Care Home: The Hyde

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Annual service review Name of Service: The Hyde The quality rating for this care home is: The rating was made on: three star excellent service 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?   No 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: Annie Foot Date of this annual service review: 0 2 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Walditch Bridport Dorset DT6 4LB 01308427694 01308427766 Telephone number: Fax number: Email address: Provider web address:   www.bupa.co.uk BUPA Care Homes (CFC Homes) Ltd Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 28 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. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Hyde is a large Victorian mansion situated in 20 acres of gardens and woodlands close to the village of Walditch and approximately 1 mile 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. On the ground floor are communal rooms including a large lounge, separate dining room and a smaller lounge known as the library. The accommodation is spread over three main floor levels and includes a total of 26 bedrooms; 16 bedrooms have en-suite hygiene facilities. A passenger lift provides 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. To access some other bedrooms it is necessary to use a small flight of steps although there are two stair-lifts enabling access to bedrooms at first floor levels. The extensive gardens and Annual Service Review Page 2 of 7 grounds are well tended with garden furniture available so that residents can sit and enjoy the rural setting. There is car parking space at the front of the house for use by visitors. A bus to nearby Bridport stops at the main gates to The Hyde. Laundering of clothing and household linen is carried out at the home and arrangements are made for chiropodists, opticians and other health and social care professionals to visit individual residents. Fees are charged weekly; fees for permanent residents range between £450 and £980 per person, weekly respite care fees are from £550 per person. 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 the last key inspection which took place on 30 October 2007 and the annual service review completed 23 October 2008. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We also received 9 completed surveys from people living at the home. These tell us that prospective residents receive sufficient information about the home prior to making a decision to move in. Everyone responding to our surveys says that they receive the medical care and support they need and are generally very satisfied with the service. Staff are reported to be always available when needed and that they listen and act on what is said. Residents note, this is a home from home set in beautiful surroundings of the countryside. The gardens and grounds are mentioned by several people as being particularly beautiful. One person says that they have special walks around the grounds every morning. The AQAA tells us that as a result of listening to what residents say, a number of improvements have been made to the service over the last year. These have included creating a menu forum group which ensures the nutritional balance of menus promoting variety and choice. The forum consists of two residents, the gardener, Chef, Head of Care, Team Leaders, Deputy and Home Manager. This Annual Service Review Page 4 of 7 forum has redesigned the daily menu selection form to include an additional & lighter bite menu. It has also created the new summer/autumn menu and has gathered daily feedback from the residents which is available in the centre of each table before finalising the menu. The Activity Programme has been upgraded to include twice daily sessions, & weekend activities which are scheduled by the activity co-ordinators, to include musical entertainment and one-to-one excursions. Like minded interests of residents have been linked to create activity groups eg the Gardening Club and Bible Reading. Residents are also involved in fund raising events, such as the Cream Teas, the Proms and the Open Garden event. Additional and alternative therapies are also offered and an aquarium has been installed in the library. Several residents responding to our survey commented that the activities are very good. Care plans have been enhanced to contain a more detailed approach to beliefs, pastoral care and detailed end of life wishes. There have been 6 new admissions to the home in the last twelve months. There is a comprehensive complaints policy and procedure in place. BUPA Care Homes has robust policies for dealing with allegations of abuse or neglect. Staff can raise their concern within the home and also have access to senior staff outside the home. Everyone responding to our surveys say they know who to talk to if they have any concerns and how to make a complaint. The home received and resolved one complaint within the procedures timescales in the last year. The complaint was upheld and appropriate action taken. The home has an ongoing maintenance programme in place supported by a central team of experts from BUPA Care Homes who complete regular reviews of the home and its environment. In the last year new furniture shampooing equipment and two new vacuum cleaners have been purchased. A new laundry separation system has been introduced to avoid loss or mix up of clothing. Carpets have been replaced in residents rooms and the communal areas. Some residents commented in surveys that the plumbing can be very noisy and that fire doors are heavy and difficult to open. One person reported that they are unhappy with their room as they keep bumping their head on the wooden beams. 4 full time staff and 12 part time are employed at the home. 11 have achieved an NVQ level 2 or above in care. 6 staff left their employment at the home in the last year. The AQAA confirms that the home has a comprehensive training programme for staff which includes mandatory and enhancement training. Staff have the opportunity to undertake NVQ training and there are links with Bournemouth College to deliver additional training including a Certificate in Team Leading and the Safe Administration of Medication. Annual Service Review Page 5 of 7 Induction training is provided for all new staff. 30 staff have received training in the prevention and control if infection. All care and kitchen staff have received training in malnutrition care and assistance with eating. We received 10 completed surveys from staff employed at the home. These tell us that staff are given up to date information about the needs of the people the care for. They also confirm the homes commitment to staff training. Comments include, the home is up to date on training and all staff are supported well and all staff are well trained and this helps to improve the level of care we provide. Most of the staff surveys commented on the quality of the training provided. Staff say they meet regularly with their manager to share information and to discuss working practice. Almost all of the surveys from staff report that, the home is a lovely, happy place to work with superb surroundings and that staff work well as a team. A number of comments were received about the limited communication between departments which staff would like to see improved. There are a comprehensive range of policies and procedures in operation at the home. Policies have not been reviewed since 2006. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. There is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 30 October, 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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