Archived: Hyman Fine House

Updated 9 September 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 25 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 9 September 2020

Hyman Fine House is a large building in a residential area of Brighton, close to the sea, public transport, local amenities and shops. The service is owned by the charity Jewish Care and is one of their homes in the United Kingdom. The home provides accommodation, personal and nursing care for up to 45 older people. Some people had disabilities such as limited mobility, physical frailty or lived with health problems such as heart disease, diabetes and strokes. Some people lived with dementia. There were 39 people living at the home at the time of our inspection.

Hyman Fine House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

This comprehensive inspection took place on 16 October 2018 and was unannounced.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Hyman Fine House had a registered manager who had been working for Jewish Care since 1999 and in post as registered manager at this home since January 2011. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People’s risks around food and nutrition were not always recognised and understood by all staff. Other risks to people and the environment had been identified and staff understood people well and how to manage risks to help ensure people were safe. People continued to be supported to receive their medicines safely by staff that were trained in administering medicines. People continued to feel safe. One person told us, “I feel safe here, the staff look after me well.”

People remained protected from avoidable harm. There was a safeguarding policy and staff received training. Staff knew how to recognise the potential signs of abuse and knew what action to take to keep people safe.

People continued to be supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff understood best interest decision making where people lacked capacity in line with the principles of the Mental Capacity Act 2005. Staff sought people’s consent before giving personal or nursing care.

People were supported to maintain their health and had assistance to access health care services when they needed to. The home had a weekly GP’s surgery. People were supported to attend other healthcare appointments. We saw people had access to services such speech and language therapists (SALT), diabetic team, chiropodists, opticians, dentists and physiotherapists. One person told us, “They’re really on the ball, I see the doctor when I’ve needed to and they look after my health really well.”

People continued to have access to an extensive and wide variety of activities and were involved in planning activities. People received compassionate and dignified end of life care that respected their wishes. People were proactively supported to maintain relationships with people who were important to them. One person said, “The best thing about the home is that they really care about the people.” Concerns and complaints remained well managed and were responded to.

People continued to receive kind and compassionate care. People told us the staff were kind and caring and they were happy with the service they received. One person said, “The staff commitment to care is 24/7, you can’t beat it.” We saw positive interactions between people and the staff caring for them. Staff said they enjoyed working at the home and felt supported by the registered manager. A relative told us, “It feels like a home.”

The home continued to be well-led. A relative said, “Everything runs smoothly.” People, staff and relatives remained engaged and involved in the service provided. A member of staff said, “I love it here, everyone is supportive.” Daily feedback was sought through people's engagement with staff, key worker meetings and care reviews.