Inspection on 12/02/06 for Hyperion House

This inspection was carried out on 12th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hyperion House 21/03/07

Hyperion House 11/10/05

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 12th February 2006 2.00 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.V285169.R01.S.doc Version 5.1 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.V285169.R01.S.doc Version 5.1 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 01285 713126 Info@divacare.co.uk 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.V285169.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 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, which is used for dining and a smaller lounge/dining area. In addition there are ample communal toilets and bathrooms. The Home offers a laundry service and its kitchen caters for a range of diets. Some form of activity takes place each day and close links with the community exist. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one Inspector between 2pm and 7pm on a Sunday. A Registered General Nurse was on duty at all times and other members of the Home team. The care documentation of five residents was read in detail. This included pre admission assessments and care planning. Two of these residents were very confused therefore the Inspector observed the interaction between the staff and the resident instead. One resident was visited in her room, as she was frail and poorly. Two further residents were spoken with but their care documentation not read. General conversation with residents sought their views on the food, how staff spoke to them, whether their rooms are cleaned, if they had access or control of their personal money and the general choices afforded to them on a daily basis. Arrangements within the Home for protecting vulnerable adults were inspected. The general environment was inspected with particular regard to cleanliness of rooms and equipment. Staffing numbers were discussed in relation to the present needs of the resident group. What the service does well: What has improved since the last inspection? What they could do better: The Inspector requested that the care of one resident be specifically reviewed to ensure the Home is still able to meet this individual’s needs safely. All radiators in the Home should ideally be covered to reduce the risk of surface burns. Wheelchairs must be in good working order at all times. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 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.V285169.R01.S.doc Version 5.1 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.V285169.R01.S.doc Version 5.1 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): 3&6 The arrangements in place to ascertain the needs of the resident prior to admission are good, which enables staff to be aware of a residents needs on admission in order to ensure these are met. Intermediate care is not provided at this Home. EVIDENCE: Pre admission assessments that had been carried out by the Home management were seen. Further information for some residents was seen in the form of a ‘Care Needs Assessment’ sent to the Home by the Social Worker or Care Manager prior to admission. One of these had a message on it for staff to read. The registered nurses confirmed that they are nearly always aware of a resident’s needs before they are admitted and said the assessment form is made available for them to read. One resident’s information stated prior to her admission, that she suffered from a dementing illness and that she was prone to wandering. This resident was observed during this inspection as requiring a lot of diversion and Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 9 observation by the staff. The registered nurse on duty also confirmed that the main bolt is put across the front door during the evening to ensure this resident does not wander out of the Home when staff are busier. She also confirmed that this had not been attempted for sometime. Another resident admitted nearly two years ago does wander and he has poor mobility. His bedroom was some distance from the main communal room and he has been known to disturb other residents. During the inspection the Inspector requested that the Home reassess his care to ensure they are still able to meet his needs safely. This was carried out quickly and with a change of bedroom location and a medical reassessment the Home has confirmed they are able to care for this person safely. The Manager of the Home must be sure that only residents that fall into the category that the Home is registered for are admitted and if they do have a dementing illness, that their needs can be sufficiently and safely met without staff being distracted from being able to meet the general needs of other residents. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 10 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): 10 The care practice within the Home ensures that residents are treated with respect and dignity. EVIDENCE: Staff were observed by the Inspector as being courteous and respectful towards the residents. This was maintained during times when a resident’s conversation was very repetitive and their behaviour very reliant on staff. It was also noted as such when residents had problems with their hearing. Staff repeated what they had said again in the same polite manner as they had done the first time around. Residents were able to confirm that staff were polite, patient and nice to them. This was certainly witnessed during this inspection. One conversation however, revealed that there were concerns that a resident had been shouted at by a member of staff. This has been subsequently fully investigated by the Manager following the Home’s Policy and Procedure for Adult Protection and this has not been upheld. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 11 Another resident said that the bathroom door is always shut when she is being bathed and if there is a knock on the door the member of staff calls out, but never opens the door. One resident uses the ensuite in her shared room and said she would prefer there to be a lock on the door that she could use when using the toilet. Residents that required help with their feeding were given this in a quiet and unobtrusive manner. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 12 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): 14 & 15 Residents are able to make choices on a daily basis and if this is difficult for some they are encouraged to make decisions within their capabilities. The food in this Home is varied and residents have enough to eat even if they require a specialised diet or help to feed. EVIDENCE: Two residents described arrangements they have in place that enabled them to either remain in control of their finances independently or enabled them access to their money with the support of their family. Both these residents also had many personal affects around them; one had all her own furniture, except her bed in her room. The ability to have their own processions around them was clearly important to both of them. Several bedrooms were seen containing personal belongings. One bedroom was particularly well lived in and looked very homely. The general consensus from the residents spoken with was that the food was good and portions are generous. One resident told the inspector that she keeps telling staff that she would like her tea later than 5 o’clock. This resident asked Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 13 the inspector to remove it, but on taking this back to the staff the resident rang her bell to say that her tea was late. During the inspection the cook was observed at trying to elicit gently from a resident what they fancied for tea, several options were discussed. Another resident said that the cook works around her particular likes and dislikes. Teatime in the conservatory appeared a very sociable time with residents talking to each other. Those requiring more support with feeding are seated in the back lounge/diner area. Several residents had their tea in front of them seated in their armchair. It was noted that fresh jugs of squash were delivered to the bedrooms mid afternoon. One resident had enjoyed a glass of sherry prior to tea. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 14 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): 18 There are arrangements within the Home to ensure that vulnerable adults are protected from abuse. EVIDENCE: The Registered Nurses spoken to were very aware of their responsibilities regarding this. They knew where the Adult Protection Policy was and were able to describe what action they would take if there were an alleged situation of abuse during their shift. A resident had recently reported an alleged incident of abuse to a member of staff. That member of staff acted appropriately and in accordance with the Home’s policy on Adult Protection. The Manager investigated the allegation fully, which included statements from several staff. The allegation was not upheld and a full report was submitted to the CSCI. This incident showed that the staff acted according to the Home’s Policy and Procedures and that the correct chain of events occurred thereafter. The outcome of this incident has prompted a further training session for staff on what can be perceived or mistaken for abuse. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 15 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, 24 & 26 This home provides comfortable private accommodation that is well maintained and which is kept clean. EVIDENCE: The home was well decorated and well maintained. The Home generally looked clean and residents were able to confirm that their bedrooms are cleaned on a regular basis. The Registered Nurses confirmed that there had been two cleaners on duty during the weekend, including a laundry assistant. Bedroom 8 had a strong offensive odour. Individual bedrooms varied from looking very homely with individual processions in place to fairly sparse. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 16 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 The Home is staffed adequately to meet the residents’ needs. EVIDENCE: Duty rosters were seen and discussed with the Registered Nurses on duty. In their opinion there were enough staff on duty to meet the needs of the residents and to ensure the Home was cleaned and that the kitchen ran smoothly. Residents confirmed that when they ring their bell for help staff attend. One resident said she does sometimes have to wait longer than is comfortable for the toilet at night, but this was not a regular occurrence. One resident was requiring a high degree of one to one attention most of the afternoon due to her confusional state. During a tour of the building the Inspector used the nurse call bell system on behalf of a resident. The staff response was quick. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 17 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): 35 & 38 Arrangements are in place for residents to manage or have access to their monies. Health and safety is generally well risk assessed within the Home, although some radiators still pose a potential risk. EVIDENCE: Two residents said that they manage their finances with the help of their family. One confirmed that a relative had Power of Attorney. Access to money that is held in a secure place is possible, but needs to be organised prior to the weekend when the main office is closed. Records pertaining to residents’ monies were not inspected on this occasion. The risk from surface burns from radiators is either risk assessed or the radiator is covered. Several radiators have been covered in the last 12 months. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 18 One radiator in the corridor opposite bedroom 6 was extremely hot on the day of this inspection and follows the route of a handrail that stops when it reaches the radiator. This like others already covered in the last year poses a risk to surface burns if held onto in the absence of the handrail or fallen against. The same goes for the radiator in a resident’s bedroom and ensuite where the individual is known to wander in a confused state at times during the night and who was discussed with the Manager during this inspection. One named wheelchair that was being used generally had extremely worn and fraying tyres. The pedestal to the sink in the bathroom on the ground floor was broken and could constitute a hazard. Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 19 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 2 Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No 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. Standard OP38 Regulation 13(4)(a) Requirement The Registered Manager must reduce the risk of surface burns where the handrail stops and a radiator starts in the main lower corridor. The Registered Manager must ensure that all areas within a resident’s bedroom are safe and that any risks are eliminated. Timescale for action 01/04/06 2. OP38 13 (4)(c) 01/04/06 3. OP38 23(2)(c) 4 OP38 13(4)(a) The Registered Manager must 01/04/06 ensure that all equipment used within the Home is maintained in good working order. The Registered Manager must 30/04/06 reduce the risk of potential injury to residents or staff by replacing the broken sink pedestal. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 21 Hyperion House DS0000016482.V285169.R01.S.doc Version 5.1 Page 22 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.V285169.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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