12 October 2022
During an inspection looking at part of the service
Hillyfield is a residential care home providing accommodation and personal care to up to 17 older people. At the time of our inspection there were 11 people using the service. Hillyfield is set in a rural setting and provides single room en-suite accommodation.
People’s experience of using this service and what we found
People and their families told us they felt safe as they trusted the staff. People were supported by staff who had been trained to recognise and report safeguarding concerns. People had their risks assessed, monitored and reviewed. Staff understood the actions needed to mitigate avoidable harm whilst respecting people’s freedoms and choices. Medicines were managed safely, and infection, prevention and control measures were in line with best practice. Recruitment processes included references and criminal record checks ensuring staff were suitable to work with older people.
The culture of the home was open and transparent. People, their families and staff team spoke positively about the management of the home and communication. Staff understood their role, felt supported and involved in the development of the service. Quality assurance processes were effective at monitoring quality standards and regulatory requirements and driving sustainable improvements.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 4 September 2021). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We carried out an unannounced comprehensive inspection of this service on 28 July 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, staffing, fit and proper persons employed and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hillyfield Rest Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.