Inspection on 11/11/05 for North Hill

This inspection was carried out on 11th November 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

North Hill 22/03/07

North Hill 10/05/05

North Hill 19/10/04

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE North Hill 2 North Hill Road Southey Green Sheffield South Yorkshire S5 8DS Lead Inspector Michael O’Neil Unannounced Inspection 11th November 2005 09:05 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 North Hill DS0000055096.V261529.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. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service North Hill Address 2 North Hill Road Southey Green Sheffield South Yorkshire S5 8DS 0114 285 5773 0114 231 6708 northhill_902@fsmail.net 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) North Hill Care Homes Ltd Mrs Samantha Kate Binney Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: North Hill is a care home providing personal care and accommodation for 28 older people. The home is situated in the residential area of Southey Green in North Sheffield, close to Hillsborough. A small shopping area is available close to the home and public transport stops very close to the home. Car parking is provided at the home and roadside parking is also available. North Hill was registered in the early 1990s and is built on three floors, the rooms on the second floor having dormer-style windows. A lift is available to all floors for service users. All accommodation is provided in single en-suite bedrooms. A conservatory is provided and a lawned area is located to the rear with small garden areas to the front and side aspects. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mike O’Neil carried out this unannounced inspection from 9:05 to 13:05. Mary Glaves,senior care assistant and Peter Bradshaw, registered provider, were present for the inspection. Opportunity was taken to make a partial tour of the premises, inspect a sample of records and policies and talk to 5 staff, 2 visiting relatives of a prospective resident and 8 residents. The inspector wishes to thank the staff and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? There had been some improvements in the recording systems of the resident care plans. The water temperature in the bathrooms had been controlled to a safer, lower temperature. The residents, as at the last inspection, said that they felt there was not a lot to improve on, as they were as happy now, as they were then, with the care they received at North Hill. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 6 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. North Hill DS0000055096.V261529.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 North Hill DS0000055096.V261529.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): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: North Hill DS0000055096.V261529.R01.S.doc Version 5.0 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): Standards 7,8 and 10. The residents’ health care needs were not documented in the care plans in enough detail. The residents’ social and personal care needs were well documented in the care plans. Residents themselves said that the care they were receiving was very good and that the staff were very nice. Residents’ privacy and dignity was maintained. EVIDENCE: One resident care plan was checked. The care plan set out in detail the residents personal and social care needs and the action to be taken by the care staff of the home to ensure all these could be met. However the care plan did not provide enough detail of a particular health care need of the resident or the action to be taken by staff to meet this need. The care plan summary had not been dated or signed by a member of staff. Staff did record the time of writing the care plan and no gaps were left in between the entries they had recorded. These were previous requirements that had now been met. Residents said that they were happy and that the staff were very caring. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 10 Other residents added the staff of the home were” wonderful” and that the care delivered by them was “excellent”. Residents were well dressed in clean clothes and had received a good standard of personal care. Residents were observed to receive personal care in a manner that respected their privacy and dignity as staff knocked on residents doors and waited before being invited in. Residents said that staff were polite and helpful. North Hill DS0000055096.V261529.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): Standards 12,13,14 and 15. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice. EVIDENCE: Residents said that they were able to maintain contact with their family and friends and said that their relatives were always made to feel welcome when they visited. A friendly and very welcoming feel was evident in North Hill. Two relatives said that they were impressed by the friendly atmosphere they found at the home. Residents said they chose when they got up and went to bed. Residents said that activities were available both within the home and on trips outside the home. Activities planned were advertised on a notice board in the home. Lunch was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. North Hill DS0000055096.V261529.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): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: North Hill DS0000055096.V261529.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): Standards 19,24,25 and 26. The environment within the home was well maintained and clean providing a comfortable and generally safe environment for residents. EVIDENCE: All areas of the home were clean and tidy. Lounge and dining areas were domestically furnished. Four bedrooms were checked in detail and many others seen, all were comfortable and homely. Residents said their beds were comfortable. Bed linen checked was clean and in a good condition. Some of the bedroom carpets are becoming a little worn and will need replacing within the next 6 months to one year. The home was clean, with no unpleasant odours noticeable. Residents said that the home was always kept clean. Relatives said that they were impressed with the cleanliness of the home. The home was warm in all areas. Window restrictors were fitted to all windows checked. This will assist in maintaining resident safety. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 14 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): Standard 27. Staff were employed in sufficient numbers. EVIDENCE: The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Residents said there was always a member of staff available when they needed them. Staff said staffing levels were adequate. Staff recruitment files were not checked at the inspection. They will be checked at the next inspection. Staff recruitment procedures were checked by the CSCI in October 2004 and were found to be satisfactory North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 15 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): Standards 33,35,36 and 38. There was a positive style of management in the home and staff moral was good. Staff said they were appropriately supervised on a continuous basis. The homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: Residents said that they met regularly with the manager and registered provider and spoke positively about their approachability and helpfulness. This quality assurance monitoring will help to ensure that the home is run in the best interests of the residents. Staff said that they enjoyed working at the home. Staff said they were receiving supervision and management support on a regular basis. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 16 The service user personal money accounts were examined by the inspector and were found to be up to date. The inspector saw a receipting system and statement sheets for each service user. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 41 degrees centigrade. This will promote the safety and welfare of the service users. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 3 X 3 North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 18 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. 1. Standard OP7 Regulation 15 17 Requirement The resident care plans must provide more details of the action, which needs to be taken by, care staff to ensure that all aspects of the health needs of residents are met. All care plans must be dated and signed by the writer of the care plan. Timescale for action 01/02/06 2. OP7 15 17 01/02/06 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 Refer to Standard OP7 OP19 Good Practice Recommendations The information held in resident care plans should be unified and condensed. Bedroom carpets should be replaced as needed. North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 North Hill DS0000055096.V261529.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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