CARE HOMES FOR OLDER PEOPLE
Hilton Park Care Centre Bottisham Cambridge CB5 9BX Lead Inspector
Mrs Jenny Cangy Unannounced Inspection 2nd December 2005 11:30 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 Hilton Park Care Centre DS0000038514.V260292.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. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 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 Barchester Healthcare Homes Limited Mr Paul Michael Walsh 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.V260292.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Clients 18 years and over with a physical disability Date of last inspection 25th May 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. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection commenced at 11.30 with the Deputy Manager who has recently been promoted from the post of unit manager. The manager was out doing assessment visits. The inspection process consisted of spending time with the Deputy Manager reviewing the requirements from the last inspection and assessing the minimum standards that were not inspected at the last inspection. This involved viewing documents and records. A tour of the home was conducted, staff and service users met and spoken to. The inspector found the home to be well staffed, clean and fresh and was able to observe activities taking place and observe good interaction between service users and staff. There were no requirements or recommendations found at this inspection. What the service does well: 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.
Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 6 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.V260292.R01.S.doc Version 5.0 Page 7 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): 1, 2, & 4 All prospective service users have sufficient information to make an informed choice about Hilton Park and the terms and conditions of their residence ant that their needs can be met. EVIDENCE: There is a full statement of purpose and service user guide for each of the categories of registration. All service users have a statement of terms and conditions of residence issued by Barchester Healthcare. All prospective service users have a full assessment of their needs before being offered a place at Hilton Park and are formally notified of the homes ability to meet their needs when being accepted for a place. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 8 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 & 11 Service users are able to manage their own medication following a risk assessment. The wishes of all service users with regard to final illness and dying are known. EVIDENCE: There is a policy in place to ensure service users are able to continue to manage their own medication if they are capable and wish to do so. This is clearly recorded on the care plan and appropriate records are kept of all medication. There is a care plan in place that records the individuals wishes for care in their final illness and after death. Respect and dignity are paramount to the care of the service users and forms a great part of new staff induction training. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 9 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): 15 The service users have a choice of a well balanced diet at all meal times. EVIDENCE: The menu offers a choice at each meal time including a cooked breakfast. There are several dining areas that are all pleasant with nicely laid tables and the presence of adequate staff to offer any assistance that is needed. All diets can be provided including those needed on religious grounds. If a service user does not want the choices offered for that day then alternatives will be provided. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 10 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): None of the standards were inspected These standards were inspected and met at the last inspection EVIDENCE: Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 11 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): 21, 23 & 24 There are sufficient washing, bathing and toilet facilities to meet the needs of all the service users. The standard of accommodation is excellent. EVIDENCE: All the bedrooms have en-suite toilet and washing facilities. There are additional toilets around the home so service users are never far from one. All bathrooms have variable height baths with hoist facilities. Bedrooms are light and airy and personalised to the individual with their own possessions around them. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 12 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): 28 & 29 The home is well staffed by people recruited after a thorough checking procedure. EVIDENCE: The home is staffed by Registered nurses, senior care staff, care assistants, domestic, catering, maintenance and administrative staff. The management team is in close contact with the staff on a daily basis. Care staff are encouraged to undertake NVQ level 2 and above and the home exceeds the 50 of staff recommended to have this qualification. Registered Nurses are supported to keep up to date with training and study time. All staff recruited are thoroughly vetted to ensure they are fit to care for vulnerable people and the homes recruitment procedure ensure all appropriate checks are made.. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 13 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): 32, 34, 35 & 37 The management of the home ensures that the well being and safety of the service users and staff are protected at all times. EVIDENCE: The manager is approachable and available to both staff service users and their families. The management team is known to all staff and service users. Policies and procedures are in place to safeguard service users finances and records were seen as part of the inspection. All records are maintained as required. Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 14 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 3 3 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X 3 X 3 3 X X STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X 3 3 X 3 x Hilton Park Care Centre DS0000038514.V260292.R01.S.doc Version 5.0 Page 15 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.V260292.R01.S.doc Version 5.0 Page 16 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
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