This inspection took place on 3 December 2015 and was unannounced.
Hill House Nursing Home is registered to provide nursing and personal care for up to 26 people. On the day of our inspection 22 older people were receiving care. A number of people were living with dementia.
A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The provider had recruited a new manager who intended to register with the Care Quality Commission.
At our last inspection on 11 and 12 June 2014, we found the provider was not meeting one regulation. This was in relation to people receiving inappropriate or unsafe care because staff did not consistently receive adequate training or supervision.
At this inspection we found improvements had been made. Staff received training, support and supervision they required to carry out their respective job roles and responsibilities.
People told us they felt safe and staff had a good understanding of how to keep people safe. People’s relatives and staff had confidence that any concerns would be treated seriously.
People and their relatives were happy with the care and support provided. People were treated with compassion and respect and their needs were being met.
Staff were knowledgeable about people’s needs. People’s individual rights, needs, choices and preferences were all respected by staff. Staff assisted and cared for people in a kind and friendly manner.
Staff understood and followed the requirements of the Mental Capacity Act 2005 (MCA) to obtain people’s consent or appropriate authorisation for their care.
People were encouraged and supported to make choices and decisions in relation to their care and daily living arrangements. Where people were unable to make decisions, staff recorded how decisions had been made in people’s best interests.
People were supported to maintain relationships with their families and friends. There was a range of social and recreational activities which people were supported to take part in.
We saw there was enough staff available to respond to people’s requests for help and assistance in a timely manner. Staffing arrangements were regularly reviewed to ensure people’s needs could be safely met.
The provider’s arrangements helped to make sure that staff were safely recruited and fit to provide people’s care at the service. We saw pre-employment checks were completed for all staff, these included Disclosure and Barring Service (DBS) checks, proof of identity and written references.
The provider’s systems helped to ensure medicines were stored, administered and disposed of in a safe way. Registered nurses administered medicines and training was provided to ensure their practice was safe.
There were auditing systems in place to assess and monitor the quality of the service being provided to people. Any concerns or complaints were responded to and resolved by the manager and the wider management team.
This inspection took place on 3 December 2015 and was unannounced.
Hill House Nursing Home is registered to provide nursing and personal care for up to 26 people. On the day of our inspection 22 older people were receiving care. A number of people were living with dementia.
A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The provider had recruited a new manager who intended to register with the Care Quality Commission.
At our last inspection on 11 and 12 June 2014, we found the provider was not meeting one regulation. This was in relation to people receiving inappropriate or unsafe care because staff did not consistently receive adequate training or supervision.
At this inspection we found improvements had been made. Staff received training, support and supervision they required to carry out their respective job roles and responsibilities.
People told us they felt safe and staff had a good understanding of how to keep people safe. People’s relatives and staff had confidence that any concerns would be treated seriously.
People and their relatives were happy with the care and support provided. People were treated with compassion and respect and their needs were being met.
Staff were knowledgeable about people’s needs. People’s individual rights, needs, choices and preferences were all respected by staff. Staff assisted and cared for people in a kind and friendly manner.
Staff understood and followed the requirements of the Mental Capacity Act 2005 (MCA) to obtain people’s consent or appropriate authorisation for their care.
People were encouraged and supported to make choices and decisions in relation to their care and daily living arrangements. Where people were unable to make decisions, staff recorded how decisions had been made in people’s best interests.
People were supported to maintain relationships with their families and friends. There was a range of social and recreational activities which people were supported to take part in.
We saw there was enough staff available to respond to people’s requests for help and assistance in a timely manner. Staffing arrangements were regularly reviewed to ensure people’s needs could be safely met.
The provider’s arrangements helped to make sure that staff were safely recruited and fit to provide people’s care at the service. We saw pre-employment checks were completed for all staff, these included Disclosure and Barring Service (DBS) checks, proof of identity and written references.
The provider’s systems helped to ensure medicines were stored, administered and disposed of in a safe way. Registered nurses administered medicines and training was provided to ensure their practice was safe.
There were auditing systems in place to assess and monitor the quality of the service being provided to people. Any concerns or complaints were responded to and resolved by the manager and the wider management team.