Inspection on 10/05/06 for Hilton Park Care Centre

This inspection was carried out on 10th May 2006.

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

Hilton Park Care Centre 09/06/08

Hilton Park Care Centre 14/08/07

Hilton Park Care Centre 02/12/05

Hilton Park Care Centre 25/04/05

Hilton Park Care Centre 09/11/04

Hilton Park Care Centre 14/05/04

Hilton Park Care Centre 10/02/04

Similar services:

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

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

CARE HOMES FOR OLDER PEOPLE Hilton Park Care Centre Bottisham Cambridge CB5 9BX Lead Inspector Mrs Jenny Cangy Key Unannounced Inspection 10th May 2006 11:00 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 Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hilton Park Care Centre Address Bottisham Cambridge CB5 9BX 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) 01223 811256 01223 812692 www.barchester.com/oulton Barchester Healthcare Homes Limited Care Home 93 Category(ies) of Dementia - over 65 years of age (55), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (55), Old age, not falling within any other category (55), Physical disability (23), Physical disability over 65 years of age (15) Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Clients 18 years and over with a physical disability Date of last inspection 2nd December 2005 Brief Description of the Service: Hilton Park Care Centre is owned by Barchester Healthcare Homes Limited and is registered as a care home with nursing. The home is situated in the village of Bottisham and is 7 miles from the centre of Cambridge and 6 miles from Newmarket. The home is divided into two units the ‘Cambridge Suite’ and ‘Newmarket Suite’. Both Suites consist of two floors and there are shaft lifts to the upper floors. There are 91 single bedrooms and one double bedroom, all of which have en-suite facilities. Within the Newmarket suite is a unit for 12 young physically disabled adults. The home is registered to provide care to 23 Younger Adults with physical disabilities. The home can be contacted by email on hiltonpark@barchester.com Current weekly fees range from £523 to £850 and are dependent on the source of funding and level of care required. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and commenced at 11 am. On arrival it was noted that some service users were sitting outside in the sun. The inspection was conducted with the appointed manager (hereafter referred to as the manager) whose application to register as manager with the CSCI is currently being processed. This was the first inspection since the manager has been in post. We were joined by the deputy manager after about an hour. The inspection commenced with a discussion about the process of Inspecting For Better Lives and the rating of services. There were no requirements made at the last inspection so a review of the key standards and those not inspected at the last visit was undertaken. A selection of records were reviewed including staff files and water temperature recording. A tour of the building followed when care plans and medication records were inspected and staff, service users and visitors were spoken to. What the service does well: What has improved since the last inspection? What they could do better: Service users under 65 should be provided with a seven day holiday of their choice and planned with them included in the contract price. National Minimum Standard Care Homes for Younger Adults (18-65) Standard 14.4 Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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 Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No service users move into this home without having their needs assessed and been assure they can be met. EVIDENCE: Full assessment is carried out on every prospective service user by a member of the senior staff team. This assessment forms the basis of the service users care plan that is developed further after admission. All aspect of the individuals needs both medical physical and social are considered. A letter of acceptance goes to the individual stating a place can be offered and their care needs met. This home does not offer intermediate care. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health, personal and social care needs are met with privacy and dignity including care after death. EVIDENCE: Each service user has a comprehensive care plan that details all their needs. This is reviewed at least monthly and up dated as required. All service users are registered with the local GP service and doctor’s visits are regular routinely and additionally as the need arises. Outside professionals are consulted as needed and include tissue viability specialist nurses, community psychiatric nurses, optician and dental services. A monitored dose medication system is used and all medication is checked on every shift. There are no service users managing their own medication currently. All service users are able to lock their bedrooms if they wish and also have a lockable drawer in their rooms. The right to privacy and dignity is consider highly important and forms part of new staff training and is reinforced regularly. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to live the lifestyle they want within the limitations of their disability and frailty. They are able to make their own informed choices including setting menus. If holidays and more age appropriate activities were available to the younger adults the judgement would have been considered excellent. EVIDENCE: A two monthly newsletter invites contributions from staff and service users and is edited by a service user. Trips out are varied and frequent enabling those who wish to get out and about using the homes own transport. There is a team of four activity staff to ensure regular and varied activities that include entertainers and trips out shopping or to local beauty spots. The home is holding a race day at the end of the month when hats for the ladies and formal dress for the men will be worn. Visiting is open and residents can see their visitors where they wish. Monthly service user meetings ensure they are able to be involved in the running of the home and nominations have been sought to form a residents committee. Menu planning is done with the input of service users and a choice is offered at all meals including a cooked breakfast. The main dining area is in the atrium and tables are set with cloths and have attractively printed menus in stands on the table. These are also displayed around the home. The table also have sun umbrellas giving the appearance of an open-air bistro. Breakfast is served as service users are ready. The main Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 11 meal of the day is lunch at 12.30 and the evening meal is at 5pm. Sandwiches and a drink are available after 8pm. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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): 16, 17, 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users and their representatives are confident that their concerns will be listened to and taken seriously, they will be protected from abuse and their civil and legal rights protected. EVIDENCE: There is a clear complaint procedure contained in the service user guide and displayed around the home. All staff have training in what constitutes a complaint and how to deal with it. A record of all complaints is maintained with the investigation and outcome recorded. Complaints are audited by head office. The company has subscribed to an advocacy service called “Care Aware” with the company paying the subscription and the service being free to service users. All service users and their representatives will receive a letter telling them of this new service. All service users are entered on the electoral roll and enable to vote in the way they choose. Visits from solicitors can be arranged when required. All staff have training in Protection of Vulnerable Adults (PoVA) with the deputy manager taking the lead role as in house trainer. There is a whistle blowing policy for staff if they need to raise concerns. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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, 20, 22, 25, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a safe well-maintained environment with a variety of communal areas all maintained and decorated to a high standard. Any aids and adaptations needed are provided and all safety requirements are met. EVIDENCE: The home has been refurbished over the past two years with the next phase about to begin. This has included new carpets and soft furnishing and redecoration of both individual rooms and communal areas. The ground are very well maintained and offer the service users safe attractive surrounding in which to enjoy the good weather. The residents are able to choose from a selection of lounges and sitting areas all of which were found to clean and fresh and providing homely surroundings. “Memory Lane” the dementia care unit provides the service users with space to wander safely and areas of reminiscence furniture and article such as drawers to open filled with materials to handle. Any adaptation or equipment will be provided after referral to the appropriate outside professionals. There are contracts in place for the regular servicing of equipment. All service users rooms have natural light and Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 14 ventilation and all hot pipe-work is covered. The maintenance person does regular hot water monitoring, to ensure there is no risk of scalding. The home has a hotel services manager who has responsibility for all domestic and catering services and aims to provide a four-star hotel service within the home. She stated both her and her staff had the opportunity of regular training. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users needs are met by a staff team who are well trained and in sufficient numbers. Recruitment procedures ensure service users are in safe hands at all times. EVIDENCE: All areas of the home are staffed by a mix of qualified nurses, care assistants and hotel services staff. The home is an NVQ training academy and the qualified nurses are currently training to be NVQ assessors. Over 50 of care staff are trained to NVQ level 2 or above. The home has an in house dementia care training programme and the deputy manager takes the lead in training. The home has a stable staff group in sufficient numbers so that agency staff are not used. All staff have training record on their file. Recruitment procedures ensure that all employees have a Criminal Records Bureau enhanced check, a Protection of Vulnerable Adults register check, two written references, proof of identity including a photograph and appropriate visas and work permits where appropriate. All new staff undergo an induction training package and other training is available and frequent to ensure the high standard of care expected is met. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 16 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, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users live in a well managed home that is run in their best interests with staff that are appropriately supervised and trained and steps are taken to ensure their safety at all times EVIDENCE: The manager is a first level nurse with many years experience managing nursing homes. His application to register with the CSCI is being processed and he has enrolled to undertake the NVQ level 4 registered managers award. There is a quality assurance programme in place that includes monthly audits of all aspects of the home such as medication, staff training and record keeping. Several policies and procedures are audited each month. A questionnaire goes to service users and their representatives to gain their views. The home does not hold any money on service users behalf. If a service user does not have any money in the home the home will pay for their hair-do or chiropody, for example, and then invoice the person who manages their Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 17 money for them. Staff have formal supervision every six weeks and formal record are kept. This is audited at company level by the clinical development manager. The manager has formal supervision with his deputy but also has input from his line manager. The maintenance person has responsibility for health and safety monitoring of fire equipment and hot water systems. He also does regular portable appliance testing. The home has a high percentage of trained first aiders ensuring there is always a first aider on duty. All staff have basic food hygiene training. There is a health and safety committee that meets every two weeks and is made up of heads of departments and an additional staff member. Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 3 4 4 X 3 X X 3 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 4 Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 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 Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Hilton Park Care Centre DS0000038514.V292315.R02.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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