Inspection on 09/08/07 for Hylton View Residential Home

This inspection was carried out on 9th August 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hylton View Residential Home 03/08/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Hylton View Residential Home Old Mill Road Southwick Sunderland SR5 5TP Lead Inspector Sam Doku Key Unannounced Inspection 09 & 16 August 2007 09:15 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 Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 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. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hylton View Residential Home Address Old Mill Road Southwick Sunderland SR5 5TP 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) 0191 5496568 0191 5498071 Southern Cross Healthcare (Focus) Limited Elizabeth Violet Capewell Care Home 40 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (1) Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 40 Dementia, over 65 years of age - Code DE(E), maximum number of places 5 Physical disability, over 65 years of age - Code PD(E), maximum number of places: 5 Sensory impairment, over 65 years of age - Code SI(E), maximum number of places: 1 The maximum number of service users who may be accommodated is 40. 11 January 2007 2. Date of last inspection Brief Description of the Service: Hylton View Care Home is a two-storey purpose built care home for 40 older people, some of whom may have a mental and or physical health problem. The home was recently been taken over by Southern Cross Healthcare which now owns it. The home is sited in a prominent location in Southwick and it is on a direct bus route to the village shopping area and the city centre of Sunderland. It is very close to many local amenities such as the shops, Post Office, Church, Library, Medical Health Centre, social club and the pubs. There are twenty single bedrooms on each floor level, all with en-suite facilities as well as a range of lounges, dining rooms, assisted and standard bath and shower facilities. On the ground floor service users have the use a conservatory to the rear of the home through the dining room, which has also an access into the garden area. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 5 The car park is located to the side of the building that has a security camera to survey the area. Service users enjoy events at the neighbouring Red House Community Centre and take trips to the city and surrounding areas. The scale of charges for the home is £372.00 per week. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This is a first Key Inspection for Hylton View Care Home since being taken over by Southern Cross Healthcare. The inspection was unannounced and began on the 9 August and completed on 16August. Before the visit the inspector looked at: • Information we have received since the last visit on 11 January 2007; • How the service dealt with any complaints & concerns since the last visit; • Any changes to how the home is run; • The provider’s view of how well they care for people; • The views of people who use the service. During the visit the inspector: • talked with people who use the service, relatives, staff, the manager and visitors; • looked at information about the people who use the service and how well their needs are met; • looked at other records which must be kept; • checked that staff had the knowledge, skills & training to meet the needs of the people they care for; • looked around the building/parts of the building to make sure it was clean, safe & comfortable; • checked what improvements had been made since the last visit; • The inspector told the manager/provider what he found. These activities contributed to the inspection findings. The atmosphere in the Home was friendly, relaxed and comfortable throughout the time of the inspection. Staff were friendly and respectful in their manner and conducted themselves well in the care practices they were involved in. What the service does well: There is good information in the home about safeguarding adults, and this is well publicised and accessible to staff, visitors and service users. The home’s statement of purpose, service user guide and a copy of the most recent inspection report are available on display in the home. Other useful information leaflets are also freely available in the home. The home has good recruitment procedures in place. All staff have had CRB checks done and three files that were examined contained evidence of two references and identification checks. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 7 The service users confirmed that the staff respect their privacy and dignity. A number of service users stated that the staff would always knock on their doors before making entry and always speak to them in respectful manner. This was confirmed by the results of the service user survey and by the discussions with relatives. Comments from the service users include; • “The girls are always nice to us”. • “Nothing is too much for them” • “The food is very good”; • “They treat us with respect here”. Relatives were very complimentary of the home and the care provided. Comments included; • “The staff are really dedicated”; • “My dad feels very confident when he comes here for his respite”; • “We couldn’t have chosen a better place for dad.” • “The place is always clean and airy”. Southern Cross Healthcare has introduced a new menu system called the “Nut Meg” menu. This is a four week rotational menu and provides guidance to the catering staff on the nutritional values and how best to prepare meals that are balanced and nutritious. Service users and staff commented positively on the new menus and the quality of the meals. What has improved since the last inspection? What they could do better: One case was identified where a service user had an accident that needed hospital treatment. However, no record of the accident had been made in the accident book, although it is recognised that this is a one-off incident on the part of the staff. The staff should record all accidents in the home, and where this lead to hospital treatment, it should be reported to the Commission. In discussions with the domestic staff, it appears that a review of the hours allocated to cleaning would be beneficial to the cleanliness of the home. Extra hours should be provided to allow this to happen. The home has a good system for accompanying the service users for hospital appointments and other appointments in the community. However, the manager should review the arrangement for staff accompanying service users Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 8 for their appointments without a corresponding increase in the staff hours. Sometimes this leaves fewer staff to care for the remaining service users while staff are out on appointments. A fire risk assessment has been made by a professional person and recommendations have been made for the home to address. However there is no evidence of the assessor’s recommendations being followed up and addressed. The induction programme for new care staff should be reviewed to ensure it meets the Skills for Care standards. The current system used for inducting the staffing into the workplace could not be properly assessed because it does not provide details of the training given to the new carer and over what timescale the induction took place. Supervision is done for staff but the frequency should be increased so that all staff receive at least six supervisions per year. The present arrangements for receiving service users’ prescriptions must to reviewed to make sure the staff have sight of the prescriptions so they can check the accuracy of the medicines they receive from the chemist. The environmental, health and safety and operational risk assessments that have been carried out by the manager should be reviewed to reflect a realistic timescale within which such complex assessments are carried out. According to the dates on the assessments, they were all done on the same day. This is not realistic and should be reviewed. 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. The summary of this inspection report can be made available in other formats on request. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 9 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 Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs are fully assessed by the home and also by the social worker before admission is arranged. This ensures that the care needs are clearly identified and care plans put in place to meet the needs of the individual. Hylton View Care Home supports and encourages pre-admission visits to the home by prospective service users and or their relatives. This provides the opportunity for them to assess the home before making their decision about coming to live at Hylton View. EVIDENCE: Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 11 The files of one privately funded service user showed that he has no contract or terms and conditions of residence with the new company that had recently taken over the running of the home. The manager explained that this is in the process of being arranged and also that the company is to issue contracts to all existing service users in the near future. It is the home’s policy that full assessments are carried out by the social workers and copies made available to the manager before admissions are arranged. The home also carries out their assessments of the individual in their own setting to make sure Hylton View Care Home has the necessary skills and facilities to meet the needs of the prospective service user. These arrangements ensure that the social worker, the home, the prospective service user and the relatives are confident that the home is able to support and care for the person before they move in. The home continues to encourage prospective service users and or their relatives to visit the home before admission is arranged. This is the policy of the home and the manager always makes the offer for people to visit the home to see the place for themselves before making up their minds about coming to live there. Three service users commented positively on these arrangements to allow them to visit and for the opportunity to meet with other service users and staff. Two relatives said they found the exercise helpful and said it made it easier for them to decide on the home. One service user stated that the visit to the home made the move from her home into residential care easier thus ensuring a positive experience for her. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 12 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. 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. Care plans and other assessment documents identify the social and healthcare needs of the service users. The detailed plans enable the staff to provide care that is effective and consistent. Proper arrangements are in place to meet the healthcare needs of the service users, thus promoting and ensuring their right to proper health care. This includes the safe administration of medicines. EVIDENCE: Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 13 The service users care plans show the care needs and also the written plan for how those needs are to be met. The care plans are regularly reviewed to make sure that the current care needs of the service users are being addressed and changes made to those needs where necessary. The healthcare needs of the service users are fully met. The home maintains record of contacts with healthcare professionals, including GPs, psychiatrist, chiropody service, dentist, optician and other healthcare services. Entries are made in the report books also show how the home is using the services of community nurses and other healthcare professionals to help in the prevention and treatment of pressure area care, tissue viability, and for general advice and support on other matters such as diet. Relatives and service users confirmed that their healthcare needs are met through the arrangements for them to have access to healthcare facilities. There are suitable arrangements in place for the storage and administration of medicines in the home. All the senior staff have received appropriate training in the administration of medicines. The drugs administration system was examined and there were no discrepancies. The system that is being implemented ensures that the health and welfare of the service users are promoted. However, the arrangements for obtaining prescriptions from the local doctors must be reviewed. Staff should have sight of the prescription sheet and keep a photocopy before it goes to the chemist for dispensing. In this way the staff can check the medicines they receive from the chemist against the photocopy of the prescription when they receive them. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 14 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. 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. The service users are supported to maintain contact with their families, friends and the local community. Such support promotes close relationship with relatives and the community in which they live. The service users enjoy regular social and recreational activities which are purposeful and in line with the lifestyle and culture of the service users. This promotes their sense of wellbeing and satisfaction. The service users receive nutritious diet, which contributes to their health and wellbeing. EVIDENCE: The home employs an activities coordinator who is responsible for organising recreational activities for the service users. They and their relatives confirmed Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 15 that she regularly organises activities for them. Some of the activities include going out into the community. During the inspection visit a number of service users were away to another home for a picnic. Service users were very pleased with the arrangement and clearly looking forward to be visiting another home. Individual service users being taken out when weather permits. One service user spoke at length about how she goes to the local shops with help from the staff. There were also positive comments from other service users about the support they get to go to the local shops and to the local community centre. They also spoke about the entertainers who had visited the home in the past, and one that is being arranged. Throughout the inspection visit it was evident that relatives are encouraged to visit as often as they wish, making it possible for them to keep in touch with the service users. The arrangements for serving meals have improved. The meals were served in a pleasant and relaxed manner and the service users were given plenty of time to eat their meals. The service users and staff commented that the food is good and well balanced. The new company has introduced a new menu system called the “Nut Meg” system, which ensures that the food provided includes all the necessary nutrients for the benefit of the service users. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and practices in the home ensure that the service users are protected from all forms of abuse. EVIDENCE: The home has good policies and procedures and also good information on adult abuse. The policies and the information are freely available to the staff, service users and visitors to the home. These are placed in parts of the home so that it is accessible to everyone in the home and all visitors. The Service User Guide and Statement of Purpose have summaries of the complaints procedure. Again, copies of these are available to service users and their relatives and are also displayed in different parts of the home. This provides the opportunity for service users, relatives and the general public to complain or raise concerns if they wish. Service users and relatives confirmed that any concerns or complaints they may have would be treated seriously. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 17 Staff continue to receive training in protection of vulnerable adults and updated training is also given to make sure the staff are aware of the most recent practice in safeguarding adult procedures. The staff showed good understanding of these procedures and showed awareness of the need to protect service users from all forms of abuse. The complaints and complements book shows that concerns and complaints are taken seriously and dealt with under the home’s protection of vulnerable person’s procedure. The freely available information about safeguarding adults and how to make complaints, promote confidence amongst service users and relatives that all concerns are taken seriously and would be appropriately addressed. Relatives and visitors confirmed that they have confidence in the complaints system and feel that any concerns would be appropriately dealt with by the home. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home maintains good safety standards, which promote the safety and welfare of the service users. The home is generally clean and maintained to good standard. However, some bedrooms continue to suffer from odour problems, which impacts negatively on the self-esteem of the service users. EVIDENCE: Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 19 Safety measures regarding fire safety and the environment are being observed. Regular fire drills, alarm tests and equipment checks are carried out. Fire risk assessment of the building has been carried out. The fire risk assessments include detection devices, chemicals, gas installation, electrical equipments and devices. However, the Fire Risk Assessment makes a number of recommendations for the manager to address. There was no evidence that the manager was aware of this and therefore these recommendations, some of them with timescales, have not been addressed. The new company that owns the home has introduced their own detailed written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. However, the environmental risk assessments that have been carried out by the manager should be reviewed. The timescale within which all aspect of the environment was assessed is not realistic and therefore does not indicate a thorough examination of those areas of the home. The home was clean and while generally free from offensive odours, some of the rooms, particular those on the first floor, have problems with odour. This has been a long-standing problem. The manager acknowledges this problem and described the strategies put in place by the domestic staff to address it. The recent purchase of a carpet cleaner should help in resolving this problem. The kitchen was noted to be generally clean and maintained to good standard. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home should provide sufficient staffing levels to meet the needs of the service users. The arrangements for providing support for service users to continue to access community and healthcare facility do not necessarily support the staffing levels required to meet the overall needs of the service users. The robust recruitment procedures in the home safeguard the safety and welfare of the service users. Staff have received good training to equip them in providing good quality care. However, the staff induction programme is not detailed enough to give confidence that new staff have received good induction training that promotes the welfare of the service users in their care. EVIDENCE: Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 21 Past rotas were examined and the home was found to provide staffing adequate but the arrangements for escort duties at times depletes the number of staff available to meet the care needs of the service users. The staff confirmed that since the new company took over the running of the home, there had been improvements in the staffing levels. The staff expressed concern about the adequacy of care staff on the floor when staff had to accompany service users for their hospital appointments. Two random days were chosen by the inspector to see how the staffing levels are reduced due to appointments. It was noticed that on both occasions two care staff were out of the building at the same time, leaving only two staff with the senior care assistance. The manager has recognised this problem and she indicated that she would be reviewing the staffing arrangement to make sure that adequate staffing is available at all times. Staff files show that the home follows the company’s recruitment procedures. Appropriate references have been obtained and the necessary checks have been conducted, including CRB enhanced checks. Staff confirmed that they have all had CRB checks done on them. The staff training log was examined. The training provided for the staff includes moving and handling, first aid, fire safety training, food hygiene, falls prevention and protection of vulnerable adults awareness training. Refresher training is provided for those who require it. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 22 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. 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 home has suitable arrangements that ensure service users monies are safe and properly accounted for. There are good care practices in place that protected the health and safety, and welfare of the service users and the staff. Staff receive one-to-one supervision from the manager, although the current arrangements need to be conducted in regular frequencies. This helps in the development of staff skills for the benefit of the service users. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager has recently registered with the Commission and now considered as the registered manager. The service users, staff and relatives feel she runs the home for the benefit of the service users. They commented that she has positive relations with them and the service users. Details in the service users files indicate that the home continues to manage the service users’ personal allowances well. Receipts for purchases made on behalf of service users are available on individual files. Withdrawals or payments made on behalf of service users are counter-signed by the service users, their relatives or staff member. The company has produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The records indicated that the staff have had training in food hygiene, fire precaution, moving and handling and first aid. All portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. All the servicing records that were examined were up to date. These included fire-fighting equipments, servicing of hoists, water treatment, electrical installation and gas servicing. The environmental, health and safety and operational risk assessments that have been carried out by the manager should be reviewed to reflect a realistic timescale within which such complex assessments are carried out. According to the dates on the assessments, they were all done on the same day. This is not realistic and should be reviewed. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 24 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 X X X X X 3 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 12(1)(a) Requirement The recommendations from the fire risk assessments must be addressed to ensure safe environment for the service users. Timescale for action 30/09/07 Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 26 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 2 3 4 5 6 Refer to Standard OP8 OP26 OP27 OP30 OP36 OP36 Good Practice Recommendations All accident should be recorded in accordance with the policy and good practice. The domestic hours should be reviewed to make sure that there are sufficient hours to enable staff to deal with the problem of odour in some bedrooms. The manager should review the staffing levels to take account of service users having to be accompanied to their hospital appointments. Staff induction should be properly documented so that as an assessment can be made of the quality of the induction provided. The manager should ensure that the staff receive regular supervision so that each person receives at six supervision sessions a year. The registered manager should ensure that environmental risk assessments are properly conducted and documented. Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Hylton View Residential Home DS0000069668.V340544.R01.S.doc Version 5.2 Page 28 - 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. 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