Hillcrest Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question as good. At this assessment the rating has remained as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

Widely used assessment tools, such as those to identify whether people were at risk of malnutrition or developing pressure ulcers were in place but had not been reviewed regularly, nor updated when people’s needs had changed. For example, 1 person’s Waterlow assessment, stated the person had experienced no weight loss, when they had lost 8 kilograms in the last 2 months. Weight loss can increase the risk of developing pressure ulcers, so it is important the assessment contains accurate data. Another person’s malnutrition risk assessment contained the incorrect Body Mass Index (BMI) score and did not reference recent weight loss, both of which would affect the accuracy of the assessment when completed.

The provider’s electronic care record system had a section for logging food and fluid intake. These were being completed consistently, although staff only recorded the amount of fluid people consumed, rather than both the amount offered and consumed, which is best practice.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.Monitoring charts were not completed consistently. We identified gaps in people’s personal hygiene and oral hygiene charts, which meant we could not be assured their needs had been met in line with their care plan.

Some people’s care records contained information about goals and aspirations. One person wanted to feel useful and help out around the home, and we observed them cleaning the dining room after lunch and preparing it for the next meal.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.