Care Home: Hillcrest Residential Care Home for the Elderly

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well People are cared for by friendly, respectful and attentive staff so their needs are met in the way they prefer. Staff turnover is low and staff members have time to spend with people living in the home so they get to know them well. People`s care plans are thorough and kept up to date so that staff know what they must do to meet people`s needs in the way they prefer. There is good liaison with healthcare professionals such as doctors and district nurses to make sure that people`s healthcare needs are met. There is a range of activities available to suit people`s interests so they can keep active and stimulated. The food provided is of a very good standard with lots of variety and choice available so people can enjoy a suitable diet to keep well and healthy. There is a clear complaints procedure that people who live in the home know about so they feel confident that their concerns will be listened to an acted upon.The environment is well maintained so that people live in clean, safe, comfortable surroundings. People are encouraged to personalise their rooms to help them feel more at home. There is suitable equipment in the home so that people with mobility problems can move around more easily and independently. The staff are well trained so they are competent to meet the needs of the people who live in the home. There are enough on duty at all times to make sure that the needs of the people who live in the home are met. The recruitment processes for staff at the home are thorough to make sure that they are suitable to work with the people who live in the home. What has improved since the last inspection? The care service provided has been improved. There are now more opportunities for planned activities and a number of administrative improvements have been introduced. A website for the home has been created, staff training has increased and the environment of the home has been enhanced. CARE HOMES FOR OLDER PEOPLE Hillcrest Residential Care Home for the Elderly Manley Road Frodsham Via Warrington Cheshire WA6 6ES Lead Inspector Sue Dolley Key Unannounced Inspection 3 June 2008 09:30 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 Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.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. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillcrest Residential Care Home for the Elderly Address Manley Road Frodsham Via Warrington Cheshire WA6 6ES 01928 733615 01928 733615 admin@hillcrestcarehome.com www.hillcrestcarehome.com Fox Covert Limited 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) Mrs Julie Oultram Care Home 32 Category(ies) of Dementia (7), Old age, not falling within any registration, with number other category (32) of places Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The registered person may provide the following categories of service only: Care home only - Code PC To people 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 32 Dementia - Code DE 32 The maximum number of people who can be accommodated is 32 Date of last inspection 16 March 2007 Brief Description of the Service: Hillcrest is a large detached house built around 1920. It has landscaped gardens and ample car parking and is within a mile of the village of Frodsham. Fox Covert Ltd acquired hillcrest in October 2006. The home has 31 bedrooms, one of which may be used as a double, giving a total of 32 registered places. The home may provide care for older people and people with dementia. All the bedrooms are comfortably furnished and decorated to suit individual preference. Twenty of the bedrooms have en suite facilities and there are communal bathrooms on each floor. All rooms are currently used as single rooms although the conditions of registration allow one of the three largest rooms (Numbers 1, 2 and 5) to be used as a shared room at any one time. There are several lounge and dining areas providing ample communal space. There is a pleasant conservatory and an attractive, adjacent outdoor patio area with additional seating. Residents have access to all communal areas, which provide opportunities to have a choice of environment in which to relax, undertake activity or entertain visitors. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 5 The owners, staff and people living in the home take a pride in the environment. There is a relaxed atmosphere within the home and the premises are well presented, fresh, clean, bright and welcoming. The scale of charges, are from £415.00 to £468.00 per week. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 3 stars. This means that people who use the service experience excellent quality outcomes. This unannounced inspection took place on 3 June 2008 over a period of six hours. This was to assess if people’s needs were being met at the home. A tour of the premises took place and included the kitchen and laundry, six of the bedrooms and all shared areas such as the lounges, dining areas, bathrooms and toilets. One of the owners, the manager, deputy manager and four people who live in the home contributed to this inspection. Before the inspection, the home completed a questionnaire to provide us with up to date information about the services provided. This is one of the main ways that we get information from providers about how they are meeting outcomes for people using the service. People living in the home and others with an interest in it completed CSCI surveys and sent them back to us. Comments made in these forms are included in the report. What the service does well: People are cared for by friendly, respectful and attentive staff so their needs are met in the way they prefer. Staff turnover is low and staff members have time to spend with people living in the home so they get to know them well. People’s care plans are thorough and kept up to date so that staff know what they must do to meet people’s needs in the way they prefer. There is good liaison with healthcare professionals such as doctors and district nurses to make sure that people’s healthcare needs are met. There is a range of activities available to suit people’s interests so they can keep active and stimulated. The food provided is of a very good standard with lots of variety and choice available so people can enjoy a suitable diet to keep well and healthy. There is a clear complaints procedure that people who live in the home know about so they feel confident that their concerns will be listened to an acted upon. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 7 The environment is well maintained so that people live in clean, safe, comfortable surroundings. People are encouraged to personalise their rooms to help them feel more at home. There is suitable equipment in the home so that people with mobility problems can move around more easily and independently. The staff are well trained so they are competent to meet the needs of the people who live in the home. There are enough on duty at all times to make sure that the needs of the people who live in the home are met. The recruitment processes for staff at the home are thorough to make sure that they are suitable to work with the people who live in the home. 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. The summary of this inspection report can be made available in other formats on request. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 8 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 Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 9 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): 1 and 3 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The process of moving people into the home is well managed to ensure that they know what to expect and that their needs will be met. EVIDENCE: The home has an attractive brochure, a service user guide and statement of purpose to provide people with information about the care and facilities available at Hillcrest. Several months ago a web site was launched giving general information about the home. In addition a news journal is provided to keep people who live in the home abreast of news and events. The range of information provided enables prospective service users and their supporters to gain information to help them make an informed choice about the home. The service user guide includes a friendly and informative welcome from the directors and manager. This and the statement of purpose for the home Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 10 should be updated with the new contact details for the Commission for Social Care Inspection. During the last twelve months, a more thorough process for undertaking assessments before people move into the home has been introduced with new paperwork. This is usually filed with the care plan. Care files for three people who live at the home were checked. One of the files did not contain a completed pre admission assessment questionnaire and neither of the pre-admission assessment documents on file had been signed or dated by the assessor. Emergency contact information, medical and personal histories had been recorded to enable care staff to provide appropriate support. Two care files did not contain a photograph of the person to be cared for to aid positive identification by staff. We were told that photographs had been taken but had not yet been developed. The home agreed that in future assessment documentation would be checked to ensure that it had been completed fully. The assessment process carried out before people moved in had helped to identify needs and had enabled the staff at the home to give assurances that those needs could be met. The manager had visited people considering moving into the home. She had liaised closely with them and gathered information from their supporters, social and health care professionals to determine individual needs and the level of support necessary. People’s relatives had been encouraged to provide notes to help staff members to get to know each person well and to understand their social background and care needs. The shared information had helped to tailor care to meet individual needs. When people are interested in moving into the home, they and their relatives/ supporters are encouraged to visit at their convenience to find out more about it to help them decide if it is suitable for them. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 11 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 and 10 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who live in the home are well looked after by attentive, respectful staff members who monitor and support them to make sure that their care needs are met in the way they prefer. EVIDENCE: New care planning documentation is now being used in the home. The care files seen were up to date and well organised and information was easy to find in them. The sample of three care files checked showed that staff members closely monitor people’s care needs and referrals had been made for specialist health advice or treatment as needed. The records checked provided evidence of good liaison with the supplying pharmacist, local GPs, district nursing staff and other health care professionals to ensure people living in the home receive prompt care and attention. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 12 People living in the home had been registered with a GP of their choice within the local area. The district nursing services regularly provide support for people in the home and help to maintain a record of treatment and care. Assessment documentation helped to provide an overall picture of individual need and the level of support necessary. Risk assessments had been undertaken to help minimise risks. The hand over written by staff showed that continuity of care was provided. There was also evidence of good liaison with peoples’ family members and supporters to ensure everyone was kept informed of any changes to people’s needs and health. The management medication was checked. Photographs of people living in the home were attached to their medication administration records to help staff make sure they were giving the right medicines to the right people. Staff members had completed the medication administration records with care. There were just a few minor anomalies in recording, which were discussed with the manager at feedback the inspection. The controlled drugs records and returned drugs records were fully and accurately completed. During our visit to the home, we spoke with four people who live there. One person provided very positive comments. They said prompt attentive care was always given and that the home welcomes visitors. They told us that the home was always clean and hygienic and said if they had to give a score to the home, they would give it 10 out of 10. Another person thought the home was clean and well cared for. They were pleased that staff answered questions promptly and that post was given out as soon as it arrived. They made positive comments about the food provided, the activities available and about the hairdressing service. In general people we spoke with were very pleased with the care and services available, and appreciated the help of attentive friendly staff. Each person confirmed that they had been enabled to personalise their bedroom. They said they had felt welcomed, had made friends within the home and felt settled. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 13 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 and 15 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff members arrange a wide variety of social activities to satisfy peoples social and recreational needs so they can keep active. Food provided within the home is of a high standard with choice so people can have a suitable diet they enjoy to keep them healthy. EVIDENCE: Since our last visit to the home, a greater range of activities has been arranged and enjoyed. An activities organiser is employed every weekday afternoon for two hours per day. Activities were advertised on a notice board. Recent activities have included crafts, gardening, quizzes, bingo, gentle exercises, musical entertainment, visits from the hairdresser and mobile library. Other staff members also help to facilitate activities. During our visit we saw a group of people living in the home enjoying a game of dominoes. Others either visited the hairdresser, relaxed and chatted, watched television or entertained their visitors. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 14 There was a relaxed and friendly atmosphere within the home and a high level of interaction was observed between staff members and the people who live there. It was evident that staff members knew the people they cared for well and visitors were made to feel welcome. Records of residents’ meetings were read and these confirmed that the social activities were well received and appreciated. Some people living at the home had been involved in planting flowers and tomatoes in tubs for the patio and some people were looking forward to a planned visit to Ness Gardens. Photographs were available showing people enjoying the Easter celebrations within the home and some of the residents’ artwork had been framed and was on display. There are good links with the local community with regular visits by clergy, booksellers, chiropodists and opticians. Many positive comments were made about the meals provided. The chef speaks with each person daily and is aware of their food preferences. During the visit the chef was heard to offer people a choice of meal alternatives and additional helpings of food. The daily menu was on display in the reception hall and menu choices were seen to be imaginative, varied and appealing. In addition to the daily menu a selection of salads and healthy options are available each day. During the mid afternoon people living in the home were served a range of prepared fruits. The platters were attractively presented and people living in the home enjoyed the variety of fruits available. The home recently received a Gold ‘Food Safe’ Award from Vale Royal Borough Council, which is a reflection of the quality of food served at Hillcrest. Later in the year there are plans to update and refurbish the kitchen area, which will further improve the working environment. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 15 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 and 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a clear and effective complaints procedure in place so people living at the home and their supporters can express their views and concerns and gain responses. Staff members are appropriately trained so they can protect people who live at the home from abuse. EVIDENCE: The home takes complaints seriously and aims to resolve then quickly and amicably. The complaints procedure is well documented and comprehensive. Complaints/concerns are logged onto a form and recorded in a complaints book. No complaints had been received since December 2007 and prompt and appropriate action had been taken to try to resolve the matters outlined. Adequate measures are in place to ensure the protection of people living at Hillcrest. Several staff members have received adult protection training, whistle blowing training, dementia care training and training in dealing with challenging behaviour to help raise awareness. Hillcrest has a copy of the inter-agency policy, procedures and guidance regarding adult protection in Cheshire to refer to. The manager was advised to obtain the updated version of the ‘No Secrets’ guidance. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 16 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 and 26 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. Hillcrest is very well decorated, cleaned and maintained to a high standard so that it provides people who live there with a pleasant, comfortable, homely environment. EVIDENCE: The communal areas of the home, shared bathrooms and toilets were checked. The home is well maintained, fresh and clean, furnished and equipped to suit the needs of people living at the home. The premises are attractively decorated and carpeted to a high standard, providing a comfortable environment for people and a choice of space in which to relax and socialise. A high standard of housekeeping was evident throughout the home and people cared for confirmed that the standard of housekeeping is consistently high. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 17 Recently a number of improvements have been made to the home. The rear lounge has been redecorated and re-carpeted, new blinds have been fitted to the conservatory, a personal computer has been provided for people living in the home and two new cleaning trolleys are in use. The garden fountain has been repainted and some garden furniture has been re varnished. Some new garden tables, chairs and parasols have been ordered and there are plans to convert a little used downstairs bathroom/toilet into a level –access shower/wet room. During the last twelve months a number of older windows have been replaced with double-glazed units, the exterior of the building has been repainted and edges to steps have been painted with high visibility paint. Redecoration and refurbishment is ongoing and work is prioritised to ensure the home is well maintained and well presented. Twenty of the bedrooms have en suite facilities and there are communal bathroom and toilet facilities on each floor. Six of the bedrooms were checked and each had been personalised and furnished to suit individual needs. Suitable adapted bathing facilities are provided. There is a passenger lift and a stair lift in place to aid those with mobility difficulties. The kitchen and laundry were well organised and equipment had been maintained and serviced. The laundry uses ozone disinfection and some of the hot water used by the home is generated by solar heating. There is a non smoking policy throughout the home. Office space within the home had been recently re-organised to improve record storage and efficiency. The gardens surrounding the home were well kept, colourfully planted and provided pleasant seating areas for people to enjoy during better weather. An infection control policy is in place to ensure the safe handling of clinical waste and during their period of induction, staff members are given instruction and guidance regarding maintaining a hygienic and safe environment. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 18 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 and 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a carefully chosen, loyal and well-trained staff group available to meet the needs of people living at the home to ensure their well-being. EVIDENCE: The staffing rota was checked and showed there were appropriate staffing levels and skill mix deployed on each shift. Most staffing shortfalls due to sickness and annual leave are covered from within the home by existing staff members. The information the home sent us before the inspection confirmed that the home now only accepts applicants for care posts holding the appropriate qualifications. The percentage of staff holding National Vocational Qualification (NVQ) Level 2 in care had increased to well above 50 . There are currently three staff members working towards NVQ Level 3. There are plans to train senior members of staff to become trainers in Moving and Handling to facilitate more in–house training. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 19 Individual records of training are kept. Induction training, foundation training, health and safety training, fire safety training and all other training, continues to be provided. Staff members are prioritised for all other relevant training as necessary to inform their practice and increase their skills, knowledge and competence. Two recruitment files were checked and the recruitment procedure was found to be robust. Each file contained evidence of Protection of Vulnerable Adults first checks and Criminal Records Bureau disclosures, references, proof of identity, qualifications and training. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 20 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 and 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The processes of managing and running the home are open and transparent. The home is well managed so it is run in the best interests of the people who live there and their health, safety and welfare are promoted. EVIDENCE: The manager of the home became the registered with CSCI in July 2007. She has worked at Hillcrest for sixteen years, holds a registered managers award and has attended a Health and Safety course for supervisors. The directors of the company have supported the manager in her role. A computer system has been installed to provide up to date management information, leading to a better run home. Together the management team are experienced in business administration and the care sector. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 21 The owners are gradually introducing aspects of their own philosophy and ethos to strengthen the running of the home and to make the administration of the home more robust. A quality monitoring exercise was undertaken at the home in February 2007. The responses to the quality monitoring survey showed that most people living at the home were very satisfied or satisfied with the personal care and support, management, the activities of daily living and the premises. Considerable investment has been made in improving the facilities and environment. All aspects of the running of the home are under constant review to ensure best practice and to try to ensure the satisfaction of people cared for. Suggestions for improvement are encouraged and welcomed. Whilst some people living at Hillcrest keep control of their own personal expenditure, most have help to safeguard their money. The home records all financial transactions well. Four examples of residents’ money and written balances were checked and were accurate, with receipts kept as appropriate. The directors and manager ensure so far as reasonably practical the health and safety and welfare of people cared for and staff. A number of records were checked and provided evidence of this. The Fire Precautions Record Book was up to date and detailed frequent staff training, checks of the fire alarm and fire safety equipment. During our visit a fire prevention consultant was at the home and undertook a risk assessment. The manager agreed to provide a copy of the consultant’s report to the Commission for Social Care Inspection for information. The Accident Record Book provided a clear account of all accidents within the premises. Notifications had been promptly sent to the Commission for Social Care Inspection when there had been an event affecting the well being of people living in the home and copies of the notifications were kept within the home for inspection purposes. Evidence of service contract engineers visits was also available to show that equipment in the home had been regularly serviced and maintained. Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 22 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 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 23 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 Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Hillcrest Residential Care Home for the Elderly DS0000068307.V363579.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!