CQC report explained · a nursing home
What the CQC found at Hillcrest Manor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They found good arrangements for PPE, testing, cleaning, visiting, social distancing and managing infection outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, November 2020
Inspected but not rated; infection control was reassuring, but the home could not meet conditions for the Winter Discharge Designation Settings scheme.
This was a targeted inspection on 28 October 2020. Inspectors looked at infection prevention and control measures during the coronavirus pandemic. The visit was announced.
Inspectors were assured that the home was managing infection risks. This included the use of protective equipment, testing, cleaning, visiting arrangements, social distancing and admissions.
The home used picture cards and communication books for people who found it harder to understand staff wearing masks. Visitors had health checks and protective equipment, and video calls were being used because of local visiting restrictions.
The home was inspected but not rated. Inspectors also found it could not meet the essential conditions for the Winter Discharge Designation Settings scheme because the proposed area was not self-contained and more staff would need to be recruited.
Infection control
Inspectors were assured that the home had suitable arrangements to prevent and manage infections, including PPE, testing, cleaning and an up-to-date policy.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Support with communication
The home used other ways to communicate with people who found masks made it harder to understand staff.
“Staff used alternate methods of communication, such as picture cards and communication books, where people had difficulty understanding staff due to them wearing masks.” from the report
Visitor safety
Visitors completed health checks, had their temperature recorded and were given protective equipment. Alternative contact, including video calls, was also being used.
“On arrival at the home visitors completed a COVID-19 health screening questionnaire.” from the report
Clean environment
The environment was clean and extra cleaning was carried out on frequently touched surfaces.
“The environment was clean and additional cleaning was taking place including frequently touched surfaces such as door handles and light switches.” from the report
Winter discharge arrangements
needs fixingThe home could not meet the essential conditions for the Winter Discharge Designation Settings scheme. The area was not self-contained and additional staff would need to be recruited for a designated team.
“We found the home was unable to meet the essential conditions to accommodate the Winter Discharge Designation Settings scheme.” from the report
- 01Has the area intended for the Winter Discharge Designation Settings scheme been made self-contained?
- 02Have additional staff been recruited so people in that area have a designated staff team?
- 03How does the home currently support communication for people who find masks difficult to understand?
- 04How are visitors screened and provided with PPE now?
- 05How does the home access COVID-19 testing for residents and staff?
This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated and the other care questions were not assessed in this report. This explanation was written from the published report of 19 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2018
Rated Good; inspectors found safe, kind and responsive care, with effective management systems.
Inspectors carried out a comprehensive, unannounced inspection on 23 May 2018. They spoke with people living at the home, visitors and staff, observed care, and checked care, medicine, recruitment, training and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine arrangements, suitable training, respectful care, support with food and health needs, activities, and systems for handling concerns.
The overall Good rating was unchanged from the previous inspection in November 2016. The report says there was no evidence of serious risks or concerns at this inspection.
Enough staff
Inspectors found sufficient staff to keep people safe and meet their needs. Call bells were answered promptly during the visit.
“There were sufficient staff to meet people's needs and to help keep them safe.” from the report
Kind and respectful care
Staff knew people well and supported privacy, dignity and independence. Inspectors observed a relaxed and friendly atmosphere.
“We observed staff interacting with people in a kind and respectful manner.” from the report
Good support with health and food
People were supported to eat and drink according to their needs and preferences. Health concerns were referred to health professionals when needed.
“People were supported to eat well in accordance with their needs and preferences.” from the report
Activities and family contact
People had opportunities for activities, social contact and visits from family, friends and religious representatives.
“Activity staff provided people with opportunities for social stimulation and people were supported to maintain contact with their family and friends.” from the report
Quality monitoring
The home used audits and checks to monitor safety and care. The report records that action was taken when shortfalls were found.
“There were audits and checks in place to monitor safety and quality of care.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough staff on every shift, including when people need help quickly?
- 02How will you assess and support my relative's particular health, nutrition, mobility and communication needs?
- 03How do you involve residents and relatives in reviewing care plans and responding to changes in health?
- 04What activities are currently available, and how do you support people who prefer individual activities or time in their room?
- 05What has changed since the May 2018 inspection, including any improvements identified through audits or complaints?
This was a comprehensive, unannounced inspection covering all five questions, and all five ratings remained Good from the previous inspection in November 2016. This explanation was written from the published report of 22 June 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Hillcrest Manor Nursing Home
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Hillcrest Manor Nursing Home →
- June 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Hillcrest Manor Nursing Home →
- November 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- April 2015
Registered with the Care Quality Commission on 1 April 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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