CQC report explained · a residential care home
What the CQC found at Hillsborough Residential Home
Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.
What inspectors found, October 2022
Hillsborough Residential Home was rated Good; inspectors found safe, kind and well-managed care.
The unannounced inspection took place on 20 September 2022. One inspector visited, spoke with people, a relative, staff and the manager, observed care, and checked care, medicines, recruitment and management records.
The home had enough staff, safe medicines systems, suitable risk assessments and safeguarding arrangements. Inspectors also found kind and respectful care, flexible support, good family communication and effective checks on the quality of the service.
The overall rating was Good. Safe, Caring and Well-led were all rated Good. These ratings were unchanged from the previous inspection, published on 30 October 2021.
Enough staff
Inspectors found staffing levels were sufficient and that people's needs were responded to promptly. Call bells were answered quickly during the visit.
“There were sufficient numbers of staff employed and on duty to meet people's assessed needs.” from the report
Kind and respectful care
Staff had good relationships with people and supported them patiently when they were anxious or upset. People were helped to maintain their privacy, dignity and appearance.
“Staff cared for people with compassion and respect.” from the report
Safe medicines
Medicines were ordered, stored, given and disposed of safely. Staff were trained and checked on their medicines practice.
“People received their medicines in a safe way, as prescribed for them.” from the report
Good management oversight
The management team had clear responsibilities and used audits, meetings and reviews to monitor the service. Incidents, complaints and safeguarding concerns were overseen.
“There were effective quality assurance and auditing systems in place designed to drive improvements in the service's performance.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you review my relative's care plan and risk assessments if their needs or mobility change?
- 02What maintenance and decoration work is still planned, and how is it being monitored?
- 03How will you support my relative's preferred daily routine, including when they like to spend time in their room or stay up later?
- 04How are relatives kept informed if there is a change in their family member's health or care needs?
- 05How do you assess the effectiveness and responsiveness of care, given that this report did not give separate ratings for those areas?
This inspection covered the care home and rated Safe, Caring and Well-led; it did not give separate ratings for Effective or Responsive, and no-one was receiving personal care through the separate home care service. This explanation was written from the published report of 18 October 2022 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, October 2021
Hillsborough Residential Home was rated Good; inspectors found safe, caring support and major improvements since the previous inspection.
This was an unannounced focused inspection on 6 October 2021. Two inspectors spoke with nine residents, six staff and a visiting healthcare professional. They looked around the home and checked care, medicine, recruitment, training, safety and management records.
The home was rated Good for Safe, Effective and Well-led. Inspectors found medicines were managed safely, staffing levels met residents' needs, risks were assessed and staff were trained. Residents appeared comfortable and said they felt safe. The home was clean, and improvement work had made it brighter and more suitable.
The previous inspection had rated the home Requires Improvement and found three breaches. Inspectors said enough improvement had been made and the provider was no longer in breach of those regulations. This inspection did not assess Caring or Responsive, so those areas were not given new ratings.
Medicines managed safely
The home had introduced regular checks of medicine administration and stock. Inspectors found no gaps in medicine records and said people received medicines safely and on time.
“People received their medicines safely and on time.” from the report
Kind relationships
Residents appeared relaxed and comfortable with staff. Staff spent time talking with people and provided support in a caring and dignified way.
“We observed that staff had good relationships with people and interactions between people and staff were caring and considerate.” from the report
Enough staff
Although there were vacancies, inspectors found enough staff on duty to meet residents' needs. Call bells were answered promptly and staff had time to engage with people.
“During our inspection we saw staff were responsive to requests for assistance and call bells were promptly answered.” from the report
Improved management checks
The home had introduced a wide range of audits covering areas such as care plans, accidents, medicines, staff practice and building safety. Managers used these checks to identify and address issues.
“Since the last inspection robust auditing and quality monitoring systems and been set up and fully implemented.” from the report
Improved environment
The home had been cleaned, de-cluttered and redecorated. Some bedrooms had been upgraded and new signs helped people living with dementia recognise their surroundings.
“We found the premises were brighter and more pleasant for people living at the service.” from the report
Refurbishment was not finished
minorThe improvement programme was still ongoing. Some bedrooms still needed refurbishment, and one carpet was worn and due to be replaced.
“One carpet, in the lobby area that accessed the kitchen and two of the shared living rooms, was worn and in need of replacing.” from the report
Staff vacancies remained
minorThe home had vacancies and was still recruiting. Inspectors found staffing was sufficient during the visit, but families should check whether this remains the case.
“The service had some staff vacancies and recruitment to these posts was on-going.” from the report
- 01Have all the remaining bedroom refurbishment works and the worn lobby carpet now been completed?
- 02How many staff vacancies are there now, and how do you make sure there are enough staff on each shift?
- 03How are the new medicine audits checked, and what happens if an error is found?
- 04What are the current ratings or latest feedback for Caring and Responsive, which were not assessed during this inspection?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not assessed and the overall rating used previous ratings for the questions not inspected. This explanation was written from the published report of 30 October 2021 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 Hillsborough Residential Home
7 rated inspections over 7 years: the service has held its Good rating throughout.
- October 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Hillsborough Residential Home →
- October 2021GoodSafe: GoodWell-led: Good
Read what inspectors found at Hillsborough Residential Home →
- February 2021Inspected but not ratedSafe: Inspected but not rated
- October 2020Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- January 2020Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodWell-led: Requires improvement
- July 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- April 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: Requires improvementWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 2011.
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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Most charge £980 to £1,200 a week. 8 can care for a couple. 12 years' experience on average.
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