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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2019

About the service: Hillside is a care home. People in care homes receive accommodation and personal care under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Hillside provides a service for up to 8 adults with a learning disability. At the time of the inspection there were people 8 living at the service.

Accommodation is provided in one large detached house over two floors. People have access to communal areas.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance however, there were elements of this. Registering the right support ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.

People’s experience of using this service:

The majority of people who lived at the home were able to communicate verbally but for people who were unable to speak to us we observed staff supported them with a range of communication aids. These included sign language and interpreting people’s body language with regards to meeting their needs and wishes.

At the last inspection we found that not all risks had been fully assessed or mitigated and people had been placed at risk. This included the use of a door wedge which would have increased the risk to people if a fire broke out at the home. However, at this inspection we found all risks in relation to people’s health, safety and welfare had been identified and action taken where appropriate. This included risks associated with bathing and the safe administration of medicines. Staffing levels were appropriate to meet the needs of the people using the service. Medicines were safely managed. There were systems in place to monitor incidents and accidents and learn from these.

At the last inspection we found that several areas of the home were in a state of disrepair. However at this inspection we found that the environment had been greatly improved. With several areas of the home being refurbished, which included a newly fitted kitchen, new soft furnishings have been purchased, all bedrooms have been re- decorated, carpets have been replaced throughout and new windows fitted on the first floor of the home. Also, several areas of the home had been re-carpeted and additional skylights have been fitted to provide more natural light into the home.

Staff were competent and knew the people they supported well. People’s care, health and cultural needs were identified so staff could meet these. People had their nutritional needs met. People were supported to maintain good health. Staff made referrals to health professionals when required. Staff worked within the principles of the Mental Capacity Act (MCA) 2005 and ensured people consented to their care.

People received care from staff who were kind and caring. People’s privacy and dignity was protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences. One relative said. “[name] loves living at Hillside. The staff are all very proficient and lovely. Its home from home.”

People took part in a range of group; one-to-one activities depending on their preferences and also had the opportunity to enjoy annual holidays away from their home. Information was displayed on how to make a complaint and in a pictorial format, that could be easily understood. Relatives also told us they knew how to complain.

People, visitors an

Inspection areas

Safe

Good

Updated 7 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 7 August 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 7 August 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 7 August 2019

The service was well- led.

Details are in our Well Led findings below.