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Hillcrest Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 15 June 2017

This was an unannounced inspection carried out on the 15 May 2017.

Hillcrest residential is registered to provide personal care for up to 32 older people and is located within a mile of the village of Frodsham. The service has bedrooms over two floors and some bedrooms have en-suite facilities. Shared facilities include three lounges, one dining room, a conservatory and bathing and toilet facilities. The home has a garden and patio area. At the time of our visit there were 26 people living at the service.

On our last visit on 20 and 21 January 2015 the service was rated as good. This inspection identified that the service continued to meet all the relevant fundamental standards and the rating remains good.

People felt safe living at the service. Staff understood what was meant by abuse and they were aware of the different types of abuse. Staff knew the process for reporting any concerns they had and for ensuring people were protected from abuse.

People's medicines were managed and administered safely.

Individual risk assessments were completed to ensure people supported, relevant others and staff were protected from the risk of harm.

People's health care needs were monitored. Records confirmed that where people's health needs had changed they had access to appropriate healthcare professionals.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were cared for by kind and patient staff who respected their privacy and dignity and helped them to maintain their independence. Comments about staff included, “I feel very lucky to have such lovely people caring for me” and “They are very patient and very respectful of my dignity”. People felt involved in decisions about their care.

Care plans were person centred. They contained good information of the person's preferred daily routines, methods of communication, likes and dislikes. Records showed care plans were reviewed regularly and any changes to care updated.

People were supported to access sufficient amounts of food and drink that met their dietary requirements and nutritional needs. People told us they like the food they received and were offered choices. The service liaised with dieticians and other health care professionals to ensure people's bespoke dietary requirements were met.

People were encouraged to participate in a range of activities of their choice. The service provided both in-house and community based activities for all, in line with their choices and preferences. Staff were aware of the importance of ensuring people were not socially isolated.

People were aware of how to raise concerns or complaints to the service. People told us they felt comfortable raising issues with staff or management. The service had processes in place to respond to complaints in a timely manner.

The registered manager and provider carried out regular audits to drive improvements. Records showed audits were undertaken by both the registered manager and provider and where issues were identified, action was taken in a timely manner. Quality assurance questionnaires were sent to people, their family members and staff to question the service provision.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 15 June 2017

The service remains safe.

Effective

Good

Updated 15 June 2017

The service remains effective.

Caring

Good

Updated 15 June 2017

The service remains caring.

Responsive

Good

Updated 15 June 2017

The service remains responsive.

Well-led

Good

Updated 15 June 2017

The service remains well led.