What the CQC found at Hill House - Care Home with Nursing Physical Disabilities

Medicines were managed, stored and given safely by trained staff. Inspectors checked a sample of stock and found it was correct.

“Medicines were managed and administered safely and as prescribed by staff who were appropriately trained to do so.” from the report

Inspectors saw trusting relationships between staff and people. People said staff treated them with dignity and respected their privacy.

“During the inspection we observed warm and caring interactions between staff and people using the service.” from the report

People had access to a range of health professionals. The home was adapted for people's physical needs.

“People were supported to access a wide range of healthcare professionals to support their health and well-being.” from the report

Staff sought permission before providing care, and people were involved in decisions about their support. People could choose food and, where possible, maintain their independence.

“People told us they were able to make choices about their care and support, including about the staff who would support them with personal care.” from the report

The provider had created a detailed improvement plan and arranged support from its quality team to review care planning.

“During the inspection, the quality business partner provided a detailed service improvement plan” from the report

People and staff said staffing levels had not always been enough. This sometimes meant longer waits for support and a heavy reliance on agency staff, although staffing had recently increased.

“People said they sometimes had to wait for support longer than usual due to staffing shortages.” from the report

Care plans were comprehensive but were not always up to date or consistent. The provider had arranged extra quality team support to address this.

“Care plans were comprehensive however had not always been kept up to date or contained conflicting information.” from the report

Some people felt activities no longer suited their changing needs. One person felt their religious needs were not fully met, and inspectors recommended further review.

“We recommend that the provider includes activities in their overall review of care plans.” from the report

Management changes had affected improvement work, and the manager was working without a deputy during recruitment. This led to a Requires Improvement rating for Well-led.

“The service management and leadership was inconsistent.” from the report