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Care Services

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Hill View, Swindon.

Hill View in Swindon is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults under 65 yrs, learning disabilities and mental health conditions. The last inspection date here was 16th August 2018

Hill View is managed by Aston Care Limited who are also responsible for 3 other locations

Contact Details:

    Address:
      Hill View
      33 Church Walk South
      Swindon
      SN2 2JE
      United Kingdom
    Telephone:
      0

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2018-08-16
    Last Published 2018-08-16

Local Authority:

    Swindon

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

10th July 2018 - During a routine inspection pdf icon

The inspection took place on 10 July 2018. Our visit was unannounced. Hill View is a ‘care home’ without nursing. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to accommodate up to eight people with learning disabilities. At the time of the inspection there were five people living there. The home is located in a residential area of Swindon.

The service had a registered manager in place who was also the provider. 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.

At the last inspection on 31 May 2017, we asked the provider to take action to make improvements. These were in relation to risk assessments not always containing enough guidance to keep people safe; staff not receiving training necessary to support people’s needs and not establishing effective systems to identify risks so they could be addressed. At this inspection in July 2018 these actions had been completed.

People using the service told us they felt safe living at Hill View and relatives we spoke with agreed. People were kept safe from avoidable harm because the staff team had received training on safeguarding and understood their responsibilities.

The risks associated with people's care and support had been assessed, monitored and reviewed. People received their medicines as prescribed.

Appropriate pre-employment checks had been carried out on new members of staff to make sure they were safe and suitable to work there. There were sufficient staff to meet people’s needs and spend time with them.

New staff were provided with appropriate induction into the service and on-going training was delivered. This enabled the staff team to gain the skills and knowledge they needed in order to meet people's needs. Staff were also supported through regular meetings with their manager and an annual appraisal. Staff told us that they felt supported by the registered manager and that communication was effective.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People who used the service and relatives consistently told us staff were caring, patient and upheld people's dignity. Care plans were personalised and centred on people's preferences, views and experiences as well as their care and support needs.

Relatives and professionals had confidence in the leadership of the service and that if they had any concerns that these would be dealt with. We saw when concerns were raised these were looked into and responded to. Auditing and quality assurance systems took place to monitor the quality of the service so that action could be taken where identified.

31st May 2017 - During a routine inspection pdf icon

We inspected Hill View on 31 May 2017. This was an unannounced inspection. We returned to complete the inspection on 5 June 2017.

Hill View is a care home without nursing that provides personal care and support for up to eight people with learning disabilities. At the time of the inspection there were five people living at the service.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission(CQC) 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. A new manager had joined Hill View at the beginning of May 2017. The new manager intended to apply to the CQC to become the registered manager of Hill View.

We asked for feedback from people’s relatives and they felt the service was safe. However, we found training which the provider had stated was mandatory, had not always taken place to ensure staff were fully competent to support people safely. This included training around medicines, moving and handling and safeguarding. The provider had safeguarding training planned for staff for the end of the month. The provider had policies and procedures in place in relation to safeguarding adults.

People’s care records contained risk assessments. These identified any risks related to each person and described the measures and interventions to be taken to manage risks. However, the risk assessments needed more guidance to ensure that staff could ensure people’s safety.

Staff had not undergone all necessary training to ensure they were able to meet the support needs of people in the service. Staff told us and we saw they had received regular supervisions with the manager, where they had the opportunity to discuss their care practice and identify further training needs.

Relatives said they were satisfied that their relatives were involved in all day to day decisions about their care. However, not all staff had received training about the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure people were supported in line with the principles of MCA and DoLS. Staff need to have an awareness of these principles to ensure that people are supported to have maximum choice and control of their lives and in the least restrictive way possible. We made a recommendation to consult with the current guidance for the DoLS.

There were sufficient numbers of staff to support people safely. Staff had been checked before they started working for the service to ensure they were suitable to work with vulnerable adults.

Medicines were managed in a safe way and the environment had been assessed to ensure its safety.

People were supported to have the food they enjoyed and to maintain a healthy diet. Care records showed people’s health was monitored and referrals were made to other health care professionals where necessary for example, GP and mental health team.

Relatives spoke highly of the caring attitude and behaviour of the care staff in the service. They said their relatives were treated with dignity and respect by staff.

People had been assessed to see what support they required before moving to the service. However, not all information on the assessment had been incorporated into the care plan. People’s care plans did not always reflect people’s current needs, choices and preferences.

People were encouraged to plan and participate in activities that were personalised and meaningful to them. We saw evidence of people being supported to be involved in their local community.

We saw a complaints procedure was in place and this provided information on the action to take if someone wished to make a complaint and what they should expect to happen next.

The registered manager had not always notified the CQC about incidents that affected the serv

 

 

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