Random inspection report
Care homes for older people
Name: Address: Hyne Town House Hyne Town House Strete Dartmouth Devon TQ6 0RU two star good service 22/01/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Brian Brown Date: 2 2 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Hyne Town House Hyne Town House Strete Dartmouth Devon TQ6 0RU 01803770011 01803770307 info@hynetownhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Yvonne Margaret Mould,Mr Stephen Anthony Mould care home 33 Number of places (if applicable): Under 65 Over 65 33 33 33 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 2 2 0 1 2 0 0 9 Hyne Town House is a privately owned care home registered to provide care for up to thirty-three people within the categories of Dementia - over 65 years of age (33), Old age, not falling within any other category (33), Physical disability over 65 years of age (33). It does not provide intermediate care and it is not registered to provide nursing care. Hyne Town house is a Georgian period-detached building with a purpose-built wing. It
Care Homes for Older People Page 2 of 9 Brief description of the care home is situated in the small coastal village of Strete, approximately 15 minutes drive from the town of Dartmouth. It is on a bus route (Kingsbridge/Dartmouth), and local amenities including a post office/small shop are situated nearby in the village. Car parking is available within the grounds of the home or opposite in the village car park. The home provides accommodation for people over three floors, with a passenger lift to access the upper floors. Following an extensive refurbishment programme the home has been upgraded to a high standard. This includes a quiet lounge, assisted bathing facilities, a commercial kitchen, and a large garden room with patio doors allowing access to the garden and terraced areas. There are 27 single rooms and 3 double rooms, with the majority being en-suite and many with far reaching views of the surrounding countryside and out to sea. The fees at Hyne Town House range from £550 to £720 per week. Additional extras are hairdressing, chiropody, newspapers, special interest journals and magazines, and any sundry items, all at commercial rates. This information was given to the Commission by the Registered Provider in January 2009. A copy of the Commissions report on the home is available from the office. Care Homes for Older People Page 3 of 9 What we found:
This was a specialist inspection carried out by a pharmacist to look specifically at the safe management of medicines within the service, and a requirement made at the previous inspection was not assessed as it did not relate to medicines. Although this inspection was carried out by one person, it was carried out on behalf of the Care Quality Commission so the term we is used throughout. We found that people living at the service can be supported to look after their own medicines within a risk assessed process. For those people doing this records are made of the supply of medicines, the use of medicines is monitored and appropriate storage is provided. This means that people are supported to maintain their independence where appropriate. We found that for other people the medicines are stored securely. However we found that one of the cupboards was not fitted in accordance with current regulations. We looked at the records made when medicines are administered. On these we found that some people are prescribed medicines to be taken when required. We could find no record of what this when required meant either with the medication administration records or in the individual peoples plans of care. When we asked people administering the medicines what this meant, they were able to describe how they would make the decision but did not make any record of this decision. This means that people receiving the medicines cannot be assured that they will always receive these medicines in a safe and consistent manner. It also means that it is not possible to feedback to the prescriber about the outcome of administering the medicine. Some medicines were also found o be prescribed with a variable dose. For these medicines we found that a record was made to show that something had been administered but no record was made of the actual dose administered. This again means that people cannot be assured that they will receive their medicines in a consistent manner to meet their individual needs. It also means that the outcome of administering cannot be fed back to the prescriber or other healthcare professional. For one person prescribed eye drops we found that the administration record frequently indicated that they had not been administered. On speaking to the manager we established that this person normally went to bed 2 hours before the scheduled administration time so was asleep when the drops were scheduled to be administered. This means that the person may not be receiving an appropriate dose of this medicine which may adversely affect her medical condition. We also found that some of this persons eye drops were not stored in accordance with the manufacturers directions. Whilst we we at the service these were removed and disposal of them arranged. We were told that the service are currently reviewing the storage location medicines and also the storage facilities. What the care home does well:
We found that medicines are stored safely and that where appropriate people are supported to look after and manage their own medicines. Care Homes for Older People Page 4 of 9 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 (2) Arrangements must be made to have medicines cupboards fitted in accordance with current regulations This is so that people can be assured that steps have been taken to prevent the risk of inappropriate diversion of their medicines. 08/03/2010 2 9 13 Arrangements must be made 08/03/2010 to record the actual doses administered when medicines are prescribed with variable doses. This is so that people receiving the medicines can be assured that their response to administered doses can be monitored and effectively fed back to the prescriber 3 9 13 (2) Arrangements must be made to have in place clear protocols for the use of medicines prescribed to be administered when 22/03/2010 Care Homes for Older People Page 7 of 9 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action required. This is so that people receiving the medicines are assured that they will receive these medicines in a consistent manner to meet their needs Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 9 It is recommended that the dose administration times of medicines be reviewed to meet the individual needs of the people living at the service It is recommended that the storage arrangements for medicines requiring controlled temperatures be reviewed. 2 9 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
