Background to this inspection
Updated
24 August 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We carried out this inspection on the 25 July and 1 August 2018. The inspection was unannounced and was undertaken by one inspector.
Before the inspection, we reviewed all the information we have in relation to this service. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed other information we have relating to the service. We received feedback from commissioners, and reviewed notifications. A notification is information about important events which the provider is required to send us by law. We found that no recent concerns had been raised.
During the inspection we spoke with five people who lived at the service, four staff, one external professional and the registered manager.
We observed interactions between staff and the people living at the service. We reviewed care records and risk management plans for two people who lived at the service, and checked other records relating to people’s support plans which included medicines administration records to ensure these were accurate and completed correctly. We looked at three staff recruitment files and the training records for all the staff employed at the service to ensure that staff training was up to date. We also reviewed additional information on how the quality of the service was monitored and managed.
Updated
24 August 2018
R O'Connell and Ms M Shanley – Hillside Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. R O'Connell and Ms M Shanley – Hillside Rest Home is registered to provide accommodation and personal care for up 26 older people some of whom are living with dementia. At the time of our inspection 18 people were living at Hillside Rest Home.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
People’s relatives told us that they were confident that people were safe living at Hillside Rest Home.
We have made a recommendation about staff training on the subject of dementia.
Risks to people were appropriately assessed and protected people from harm.
The provider operated a thorough recruitment processes which helped to ensure that staff employed to provide care and support were fit to do so.
There were sufficient numbers of staff available to meet individual needs and the service provided was flexible.
Staff received training, support and development to enable them to carry out their role effectively. The service is required to update records in relation to meeting the requirements of the Deprivation of Liberty Safeguards (DoLs).
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice. People received appropriate support to maintain healthy nutrition and hydration.
People were treated with kindness by staff who respected their privacy and upheld their dignity. People’s relatives were encouraged to be involved with people’s lives where appropriate, to provide feedback on the service and their views were acted upon.
People received personalised care that met their individual needs. People were given appropriate support and encouragement to access meaningful activities and follow their individual interests.
We found that records written in a positive and respectful way we found that records provided guidance on how to support people.
We were told that staff listened to people and responded to them in a positive way. People who lived at Hillside Rest Home and their relatives knew how to raise concerns if they needed to and told us they were confident that the registered manager would take appropriate action to address any concerns in a timely way.
The registered manager had arrangements in place to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided.
We found that records were sufficiently maintained and the systems in place to monitor the quality of services provided were effective.
The registered manager had created an open and inclusive atmosphere within the service. People who used the service, their relatives, staff and external health professionals were invited to contribute their views in relation to further developing the service.