About the service
Hill House Nursing Home is a residential care home providing accommodation for up to 29 adults who require personal or nursing care. This may include people living with dementia. Individual bedroom accommodation is provided over two floors in one adapted building, with a range of accessible communal living facilities and outdoor spaces including a garden with seating and car parking. At the time of this inspection there were 19 people using the service, including nine people receiving nursing care.
People’s experience of using this service and what we found
People were protected from the risk of harm or abuse within the service. The provider operated effective staffing, safeguarding, risk assessment and management strategies, to inform and ensure people’s safety needs and related care requirements.
People’s medicines were safely managed and given. Staff understood people’s risk assessed care needs and how to support them safely. People’s related care plans were accurately recorded for staff to follow, to help ensure this.
The environment and equipment used for people’s care, was suitable, visibly clean and regularly checked to ensure timely repair or renewal when needed.
We were assured the provider was meeting with requirements and nationally recognised government guidance, concerned with the prevention and control of infection, including COVID-19.
People were supported to maintain or improve their health and nutrition. Staff were trained and supported to deliver individualised care, in accordance with people’s assessed needs, choices, best interests and the law.
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.
People received care from staff who knew them well and how to communicate effectively with them. Arrangements for people’s care, including at the end of their life, helped to ensure people’s dignity, comfort, choice and independence.
The provider was meeting the accessible information standard, to help people understand what to expect from their care. There were effective arrangements for handling and responding to any complaints or concerns received.
The service was well managed and led. There was a registered manager for the service. Both they and staff understood their role and responsibilities for people’s care. People, relatives and staff were confident in the management and running of the service.
The provider operated effective governance systems to ensure the quality and safety of people’s care and continuous service improvement.
People, relatives and staff were regularly engaged and consulted, to help inform people’s care, service planning and improvement. The provider’s arrangements for partnership working with relevant external professionals and ongoing consultation with people, relatives and staff, helped to effectively inform and enhance people’s care experience.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection This service was registered with us in September 2020 and this is the first inspection. The last rating for the service under the previous provider was Good, published July 2018.
Why we inspected
This was a planned first ratings inspection of the service for this registered provider.
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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we received any concerning information, we may inspect sooner.