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Inspection on 14/11/05 for Hillview Nursing Home

Also see our care home review for Hillview Nursing Home for more information

This inspection was carried out on 14th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The activities continue to be very popular with residents and staff. There had been a party in the home for Halloween for residents and relatives, which was well attended. The manager writes a seasonal newsletter with contributions from residents and staff. Forthcoming activities and entertainment is also included.

What has improved since the last inspection?

Care plans now include a `pen picture` of the resident, which gives information about the person`s life. Care plans contained a signature from either the resident or their relative showing that they are involved in the drawing up of the plan and reviews. In the environment the corridors on the ground floor had been re decorated and a new carpet was in place. The carpets in five bedrooms had also been replaced.

What the care home could do better:

The manager said she was looking to develop a role for carers who had completed NVQ training to include giving them more responsibility.

CARE HOMES FOR OLDER PEOPLE Hillview Nursing Home Meadowgate Eston Middlesbrough TS6 9NN Lead Inspector Val Daly Unannounced Inspection 14th November 2005 10:00 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 Hillview Nursing Home DS0000000175.V251401.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 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. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hillview Nursing Home Address Meadowgate Eston Middlesbrough TS6 9NN 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) 01642 440560 01642 452438 BUPA Care Homes Limited Mrs Sheila Wendy Smith Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That a maximum number of 5 places may be used at any one time for the accommodation of persons who are 55 years and over with a physical disability. 15th September 2005 Date of last inspection Brief Description of the Service: Hillview is a care home that provides personal and nursing care to older people. It is a large building in it’s own grounds situated close to the Cleveland Hills. The home has 53 bedrooms on two floors. Fifty-three of the bedrooms are single with 28 of those having en suite facilities. There is one double bedroom. There are a number of lounges for the residents to use along with two spacious dining rooms. The home is accessible from the A174 and through Eston, where there are shops and pubs. The home is owned by BUPA and the Responsible Individual is Lesley Tart. The Registered Manager is Sheila Smith. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 10am and lasted for three hours. Three residents, staff and the manager were spoken to during the inspection. Numerous records including staff recruitment files, medication records, staff training, personal allowance records, policies and procedures were examined. A partial tour of the home was carried out. Three residents were spoken to during the inspection; one commented that ‘all the staff are friendly and polite’. Another resident described how staff would ‘pop in her room to check she was alright but they would always knock on the door first’. What the service does well: What has improved since the last inspection? Care plans now include a ‘pen picture’ of the resident, which gives information about the person’s life. Care plans contained a signature from either the resident or their relative showing that they are involved in the drawing up of the plan and reviews. In the environment the corridors on the ground floor had been re decorated and a new carpet was in place. The carpets in five bedrooms had also been replaced. Hillview Nursing Home DS0000000175.V251401.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 Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These six standards were not assessed at this inspection. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 the following standard(s): 9 & 10 The homes procedures for storing and administering medication are robust to safeguard the residents. Staff have a friendly and respectful approach to residents. EVIDENCE: Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. Examination of medication administration records showed that the procedures were being followed. At the time of the inspection there were no residents who managed their own medication. Three residents were spoken to during the inspection; one said ‘all the staff are friendly and polite’. Another resident described how staff would ‘pop in her room to check she was alright but they would always knock on the door first’. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 the following standard(s): 13 & 14 Residents are encouraged to make positive choices about how they spend their day. Families and friends are very much a part of this process. EVIDENCE: All three residents spoken to said that family and friends could visit anytime. One resident had her own telephone in the bedroom, which she said was good for keeping in touch with family who live far away. Residents said they are able to make choices in their everyday routines, one said he liked to stay in a lounge during the day in the company of others. Two female residents both preferred to spend time in their rooms although meals were usually taken in the dining room. They said they were offered the choice of joining in with the activities on a daily basis. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 the following standard(s): 18 Staff have received training in adult protection issues, which helps to protect the residents. EVIDENCE: There is an ongoing training programme in the home and staff training records showed that training had been received in adult protection. The home has policies and procedures to follow to protect the residents in case of suspected abuse. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These eight standards were not assessed at this inspection. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 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 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, 29 & 30 The procedures for the recruitment of staff are robust and provide the safeguards to offer protection for people living in the home. The deployment and number of staff ensures that the residents are supported by an experienced group of staff. EVIDENCE: When completing the rotas the manager balances out the more experienced and qualified staff with junior staff. There was sufficient staff on duty to meet the resident’s needs. The home has a policy and procedure in place for the recruitment of staff. Staff records showed that the required information, references and CRB checks were in place prior to staff commencing work in the home. A training programme for staff is in place. Since the previous inspection staff had undertaken training in Risk Assessment, Fire Safety, Adult Protection, Health and Safety, Hand Hygiene, and NVQ 2. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 14 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): 31, 33, & 35 The manager offers clear leadership to the staff so that they can meet the needs of the residents. Views of the residents are sought so that they can contribute to the development of the service. Financial procedures are robust and safeguard the resident’s interests. EVIDENCE: The manager provides leadership and guidance to the staff team and is the driving force in improving standards within the home ensuring that resident’s needs are met. The organisation has a quality assurance system and a number of relatives, residents and staff receive a questionnaire annually to complete. All comments are looked into and changes may be made in the home as a result. The operational manager also visits the home every month, speaks to residents, staff and relatives and examines documentation. A report is then completed and an action plan put in place where required. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 15 Residents and relatives have regular meetings and are encouraged to air their views. The manager writes a seasonal newsletter with contributions from residents and staff. Forthcoming activities and entertainment is also included. The administrator has robust systems in place to ensure the financial interests of the residents are safeguarded. Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 16 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Hillview Nursing Home DS0000000175.V251401.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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. 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