Inspection on 10/10/05 for Hillview

This inspection was carried out on 10th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Hillview 13/08/09

Hillview 20/08/08

Hillview 13/12/06

Hillview 07/02/06

Hillview 14/02/05

Hillview 31/08/04

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

CARE HOME ADULTS 18-65 Hillview 213b Eastbourne Road Polegate East Sussex BN26 5DU Lead Inspector Lucy Green Unannounced Inspection 10th October 2005 01:00 Hillview DS0000046904.V256611.R01.S.doc Version 5.0 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 Hillview DS0000046904.V256611.R01.S.doc Version 5.0 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 Adults 18-65. 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. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hillview Address 213b Eastbourne Road Polegate East Sussex BN26 5DU 01323 488616 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) The Regard Partnership Limited Mr Garry Lee Norwood Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated will be six (6). Only service users diagnosed with a learning disability to be accommodated. Service users will be aged between eighteen (18) and sixty-five (65) years on admission. 14th February 2005 Date of last inspection Brief Description of the Service: Hillview is a purpose built bungalow, situated just off the main A22 Polegate/Eastbourne Road. The home shares the same site as Oak Lodge, another service owned by this organisation. Local shops and public transport links are a short walk away. Service user accommodation provides six single bedrooms and a communal lounge. The bathrooms are fitted with the necessary adaptations. The home is registered to accommodate six younger adults with learning disabilities. Hillview is owned by The Regard Partnership. This organisation owns a large number of homes across England and Wales. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Hillview are referred to as ‘residents’. This inspection took place over four and three-quarter hours on 10 October 2005. The Inspector informed the home that the inspection would take place a few days prior to the visit. The CSCI refers to this as a ‘short-notice unannounced inspection’. The purpose of this type of inspection is that the Inspector can ensure that there certain key people will be available at the home to speak with. A tour of the premises took place, rotas and care and staff records were inspected. Five residents, four staff on duty and the Manager were spoken with during the inspection process. What the service does well: What has improved since the last inspection? Since the last inspection, the Manager has completed the registration process and continues to effectively manage the home. The Manager has recently enrolled on a programme to undertake the Registered Managers’ Award. A number of documents have been reviewed and updated to provide residents with accessible information about the services offered at Hillview and the rights and responsibilities attached to their stay. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 6 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. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 4 & 5 Residents benefit from having accessible information which outlines the rights and responsibilities regarding their placement at Hillview. Residents are protected by an admission process which assesses ability to meet needs and compatibility with other residents. EVIDENCE: The home has a comprehensive Statement of Purpose and Service User Guide in place. Both documents have recently been reviewed and updated. The Service User Guide has been produced in a pictorial format to make it as accessible as possible to the residents living at Hillview. In line with a requirement at the last inspection, there is now a written contract outlining the terms and conditions attached to a placement at Hillview. This document has been produced in plain English and made as easy as possible to understand. Copies of the Service User Guide and contract were found in residents’ care plans. The home has admitted one new resident in the last twelve months. There was documentary evidence that a thorough assessment process had been undertaken prior to this person coming to live at the home. Information had been gathered from a variety of sources. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 9 The resident had visited the home on several occasions to meet with the other residents and staff and ensure the home could meet their needs. Trial visits included the opportunity for the resident to have a meal and stay overnight. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 & 9 Residents benefit from a detailed plan of care which outlines their needs and how they should be met. EVIDENCE: The Inspector viewed the care plans for two residents, both were found to contain detailed information about how care should be delivered. There was evidence that residents had been consulted about how they receive support and individual likes and dislikes were recorded. Care plans had been regularly reviewed and minutes of formal reviews were in situ. The home has undertaken a range of risk assessments in respect of the residents, specific behaviours and their environment. There was documentary evidence that Hillview seeks to include residents in the running of the home. Two residents informed the Inspector that they help with domestic tasks in the home including, laundry, cooking and maintaining responsibility for tidying their bedrooms. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 11 Key-worker meetings are held on a monthly basis. This provides residents with the opportunity to discuss issues about their life at the home on a one-toone basis with their allocated worker. Throughout the inspection process, it was obvious that residents had established ownership of their home and were able to influence the running of the service through a variety of ways. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 & 17 Residents are encouraged and supported to lead healthy and fulfilling lives. Residents benefit from a range of balanced and nutritious meals. EVIDENCE: The activity plans in the two care plans examined provided documentary evidence that residents participate in a range of appropriate activities. The Inspector spoke with two residents about the activities they undertake and they talked enthusiastically about the way they spent their time. On the day of inspection five residents had been out for a lunch at a local pub. On their return, they spoke positively about the experience and what they had chosen to eat. Residents access a range of community facilities, including regular trips into town, meals and drinks out, aromatherapy and swimming. Some residents also access college courses and external day services. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 13 This year, residents have been on two holidays, one to Euro Disney and one to Butlins at Bognor Regis. Staff showed the Inspector photographs from the Euro Disney holiday which was reported to have been a huge success. On the day of the inspection, it was observed that the routines of the home were reflective of the individual needs of the residents. It was evident that residents are enabled to choose where to spend their time and make informed choices about their daily lives. Hillview has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that several of the residents have regular family contact and staff support service users to meet with and visit their families. Meals are generally prepared according to a six-week rotating menu. The menu shown appeared varied and balanced. Staff on duty confirmed that the menu was however flexible and that if residents wished to eat out, have a takeaway or have something different, then this would be accommodated. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Staff have the knowledge, information and experience to ensure health and personal care needs are fully met. Residents are protected by the systems in place to ensure medication is handled appropriately. EVIDENCE: It was observed during the inspection that personal care is provided with dignity and respect. The two care plans viewed contained detailed support plans to guide staff in the delivery of care. Staff support residents to ensure their health needs are met. The Inspector was particularly impressed with the way the service had responded to a recent health care issue. Care plans contain a record of any visits or contact with professionals external to the home. There was evidence of current involvement from General Practitioners, Dentists, Chiropodists, Optician and the local Community Learning Disability Team. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 15 The home must however, ensure that they regularly weigh residents and maintain a record of this. Medication is stored, dispensed and administered appropriately. The Manager confirmed that only staff who had received relevant training and supervision were permitted to administer medication. The Manager and Senior staff confirmed that only staff who had received relevant training and supervision were permitted to manage medication. It was however identified that not all staff have received this training and it is therefore recommended that additional staff undertake this training. Similarly it is recommended that refresher training is undertaken periodically. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Adequate systems are in place to protect residents from abuse. EVIDENCE: Various systems are in place to protect clients from abuse. The two recruitment files inspected showed that new staff are employed subject to the required checks by the Criminal Records Bureau and receipt of two written references. It is however, required that the adult protection policy is updated to include details of the Protection of Vulnerable Adults register which was introduced on 26 July 2004. Employment and disciplinary policies should also be updated to reflect the correct procedures to be followed in the event of an adult protection allegation being made against a staff member. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Residents benefit from a clean, comfortable and well maintained home. The physical adaptations enable service users to move safely and independently around their home. Residents would benefit from improved access to the garden. EVIDENCE: Hillview is a large purpose built bungalow which is situated just off the main A22 Polegate/Eastbourne Road. The home is well maintained and provides residents with sufficient private and communal space to meet their needs. Level access is provided inside the home, although it is required that access to the garden be improved. At the time of the inspection, the home was found to be clean and tidy throughout. Resident accommodation is provided in six single bedrooms which have been decorated and furnished to reflect the individual. Communal space comprises of a large lounge and a kitchen / dining area. Bathroom facilities are appropriately adapted. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 Staff have the skills and support to perform their roles effectively. EVIDENCE: Staff training is ongoing at Hillview with staff having completed or working towards National Vocational Qualifications. New staff at Hillview undertake appropriate induction training, including the Learning Disability Award Framework (LDAF) course, where staff are new to supporting people with learning disabilities. It is required that the home also introduce an appropriately accredited foundation course to follow-on from the induction. Through discussion with both staff and management, it was identified that staff would benefit from receiving additional training in supporting residents appropriately when they present behaviour that challenges. The recruitment files for two new staff were viewed and whilst the majority of the required information was found to be in place, it was identified that not all staff had supplied a full employment history, containing a written statement to account for any gaps. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 Residents benefit from a well managed and safely run home. EVIDENCE: Since the last inspection, the Manager at Hillview has been registered with the Commission for Social Care Inspection. He has worked in a management capacity within residential services for the last eight years and has completed a host of relevant training. The Manager has confirmed that he is due to commence the Registered Managers’ Award in the near future. Various systems are in place to ensure the Health and Safety of the home are maintained. Several safety audits were viewed and found to be accurately maintained. It was however identified that fire training is be provided at least every six months for all staff. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X 3 3 Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hillview Score 3 2 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000046904.V256611.R01.S.doc Version 5.0 Page 21 YES 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 2 Standard 19 23 Regulation 17(1)(a) 13(6) Requirement Home to maintain a record of service user weights. Policies and Procedures to reflect current guidance on the Protection of Vulnerable Adults. (Previous timescale of 01 December 2004 and 01 February 2005 not met) Action be taken to provide level access to the garden. The Registered Person ensure correct recruitment procedures are followed, including obtaining a full employment history., as detailed in Schedule 2 as amended. All new staff undertake foundation training which is in line with Skills for Care specification. The Registered Person ensure that all staff receive the required fire training. (Previous timescale of 01 Dcember 2004 and 01 April 2005 not met) Timescale for action 01/12/05 01/12/05 3 4 24 34 23(1)(a) 19 01/04/06 01/12/05 5 35 18(1)(c) 01/12/05 6 42 23(4)(d) 01/12/05 Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 22 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 20 35 Good Practice Recommendations Additional staff receive training in the safe handling of medication. Staff to receive training in how to support service users who present behaviour that challenges the service. Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Hillview DS0000046904.V256611.R01.S.doc Version 5.0 Page 24 - 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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