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: Sue Dewis Date: 0 4 0 1 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 8 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. Care Homes for Older People Page 3 of 8 What we found:
We made this visit to the home following the unexpected death of an individual as we needed to clarify the events which led up to the death. When we arrived the owner of the home, Mr Mould was there. Although the manager Jean White, was on leave, she later came to the home to assist with the visit. We looked at the care plans for three people, including one person who had been admitted for a short stay. We were told that the plans included all assessments, directions to staff and daily recordings that were made by the home. We spoke to one member of staff, who explained where records were kept and what type of information would be kept for people living at the home. We discussed events leading up to the death of the individual with the owner and manager although neither had been present in the home when the death occurred. We found that although detailed pre-admission assessments were available the information was not always clear and it was not easy to determine which pieces of information related to the individual. For example, the assessments were made on a pro-forma document and not all sections were deleted or completed as appropriate for the individual. This means that staff may not have all the required information needed to fully meet the needs of the individual. There was some confusion as to where the care plans relating to the individual who was at the home for a short stay, were kept. We were told by a member of the care staff that we spoke with that they were not kept in the same place as the documents for the people who were at the home long stay. However, we were told by the manager that all information for all individuals was kept together. This confusion could mean that staff do not have the information they require in order to meet the needs of people who are admitted to the home for a short stay. While looking at various records made leading up to the death of the individual we found that no recordings had been made on the relevant care plan for a day and a half prior to the death. This means that there is no record of the events and it is not possible to make a judgement about the care being provided at this time, or whether peoples needs were being monitored and any changes made to the care needing to be provided were implemented. We discussed with the owner and manager the actions taken by staff on discovery of the event, and why the emergency services had not been called immediately. The owner has not been able to discuss events with staff, but feels this may have been due to them being in shock as they have been trained to contact the emergency services in the first instance. We also discussed the possibility of fitting suitable fire service approved locks to bedroom doors. These locks allow people inside the room to leave, but do not allow access inside the room to anyone without a key. What the care home does well:
Care Homes for Older People Page 4 of 8 The home provides people with a comfortable environment. Everyone is assessed prior to their admission and has a care plan that sets out their needs. 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 8 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 8 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 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 7 Recordings relating to care of each individual should be fully updated on a regular basis, so that it is possibly to see that identified needs have been met and that any concerns regarding care have been addressed. Staff must have easy access to care plans to ensure they have the information needed to ensure they can meet the needs of individuals. Assessment documentation needs to be clearer so that information relevant to the individual is easily identified. Consideration should be given to fitting suitable locks to bedrooms doors. Staff should receive updated training in following the emergency procedures for the home. 2 7 3 4 5 7 19 30 Care Homes for Older People Page 7 of 8 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - 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!
