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We are carrying out a review of quality at Hillbrook Grange. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 8 July 2014
Date of Publication: 12 August 2014
Inspection Report published 12 August 2014 PDF


Inspection carried out on 8 July 2014

During a routine inspection

An adult social care inspector carried out this inspection. The focus of the inspection was

to answer five key questions; is the service safe, effective, caring, responsive and well led?

As part of this inspection we spoke with 4 people who use the service, 4 visitors, the

registered manager, the registered provider and 4 care staff. We also reviewed records

relating to the management of the home which included, 5 care plans, daily care records,

medical administration records and 4 staff records.

Below is a summary of what we found. The summary describes what people using the

service, their relatives and the staff told us, what we observed and the records we looked


Is the service safe?

The premises were clean, well maintained and had procedures in place for responding to foreseeable emergencies to reduce the risks to people at the home. We found systems were in place to reduce risks within the home, for example for the safe storage of medication.

We saw safe techniques were used by staff when helping people with mobility difficulties.

There was a staffing rota in place and everyone we spoke to including staff, visitors and people living in the home all felt there was enough staff on duty at any time. All staff felt they received plenty of training and felt competent to do their job. A person living at the home told us �There is always someone around and someone to help you.�

Is the service effective?

People's needs were being met at the home. We found that people's needs were assessed and care files included information about people's diagnosed health conditions and also their preferences. This meant they received care that protected their welfare and safety.

People and their relatives told us the food was good and there was a choice at meal times. One person said, "The food here is really good."

Is the service caring?

People told us they were happy with the care they received at the home. One person said, "Everyone here is so friendly, and so calm and kind." We observed that staff providing people's care were gentle and encouraging.

People appeared to be treated with dignity and the staff could tell us what they were able to do to maintain a person�s dignity. One told us, "They (the staff) always knock on the door before entering.�

Is the service responsive?

People�s needs had been assessed before they moved to the home. People�s records identified personal preferences and choices and the support that needed to be provided. The home worked with other services to ensure all care needs were met for the person such as a general practitioner or district nurse.

People who lived at the home, and relatives that we spoke to all felt that they could approach staff and the manager about anything and that they would be listened to and acted upon. Staff felt the manager was very supportive and her door was always open to them.

Is the service well-led?

The manager completed regular checks and audits of medication, infection control systems and other aspects of safety and care at the home. Records showed incidents and accidents, complaints and quality audits were reviewed by the manager.

Staff had an induction programme and appropriate checks were in place. Staff felt listened to and supported by their manager.

People using the service, their relatives and other people involved with the service had completed satisfaction surveys and records showed action was taken where any improvements were required such as the employment of an activities coordinator.