Care Home: Hillside Residential Home

What the care home does well The home makes sure that people who live there have their weight regularly monitored, and has purchased chair scales so that people with mobility problems can be weighed.The home plans people`s care so that any identified risks are managed safely. What the care home could do better: There are obvious risks to people living at the home because of the way in which infection control is managed. This puts people living there at risk of infection caused by poor practices. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Hillside Residential Home Alcester Road Hollywood Birmingham West Midlands B47 5NS zero star poor service 14/10/2008 The quality rating for this care home is: The rating was made on: 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Blake Date: 0 3 0 3 2 0 0 9 Information about the care home Name of care home: Address: Hillside Residential Home Alcester Road Hollywood Birmingham West Midlands B47 5NS 01214302126 01214306306 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Christopher Michael Higgins care home 20 Number of places (if applicable): Under 65 Over 65 0 20 learning disability old age, not falling within any other category Conditions of registration: 10 0 The maximum number of service users to be accommodated is: 20 The registered person may provide the following category of service only: Care Home Only - Code PC To service users of the following gender: Both Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE (E) 5 Old age, not falling within any other category - Code OP 20 Physical Disability (E) 20 Learning Disability - Code LD 3 Three people over the age of 50 may be accommodated with learning disabilities. Date of last inspection Brief description of the care home Hillside is a detached, purpose-built property situated in a secluded, semi-rural position on the outskirts of Birmingham. The property stands in its own grounds surrounded by Care Homes for Older People Page 2 of 9 1 4 1 0 2 0 0 8 Brief description of the care home lawns and set well back from the main road at the end of a driveway. There are carparking facilities at the front of the premises. Hillside is registered as a care home providing residential i.e. personal, care for a maximum of 17 older people above the age of 65 years who may also have a physical disability. The home may also accommodate five named people with a dementia illness. The home is a single storey building. Everyone who lives at the home is accommodated on the ground floor in 15 single bedrooms and 1 double bedroom. The double bedroom has been used as a single bedroom. All of the single bedrooms, except one, have an en suite facility. The upper floor of the home is a self-contained apartment, Hillside View, which is registered to provide accommodation for 3 people over the age of 50 with learning difficulties. The schedule of fees is not included in the Service User Guide, so the home should be contacted for any information relating to fees. The fees do not cover the cost of additional services including chiropody, dental and ophthalmic treatment, hairdressing, newspapers, taxis and telephone. A copy of this inspection report is available to view at the home. Care Homes for Older People Page 3 of 9 What we found: We carried out this inspection to check whether or not the home had complied with the requirements which we made at the previous inspection on 14 October 2008. We had required the home to make sure that facilities were provided so that people could have their weight monitored. We saw that the home has purchased a set of chair scales, which means that people with mobility problems can be weighed. We looked at records for three people living at the home, and these showed that monthly recordings of weight had been made. The manager told us that everyone living at the home is weighed at least every month, and more often if this is required. Therefore the home has met the requirement set at the last inspection. We had also required the home to ensure that any identified risks were fully assessed, and the outcome used to inform the planning of care. We looked at two peoples records where the home had identified risks to the persons health or welfare. We saw that, in both cases, the home had a written risk assessment and had made sure that the care plans stated clearly what needed to be done to reduce the risk. Therefore the home has met the requirement set at the last inspection. At the previous inspection, we had concerns about the way in which the home manages infection control. We required the home to put in place procedures to prevent the spread of infection. The home has a spa bath, and at the last inspection, we saw that this was not being cleaned properly. Spa baths require a specialist cleaning regime to ensure that water trapped in the tubes does not put people at risk of infections such as E.Coli and Legionella. The manager told us that she has not had the spa bath cleaned as required. We saw that, in the homes laundry room, clean and dirty laundry were being kept in close proximity. The dirty laundry basket was an openwork plastic basket with no lid. The manager told us that the home does not have any bags for the safe storage of soiled laundry before it can be washed. We saw that a soiled and stained piece of towelling was on the same shelf as a pile of clean towels and face cloths. It is poor practice not to make sure that dirty and clean laundry are kept entirely separate. Dirty and soiled laundry should not be placed in an open basket, as this means that there is a risk of cross infection if anyone comes into contact with it. We saw that there were crumbs and other debris on the kitchen floor. Records showed that the Environmental Health Officer had visited the home in January 2009, and had also noted that the kitchen floor was not clean. What the care home does well: The home makes sure that people who live there have their weight regularly monitored, and has purchased chair scales so that people with mobility problems can be weighed. Care Homes for Older People Page 4 of 9 The home plans peoples care so that any identified risks are managed safely. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13(2) A suitable lockable, 22/10/2007 dedicated refrigerator for storing medication that requires cold storage must be provided. The medication must be stored within the correct temperature range of between 2 and 8 degrees C and a daily temperature record maintained. This will help to ensure safe storage and administration. (Previous timescale 31/12/06 not met). The timescale for compliance with this requirement has not been met. This has now been referred to the Enforcement Team. Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 26 13 (3) You must ensure that there is a written risk assessment in place, and action taken, to ensure that the spa bath is properly cleaned. This is to reduce the risk of cross infection. 16/04/2009 2 26 13 (3) You must ensure that all areas of the home are kept clean. This is to prevent the spread of infection. 16/04/2009 3 26 13 (3) You must ensure that 16/04/2009 clean and dirty laundry are stored separately, and are not able to come into contact with each other. This is to prevent the spread of infection. Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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