Care Home: Hillside

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well Resident`s needs and wishes are thoroughly assessed before they move to the home to ensure that the home is the right place for them and that they wish to live there. There is information about the home for service users and their families. Some of this information is available in pictorial format. The diverse needs of service users and their wishes and hopes are identified before they move to the home. They have the opportunity to visit the home for varying lengths of time before deciding whether they wish to move. There are detailed support plans are in place, which describe resident`s needs and how these are to be met. Service users and their families have been involved in developing these support plans, which reflect their wishes. Risk assessments are undertaken to enable service users to live as full a life as possible with potential risks recognised and reduced as far as is possible. Service users are supported to have a varied and active lifestyle, which reflects their interests and abilities. They are encouraged and supported to remain in contact with their families. They go out daily to a variety of day clubs and outings. The meals are varied and service users participate in choosing the menus. There are complaints and safeguarding policies and procedures in place to protect service users and enable them to raise any concerns. Service users and their families said that they knew how to make a complaint although none had had occasion to do so. The Commission for Social Care Inspection has not received any complaints about the service since the last inspection and has not been notified of any allegations made to the local authority, which is the lead agency in these matters. The home is comfortable, well maintained and clean providing a homely place for service users to live in. Service users are encouraged to personalise their rooms. The standards of hygiene are good. There is a caring, supportive staff team who meet service users` needs in a supportive and flexible way. Recruitment procedures are thorough ensuring that service users are protected from unsuitable carers. The home is well managed in the interests of service users. The manager is experienced and the organisation has a quality assurance system in place to ensure that the care and service is monitored regularly and service users and their families` views are listened to. There are health and safety policies and procedures in place and the safety of service users is monitored carefully. What has improved since the last inspection? There have been ongoing opportunities for service users to develop their interest and skills and to be a part of the local community. Communication with service users has improved with greater use of pictorial easy read documents. Care planning and medication management has improved and the requirements made at the last inspection have been met. What the care home could do better: There is a need to recruit more staff to reduce the home`s dependence on temporary staff and to provide better continuity for service users. The organisation should ensure that radiator surfaces are protected or that low surface temperature radiators are in place to reduce the risk to service users of burns should they fall against them. CARE HOME ADULTS 18-65 Hillside 45 Gainsborough Road Henley On Thames Oxfordshire RG9 1SY Lead Inspector Christine Sidwell Unannounced Inspection 22 February 2008 10:30 nd Hillside DS0000013217.V348394.R01.S.doc Version 5.2 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 Hillside DS0000013217.V348394.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 Adults 18-65. 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. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Address 45 Gainsborough Road Henley On Thames Oxfordshire RG9 1SY 01491 577169 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) haroon@caretech-uk.com Care Tech Community Services Limited vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th April 2006 Brief Description of the Service: Hillside is a semi-detached house situated in a residential area of Henley on Thames. The home is registered for three people with a learning disability. The home has a cosy lounge, dining room, kitchen and two bathrooms. There is a small garden to the back of the house. Each resident has their own bedroom, one with some adaptations on the ground floor and two others on the first floor. The home is run and managed by Care Tech Community Services Ltd, a national organisation with experience in providing services for people with a learning disability. The fees for this service range from £959.85 to £1002.42 per week. The home has a statement of purpose and service user’s guide which describes the services it provides and can be obtained from them. The service users guide is also available in picture format. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection took place over three days and included a five hour unannounced visit to the home. Prior to visit the manager was asked to complete an annual quality assurance self-assessment, which she did and returned on time. Information received by the Commission for Social Care Inspection since the last inspection was considered in the planning of this inspection. Questionnaires were sent to service users, their families, staff and health and social care professionals who visit the home. Three service users were assisted to complete an easy read questionnaire. Two family members, one social care professional and one member of staff returned the questionnaires. The service users, manager and staff were spoken to on the day of the unannounced visit. Records were examined and a tour of the building undertaken. The way in which the organisation promotes equality and diversity was considered throughout. What the service does well: Resident’s needs and wishes are thoroughly assessed before they move to the home to ensure that the home is the right place for them and that they wish to live there. There is information about the home for service users and their families. Some of this information is available in pictorial format. The diverse needs of service users and their wishes and hopes are identified before they move to the home. They have the opportunity to visit the home for varying lengths of time before deciding whether they wish to move. There are detailed support plans are in place, which describe resident’s needs and how these are to be met. Service users and their families have been involved in developing these support plans, which reflect their wishes. Risk assessments are undertaken to enable service users to live as full a life as possible with potential risks recognised and reduced as far as is possible. Service users are supported to have a varied and active lifestyle, which reflects their interests and abilities. They are encouraged and supported to remain in contact with their families. They go out daily to a variety of day clubs and outings. The meals are varied and service users participate in choosing the menus. There are complaints and safeguarding policies and procedures in place to protect service users and enable them to raise any concerns. Service users and their families said that they knew how to make a complaint although none had had occasion to do so. The Commission for Social Care Inspection has not Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 6 received any complaints about the service since the last inspection and has not been notified of any allegations made to the local authority, which is the lead agency in these matters. The home is comfortable, well maintained and clean providing a homely place for service users to live in. Service users are encouraged to personalise their rooms. The standards of hygiene are good. There is a caring, supportive staff team who meet service users’ needs in a supportive and flexible way. Recruitment procedures are thorough ensuring that service users are protected from unsuitable carers. The home is well managed in the interests of service users. The manager is experienced and the organisation has a quality assurance system in place to ensure that the care and service is monitored regularly and service users and their families’ views are listened to. There are health and safety policies and procedures in place and the safety of service users is monitored carefully. 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. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s needs and wishes are thoroughly assessed before they move to the home to ensure that the home is the right place for them and that they wish to live there. EVIDENCE: The home has information about the home, available to service users and their families, in the form of a statement of purpose and service user’s guide. The service user’s guide is available in a pictorial format. The manager said that she was looking to improve it with more photographs. There are policies and procedures available to staff to guide the admission process. The manager described how these would work in practice and said that potential service users would be able to visit the home and meet the people who already live there and stay for varying periods. No new service users have moved to the home since the last inspection but there was documentation in the files to show that the current service users had been assessed by their care manager and by the home, before they moved. The assessment documentation is very comprehensive and prompts staff to consider peoples individual and diverse needs. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are detailed support plans are in place, which describe service users’ needs and how these are to be met, within a risk assessment framework. Service users and their families have been involved in developing these care plans which reflect their wishes. EVIDENCE: The files of two service users were examined. They contained copies of the care manager’s initial assessment, the home’s assessment and support plans which had been developed with the service users and their families. Key aspects of the support plan were also in pictorial format. They were written in the first person and focused on the likes and wishes of the service user. They described in detail how the service users liked to be treated and also what they didn’t like. The support plans are reviewed on an ongoing basis and formally at six monthly intervals. The home is proactive in contacting care managers when service user’s formal reviews are due. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 10 The staff were knowledgeable about the support plans and had worked hard to update them and make them meaningful for service users. They were observed to be offering service users choice and to be supporting them to make decisions. Comprehensive risk assessments are undertaken which helped service users live a full life within a framework which endeavoured to minimise any risks to them. There is an unexplained absence policy although the manager said that none of the service users were able to go out alone and were always accompanied by a family member or a member of staff. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported to have a varied and active lifestyle, which reflects their interests and abilities. They are encouraged and supported to remain in contact with their families. EVIDENCE: Each person has an individual plan as to how they would like to spend their day. They attend day services and a variety of clubs depending on their abilities and likes. One service user attends a drumming club as part of a therapeutic approach to improving communication. Service users enjoy shopping and stopping for a cup of coffee in a local coffee shop. They attend the local cinema, jazz clubs, keep fit and arts and crafts days. One service user is a member of a local evening youth club. The manager said that the staffing rota was arranged to accommodate service users varied lifestyles to ensure that they could participate in community life. The staff confirmed this. The home is in a quiet residential street and the manager said that they had good relationships with their neighbours. Service users are encouraged and supported to remain in contact with their families, most of whom visit Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 12 regularly. One service user has a long-term advocate who supports her and visits regularly. The routines of the home are flexible and depend on service user’s activities and plans for the day. Service user’s rooms are personalised and permission was sought before entering them. The care staff were observed to be speaking to service users in a kind and friendly way and were not patronising. Service users have a home day at least once a week, when they are encouraged to help with domestic duties in the home and in their rooms. Service users meet once a week to choose the main meals for the following week. One of the carers has developed a picture menu book to help them choose what they would like to eat. Meal times are flexible depending on their plans for the day. The meals are varied and there is fresh fruit and vegetables available. Service user’s individual nutritional needs are recorded in the support plans and they are weighed regularly. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of people living at the home are met, promoting their health and well being and ensuring that they receive medication in a safe and consistent manner. EVIDENCE: There was evidence in the care files that service user’s healthcare needs are met. All service users are registered with a local general practitioner and visit when necessary. The local consultant specialist and learning disability team monitors their overall care. There was evidence in the files that service users have regular dental check ups and optician visits. The manager said that service users have a personalised health plan which they can understand although these were not available on the day of the inspection. Service users have annual check ups and had been offered the ‘flu’ vaccination. Personal support is given in their rooms. Service users were well groomed and all were wearing their own clothes. There are medication management policies and procedures in place. Records showed that all staff who administer medication have received training. The home uses a dosette system with is overseen by the pharmacist. Medication Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 14 delivered to and returned from the home is recorded. The medication administration charts were completed accurately. The home does not hold any stocks of controlled drugs. No service users self medicate although there are policies and procedures in place should any one wish and are able to do so. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are complaints and safeguarding policies and procedures in place to protect service users and enable them to raise any concerns. EVIDENCE: There is a complaints procedure in place, which contains the contact details of the Commission for Social Care Inspection. A complaints record is kept. The manager stated in the annual quality assurance questionnaire that no complaints had been received in the last year. The service users and family members who returned the questionnaires said that they knew how to make a complaint if they had any concerns. The Commission for Social Care Inspection has not been notified about nor received any complaints about the service since the last inspection. The home has policies in place to respond to safeguarding allegations and staff have received Protection of Vulnerable Adults training. The Commission for Social Care Inspection has not been notified of any allegations, which are being investigated by the local authority. An easy read pictorial version of the complaints procedure and what abuse is and what to do about it are in the service users guide. Systems are in place for managing service user’s personal allowances. Small amounts of cash are kept for each resident in the home and records of expenditure and receipts are kept and logged. The records are checked by staff weekly and audited by the organisation on a regular basis. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is comfortable, well maintained and clean providing a homely place for service users to live in. EVIDENCE: The home is situated in a residential area and blends in with the surrounding houses. It is a semi-detached house with two floors. The outside has been redecorated this year and the gardens are tidy and accessible to service users with disabilities. The interior is clean and in good repair. The manager said that the interior would be redecorated this year and that service users would be able to choose the colours for their rooms and the communal areas. The furnishings and fitting are domestic in character. One service user showed the inspector her room of which she was very proud. It was homely and personalised. There is no lift and service users have to be able to use the stairs to access the upstairs bedrooms. There are handrails to assist. There are window restrictors to the upper floor windows. The manager said that the water outlets had thermostatically controlled valves which restricted the temperature to 43°C. Carers also check the bath temperatures and records were seen to confirm this. The radiator surfaces Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 17 were not low temperature. They were cold on the day of the unannounced inspection as the heating was off. The organisation should ensure that the radiator surfaces do not exceed the temperature of 43°C, as recommended by the Health and Safety Executive, when the heating is on. Further guidance is available in their booklet Health and Safety in Care Homes and on their website www.hse.gov.uk. There are infection control policies and procedures in place. The laundry was separate from the kitchen and was clean and tidy. The staff were aware of the importance of hand washing and protective clothing is provided where necessary. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is a caring, supportive staff team who meet service users’ needs in a supportive and flexible way. Recruitment procedures are thorough ensuring that service users are protected from unsuitable carers. There is a need to recruit more staff to reduce the home’s dependence on temporary staff and to provide better continuity for service users. EVIDENCE: There are three permanent staff members. There is insufficient permanent staff to cover the rota and the manager said that a small group of agency staff were used. She only used agency staff who were known to the service users and a profile showing the member of staff’s experience, recruitment information and training was in the staff files. The members of staff on duty on the day of the unannounced visit were enthusiastic about their role and said that staff shortages had not prevented any service users undertaking any activities that were planned for them. Whilst the staffing levels and the proportion of permanent to flexible staff meet the needs of current service users, staffing levels must be monitored carefully to provide better continuity to service users. There is a staff training programme in place and the training needs of staff are identified as part of the annual planning cycle. Two of the permanent staff Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 19 hold a learning disabilities qualification equivalent to the National Vocational Qualifications (NVQ) in Care at level 2 and the third member of staff is registered to commence the NVQ shortly. There is a training matrix, which showed that staff had had training in safe working practices. Training is also offered in topics relevant to the care needs of the service users. The recruitment files are kept at the organisations head office and are inspected annually by the Commission for Social Care Inspection. They were last inspected for this home on the 7th November 2007 and found to contain the required checks as to the suitability of carers to work with residents. References and Criminal Records Bureau (CRB) checks had been undertaken. Records as to the process of recruitment are also kept in the home and showed that service users are involved in the recruitment process. There was evidence that regular staff meetings are held and the staff spoken to said that they felt involved in the home and that their views were respected. Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed, in the interests of service users and has systems in place to ensure that their view and the views of the families are listened to. EVIDENCE: There is an experienced manager in post. She manages two homes within the Care Tech Community Services group. She has updated her qualifications and knowledge in the last year and holds the National Vocational Qualifications in Management at level 4. The staff said that she was approachable and could always be contacted on the telephone if she was not in the home. She has applied for registration with the Commission for Social Care Inspection. Care Tech Community Services have a quality assurance system in place. Regular in depth audits of the care and service offered are undertaken. An operational manager visits the home regularly to undertake a quality assurance review. The reports of these visits were examined and showed that Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 21 deficits are identified and discussed and that there is follow up at the next visit to ensure that they have been remedied. The care staff have been conscientious in addressing any concerns expressed. The organisation has a quarterly quality assurance meting when managers meet to discuss improvements to the homes and to share good ideas for the benefit of service users. An annual quality assurance questionnaire is sent to families and other stakeholders. These have been sent recently although the results are not yet available. The manager said that the outcomes would be shared with service users, their families and other interested parties, including The Commission for Social Care Inspection. There are health and safety policies and procedures in place. The training matrix shows that staff have had training in safe working practices, including moving and handling, food hygiene and infection control. The annual quality assurance questionnaire showed that services and equipment is maintained and serviced regularly. Water temperatures are regulated although as described in the environment section of this report the organisation should ensure that radiator surfaces are protected and do not exceed 43°C when the central heating is on. There are generic risk assessments in place and household substances were locked securely. Hillside DS0000013217.V348394.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 Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Hillside DS0000013217.V348394.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. 1 Refer to Standard YA24 Good Practice Recommendations The organisation should ensure that the radiator surfaces do not exceed the temperature of 43°C, as recommended by the Health and Safety Executive, when the central heating is on. There is a need to recruit more staff to reduce the home’s dependence on temporary staff and to provide better continuity for service users. 2 YA33 Hillside DS0000013217.V348394.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.southeast@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 Hillside DS0000013217.V348394.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!