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Inspection Summary


Overall summary & rating

Good

Updated 13 October 2017

Hillview Nursing Home is registered to provide nursing care for up to 40 people. It is one of four services run by Almondsbury Care Limited. The home specialises in the care of people with advanced dementia who may exhibit behaviours that are challenging to themselves and others, due to their condition.

At the last inspection in October 2014 the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good:

People received safe care and treatment in a well maintained premises. Individual risks were assessed and managed because there were effective systems in use which were closely adhered to by staff. Staffing numbers ensured staff were able to meet people’s individual needs. Recruitment, medicine and safeguarding policies and procedures protected people from harm.

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

People received a nutritious diet of their preference. People’s health care needs were understood and met through staff knowledge, skills and appropriate contact with external health care professionals as required. One described the staff as "superb".

Staff received training and supervision which helped them perform their roles to a high standard.

People, their family members and staff had formed close relationships. People were treated with dignity and respect. Families said how welcoming the home was. Family’s knew they could take any question or concern to staff. Many families spent considerable time at the home.

People’s needs were discussed and planned with them or their family members. Care plans were kept under regular review.

All kinds of activities to which people could become involved were available. This included themed events, entertainment and reminiscence. Interaction between staff and people using the service was of a high standard and demonstrated caring and compassion. The highest recommendation had been awarded for end of life care using the ‘Gold Standards Framework’.

The home was effectively managed by a registered manager and team of staff who felt fully supported. There were quality monitoring systems in place to reduce risk and identify ways to improve.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 13 October 2017

The service remains safe.

Effective

Good

Updated 13 October 2017

The service remains effective.

Caring

Good

Updated 13 October 2017

The service remains caring.

Responsive

Good

Updated 13 October 2017

The service remains responsive.

Well-led

Good

Updated 13 October 2017

The service remains well-led.