Archived: Hill View Care Home

Hill View Care Home is a residential care home providing personal and nursing care for up to 46 people, including older people, people with a physical disability and people living with dementia. At the time of the inspection 33 people were using the service.

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

Hill View Care Home had a friendly and inclusive atmosphere. Management and leadership arrangements supported the effective day to day running of the service. The provider used a range of systems, to regularly monitor and develop the service. People were consulted about their experiences and could make suggestions for improvements. Staff were enthusiastic and motivated in their roles.

People told us they felt safe at the service. Risks to individuals were assessed and managed. Staff

recruitment ensured appropriate checks were carried out. There were enough staff to support people safely. Staff were aware of safeguarding matters and they had received appropriate training. Processes were in place to maintain a safe and hygienic environment. There were some minor shortfalls with medicines management, these matters were proactively rectified during the inspection.

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 satisfied with the variety and quality of the meals provided at the service. They were supported with their healthcare needs, medical appointments and general well-being. Furnishings and décor responded to people's needs and comfort. The provider offered a programme of staff training, development and supervision.

People made positive comments about the caring attitude of staff. They said their privacy and dignity was respected We observed staff interacting with people in a caring and friendly manner. Staff knew people well and responded to them as individuals. They were respectful of their lifestyles, choices and opinions.

There were opportunities for people to engage in a range of activities. Importance was placed upon fulfilling and nurturing people's faith. People had contact with families and friends. People received personalised care and support, their needs and choices were assessed, planned and reviewed regularly. Processes were in place to support people with making complaints.

Rating at last inspection The last rating for this service was good (published 7 September 2017)

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 reinspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

At the last inspection, the service was rated Good. At this inspection we found that the service remained Good.

We found that staff had been recruited safely and were aware of how to safeguard vulnerable adults living at the home from abuse. There were safe processes and practices in place for the management and administration of medicines.

Most people were happy with staffing levels at the home. During our inspection we found that there were a suitable number of staff available to meet people’s needs in a timely way.

Staff received appropriate training. People who lived at the home and their relatives felt that staff had the knowledge and skills to meet people’s needs.

People received appropriate support with eating and drinking and their healthcare needs were met at the home.

People were encouraged to be independent and staff respected their privacy and dignity. We observed staff at the home communicating with people in a kind and caring way. People looked relaxed and comfortable in the home environment.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way; the policies and systems at the service supported this practice. The service had taken appropriate action where people lacked the capacity to make decisions about their care and needed to be deprived of their liberty to keep them safe.

We saw evidence that people received care that reflected their needs and preferences. We received positive feedback from people who lived at the home and relatives about the activities available.

People’s religious or spiritual needs were documented and they received appropriate support. However, people’s sexual orientation had not been documented. The registered manager advised that this would be discussed with people and documented in future.

The service had a registered manager in post. People who lived at the home, relatives and staff were happy with how the service was being managed. They found the registered manager and the deputy manager approachable.

The registered manager had sought feedback from people who lived at the home, their relatives and staff about the care and support provided. A high level of satisfaction had been expressed about many areas of the service. Where improvements had been suggested, we found evidence that action had been taken.

We found that audits and checks of the service had been completed regularly and were effective in ensuring that appropriate levels of quality and safety were maintained at the home.

Further information is in the detailed findings below.

During the inspection we spoke with five people who used the service and one visiting relative. People made the following comments, 'It's alright' and 'Yes I feel safe, nothing bad has happened to me whilst I've been here'. People spoke positively about the staff team at Hill View one person told us, 'The staff have been good to me, no qualms about them'.

Overall we found people were protected from abuse and the risks of abuse. However we found some issues in need of attention to provide more effective safeguards for people using the service. The providers were taking action in response to these matters.

People were being involved as far as possible in planning and consenting to their support and were enabled to make decisions about matters which affected them.

Overall we found people experienced good care and treatment. They told us they were treated with respect. However, we found progress could be made in interacting with and occupying people.

People were getting support with their healthcare needs and they had ongoing support from health care professionals.

People were encouraged to maintain and develop their independence skills.

We found there were enough experienced and skilled staff available to provide care and treatment. However we found improvements could be made on providing clearer directions to make sure there are always enough staff on duty.

We found appropriate records were being kept to support good care practice and communication.

People had been consulted about their experience of the service. We found checks of the services' various systems and practises had been carried out to reduce risks to people using the service.