25 May 2023
During a routine inspection
Hillswood House is a residential care home providing personal care to up to 55 people. The service provides support to adults with physical disabilities, sensory impairments, mental health conditions and dementia. At the time of our inspection there were 28 people using the service.
People’s experience of using this service and what we found
Regular building safety checks were completed however some were not robust enough in identifying areas of concern that we found on inspection. Staff did not always maintain good standards of cleanliness within the home to ensure infection control was promoted.
People had risk assessments in place to keep them safe and medicines were generally safely managed. Lessons were being learned when things went wrong. People were kept safe from the risk of harm and abuse. There were enough safely recruited staff.
People had person-centred care plans. Staff received suitable training and specific training for people at the end of their life. People were supported to have a balanced and suitable diet and to drink enough. Staff worked with other health professionals and made appropriate referrals. The service was being redecorated to meet the needs of the people who lived there.
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.
Staff treated people with dignity and respect. Staff listened to people and their relatives. People’s communication needs were considered in their care plans. People were supported to participate in activities and an activities coordinator had been recently recruited. People, relatives and staff were able to raise concerns and felt they would be listened to.
Quality checks were not always effective in identifying concerns. Accuracy issues in relation to record keeping was identified. An action plan was in place to improve the service. People, relatives and staff felt the manager was approachable. Staff worked in partnership with other organisations to support people. The manager understood their duty of candour.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
We registered this service on 2 March 2022 and this was the first inspection.
Why we inspected
We were prompted to carry out this inspection due to concerns we received about the management of the service, medicines management and infection control. A decision was made for us to inspect and examine those risks.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.