Inspection on 20/10/05 for The Hyde

This inspection was carried out on 20th 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 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

The Hyde 30/10/07

The Hyde 22/06/06

The Hyde 03/05/05

The Hyde 26/01/05

The Hyde 28/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Hyde (The) Walditch Bridport Dorset DT6 4LB Lead Inspector Chris Gould Unannounced Inspection 20th October 2005 10:10 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 Hyde (The) DS0000026823.V259649.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. Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hyde (The) Address Walditch Bridport Dorset DT6 4LB 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) 01308 427694 01308 427766 BUPA Care Homes (CFC Homes) Limited Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three of the following bedrooms to be used as doubles at any one time: 1, 2, 5/6, 7, 18, 21, 29. 3rd May 2005 Date of last inspection Brief Description of the Service: The Hyde is a large Victorian mansion situated in twenty acres of gardens and woodlands close to the village of Walditch and approximately one and a half miles from Bridport. The Hyde is registered as a care home for up to 28 older persons requiring personal care and has been under the ownership of BUPA since 1998. There is a large communal front lounge, dining room and a library room on the ground floor. The accommodation is spread over three main floor levels and includes a total of 26 bedrooms; 16 bedrooms have en-suite facilities. A passenger lift enables access to some bedrooms on the first and second floors. The main staircase leading to the lower landing and bedrooms is fitted with a stair-lift. There are a series of steps to be negotiated to other bedrooms and a further two stair-lifts have been fitted to enable access to the bedrooms at first floor levels. The mature gardens and grounds are well tended with garden furniture available so that residents can sit and enjoy the rural setting. There is parking at the front of the house for use by visitors. Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over six and a half hours on one day in October 2005. This inspection assessed 12 standards and the outstanding requirements from the previous inspection. A tour of the premises took place and three staff files and three residents care records were inspected. Eleven residents, three visitors to the home and the staff on duty were spoken with during the inspection. Completed comment cards were received from residents, doctors, care managers, health and social care professionals prior to the inspection. Melody Walters the newly appointed manager was available throughout the inspection. This report should be read in conjunction with the report of the previous inspection that took place in May 2005. What the service does well: What has improved since the last inspection? Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 6 A satisfactory Criminal Records Bureau or a POVA first check is now obtained before the member of staff starts work at the home. What they could do better: 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. Hyde (The) DS0000026823.V259649.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 Hyde (The) DS0000026823.V259649.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 and 5 Residents have a copy of the home’s terms and conditions and are provided with the opportunity to visit to assess the suitability of the home before deciding to move in. EVIDENCE: Residents are provided with a terms and conditions agreement that they sign and a copy is held on their personal file. Residents and a relative spoken with confirmed that they are aware of the terms and conditions. A letter is provided to the prospective resident advising them that following assessment the home is able to meet their needs. Residents spoken with confirmed that they or their family had visited the home prior to making the decision to move in. Hyde (The) DS0000026823.V259649.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 and 8 The care plans do not consistently include the detail required to adequately provide staff with the information they need to satisfactorily meet residents’ needs. Residents’ health care needs are met and they are treated with respect and their right to privacy is upheld. EVIDENCE: All residents have individual plans of care based on a pre-admission assessment of need. The three residents care records inspected had been reviewed at least monthly. A high number of the residents are of a low dependency and able to meet most of their own physical care needs. Where personal care needs are identified an action plan has been developed. Care records do not include the actions to be taken to meet the residents’ social and communication needs. The care records included input from health care services including General Practitioners and community nurses. Residents spoken with confirmed that appointments are made on their behalf as necessary if they require medical Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 10 attention, a dentist, optician etc. Health and social care professionals that completed a comment card agreed that staff demonstrate a clear understanding of the needs of their clients. Staff induction includes respecting residents privacy and dignity this was confirmed by the staff spoken with. Residents agreed that they are addressed in the way they have requested. Comment cards received from residents, GP’s and other health care professionals all confirmed that privacy is respected and visits can be held in private. Hyde (The) DS0000026823.V259649.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 Social activities are not provided to satisfy the residents’ expectations and preferences. EVIDENCE: An activities organiser has recently started work at the home and is now beginning to develop the social programme for the residents. Fourteen residents completed a comment card with five answering ‘yes’ to the question ‘does the home provide suitable activities’ and nine ticked the ‘no’ or ‘sometimes’ box. One resident said that they did not always want to join in a group activity but would like someone just to spend time talking to them. Hyde (The) DS0000026823.V259649.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 and 18 The systems in place provide residents with the confidence that their complaints will be listened to and acted upon. Arrangements for protecting residents from abuse are not satisfactory placing them at possible risk of harm. EVIDENCE: The home has a comprehensive complaints procedure including the address of the CSCI and timescales. No complaints have been received by the home or the Commission for Social Care Inspection since the last inspection. Residents who completed a comment card all agreed that they know who to speak to if they are unhappy with their care. Melody Walters and two other members of staff are to attend training relating to the identification of adult abuse and protection in line with the local ‘No Secrets Guidance’. The information will then be cascaded to all staff. Hyde (The) DS0000026823.V259649.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): 21 Sufficient toilets and washing facilities are available to meet the resident’s needs EVIDENCE: There are nineteen bedrooms with en-suite facilities; many include baths. The remaining seven single bedrooms have washbasins and vanity units with a bathroom and toilet close by. There are baths with hoist facilities available on each floor. Residents spoken with all confirmed that they able to have a bath with assistance. Hyde (The) DS0000026823.V259649.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 and 29 The numbers and skill mix of staff meets the needs of the residents. Recruitment policies and procedures are in place to protect residents. EVIDENCE: At the time of inspection the number of care assistants rostered to work were sufficient to meet the dependency needs of the sixteen residents. Health and social care professionals agreed that there is always a senior member of staff to confer with. Residents spoken with all agreed that if they require help a member of staff will answer the bell very quickly. There are additional staff to cover the kitchen, laundry, cleaning, maintenance and gardening. Three staff files contained an application form, proof of identity, a health questionnaire, a job description, two written references and a contract. A satisfactory Criminal Records Bureau or a POVA first check had been received prior to the member of staff commencing employment. Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 15 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, 32 and 38 Whilst the person in charge is able to discharge her responsibilities fully, registration with CSCI must be completed. All staff have not received fire training to ensure that the residents health, safety and welfare are promoted and protected. EVIDENCE: Melody Walters the newly appointed manager commenced in post two days prior to the inspection. A new administrator had started at the same time. Melody Walters is proposing to apply to the Commission for Social Care Inspection for registration as the manger of The Hyde. The manager will have support provided by managers within BUPA during her induction period and will commence the Registered Managers Award in November 2005. Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 16 The home has been without a manager and an administrator for a few weeks. Residents expressed the view that they had ‘felt unsettled’, ‘there was no one available in the office to answer queries’ and ‘I hope things will settle down now’. Records viewed evidenced that all gas installations, central heating, electrical wiring and appliances and equipment used to meet service user needs has been checked. Policies and procedures are available relating to health and safety, Control of Substances Hazardous to Health (COSHH), infection control, manual handling and first aid. Records were available to demonstrate that checks on fire warning systems and equipment had taken place. Training has been provided but not all staff have attended. Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 17 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X X 3 X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 x x x x x x 2 Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 18 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 OP7 Regulation 15(1) Requirement Timescale for action 31/01/06 2. OP12 3. OP18 4 OP31 The registered person must ensure that the resident’s care plan sets out in detail the action to be taken to ensure that all aspects of the resident’s health, personal and social care needs are met. 16 The residents must be consulted about their social interests and activities provided to meet their expectations, preferences and capabilities. Timescale of 31st August 2005 not met. 18(1) The Manager, Head of Care and Deputy Head of Care must undertake training related to the Protection of Vulnerable Adults and the local No Secrets guidance: this information must be shared with all staff. Timescale of 30 April 2005 not met CSA The registered provider must Section 11 ensure that the manager of the home is registered with the Commission for Social Care Inspection DS0000026823.V259649.R01.S.doc 31/01/06 31/01/06 31/01/05 Hyde (The) Version 5.0 Page 19 5 OP38 23(4)(d) The registered person must ensure that persons working at the care home receive suitable training in fire prevention. 31/01/05 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 Hyde (The) DS0000026823.V259649.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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