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Hilltop Manor Care Home Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 July 2019

About the service

Hilltop Manor is a residential care home. It provides personal and nursing care to people aged 65 and over, some of whom may be living with dementia, a physical disability, detained under the Mental Health Act or with mental health needs.

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

People told us they felt safe and happy living at the service. There was enough staff to safely meet people’s needs. The organisation of staff needed further development to ensure they were on hand to support people if required. Some essential checks of the service and equipment had not been completed. Checks to ensure people were safe to work at the service were completed, but elements of the recruitment process were not robust. People received their medicines as needed.

Staff received training and support in their role. People were generally positive about the quality of the food, which was provided according to needs and preferences. Staff worked closely with healthcare professionals to ensure people’s needs were met.

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.

Staff treated people with kindness and had established a rapport with people and their families. A relative told us, “Staff are incredibly caring. I recommended the home to a friend. A lot of the staff have worked here long term.” People’s dignity and privacy were upheld, and information was available about how to support people to make decisions wherever possible.

Care plans were in place to guide staff about the support people required. There was a variety of activities for people to participate in, should they wish to.

Checks of the service were completed but had not highlighted the points raised during this inspection. The registered manager worked closely with other organisations to improve practice at the service and improvements had been made since our last inspection. People told us the management team were approachable and staff felt well supported and able to share their views about the service.

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 this service was Requires Improvement (published 18 June 2018) and there were two breaches of regulation. The registered manager completed an action plan after the last inspection to show what actions they would take to improve and the timescales. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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

Safe

Requires improvement

Updated 5 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 5 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 5 July 2019

The service was not always well-led.

Details are in our well-led findings below.