Latest Inspection
This is the latest available inspection report for this service, carried out on 12th February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
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.
For extracts, read the latest CQC inspection for Hill Brow.
Annual service review
Name of Service: Hill Brow The quality rating for this care home is: The rating was made on: three star excellent service 2 1 0 1 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Sally Hall Date of this annual service review: 2 0 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Beacon Hill Road Ewshot Farnham Surrey GU10 5DB 01252851011 Telephone number: Fax number: Email address: Provider web address:
margo@woodlands-hillbrow.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Woodlands and Hill Brow Ltd Number of places (if applicable): Under 65 Over 65 32 0 0 32 The maximum number of service users to be accommodated is 32. The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Dementia (DE). Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Hillbrow provides accommodation for up to 32 people who are within the category of older people, some of whom may have dementia. The home aims to provide a homely and relaxed environment for service users. The home is owned and operated by Woodlands and Hill Brow Ltd a family business who
Annual Service Review Page 2 of 7 2 1 0 1 2 0 0 9 also have a second home in the area. Staffing is provided twenty-four hours a day. Visitors are welcome and service users families are encouraged to play an active part in their relatives life where appropriate. The home has well-established links with local General Practitioners and nursing services to support and enhance the care provided. The home is situated between the towns of Farnham and Fleet and is set within its own grounds. Accommodation is provided on two floors. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included, The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives some numerical information about the service. Information we have about how well the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information received from other organisations. What other people have told us about the service What has this told us about the service? The last inspection took place on 21st January 2009 the report was very positive with no requirements being made following the site visit. The home completed and returned their AQAA annual quality assessment. The document was comprehensive and informative. It identified areas where the service had improved in the last year and others where further developments were being planned. It included evidence that the service regularly sought the views of service users and other stakeholders to inform their planning. There have been six complaints made to the home since the last inspection and all of these were dealt with with in the time scales detailed within the camplaint procedure. The home has strategies in place to ensure that those who they provide a service to can make their views and complaints known. The surveys recieved back by the commission evendenced that people felt confident their views will be listened to, taken seriously and acted upon. The home has made no reffereals to safeguarding during this time, and is proactive in informing the commission of incidents that happen in the home. Staff training all staff have undertaken an induction which meets the Skills for Care standards. The number of care staff who have been awarded an NVQ, National Vocational Qualifications level two or above 7. The target of having at least 50 of staff having completed level 2 or 3 has been met with 7 of the 13 staff currently with the award. The home does have other staff who are working towards the NVQ award. The AQAA also confirmed that mandatory training is undertaken which includes dementia awareness. Annual Service Review Page 4 of 7 The AQAA shows that concerns about staff turn over has been recognised and exit interviews are now undertaken of all staff, and other measures are in place to encourage staff to stay at the home. A number of staff have also be trained to train to ensure staff have the skills and knowledge to provide a high standard of care. All relevant employment checks are carried out to ensure staff are appropriately employed and service users remain in safe hands. The AQAA identified other areas of improvements mainly focused around informing and involving service users. The AQAA confirms the home understands sevice users with specific needs relating to cultural, social, race, gender, identity, disability, sexual orientation, age, religion and belief. Extremely important when caring for people with dementia. The home when admitting new service users ensure through the person centred individual care plans that as much information is gathered in order to meet each persons diverse needs. These are also reviewed with the service users on a monthly basis. Quality assurance is taken seriously by the home and the AQAA describes different ways in which the care with in the home is monitored. As well as, surveys there are regular meetings are held with service users, their families and staff. Feed back from these meetings etc. are used to improve the service that the home offers. It was noted in the AQAA that the policies and procedures in the home have not been reviewed annually. This is a requirement, all policies must be seen to have been reviewed at least annually in order to ensure they meet current legislation and guidance. We sent out surveys prior to this inspection we had a good response from service users, staff and health professionals. Service users made comments about what they feel the home does well and these included, The home is clean. The staff are always kind and helpful. It is kept warm. Good varied menu. Fair weekly activities. Good laundry service daily. Maintains a clean and happy atmosphere. They also stated that there were areas that the home could improve and they included Food not good. Vegetables not varied, often served cold meat tasteless. The food leaves a lot to be desired. It is often cooked, served cold and the meat often tough. Lunch is always late. The vegetables very badly cooked. Have a room that doctors can use when seeing residents on the ground floor in private. Would like a little more entertainment brought in. It was nice over the Christmas period but there is little at other times. Surveys were also received from other Health Professionals, they stated that in their opinion the home Provides excellent care and stimulate residents, also providing relevant activities. They meet all the nutritional needs for each individual. Also have a great understanding in the needs of residents. Do well in keeping up with all training and updating qualifications, making sure all staff are fully trained. Staff are friendly caring and helpful. They did say that the service would be improved if it had a better room for GP to examine patients. The present room has many uses including as an office, clinic, meeting room and for medication etc.
Annual Service Review Page 5 of 7 We asked the health professionals is there anything else you would like to tell us, and we received the following comments, Hillbrow is a lovely residential home, that take great pride in making sure all residents are happy and healthy, and well looked after. Excellent helpful staff and truly caring attitude. Comments made by the staff were also received regarding what the home does well. Cares for residents well being, and personal needs and helps motivate anyone who needs a little individual help. Assist residents to join in with activities they would normally not partake. They have an excellent chef and good nutrition and dietary needs catered for, we provide maximum care and protect the dignity of the residents. Gives good training. Makes sure residents feel at home safe and secure. Runs efficiently, happy environment. Communication with the staff about what is going on around the home. Supporting you in your job role. Caring for resident and meeting their needs. Some staff also felt that the home would be improved by more various activities like entertainment, physio, outings, shopping Given the past record of the home we believe the manager will take any action necessary to improve the service from the comments that the commission has received and pass on the positive comments to the staff. We believe the manager will prioritise the comments made by service users regarding the meals at the home first as meals are often the highlight of a persons day. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and we will do a key unannounced inspection by 21st January 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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