Inspection on 28/04/05 for Hillyfield Rest Home

This inspection was carried out on 28th April 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

Hillyfield Rest Home 26/03/07

Hillyfield Rest Home 03/10/05

Hillyfield Rest Home 13/12/04

Hillyfield Rest Home 22/06/04

Hillyfield Rest Home 10/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

The Briars

Langdale Nursing Home

The Maypole Nursing Centre

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Hillyfield Rest Home Barnes Lane Milford-on-Sea Lymington SO41 0RP Lead Inspector Tracey Box Unannounced 28.04.05. 10:00am 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 and 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. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hillyfield Rest Home Address Barnes Lane, Milford-on-Sea, Lymington, SO41 0RP 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) 01590 642121 hillyfieldresthome@tesco.net Web site address: www.hillyfieldresthome.co.uk Hillyfield Rest Home Ltd Mr D Harmer CRH 16 Category(ies) of OP - 16 registration, with number of places Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 13.12.04 Brief Description of the Service: Hillyfield rest home is registered to provide personal support and accommodation for 16 older people. The home has recently been extended to provide 16 single bedrooms, all en suite. A conservatory has been built to extend the lounge, providing a large, light area. The garden is currently being renovated. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This un announced inspection took place over six hours, the inspector was assisted during this inspection by three staff working at the home and when the manager arrived later in the morning, he assisted with the rest of the inspection. The inspector spoke with ten residents and the three staff who were on duty. The people living at Hillyfield prefer to be referred to as residents. At the time of the inspection the home was warm, clean and appeared homely. The inspector was impressed by the quality of the food being prepared and cooked for lunch, fresh ingredients were used. What the service does well: What has improved since the last inspection? What they could do better: Refurbishment along the hallway from the main entrance to the dining room entrance and beyond would improve the appearance of the area, the inspector was assured the work would commence on this area soon. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 6 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. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6. Hillyfield does not provide intermediate care. EVIDENCE: Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are 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 Comprehensive care plans and risk assessments are in place ensuring the needs of all residents are met. The system for administrating medication is good, however the manager must address the homes procedure for dispensing morning medication. Personal support within the home is offered in such a way as to promote and protect residents’ privacy, dignity and independence. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 10 EVIDENCE: One resident explored their care plan with the inspector, which demonstrated the amount of involvement the resident has in completing all aspects of their care plan and risk assessments. The care plans and risk assessments are reviewed on a monthly basis, unless needs change sooner. Two staff informed the inspector that morning medication is dispensed from the monitoring dosage system pack into a pot and placed on the individuals breakfast tray, the resident is not supervised to ensure they have ingested the medication, staff sign the medication administration record sheet to indicate the medication has been taken. One resident confirmed his practice. At the time of the inspection all residents required staffs support to administer their medication. Staff address individuals in their preferred manner, as stated in individuals care plans and witnessed by the inspector. Staff were observed knocking bedroom doors and waiting for a reply before entering. All residents commented on how polite, helpful and friendly the staff are at the home. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14 Links with the local community are good, and contact with family, friends and representatives are encouraged. Practices in the home demonstrate that the home promotes individual choices and encourages residents to have control over their lives. EVIDENCE: A record of the homes weekly activities is visible on the notice board in the main entrance to the home. The inspector asked a small group of four residents what sort of activities they attend, all explained there is a mystery tour drive at lease once a week and shopping trips into the local town, along with music afternoons which are enjoyed, so too are quizzes. The inspector was also informed of the fact that if there are any public televised events, such as a Royal wedding, most residents prefer to watch the TV in the lounge together. One service user said “I enjoy visiting the local shop by myself, or going for a walk, I inform staff when I`m going and when I return, to be courteous, I am free to come and go as I please.” Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 12 The inspector witnessed records of visitors, and residents said they are welcome at any time, and in any area of the home. The inspector witnessed a resident inform the chef that they didn’t want a large meal at lunch time, the chief offered many alternatives for a light snack, the resident chose soup. (The printed weekly menu offers choices and alternatives according to level of stock.) The inspector witnessed one resident asked staff for some cranberry juice, a glass full was provided promptly. One resident informed the inspector of their plan to vote on the 5th May, they would be doing this activity independently. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 satisfactory complaints procedure in place with some evidence that residents feel that their views are listened to and acted upon. EVIDENCE: Ten residents were asked by the inspector if they had made a complaint in the past, all replied “No, I haven’t felt the need to.” The inspector asked if they felt able to should the need arise, all responded “I am aware of what to do, and I feel the home would do it’s best to improve things should I need to complain.” A copy of the complaints procedure can be found in the homes Service Users guide. The inspector looked at the complaints log which was empty and recommended that the pages of the log be numbered consecutively to show a true record of complaints received. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed during this inspection Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed during this inspection Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 38 It was the homes policy not to deal with any residents financial matters, or hold cash for residents, this is viewed as positive by all who live and work at the home. The home follows policies regarding health and safety and staff receive recommended training, the manager must ensure this training is provided by, and certified by an appropriate awarding body/person for all core training. The home has up to date certificates for systems and electrical items, a copy of the central heating system certificate was not available. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 17 EVIDENCE: The manager confirmed that residents money is dealt with by the individual or their family/representative. Two residents said their family deal with their money. Staff training files were looked at, and staff said they receive adequate, relative training on a regular basis. The inspector witnessed good food hygiene techniques in the preparation, cooking and serving of the lunch. Radiators were covered and had thermostatic controls. Certificates for the servicing of systems were viewed by the inspector. Staff confirmed their awareness of health and safety procedures, and were aware if the homes policy and procedures, and where to find them. Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 18 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 x 2 x 3 x 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score x x x x x x x x Score Standard No 7 8 9 10 11 Score 4 3 2 3 x Standard No 27 28 29 30 x x x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 3 36 x 37 x 38 3 Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 19 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 38.3 Regulation Requirement The registered manager must provide the CSCI with a copy of a recent certificate to show the servicing of central heating systems under contract by competent persons has been completed. Timescale for action 31/05/05 2. 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 Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Hillyfield Rest Home H54 S55641 Hillyfield V223746 280405.doc Version 1.30 Page 21 - 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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