Archived: Hill View Care Home

Updated 7 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience on the first day and one inspector on the second day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Hill View Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority safeguarding and quality monitoring teams. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and five relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, regional manager, senior care workers, cleaners, care workers and the cook. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at staff training records.

Updated 7 April 2020

About the service

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