Inspection on 03/10/05 for Hillyfield Rest Home

This inspection was carried out on 3rd October 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 28/04/05

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 HOMES FOR OLDER PEOPLE Hillyfield Rest Home Barnes Lane Milford-on-Sea Lymington Hampshire SO41 0RP Lead Inspector Tracey Box Unannounced Inspection 3rd October 2005 09:30 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 Hillyfield Rest Home DS0000055641.V254770.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. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hillyfield Rest Home Address Barnes Lane Milford-on-Sea Lymington Hampshire SO41 0RP 01590 642121 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) Hillyfield Rest Home Ltd Mr David Charles Harmer Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28.04.05 Brief Description of the Service: Hillyfield Rest Home is registered to provide personal support and accommodation for up to sixteen older people. Hillyfield is owned by Hillyfield Rest Home Ltd and is managed by Mr David Harmer. The home is situated in a quiet residential area of Milford On Sea, local ammeneties are a short walk from the home. The home consists of sixteen single bedrooms, all are ensuite, a kitchen, dining room and lounge with conservatory overlooking the homes front and side gardens. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over five and a half hours, the inspector was assisted during this inspection by the manager, David Harmer and his daughter Jane Harmer-Manning who is the Responsible Individual for the home. The people living at Hillyfield prefer to be referred to as residents, therefore will be referred to as this throughout the report. The inspector had the opportunity to speak with two of the sixteen residents who live at Hillyfield, both commented on the high level of care they receive. Records were seen and residents and staff were asked for their views and experiences of the home, all responded positively about the care and support received. One resident said “This is a happy home, I am very well cared for, I enjoy going out for a walk, I am free to come and go as I please, I inform staff if I go out especially if it means I will eating out. Staff are respectful of the time I enjoy spending by myself reading, I am very happy here, it is my home.” The manager showed the inspector the layout within and surrounding the home, which appeared very clean and comfortable, providing a pleasant environment for the residents. The inspector also had the opportunity to observe the lunch period, the meal served was nutritious and appealed to the residents tastes, one resident said “The food is always very good and freshly prepared, if I prefer something else to the dish on the menu, the cook will prepare something else.” What the service does well: The responsible individual said “ The home benefits from being a privately owned ‘family’ business”. The home has good process for admitting new residents ensuring information is available regarding the service. The residents feel they are well looked after and respected by staff that seem to know what they are doing, are caring and helpful. They also all feel safe and comfortable in the home, one resident said “It is always very clean and smells fresh.” One resident feels the activities are very good as the home encourages “stimulation of the body and mind”. The staff feel they receive adequate training to ensure they are able to look after the residents as they wish to be looked after. The residents all stated that the meals in this home are always very good. The inspector received comment cards from four service users , all expressed their overall satisfaction at the service provided by the staff and manager of the home. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 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. Hillyfield Rest Home DS0000055641.V254770.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 Hillyfield Rest Home DS0000055641.V254770.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): 3. A comprehensive procedure for assessing the needs of potential new resident is in place to ensure the residents and the homes needs are met prior to admission. EVIDENCE: The manager-David explained the home advertises any vacancies they have, people phone to make enquiries, a pre-assessment form is filled out with the details of the prospective resident, at this stage the caller is invited to look around the home if they wish, then either David or Jane visits the prospective resident in their own environment to assess their needs, with a social worker, carer (if appropriate) with family / representative present. The prospective resident is invited to spend time at the home if the home can meet their needs, if the individual wishes to move into the home, the home confirm by means of a contract that the home is able to meet the individuals needs, the resident has a one month trial period to see. One resident recalled Jane visiting them prior to their admission, and that she visited the home to see if she liked it. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 9 The inspector saw one resident’s files that included a pre-assessment form completed by Jane prior to the resident’s admission to the home. The information included likes and dislikes, medical and family history and other relevant information to ensure the home is able to provide the care the individual requires. Family/representatives are invited to participate in the completion of the assessment to obtain as much information as possible. The inspector saw a contract that confirmed the home can meet the individuals needs. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 10 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): These standards were not assessed on this occasion. EVIDENCE: These standards were not assessed on this occasion. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 11 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): 12,15 Residents feel the home matches their expectations and preferences, their social, cultural, religious and recreational needs are met. Dietary needs of residents are well catered for with a balance and varied selection of food available that meets residents taste, dietary requirements and choices. EVIDENCE: The inspector saw two individual’s care plans which included details of the residents social, cultural, religious and recreational interests and needs, both residents confirmed the information was accurate. The manager explained asks the residents what they like doing, and encourages making suggestions. The manager spends time with residents chatting, and finds this is when suggestions are made. The inspector asked what sort of activities the home provide/arrange, the manager and one resident confirmed they vary from events occurring in the village to trips arranged by ‘Age Concern’ to activities occurring within the home. The home have a notice board which displays information to ensure residents are aware of events or information of interest. The inspector saw menus displaying two choices, and witnessed lunch being prepared, residents confirmed the meal served was nutritious and appealed to their tastes, one resident said “The food is always very good and freshly prepared, if I prefer something else to the dish on the menu, the cook will prepare something else.” Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 12 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. The staff have an understanding of Adult Protection issues that protect residents from abuse, however specific training has not been provided. EVIDENCE: The responsible Individual is qualified to provide training to staff on abuse issues, staff would benefit from receiving training on abuse and adult protection procedures to ensure they are aware of the correct procedures to follow should they need to. The staff spoken with confirmed that they have received instruction of the abuse procedure during their induction training, but not since, and know where to find the policy and procedure should they need to refer to it. The inspector saw evidence of enhanced CRB disclosure clearance on staff files. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 13 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): 19,26. Residents live in a safe environment, which is well maintained. The home is clean and hygienic, providing a pleasant environment for residents. EVIDENCE: David showed the inspector around the home and the garden, which appeared well maintained. The inspector saw records within homes maintenance file, details included the fault and the action taken, both were all records are signed and dated to monitor progress. David confirmed the home employ a maintenance contractor who visits the home once a week or when required. One resident said their room was very pleasant, clean and warm, they were encouraged to bring their own personal belongings, furniture and pictures to make it feel like home. “if I want anything fixing or putting up on my wall, all I have to do is ask and it’s as good as done.” One resident said “I feel safe here, as well as being free to come and go as I please”. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 14 The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden is well maintained and residents enjoy using it, to walk around, sit in or look at from inside the home. The inspector witnessed the homes procedures to ensure hygiene is maintained, staff were seen to use protective clothing whilst completing their duties of personal care and cleaning. The residents stated that the home is always clean, warm. The inspector detected no offensive odours. The inspector saw certificates of staff who have attended Infection control and food hygiene training, however the member of who has been employed as the cook (they started working at the home on the day of the inspection) did not have a food hygiene certificate. The manager confirmed a member of staff who has received food hygiene training was supporting them during their induction. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 15 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): 27,28,29,30. The staff at the home are well trained, supported and employed in sufficient numbers to meet the residents needs. The home has developed staff as individuals and this is reflected in the residents feeling safe and comfortable at the home. There are good recruitment procedures in place that ensure residents are not put at risk. EVIDENCE: The residents spoken with described the staff as ‘caring, friendly, helpful and there when they are needed.’ All the residents spoken with said there was sufficient staff around and that the staff know what they are doing. The rotas showed that there were sufficient staff on duty to meet the residents’ needs, staff confirmed this. The manager stated the home has one full time equivalent night staff vacancy. The staff spoken with felt that the recruitment process within the home is thorough. The inspector was able to sample three different staff records and found that they were detailed with the necessary checks taken to ensure staff are fit to work at the home. Certificates showed staff had received all mandatory training, the manager explained food hygiene training for the cook and training on abuse and POVA issues will be arranged. The staff spoken with stated that he induction programme run by the home was useful and very detailed. The files sampled held records of the individual staff home’s own induction’ training covering the key areas with the signatures Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 16 of the staff member and trainer. The manager confirmed that the home’s induction programme has been assessed against the Skills for Care Council induction standards. The manager is positive and supportive of staff development and training, the inspector saw records which show staff receive regular supervisions, annual appraisals and various staff meetings that are minuted. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 17 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): 33. Formal practices within the home could be introduced to ensure the home is run in the best interests of the residents. EVIDENCE: The manager confirmed the home ensures the residents are consulted, in a very informal way, about issues surrounding the running of the home, the residents respond well to David speaking directly to them, therefore no formal documents have been completed since a ‘service user survey’ was completed in 2003. The home would benefit from developing a more formal way of recording the outcomes of these consultations, to show that the home is run in the best interests of the residents. Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 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 Standard No Score 16 X 17 x 18 3 3 x X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 19 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 Hillyfield Rest Home DS0000055641.V254770.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 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. 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