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Archived: Hilltop Manor Care Home Requires improvement

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 28 June 2019

About the service

Hilltop Manor Care Home is a care home providing personal and nursing care to 25 people aged 65 and over at the time of the inspection.

Hilltop Manor Care Home can accommodate up to 80 people in one adapted building.

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

Improvements were needed to the way medicines were managed to ensure they were consistently safe and systems were robust. The provider needed to ensure that improvements made throughout the home were thoroughly embedded and sustained to ensure a consistently well-led service.

People were protected from abuse and avoidable harm by staff who knew people’s risks and how to reduce them. There were enough staff to meet people’s needs and they followed safe practices to ensure people were protected from the spread of infection.

People’s needs and choices were assessed and met by staff who were trained and supported to carry out their roles effectively. 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.

People were happy with the food on offer and had choices. Staff supported people to eat whilst maintaining their dignity. People’s health needs were met and they had access to healthcare professionals when required.

Staff were kind and caring towards people and encouraged them to make their own decisions. People were supported to maintain their independence whilst their privacy and dignity was respected.

Staff knew people well and encouraged them to participate in activities which were meaningful to them. Staff catered for people’s preferences and considered people’s diverse needs.

The registered manager was accessible and approachable and had oversight of the service. They had implemented new systems which needed to be fully embedded and sustained to ensure continuous improvement. Staff were supported and encouraged to learn and felt involved in the service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 12 December 2018) and there were three breaches of regulation. We served warning notices and the provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. However, the service remains rated requires improvement, though significant improvements had been made since the last inspection. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating and to follow up on action we told the provider to take at the last inspection. We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hilltop Manor Care Home on our website at

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 28 June 2019

The service was not always safe.

Details are in our safe findings below.



Updated 28 June 2019

The service was effective.

Details are in our effective findings below.



Updated 28 June 2019

The service was caring.

Details are in our caring findings below.



Updated 28 June 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 28 June 2019

The service was not always well-led.

Details are in our well-Led findings below.