Hillcrest House Nursing Home

Condition 1
Subject to any prohibitions or restrictions contained in any other condition(s), the designated centre shall be operated at all times in accordance with the Statement of Purpose (dated 14 February 2025, revision number:11) within the footprint of the designated centre on the floor plan dated 20 July 2023.

The registered provider shall only provide for the specific care and support needs, and services, within the facilities as set out the Statement of Purpose dated 14 February 2025, revision number:11, as agreed with the Chief Inspector at the time of registration.
Any changes to the specific care and support needs and services provided can only take effect following a decision by the Chief Inspector to vary Condition 1.
Condition 2
Only persons aged 18 years or older shall be accommodated at the designated centre at any time.
Condition 3
The maximum number of persons that may be accommodated at the designated centre is 58, comprised of a maximum of 31 residents in the building referred to as the House and a maximum of 27 residents in the building referred to as the Lodge.
Condition 4
At a minimum the registered provider will ensure that each day there are sufficient numbers of nurses present and working in the designated centre as follows:

1. The person in charge is employed on a full time basis and is supernumerary to the nurses who are delivering direct care to the residents;
2. There is one registered nurse rostered to work between both buildings, the House and The Lodge, which comprise and are within the footprint of the designated centre between 0800hrs and 1700hrs seven days a week to support the staff in each building that make up the designated centre (this role may be inclusive of the Director of Nursing role set out in the Statement of Purpose but is exclusive of the role of Person in Charge);
3. In addition to the nursing resources set out in 1 and 2 above there is a minimum of one registered nurse working exclusively (a total of 2 nurses) in each building (the House and the Lodge) 24 hours a day, seven days a week.

The above minimum levels of nursing staff does not preclude the registered provider from increasing these numbers if the dependency levels or care needs of residents increase such that these minimum numbers of nurses are insufficient to meet the needs of all residents living in the designated centre.
Condition 5
At a minimum the registered provider will ensure that each day there are sufficient numbers of health care assistants present and working in the designated centre as follows;

1. There are a minimum of ten health care assistants working in the designated centre (two between 0700hrs and 1900hrs and eight between 0800 hrs and 2000hrs) each day, seven days a week;
2. There are a minimum of two health care assistants working in the House from 2000hrs to 0800 hours seven nights a week and a minimum of three health care assistants working in the Lodge from 2000hrs to 0800 hours seven nights a week;
3. The staffing numbers set out in points 1 and 2 of this Condition 5 exclude any additional contracted and/or agreed one to one care hours for individual residents. Such care hours must be resourced in addition to the above minimum numbers of health care assistants. The registered provider is required to ensure that staff rosters for the designated centre reflect these hours separately to the baseline staffing requirements set out at 1 and 2 above.

The above sets out the minimum numbers of health care assistants which must be present in the nursing home and does not preclude the registered provider from increasing these numbers if the dependency levels of residents increase such that these minimum numbers of health care assistants are insufficient to meet the needs of all residents living in the designated centre.