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Hilldales Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 26 October 2018

This comprehensive inspection took place on 6 June and 11 July 2018. It was unannounced on the first day which was carried out by one adult social care inspector and an expert by experience. We arranged the second day of inspection which was completed by the inspector.

Following the last inspection in February 2017, we asked the provider to complete an action plan to show what they would do and by when to improve the key question Is the service well-led? This was because we found a breach of Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At that inspection we found people were not protected as quality monitoring systems were not fully effective and people’s care plans lacked up to date information about their care and treatment needs.

The provider submitted an improvement action plan on the 1 June 2017 to address these concerns, stating what they intended to do and when this would be achieved.

At this inspection we found improvements had been made so all the regulations had been met in respect to the breaches found at the previous inspection.

Hilldales Residential Care Home is a large three storey building, originally built as four houses around the turn of the twentieth century. Modifications have been made so that the properties are interconnected internally. There are communal areas on the ground floor and bedrooms on all floors of the building. Externally there is a paved area to the front of the houses and small courtyards to the side and rear which people have access to.

The home provides accommodation and personal care for up to 56 adults who have needs arising from alcohol problems or mental health issues. Some people are also living with a physical disability. At this inspection 33 people were living at the home when we visited.

There was a manager in post who had registered with the Care Quality Commission in May 2016. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was supported by a team of senior staff. Together they shared a vision of the service which was described in the home’s statement of purpose: “The aim of Hilldales Care Home is to offer men and women over the age of 25 who may have mental health problems and/or alcohol problems the opportunity to live in a caring environment with support from our care staff.”

To support these aims, the registered manager and senior team had worked with staff to ensure they had the necessary skills and knowledge necessary to meet people’s needs. Staff were well trained and knew people well. This enabled them to work with people confidently, showing care and compassion. Staff were alert to changes in people’s presentation and contacted health and social care professionals when necessary to support the person. Staff understood how to protect people and knew what to do if they thought someone was being abused.

People were really positive about living at Hilldales, many commented on the improvements that had been made over the last few years. They now described the home as comfortable, clean, well maintained and nice to live in. They were also positive about the meals they received. People were supported to do activities of their choice both in the home and in the local community.

People’s risks, needs and preferences had been assessed and, where possible, discussed with them to ensure that care plans were developed to meet these assessments. Medicines were stored, administered and recorded correctly.

Health professionals commented on how the service had improved and how they felt that staff were very responsive to people’s needs. Care plans were up to date and ha

Inspection areas

Safe

Good

Updated 26 October 2018

The service was safe.

Staff understood how to ensure people were safeguarded from abuse.

Risks to people were considered and steps taken to reduce the risks while maintaining people�s independence as far as possible.

Lessons were learned when things went wrong and improvements were made as a consequence of the learning.

There were sufficient staff to meet people�s needs. Staff were recruited safely.

Medicines were managed safely.

The home was well maintained and clean. There were systems in place to reduce the risks of infection.

Effective

Good

Updated 26 October 2018

The service was effective.

Staff had been trained when they first joined the home and continued to receive training to keep their knowledge and skills up to date.

Staff were knowledgeable about people and understood the support they needed.

People said the food at the home was good.

Health professionals were involved appropriately when people had health needs.

The home was clean, well maintained and adapted to support people effectively.

Caring

Good

Updated 26 October 2018

The service was caring.

Staff knew people well and showed care and compassion for people.

Staff involved people in decisions about their care as far as possible.

Staff respected people�s right to privacy.

Responsive

Good

Updated 26 October 2018

The service was responsive.

Care plans were regularly reviewed. When people�s risks, needs or preferences changed, care plans were updated to reflect this.

People received care which was personalised and met their needs.

There was a complaints policy and procedure. No complaints had been received since the previous inspection.

Well-led

Good

Updated 26 October 2018

The service was well-led.

There were systems in place to check the quality and safety of the home and the care provided.

Where improvements were needed, action was taken to address these in a timely manner.

The registered manager understood their role and worked with staff to deliver a service which met the services aims and objectives.