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Hilldales Residential Care Home Good

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All reports

Inspection report

Date of Inspection: 16 July 2013
Date of Publication: 21 August 2013
Inspection Report published 21 August 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 16 July 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff and reviewed information sent to us by commissioners of services.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People’s privacy, dignity and independence were respected.

People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

People who use the service understood the care and treatment choices available to them. People were given a contract which set out the rules to remaining at the service. This included no drinking on the premises and people who went out to drink would be refused entry to the service if they were abusive and aggressive. We heard from one person their monies were held at the main office. This was with their agreement as a measure to help them to control their alcohol addiction.

People expressed their views and were involved in making decisions about their care and treatment. We heard for example people were assisted to attend GP appointments and made choices about the advice given such as giving up smoking, diet and follow up treatments. One person told us ''since being here I have felt much better, they have helped me gain weight and get treatment from the doctor. I have also seen the optician and the diabetic nurse. I am really so much better now.'' We heard from another person they chose to spend most of their time in their own room. This decision was respected by staff, and although they were encouraged to have meals in communal areas, they were also able to eat their meals in their own room. We heard from staff about how they supported people with their personal hygiene. We saw some people were resistive to this type of support. Staff worked with people to achieve a reasonable level of hygiene to promote good health and a sense of well-being. We heard for example one person would only allow staff to support them once a week. Staff were seen to offer support in a kind and respectful way.

People's privacy was respected. Staff knocked on bedroom doors and waited for an answer before entering. We heard from cleaning staff how they changed their schedule of cleaning rooms to accommodate people's wishes to remain in bed or have privacy of their own room on a particular day. Domestic staff said they were aware of when people needed their privacy and did not disturb people if they were asleep, especially if they had been unwell or their mental health was less stable.

People who use the service were given appropriate information and support regarding their care or treatment. We heard how people were referred to stop smoking clinics for advice and support. Some people had been referred to the mental health team for follow up and community nurses came in as needed for people with wound care and diabetic monitoring.

People were supported in promoting their independence and community involvement. Most people were able to access the local community independently. For those less mobile, the home had a minibus and they could be driven to the town or hospital appointments.

People's diversity, values and human rights were respected. We saw for example one person wished their clothes to be washed separately from other people's laundry. Their care plan included instructions to staff to follow and honour this request.