This inspection was carried out on 15th September 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.
CARE HOMES FOR OLDER PEOPLE
Hillview Nursing Home Meadowgate Eston Middlesbrough TS6 9NN Lead Inspector
Val Daly Unannounced 15 September 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. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Hillview Nursing Home Address Meadowgate Eston Middlesbrough TS6 9NN 01642 440560 01642 452438 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) BUPA Care Homes Ltd Mrs Sheila W Smith Care home with nursing 60 Category(ies) of OP - Old age - 60 registration, with number of places Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: That a maximum number of five places may be used at any one time for the accommodation of persons who are 55 years and over with a physical disability. Date of last inspection 04/11/04 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 its 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 B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 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. Four residents, staff and the manager were spoken to during the inspection. Numerous records including care plans, maintenance records and staff training records were examined. A tour of the premises was carried out. Residents spoken to were engaged in activities, which they said they enjoyed and they also discussed other games, that were available to play on a regular basis. What the service does well: What has improved since the last inspection?
The activities co-ordinator has introduced many new activities and games for the residents and staff to join in with. At the time of the inspection a group of residents and staff were making lavender bags using lavender, which had been grown in the garden. Residents said they enjoyed games such as ‘you’re your cards right’, who wants to be a millionaire’, bingo and dominoes. Residents had also taken part in making a large stencil picture, which has pride of place on the wall in the main corridor. Menus were comprehensive and gave choices at each meal. On each day fruit and vegetables are highlighted to encourage residents to eat ‘five a day’ as per the guidance for nutrition. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 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 B51-B01 S175 Hillview V240327 150905 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 Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 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 Terms and conditions of business for residents living in the home are in place. Residents’ needs are assessed prior to them moving into the home. The home does not provide intermediate care. EVIDENCE: A written contract/statement of terms and conditions of business is in place for each resident. Assessments are carried out prior to a resident moving into the home to ensure their needs can be met. The manager also carries out her own assessment, meeting with the prospective resident, either in his or her own home or in hospital. Three residents files were examined and they each contained the required information. The home does not provide intermediate care. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 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 The health and personal care needs of residents are met in a way, which treats them with respect and promotes their rights and privacy. EVIDENCE: Three residents files were examined and they each contained care plans, which were comprehensive and detailed. Evaluations had been carried out within the given time scales and changes to the plans made where required. There was evidence to show that resident’s health needs were being met, documentation showed the involvement of other healthcare professionals such as General Practitioners and Consultants. However there was no confirmation to show that residents or their relatives had been consulted on and agreed to the care plans. Documentation could be improved by adding a ‘pen picture of the resident. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 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 &15 A selection of social activities is provided enabling residents to make positive choices about how they spend their day. Residents are offered a varied, wholesome and nutritious and well-presented menu. EVIDENCE: A wide range of activities is available in the home and the activities co- ordinator is regularly introducing new ideas and projects. At the time of the inspection a group of residents and staff were making lavender bags using lavender, which had been grown in the garden. Residents said they enjoyed games such as ‘play your cards right’, ‘who wants to be a millionaire’, bingo and dominoes. Residents had also taken part in making a large stencil picture, which has pride of place on the wall in the main corridor. Menus were comprehensive and gave choices at each meal. On each day fruit and vegetables are highlighted to encourage residents to eat ‘five per day’ as per the guidance for nutrition. Residents in the home have their main meal at tea time. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 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 The home has a robust complaints system in place. Complaints are handled appropriately. EVIDENCE: The home has a detailed complaints procedure and supporting records. One complaint had been made recently. This was investigated by the manager and partly upheld. The complainant was satisfied with the outcome. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 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, 24 &26 The home was clean, well decorated and maintained. Residents have their own possessions around them. EVIDENCE: A tour of the home was carried out. Resident’s bedrooms contained personal possessions and were comfortable and homely. Maintenance certificates were in place and up to date. Checks on equipment are carried out by the handy man in the home; records showed that they were in line with the maintenance programme. The home was clean and odour free. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 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) EVIDENCE: These four standards were not assessed at this inspection. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 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 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) 36 & 38 Staff are appropriately supervised. Residents and staff are protected by the health and safety policies and procedures. EVIDENCE: The home has a formal supervision system for staff in place. There was evidence to show that supervisions were up to date. Whilst staff have previously received training in Health and Safety and COSHH they are in the process of undertaking a twelve week distance learning course in these subjects to add to their skills and knowledge. Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 Page 15 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 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3
COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x 3 x 3 Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 Page 16 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 7 Regulation 15 (1) Requirement Evidence must be available to show that residents and/or relatives have been consulted in the drawing up of care plans. Timescale for action 30th Oct 2005 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. Refer to Standard Good Practice Recommendations Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit B, 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. Extracts may not be used or reproduced without the express permission of CSCI Hillview Nursing Home B51-B01 S175 Hillview V240327 150905 Stage 4.doc Version 1.40 Page 18 - 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!
