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Hillsborough Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 January 2020

About the service

Hillsborough Residential Home ("Hillsborough") is a residential care home providing accommodation and personal care to 22 people aged 65 and over at the time of the inspection. Hillsborough Residential Home Limited also provided personal care to people in their own home. However, at this inspection, no-one was receiving support with personal care. The registered manager and provider told us they planned to review whether they would accept more people to that part of the service in January 2020.

People’s experience of using this service and what we found

The service was not always safe. Some improvements had been made since the last inspection and regular checks of the environment and of records were completed. However, not all risks relating to the environment had been identified or assessed, and records did not show people’s care had been delivered as required, to reduce risks to them. Infection control practices were now being monitored but had not identified times when staff were not following best practice.

Staff recruitment processes had improved but there were still gaps in the checks being completed. Staffing levels had improved but we have made a recommendation about staff deployment. Records of incidents and accidents were now in place.

Medicines management and practices had improved and were safer. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, the principles of the Mental Capacity Act 2005 (MCA) had not been followed for two people who lacked capacity.

Improvements to the environment were still required; this included identifying people’s needs in relation to the environment.

The registered manager had increased the amount of checks to monitor the service. Records showed changes and improvements had been made as a result of audits, events or staff ideas. However, these had still not effectively highlighted all the gaps identified at this inspection. Concerns raised during the last inspection, such as environmental risks, ensuring risks to people were reduced, infection control practices, recruitment practices and not meeting the Mental Capacity Act 2005 (MCA), had not been fully resolved.

People told us they were happy living in the home and staff told us they particularly enjoyed working in the homely atmosphere. The provider’s passion for caring for people was clear.

People told us they were happy with the food and the choices available to them. People were supported to remain healthy and staff were knowledgeable about people’s needs. People saw healthcare professionals regularly but records of these visits were not always easy to find. We have made a recommendation about this.

People received support from staff who cared about them. People were supported to express their views in the way they wanted to. When people raised concerns, records did not always show what action had been taken. We have made a recommendation about this. People’s privacy and dignity were mostly respected but we have made a recommendation about the storage of people’s medicines records and continence aids.

People had care plans in place to describe their needs and preferences. The registered manager had identified that some more detail was required and had a plan to ensure this happened. Staff were responsive to people’s requests and gave people choice and control over their care. Improvements were being made to the options available for how people spent their time. Complaints had been recorded and appropriate action taken.

There was a plan in place to ensure all staff training was up to date. Staff’s understanding of people’s needs and of best practice was being developed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for

Inspection areas

Safe

Requires improvement

Updated 17 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 17 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 January 2020

The service was not always well-led.

Details are in our well-Led findings below.