Hilton Residential Home

Updated 21 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of the Care Quality Commission (CQC’s), response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 24 March 2021 and was announced.

Updated 21 April 2021

About the service:

Hilton Residential Home is a residential care home that accommodates up to 21 people. At the time of the visit there were 14 people who lived there. There is no nursing care at this service.

People’s experiences of using this service

At the previous inspection the registered provider was in breach of regulation relating to the maintenance of the premises. Repairs and faults to the premises were not rectified and addressed promptly. This was a breach of Regulation 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.We also made recommendations regarding the provision of activities because people were not always supported with meaningful day time activities. During this inspection, improvements had been made to the maintenance of the premises and some improvements had also been made to the provision of meaningful day time activities. Improvements to activities needed to be sustained. While there was a planner in place, the activities had not always been delivered as planned.

The registered manager and the registered provider had ensured the premises were maintained and any faults rectified. They had also completed audits to monitor the safety and quality of care provided.

People told us they received care in a safe way. Individual risks to people and the environment had been identified and assessed and measures put in place to manage them and minimise the risk of avoidable harm occurring. Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm. Medicines were managed safely by trained staff who ensured that people received medicines at the right time.

The management of risks associated with falls had improved however, improvements were required to ensure care staff consistently sought medical advice in instances where people had experienced head injuries. Care records for people living at the home temporarily needed to be robust. The registered manager rectified this immediately.

Sufficient numbers of suitably qualified and skilled staff were deployed to meet people’s individual needs. Staff had received a range of training and support to enable them to carry out their role safely. People told us they received the right care and support from staff who were well trained and competent at what they did.

Staff showed a genuine motivation to deliver care in a person-centred way based on people’s preferences and likes. They treated people with kindness, compassion and respect and ensured that people’s dignity was maintained at all times. People and their relatives spoke positively about the care and support provided.

People’s needs, and choices were assessed and planned for. Care plans identified intended outcomes for people and how they were to be met in a way they preferred. People received support to maintain good nutrition and hydration and their healthcare needs were understood and met.

Records relating to consent for care were completed and people told us they were always offered choice and control over the care they received. Deprivation of liberties (DoLS) authorisations had been considered. However, we found the home had not applied for authorisation to ensure they could legally restrict people three people for their own safety. We asked the registered manager to take immediate action and they applied for authorisations after our inspection visit.

Care was delivered in a personalised way which was in line with information recorded in people's care plans. People and family members knew how to make a complaint and they were confident about complaining should they need to. They were confident that their complaint would be listened to and acted upon quickly.

The leadership of the service promoted person centred care and a positive culture within the staff team. People, family members and staff all described the registered manager as supportive and approachable. The registered manager showed they were committed to improve the service and displayed knowledge and understanding around the importance of working closely with other agencies and healthcare professionals where needed.

Rating at last inspection: Requires improvement (Report published 26 February 2018)

Why we inspected: This was a planned comprehensive inspection based on the rating from the previous inspection.