Inspection on 03/05/05 for The Hyde

This inspection was carried out on 3rd May 2005.

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

Other inspections for this house

The Hyde 30/10/07

The Hyde 22/06/06

The Hyde 20/10/05

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 The Hyde Walditch Bridport Dorset DT6 4LB Lead Inspector Chris Gould Unannounced 3 May 2005 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 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. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Hyde Address Walditch Bridport Dorset DT6 4LB 01308 427694 01308 427766 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) BUPA Care Homes (CFC Homes) Limited Mrs Janice Thornton CRH (PC) - Care home only 28 Category(ies) of OP - Old age, not falling within any other registration, with number category (28) of places The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three of the following bedrooms to be used as doubles at any one tim: 1, 2, 5/6, 7, 18, 21, 29. Date of last inspection 26th January 2005 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 owner ship of BUPA since 1998. There is a large communal front lounge, dining room and a library room on the ground floor. The accomodation 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 furnitue available so that residents can sit and enjoy the rural setting. There is parking at the front of the house for use by visitors. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over seven hours on one day in May 2005. This inspection assessed 23 standards and the outstanding requirements from the previous inspection. A tour of the premises took place and three staff files and four residents care records were inspected. Nine residents, two visitors to the home and the staff on duty were spoken with during the inspection. Jan Thornton the registered manager was on duty and assisted in the inspection process throughout the day. What the service does well: What has improved since the last inspection? All prospective residents now receive a full assessment prior to admission to make sure that The Hyde has the resources and is able to meet their needs before they move into the home. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 6 The hot water boiler has been replaced and has solved the problems previously experienced with the supply of hot water to the second floor of the home. The home has been assessed by an Occupational Therapist and recommendations have been implemented as far as practicable within the constraints of the building. Residents are offered a key to their room but only one person has so far accepted. A system has been put in place to ensure that hazardous cleaning products are safely stored. The home has developed a checklist that is used for the induction of agency staff to ensure that they are able to meet the needs of the residents. The Commission for Social Care Inspection has registered Jan Thornton as the manager of 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. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4 The homes Statement of Purpose and Service User Guide ensure residents have the information they require before moving into the home. The systems in place ensure that the resident knows that the home they are moving into provides suitable facilities and that their care needs will be met. EVIDENCE: BUPA has produced a corporate brochure with inserts containing additional detailed information relevant to The Hyde. The information is given to all prospective service users providing a detailed service users guide. This was confirmed by the residents and a relative spoken with who agreed that the information provided a clear picture of the services and facilities available. A copy of the service users guide is available in all bedrooms. Individual records are maintained for each of the residents. Inspection of the records for the most recent admission contained a detailed pre admission assessment of care needs including information from professionals previously involved in providing their care. Discussion with staff confirmed that they were aware of the resident’s needs at the time of their admission. A letter is sent to The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 9 the prospective resident confirming that following the pre admission assessment the home is able to meet their needs. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 All residents have individual care plans to meet their health, personal and social needs. Residents’ health care needs are fully met and they are treated with respect and their right to privacy is upheld. Systems in place for dealing with medication are good and ensure that residents’ medication needs are met. EVIDENCE: All residents have individual plans of care based on a pre-admission assessment of need. The four residents care records inspected had been reviewed at least monthly. The care plan provided a clear record of the resident’s needs and the action plan to meet the assessed needs. The records included input from health care services including General Practitioners, community nurses and hospital appointments. The residents spoken with were all in agreement that staff were aware of their care needs and the help they required. The home has a procedure for the administration of medication and records inspected were satisfactory. Since the last inspection the maximum and minimum temperature of the refrigerator has been monitored and a letter is now being sent to the resident’s General Practitioner requesting a review of medication. One resident’s risk assessment has been updated following evaluation to record that they are no longer are able to self medicate. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 11 Staff were seen knocking on doors and waiting for an answer before entering residents rooms. Residents spoken with confirmed that they are asked on admission the name they would prefer to be addressed by and that this the name used. One residents spoken with said ‘staff are always very polite’. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 A flexible approach is taken in the running of the home and residents are helped to have a choice over their lives. Social activities are not provided to satisfy the residents’ expectations and preferences. Residents are able to maintain contact with their family and friends and to go out into the community if they wish and are able. Residents receive a varied and well balanced diet in pleasant surroundings. EVIDENCE: The home is advertising for an activities co-ordinator to assist with meeting the social needs of the residents. Residents spoken with agreed that this would really make a difference commenting ‘nothing to do’, ‘very quiet’, and ‘used to have activities most days but not anymore’. In July a marquee is to be erected in the grounds to host a Proms in the Park event for charity. There are other outside events planned during the summer including a picnic tea for one of The Hyde’s sister homes. A book in the reception area shows that the residents receive a large number of visitors at various times. Residents have a telephone in their room and a resident commented ‘it is a blessing. I speak to my daughter most days’. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 13 Residents spoken with all said that they choose the time they get up and go to bed. On the day of inspection two residents were served their lunch early as they were going on an outing in the afternoon with an outside club they attend and another resident went out to lunch with a relative. One resident goes out to a local painting class. All the residents who commented on the food said it was ‘good’, ‘excellent’ and ‘if I don’t like what’s on the menu then there is always a choice’. One resident after eating her lunch commented ‘that was lovely’. As well as the main menu there is always a choice. The menus were inspected and found to be varied and well balanced offering at least seven pieces of fruit and vegetables a day. Menus are provided for residents to choose their breakfast, lunch and supper for the following day. Meals are served in the ground floor dining room but can be served in the resident’s bedroom if that is their choice. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 The systems in place provide residents with the confidence that their complaints will be listened to and acted upon. Residents’ legal rights are protected. Arrangements for protecting residents from abuse are not satisfactory placing them at possible risk of harm. EVIDENCE: The home has a detailed complaints procedure that is included in the service user guide. Residents’ spoken with said that they were aware of the procedure and what to do if they had a complaint. One resident said ‘they listen, they do something about it’. Staff have not received training relating to the identification of adult abuse and protection in line with the local ‘No Secrets’ guidance. Two senior members of staff are planning to attend a training session. The training will then be cascaded to the other staff members. Inspecting residents care records and speaking with residents confirmed that they have representatives including family and solicitors to manage their affairs and act as their advocate. Postal votes have been available for all residents who wish to vote in the forthcoming general election or alternatively free taxis have been organised to take residents to the polling booth. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 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 standard(s) 19, 22, 24, 26 The standard of the environment is good providing the residents with a comfortable, safe, clean, well maintained and homely place to live. Residents are able to personalise their own rooms. EVIDENCE: The library has been painted and the dining room re-carpeted since the last inspection as part of the ongoing maintenance programme and plans are in place to completely refurbish three bathrooms. Resident comments included ‘if you have to live anywhere this is as good as it gets’ and ‘where else could you sit in such comfortable surroundings and look out on the view I have’. Since the last inspection the hot water boiler has been replaced and has solved the problems previously experienced with the supply of hot water to the second floor of the home. The home has been assessed by an Occupational Therapist and recommendations have been implemented as far as practicable within the constraints of the building. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 16 Visiting residents in their rooms demonstrated that they had been personalised with their own small personal effects. One resident took pleasure in showing part of a collection of photographs. Residents following a risk assessment are offered a key to their room. This was confirmed by residents and by reading care records but at the present time only one person has accepted. On the day of inspection the home was clean and no malodours were noted. An infection control procedure is in place and all staff have received training. This was confirmed in discussion with staff. All residents and visitors spoken with commented positively about the laundry service and the cleanliness of the home. All hazardous cleaning products were safely stored. A system for transporting and keeping the products safe when in use has been implemented. . The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29,30 The levels of staffing and the staff training provided meet the needs of the residents. Appropriate checks are not being completed prior to the member of staff commencing employment so potentially leaving service users at risk. EVIDENCE: Talking to residents, staff and viewing staff rotas confirmed that the number of staff on duty meets the needs of the present residents at the home. There are additional ancillary staff to cover the kitchen, laundry, cleaning, maintenance and gardening. Residents spoken with commented that staff were ‘very kind’, ‘caring’ and ‘always there if needed’. The home has developed a check list that is used for the induction of agency staff to ensure that they are able to meet the needs of the residents. Three staff files contained an application form, two written references, proof of identity, a health questionnaire, a job description and contract. A Criminal Records Bureau check had been undertaken but in the file of a recently employed member of staff a satisfactory response or POVA first had not been received prior to the commencement of employment. Of the 17 care staff employed 10 have achieved an NVQ in care at level 2 or above and 3 more are at present undertaking the training. Training records demonstrated that all new staff undertake an induction programme. Ongoing training is provided and this was confirmed by the staff spoken with that all felt they were well trained to do their job. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 The home has a registered manager who is able to discharge her responsibilities fully. The systems for consultation with residents in this home are good and residents’ views are sought and acted upon. EVIDENCE: The registered manager Jan Thornton is at present undertaking the NVQ level 4 Managers Award. Residents spoken with commented that the manager is ‘very approachable’ and ‘very easy to talk to’. Staff agreed that the manager would always listen and provide help when needed. One member of staff commented ‘Jan you can talk to and know she will take it on board’. The home has residents meetings and those spoken with agreed that it was ‘a very good idea’. The meetings are arranged for different times of the day and days of the week to enable as many relatives and friends of residents to The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 19 attend. A Quality Assurance policy relating to residents regarding their levels of satisfaction with significant aspects of the home is in place. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 3 x 3 x x x x x The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 21 yes Are there any outstanding requirements from the last inspection? 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 12 Regulation 16 Requirement The residents must be consulted about their social interests and activities provided to meet their expectations, preferences and capabilities. 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 was not met The registered person shall ensure that all staff have received a satisfactory enhanced CRB or POVA first check before commencing employment. Timescale for action 31 August 2005 2. 18 18(1) 31 August 2005 3. 29 19 31 August 2005 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. The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 22 Refer to Standard Good Practice Recommendations Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole Dorset 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. Extracts may not be used or reproduced without the express permission of CSCI The Hyde D55 S26823 The Hyde V224567 030505 Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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