Inspection on 11/10/05 for Hyperion House

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hyperion House 21/03/07

Hyperion House 12/02/06

Hyperion House 17/03/05

Hyperion House 19/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hyperion House London Road Fairford Glos GL7 4AH Lead Inspector Mrs Janice Patrick Unannounced Inspection 11th October 2005 09:40 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hyperion House Address London Road Fairford Glos GL7 4AH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01285 712349 Diva Care Limited Mrs Kathleen Joyce Boyce Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th March 2005 Brief Description of the Service: Hyperion House is situated in the centre of Fairford Town and well known by the local community. It is an extended building, which sits on the main road with its own garden and car park to the side and rear. The Home offers both personal and nursing care to the elderly person. A qualified nurse is on duty at all times. The local GP Surgery visits regularly and Community Nurses attend to the nursing needs of those admitted for personal care only. The private accommodation is located on both the ground and first floors and is predominantly for single occupancy. There are some shared bedrooms and all rooms have ensuite facilities. The communal rooms consist of one large lounge leading into a conservatory dining space and a smaller lounge/dining area. There are ample communal bathrooms and toilets in addition. The Home offers laundry services and caters for a range of diets. Some form of activity takes place each day and close community links are also made use of. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place between the hours of 09:40 and 1:30pm. The Deputy Manager and Provider were present and helpful. A selection of staff recruitment files, resident contracts, supervision records, health and safety records and care documentation were seen. The medication system was inspected. Several residents were spoken to, including three members of staff. Some of the environment was also seen. What the service does well: What has improved since the last inspection? What they could do better: Consistent information on the procedure for making a complaint would be less confusing for the reader. Care planning and regular monitoring should accompany the use of certain medications. The Home must commence NVQ Training for care staff and provide First Aid Training. Clearer records need to be kept as to which individuals have received Fire Training. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Irrespective of how their fees are paid, all residents/representatives are receiving adequate information regarding the Home’s terms and conditions and other financial information, which enables them to be fully informed. EVIDENCE: A selection of contracts with terms and conditions were seen. These were for both private fee paying residents, funded residents and those receiving ‘free nursing contribution’. The amount awarded following a Registered Nurse Care Contribution (RNCC) assessment is clearly stated in an accompanying letter with the invoice. This was seen in one file, but could not be found in one other file seen. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9. The care planning system provides clear guidance to staff and offers the opportunity for this care to be negotiated and agreed upon by the recipient or their representative. Residents’ health care needs are met. The systems for medication storage and administration are good and help protect the resident from poor practice. EVIDENCE: The care planning system was improved upon in the early part of this year. Further work has taken place to improve how various aspects of care are reviewed, such as manual handling and risk of pressure ulcers. Both are carried out monthly along with general care reviews. The care documentation for 3 residents was read in detail. One resident had signed his care plans. On talking with this resident, the care he felt he needed corresponded with the written plan and he was happy with what he was receiving. Two more residents indicated that they were happy with their care. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 10 The documentation described visits from the GP, Community Nurses, Continence Advisor and Chiropodist. One resident received a visit by the Physiotherapist on the day of this inspection. The residents also have access to the Diabetic Clinic if needed. One resident had received the correct care regarding her risk from pressure, but staff had omitted to record this. The medication system was organised with correct records being kept. A photograph accompanies each medication sheet to aid identification. Residents are able to self medicate if they are assessed as being able and safe. One type of medication was prescribed for 7 residents. The Inspector has recommended that these residents be reviewed with the GP. A care plan should accompany its use, monitoring the residents’ behaviour to help demonstrate the need for this particular medication. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13 Links with the community are good and the Home offers a selection of activities to help meet the residents’ recreational needs. Residents’ links with friends and family are actively encouraged and are clearly important to the residents. EVIDENCE: Time is specifically allocated to a carer each morning so that an activity can be organised. On the day of this inspection there had been a word quiz, which had been enjoyed by several residents. One resident said he regularly takes a walk and has been invited to several functions held by a local club. Another resident said he did feel bored at times, but also said he enjoys the company of the other men ‘we have a laugh’. Visiting is open and several residents receive regular visits from their families. The Deputy Manager explained that most relatives living away stay in regular contact via the phone. It is planned that one resident living at the Home, will be joined by his wife who is currently in another Care Home in Gloucestershire. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Arrangements are in place to enable concerns and complaints to be acted upon, but inconsistent information could lead to confusion if the complaint needed to go further than the Home management. EVIDENCE: The Home has a Complaints Policy with written procedures. This also includes any verbal concerns. An example of one was seen and the action stated for part of this was in place at the time of this inspection. Another part of this concern had been dealt with at the time. The documentation relating to a previous complaint was seen within a residents file. This had been dealt with appropriately at the time. One resident was very clear that he would not feel at all intimidated to speak out if he were unhappy about something. The complaints procedure in the Statement of Purpose, available in the reception area, needs updating to read the Commission for Social Care Inspection (CSCI) and not the former, National Care Standards Commission (NCSC). And, the procedure in the nurses’ office needs updating from the very out of date Registration and Inspection Unit of the Health Authority to the CSCI. The correct procedure was seen on the notice board in the lounge. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 25 Residents live in a clean and well-maintained Home where action is actively taken to help reduce risks to residents. EVIDENCE: During a visit to a resident’s bedroom, the environment around the Home was noted to be clean and smelling fresh. Some decoration was taking place as part of an ongoing programme. Two radiators that did pose a risk to frail skin if touched have been covered. Risk assessments for other radiators are in place. All hot water is regulated to a safe temperature; outlets are randomly checked and recorded on a regular basis. The Home can be ventilated with fresh air; some fans were seen in areas that can get warm. All emergency lighting is tested regularly and records kept. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 Adequate staffing levels at the present time ensure that residents’ needs are met. Residents are cared for by experienced staff or staff that are well supervised, but the commencement soon of structured training for care staff will help underpin the knowledge they already have. Recruitment practice has improved considerably and is helping to ensure residents are fully protected. EVIDENCE: The staffing roster was seen during this inspection and was clear to understand. The care needs in the Home are low at present and there are vacancies. The Deputy Manager agreed that the numbers of staff were adequate at present. She explained that there is flexibility with this when the number and needs of residents increase. Plenty of ancillary staff were also seen, these included two people in maintenance roles, cleaners and kitchen staff. Two members of staff have just completed a course, which enables them to assess and work with care staff doing their NVQ Awards in Care. The Deputy Manager is aware of 4 staff members who have applied to undertake this and was hopeful that this will commence in the near future. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 15 The Home is also a designated training centre for overseas nurses wishing to undertake adaptation training, in order to register as a Registered Nurse in the UK. A good rapport was noted between one of these students on duty during this inspection and her assessor. 3 staff recruitment files were seen. Although the filing system was behind for various reasons, all documentation required was present. It was commented that references from the last employer can be difficult to obtain, but the provider was reminded that an explanation must be sought as to why that person left their last employment if it was with vulnerable adults or children. And, any gaps in employment must have a written explanation. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,36 and 38 Residents live in a Home where the Manager is competent, where staff are well supervised and their health and safety is of paramount concern. EVIDENCE: The Manager was not present on the day of this inspection, but has managed the Home for sometime and has a nursing background. She is well supported by her Deputy Manager who is very ‘hands on’ and who takes the main responsibility for staff supervision. The Provider was present and takes responsibility for all administrative tasks as well as organising the programme of maintenance. All staff receive supervision, but due to a misunderstanding in the requirement made in the last inspection, records of this ceased in May 2005. These will recommence and the topics discussed within supervision sessions will broaden. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 17 Records were seen demonstrating that all fire fighting equipment and the alarm system is regularly serviced and checked by an external contractor. Fire training records are kept, but they were not easy to read. This is to be addressed by the Provider. All electrical equipment including moving and handling hoists and bath chairs are appropriately serviced. This includes the main lift and call bell system. The Home’s accident books were seen. Accidents are recorded and appropriately reported. Staff also ensure that relatives are informed of any incident/accident. There are no staff at present trained in First Aid Awareness. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 x 3 x x x x x 3 x STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x 3 x 2 Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 Standard OP16 OP28 OP29 OP38 Regulation 22 18(1)(c) (i) 19 Schedule 2 (6) 13(4)(c) Requirement Review complaints procedures and update accordingly. Commence NVQ Training for Care Staff. All gaps in employment must have a written explanation. Timescale for action 30/11/05 30/11/05 30/11/05 Make arrangements and then 31/01/06 provide staff with training in First Aid. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard 9 36 Good Practice Recommendations A medical review should be sought in the use of the medication discussed at this inspection. Written records of supervision sessions should be kept for at least 6 sessions per year per member of staff. Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hyperion House DS0000016482.V254788.R01.S.doc Version 5.0 Page 21 - 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. 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