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Inspection report

Date of Inspection: 9 October 2012
Date of Publication: 18 January 2013
Inspection Report published 7 December 2012 PDF | 86.28 KB

Overview

Inspection carried out on 9 October 2012

During an inspection to make sure that the improvements required had been made

We last inspected Hillcroft Throstle Grove in May 2012. At that time we found the provider was not compliant in three outcome areas, and asked for an action plan. At that time there was no registered manager in post. This had now been put right.

We found that the provider had rectified the issue of non reporting of safeguarding incidents. However we found a high number of incidents between residents which had been insufficiently analysed or risk managed to minimise future problems. We were also concerned by the number of incidents of unsafe handling of residents by staff.

We found a new supervision system was in the process of being introduced but that nursing staff had yet to fully take on supervisory responsibility. Staffing levels had improved and rotas matched the staffing expected on each shift. However there was a shortfall of one staff member on the challenging behaviour unit meaning the deputy manager had to fill in and perform care duties.

On our last inspection, we found that cleaning staff were refusing to work on the challenging behaviour unit, and standards of cleanliness were unacceptable as a result. On this inspection, staff were working normally and most rooms were clean.

We found that the provider had invested in additional audit staff and reviews of quality, were now in place, including plans to make improvements. Insufficient action had been taken to analyse information about incidents which resulted in harm. You can see our judgements on the front page of this report.