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Hilldales Residential Care Home Good

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Inspection report

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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. People we spoke with said that they were asked for their views. One person told us that staff always checked each day that they were feeling well and asked if they needed anything. We saw that there were regular meetings that discussed how the home should be run, including menus, outings and activities. The manager told us that they had used service user surveys in the past, but had not gained much insight from the information gathered, and people had been reluctant to complete them.

Staff we spoke with during this inspection said that in their view their opinions and suggestions were listened to. We saw that there were regular staff meetings where staff were encouraged to have their say about the running of the home. The most recent meeting showed some staff felt that morale was low and the manager agreed to explore this further to see what suggestions staff had to improve team working. Staff we spoke with told us they enjoyed working at the home and generally there was a good team approach.

Decisions about care and treatment were made by the appropriate staff at the appropriate level. We saw that at each shift there was a detailed handover, where each person's needs were discussed. These included details about what the person had been doing, how their emotional and physical wellbeing had been and whether there were any new concerns, issues or areas for staff to monitor. For example where someone's mental health or emotional well- being was thought to have deteriorated, the local mental health team or GP would be called for advice and support.

There was evidence that learning from incidents / investigations took place and appropriate changes were implemented. We saw that all accidents and incidents were appropriately recorded, and where issues had been identified, staff had looked at what to do to minimise risks. For example where someone had fallen, staff looked at what the possible causes of this were and whether they needed to be assessed for walking aids. We saw some people had walking sticks and frames to help with their mobility.

We heard how the maintenance person completed regular audits on the environment to ensure the home was safe and free from hazards. We did not see any records relating to this. We saw risk assessments were in place for people, although the provider may wish to note that for one person there was no risk assessment in relation to their aggression when under the influence of alcohol.

The provider took account of complaints and comments to improve the service. There had been no formal complaints in the last year. The manager said that they would seek the views of people and where small issues arose, they tried to address these before they became a formal complaint. We saw for example one person had said they wanted their laundry done in a certain way. This had been included in their daily care plan.