Standard 7 38 Good Practice Recommendations Residents care plans should provide more detail about how the objectives will be met. Hot water temperatures shoud be taken weekly rather than monthly. Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Hilltop Manor J53_J04_S7652_Hilltop Manor_V235872_020805_Stage 4.doc Version 1.40 Page 20 - 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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