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CQC report explained · a nursing home

What the CQC found at Hillside Care Home

Goodpublished 2 November 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Safe was not included in the key questions reviewed at this inspection, so the report does not give a current Safe rating.
Effective?
Good
Care plans were detailed and reviewed, staff received training and supervision, people were supported with food and drink, and health concerns were referred on promptly.
Caring?
Good
Staff treated people with kindness, dignity and respect. People and families were involved in decisions about care.
Responsive?
Good
Care was planned around people's needs and preferences. People were supported with communication, activities, relationships, visitors and end-of-life wishes.
Well-led?
Good
Well-led was not included in the key questions reviewed at this inspection, so the report does not give a current Well-led rating.
The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found effective, kind and responsive care, with a minor privacy concern about care records being left unattended.

This was an unannounced planned inspection on 12 September 2023. Two inspectors spoke with seven people, a family member, the manager and six staff. They also reviewed six care records and staff training and supervision records.

The inspectors rated the home Good overall. Effective, Caring and Responsive were all rated Good. They found detailed care plans, prompt responses to changes in people's health, respectful staff and support for people's choices, communication, activities and relationships.

The home had previously been rated Requires Improvement in June 2019. The report says improvements had been made in all three areas reviewed. Some work was still ongoing, including making personalised care planning consistent and improving parts of the environment.

What inspectors praised
  • Detailed care planning

    Care plans described people's needs, choices and desired outcomes. They were reviewed with people and relevant others.

    “Care plans identified people's needs, how they were to be met and what the desired outcomes were for the person.” from the report
  • Prompt health support

    Staff monitored people's health and made prompt referrals when professional help was needed.

    “People's health and wellbeing was monitored, and staff responded to any changes observed.” from the report
  • Kind and respectful care

    Inspectors saw staff communicating respectfully, responding quickly to requests and supporting people's dignity and independence.

    “Staff respected and promoted people's privacy, dignity and independence and treated people well.” from the report
  • Involvement and activities

    People and families were involved in care reviews. Staff supported relationships, interests and both group and one-to-one activities.

    “There were staff employed to arrange and facilitate both one to one and group activities for people.” from the report
  • Complaints used for improvement

    The home had a complaints procedure, recorded complaints and noted improvements made in response.

    “Complaints were responded to and used to improve the quality of the service.” from the report
What inspectors were concerned about
  • Personal records left unattended

    minor

    Some people's personal care records were left on a dining room table. Staff secured them after inspectors raised the issue, and the manager addressed it immediately.

    “we observed some people's personal care records left unattended on a table in a dining room.” from the report
  • Personalised planning still being made consistent

    minor

    The report says improvements were ongoing to ensure staff used a consistent approach when planning personalised care.

    “Improvements were ongoing to ensure a consistent approach to planning people's care in a personalised way.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure personal care records are kept secure and never left unattended in communal areas?
  2. 02What work remains to make personalised care planning consistent across all four units?
  3. 03What additional dementia care training was planned, and has it now been completed?
  4. 04What environmental improvements were underway at the inspection, and what has been completed?
  5. 05What are the current arrangements for checking the home's Safe and Well-led performance, which were not reviewed in this inspection?

This was a planned inspection focused on Effective, Caring and Responsive; Safe and Well-led were not reviewed and no current ratings were given for them. This explanation was written from the published report of 2 November 2023 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.

An earlier report, explained

What inspectors found, March 2023

Rated Good; inspectors found the home safe and well-led, with improvements since the last inspection.

Inspectors made an unannounced visit on 15 February 2023. They spoke with people living at the home, family members and staff, and checked care, medicines, recruitment and management records.

The home was rated Good for Safe and Well-led. People and families said they felt safe. Inspectors found suitable staffing, safe recruitment, safe medicines management, good infection control and appropriate action when accidents or incidents happened.

The registered manager and staff had improved the home since the previous inspection, which was rated Requires Improvement. The overall rating changed to Good, but ratings for questions not inspected were carried over from the previous inspection.

What inspectors praised
  • People felt safe

    People and family members told inspectors they felt safe. Staff understood how to recognise and report abuse.

    “People told us they felt safe and family members told us they were confident their relative was kept safe.” from the report
  • Safe staffing and medicines

    Inspectors found enough suitably skilled staff and safe recruitment checks. Medicines staff were trained, checked for competence and subject to regular audits.

    “Medicines were used safely.” from the report
  • Good infection control

    Inspectors found good cleanliness, suitable infection control training, enough protective equipment and safe arrangements for visits.

    “The cleanliness and hygiene across the service was maintained to a good standard.” from the report
  • Improved leadership

    The manager had embedded improvements since the previous inspection. Audits, spot checks and feedback were used to monitor and improve the home.

    “The registered manager had influenced and embedded improvements to the service since the last inspection with the support of a committed and passionate staff team.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What were the ratings for Effective, Caring and Responsive at the previous inspection?
  2. 02What specific changes were made after the Requires Improvement rating in July 2021?
  3. 03How are medicines staff kept trained and checked as competent?
  4. 04How are families told about changes to their relative's care?
  5. 05How do the audits and service improvement plan lead to further changes?

This was a planned inspection focused on Safe and Well-led; the ratings for Effective, Caring and Responsive were not inspected and were carried over from the previous inspection. This explanation was written from the published report of 7 March 2023 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.

The story over the years

Every inspection of Hillside Care Home

7 rated inspections over 5 years: the service has improved, from Inadequate to Good.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hillside Care Home →

  2. March 2023Goodup from Requires improvement

    Read what inspectors found at Hillside Care Home →

  3. July 2021Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. September 2020Requires improvementup from Inadequate
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2020Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. August 2019Requires improvementup from Inadequate
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. December 2018Inadequate
    Safe: InadequateEffective: Requires improvementCaring: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  8. August 2017

    Registered with the Care Quality Commission on 30 August 2017.

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.

Next steps

Weigh the report against the rest

Care at home

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Most charge £980 to £1,260 a week. 91 can care for a couple. 10 years' experience on average.

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