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Hillside House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 April 2020

About the service

Hillside House is a residential care home providing personal care and support for up to eight people with a learning disability and/or mental health needs. Accommodation is provided over two floors in an adapted detached house located in the Leeds suburb of Headingley. At the time of the inspection four people were using the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. Overall people using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them although some improvements were needed to care planning, evidencing the effectiveness of the service and staff training.

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

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible although documentation needed improving to demonstrate that decisions had consistently been made in people’s best interests. We made a recommendation to ensure the service improves documentation relating to capacity assessments and best interests processes.

Overall the service applied the principles and values of Registering the Right Support and other best practice guidance. The layout of the building promoted people’s control and independence. More robust systems to set and evaluate people's goals had recently been introduced and this would help the service to robustly measure people’s progress and the effectiveness of the service over time.

Some improvements were needed to medicines management processes to ensure that medicines were consistently managed in a safe way. Overall, risks to people’s health and safety were assessed and appropriately mitigated. There were enough staff to ensure people received their required care and support. Staff were recruited safely.

People and relatives provided mixed feedback about the effectiveness of the service, we saw improvements were being made to help improve people’s experiences. Staff training was not consistently up-to-date, we saw a plan was in place to address this. People’s healthcare needs were assessed although in a number of cases more information was needed on how staff should support people’s healthcare needs.

Staff were kind and caring and treated people well. People had developed good relationships with staff, although staff turnover had been a barrier to the development of long-lasting relationships over time. People’s independence was promoted and a new system to robustly review people’s goals and objectives had been introduced.

People’s care needs were assessed and in most cases care plans were appropriate and person centred. A system was in place to log, investigate and respond to complaints. People received a range of activities and social opportunities and this was to be monitored more robustly going forward.

We saw improvements were being made by the new manager and they had introduced a new staff team who all felt well supported and were clear about their roles and responsibilities. Audits and checks were in place although some of these needed to be more robust to ensure a high performing 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 31 July 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections. At this inspection although improvements had been made in some areas, this was not consistently the case and the p

Inspection areas

Safe

Requires improvement

Updated 21 April 2020

The service was not consistently safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 21 April 2020

The service was not consistently effective.

Details are within our effective findings below.

Caring

Good

Updated 21 April 2020

The service was caring.

Details are within our caring findings below.

Responsive

Good

Updated 21 April 2020

The service was responsive.

Details are within our responsive findings below.

Well-led

Requires improvement

Updated 21 April 2020

The service was not consistently well-led.

Details are within our well-led findings below.