Latest Inspection
This is the latest available inspection report for this service, carried out on 4th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Hythe Nursing Home.
Annual service review
Name of Service: Hythe Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 9 0 9 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Mark Hemmings Date of this annual service review: 0 2 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 91 North Road Hythe Kent CT21 5ET 01303265441 01303230329 premiumhythe@btconnect.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Premium Healthcare Limited Number of places (if applicable): Under 65 Over 65 0 40 The maximum number of service users who can be accommodated is 40 The registered person may provide the following category/ies of service only: Care home with nursing to service users of the following gender Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category -OP Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Since our last Key Inspection five additional bedrooms have been created. This has increased the total number of people who can be accommodated in the Service. 2 9 0 9 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Up to 40 older people who need nursing and personal care can make their home in Hythe Nursing Home (the Service). The premises are a large three storey detached property. The accommodation is arranged on each floor. There is a passenger lift that gives step-free access around the accommodation. Annual Service Review Page 2 of 7 When full, there is provision for two of the bedrooms to be shared by two people each. The other bedrooms are single occupancy. All of the bedrooms are laid out as bedsitting areas. Twenty two of the bedrooms have their own toilet and two of these also have their own bath. Each of the bedrooms has a call point so that people can contact a member of staff if they need assistance. The bedrooms also have a television point. People can have their own phone installed if they want to pay for it. There is a main lounge and dining room. The back of the property looks out over Hythe and to the sea. There are an adequate number of bathrooms and toilets. The building is located in a quiet residential street. There is some off street The Registered Provider is a private company. The Directors of the company have their office in the Service. The weekly fee for living in the Service runs from £475.67 to £800.00. For more details about the charges please contact the Manager. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since our last Key Inspection. We completed this on 29 September 2008. The information we considered includes the following: The Annual Quality Assurance Assessment (the Assessment) that was sent to us by the Registered Provider. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the Service. It also gives us some numerical information about the Service. What people who live in the Service and members of staff say in questionnaires they have kindly completed for us. Information we have about how the Service runs. This includes what the Manager has told us. What the Registered Provider has told us about things that have happened in the Service. These are called notifications and are a legal requirement. The previous Key Inspection Report. Relevant information from other organisations. What has this told us about the service? The Registered Provider sent us its Assessment. We received this on time and it is adequately detailed. Various improvements have been made since our last Key Inspection. These include things that make a direct difference to peoples everyday lives. For example, a number of the bedrooms have been re-modelled so that they have a private bathroom. All of the bedrooms now are fitted out with special beds that can be adjusted to a persons individual requirements. Two new shower rooms and a new bathroom have been created. A wider range of social activities is being offered and the menu has been made more varied. Both of these things have been done in response to suggestions from the people who live in the Service. The exterior of the building has been repainted, a large decked patio has been created and parts of the garden have been landscaped. Other improvements are planned for the forthcoming year. These include redecorating areas of the accommodation as necessary. A new room is going to be created for the hairdresser and for consultations with the chiropodist. A piano is going to purchased for the lounge, this being another thing that people have said that they want. At the previous Key Inspection, the Registered Provider was not required to undertake any particular improvements. We thought that things were going well. We gave the Service two stars. This means that it provides a good response to the needs of the Annual Service Review Page 4 of 7 people who live there. We did recommend several things that would build upon the provision already in place. The Manager says that all of these things have been done or are in the process of being completed. In their questionnaire replies the people who live in the Service say that they receive the care and support they need. They also think that there are enough social activities and they say that they enjoy their meals. The Manager says that people are regularly asked what they think about how things are going. This is done both informally as part of twice a year exercise when people who live in the Service and their relatives are invited to complete a questionnaire. The Assessment says, we give high quality care in a homely, friendly and non discriminatory environment. The routines, activities and plans are person centred, individualised and reflect the diverse needs of our residents. Residents are actively promoted to make informed choices if they are able. Sensible things are done to help keep people safe. This includes giving some people the reassurance of having bed rails if they want them. People are supported to stay healthy and they are helped to seek medical attention as and when it is needed. The Assessment says that reliable arrangements are in place to assist people to take medicines in the manner intended by their doctors. There are systems to ensure that medicines are given to the right person at the right time. In their questionnaire replies, people say that the accommodation is presented to a comfortable domestic standard. There are various things to help people who have reduced mobility. These include mobile hoists that can be used in the lounges and in the bedrooms. There are special baths that are easy to get into and out of. There are also walk-in showers. Since our last Key Inspection we have received one complaint. This involved a number of allegations. These included questions about the adequacy of parts of the nursing and personal care provided in the Service. There were questions about the sufficiency of staffing levels and the adequacy of training arrangements. There were other concerns about how complaints are received and resolved. The Registered Provider has looked into each of the allegations. It has informed us that the concerns are not substantiated. The Registered Provider has looked into six complaints since our last Key Inspection. Three of these were about aspects of the catering service. There was an incident when some food may have been undercooked. Other concerns have been about the general quality of some of the meals and about the amount of choice that is available. Three of the complaints were about parts of the nursing and personal care provided. These included things such as the frequency with which people are assisted to bathe and the steps taken to make sure that special nutrition needs are met. The Manager says that each of the complaints was fully investigated. She said that where a problem has been found remedial steps have promptly been taken. The Registered Provider has assisted the local authority to investigate a particular matter in which someones wellbeing may have been compromised. The Manager says that in response to the matter, steps were quickly taken to strengthen how particular parts of nursing care is planned and delivered. Annual Service Review Page 5 of 7 The Manager says that there are two nurses on duty during the day and the evening. They are supported by four or five health care assistants. There is one nurse and three health care assistants on duty at night. During the day there are other members of staff on duty such as housekeepers and people who work in the kitchen. The Assessment says that suitable security checks are in place to ensure that nurses and health care assistants are trustworthy people. The Manager says that all of the nurses and health care assistants have received the training they need and that they have the necessary knowledge and skills. The Manager says that good standards of hygiene are achieved in the kitchen. The premises are fitted with an automatic fire detection system. This provides a high level of protection. The Assessment says that the fire safety equipment and other things such as the electrical wiring and gas appliances are regularly checked. This is done to make that they remain in good working order. Our overall judgement is that the Service continues to provide a good quality of care for the people who live there. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. We are going to complete a Key Inspection by 28 September 2010. However, we can inspect the Service at any time if we have concerns about quality of the provision or about the safety of the people living there. Annual Service Review Page 6 of 7 Reader Information
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