Inspection on 18/05/06 for Across The Bay

This inspection was carried out on 18th May 2006.

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 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

Across The Bay 25/07/07

Across The Bay 13/12/05

Across The Bay 19/04/05

Across The Bay 09/11/04

Across The Bay 12/05/04

Across The Bay 19/09/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Across The Bay 479 Marine Road Morecambe Lancashire LA4 6AF Lead Inspector Mr Ajam Auckburally Unannounced Inspection 18th May 2006 10:00 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 Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Across The Bay Address 479 Marine Road Morecambe Lancashire LA4 6AF 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) 01524 410625 01524 410625 info@acrossthebay.co.uk Mr John Graham Haslam Mrs Jennifer Mary Bailey Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Across the Bay is a registered home for older people and is situated in Morecambe. The home faces the sea front and is close to Happy Mount Park. Other amenities such as shops and the post office are nearby, but still too far for most of the residents to reach due to their frailties. The home can accommodate a maximum of 24 residents in 14 single and 5 double rooms. The double bedrooms are mostly used as singles unless people wish to share. The home is a four-storey building and a passenger lift is available to access all the floors. Communal facilities include two lounges on the ground floor and a dining room on the lower ground floor. Current weekly fees are between £325 and £365 and additional extras like hairdressing, newspapers and private chiropody are paid for by the residents. There were 18 residents at the home at the time of the inspection. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Across The Bay was assessed as requiring a statutory key inspection between April 2006 and March 2007 with a further random inspection if required. An unannounced key inspection was carried out on 18th May 2006 and it lasted for 5 hours. A further visit to complete the inspection was done on 23rd May 2006 and this lasted for 1 hour. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a nice atmosphere and with the full cooperation of the owners, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. There were 18 residents living at the home at the time of the inspection and there were 2 care staff, 1 senior carer, the owner, and a cook on duty. The number of staff on duty was within the minimum level recommended. The staff were observed to be polite and attentive when talking to the residents. What the service does well: The staff said that they provide good care for all the residents. They were seen being polite and respectful to the residents. This means that the residents are well cared for by a good team of staff. The residents said that all the staff are nice and helpful. One resident, had written in her survey card “ the staff are great and splendid.” The home is kept clean. The residents said that the staff clean their rooms everyday and they live in a nice environment. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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 Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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): 3 Quality in this outcome is good. This judgment has been made using available evidence including a visit to the service. Sufficient written and verbal information is provided to prospective residents and their families in order that they can make a decision about the facilities and services the home provide. This helps new residents decide about the home. EVIDENCE: Prospective residents are given the opportunity to come and spend some time in the home and meet other residents before they make a decision. One resident who was admitted a few weeks ago said that her family visited the home on her behalf and she trusted their judgements. She said that she is very satisfied with the services and facilities provided. Other residents spoken to said that they were happy living at the home. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 9 Pre admission assessments information is written in the care plans and these are reviewed regularly. This system ensures that residents changing needs are monitored and catered for. Every resident has a written contract, which gives details of the services to be provided, and how much they need to pay. This document is signed by the resident or their representatives and also the owner of the home. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 & 10 Quality in this outcome is good. This judgment has been made using available evidence including a visit to the service. The system to meet the health care needs of the residents is good. They are supported and helped in their daily life. EVIDENCE: Two residents were case tracked to evidence how the staff meet the health and social care needs of the residents. Case tracking means that the services provided to the residents are closely examined. In this instance two residents were selected by the inspector and their case files were examined, they were spoken to and their rooms visited. One of the residents was newly admitted whilst the other one has been at the home for many years. The written records show that they were assessed before they were admitted to the home which means that the care provided is geared to their needs. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 11 Their care plans clearly show which areas of their health care needs needed intervention by the staff and how these were delivered. For example, residents with personal hygiene needs, are helped by the staff to wash and dress and for those who are not able to do this task, the staff will do it for them. The two residents said that they are well looked after and that the staff are kind and helpful. The staff spoken to said that they are involved in writing the care plans and helping the residents to be as independent as they want. The medications of the two residents were examined. They were found to be administered and stored properly. Although residents can keep and take their own medications if they are assessed as being able to, the two residents chose to let the staff do this for them. Whilst checking the medications, the inspector found that the home was carrying a large stock of controlled tablets for two other residents. The owner was advised to contact the chemist to take away the surplus tablets. Usually, doctors and other health professionals such as dentist, optician and chiropodist will visit residents at the home, as most of them are unable to go to the surgeries. The owner said that if any resident wanted to attend a surgery she would take them. She said that a member of staff always accompanies the residents when they attend hospital appointments and such like unless they prefer to go on their own. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14 & 15 Quality in this outcome is good. This judgment has been made using available evidence including a visit to the service. The residents are supported to have a fulfilling life. EVIDENCE: The owner said that the residents are free to do what they like and that they are supported to achieve their full potentials. At the time of the inspection, the hairdresser had come to do the hair of several residents. The hairdresser said that she visits several homes and that she found that the staff and services provided at Across The Bay are the best. Some residents were in the lounges and a few were in their rooms. They were all very positive about the care they receive and particularly about the staff. Comment cards completed praised the staff very highly. The staff said that the residents are consulted on a daily basis and that they are assisted to do what they like. The owner said that she arranges as many activities as possible. Bingo is played weekly or as residents want. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 13 She said that she has obtained information about a local show and would take some residents if they wanted to go. The residents said that there is enough for them to do although they do get bored at times. Some of them said that they just like to sit in the lounge and watch the panoramic view over Morecambe Bay. The staff said they would try and accommodate any reasonable activity the residents may wish to do. They said that weather permitting they would take residents to Happy Mount Park, which is just a short, distance away. The residents said that they enjoy the food served at the home. They said that they get plenty to eat and drink. A cook is employed to do the catering. She said that she tries and provides meals to the residents’ taste and preferences. Lunch is a set menu with alternatives available. A wide choice of food is available for breakfast and teatime. Residents may have their meals in their rooms if they prefer, although they are encouraged to eat with the others as a social gathering. Family and friends of the residents are welcome to visit at any reasonable time. There were no visitors at the time of the inspection. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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 the following standard(s): 16 & 18 Quality in this outcome is good. This judgment has been made using available evidence including a visit to the service. Residents are protected and kept safe and practices in the home ensure this happen. EVIDENCE: There are written policies and procedures to protect the residents from abuse. The residents said that they all the staff are kind and that they feel safe and protected living at the home. The residents said that if they have any complaints, they would go to the staff or the owner. They said that they rarely have cause to complain about anything. Some of them were not aware of the written complaint’s procedure, but knew who to complain to. The staff said that they care for the residents with respect and would never abuse them. According to the staff records, some staff have had training on abuse. The owner was advised to arrange for all staff to do this training. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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 the following standard(s): 19 & 26 Quality in this outcome is good. This judgment has been made using available evidence including a visit to the service. The home is comfortable, clean, hygienic and provides a nice environment for the residents to live in. EVIDENCE: Generally, the home is well maintained and kept clean. All the central heating radiators have been fitted with low heat covers to protect the residents from very hot surfaces. Two of the toilets doors need suitable locks fitted to them. One of these toilets also needs new floor covering as the current one smells of urine. These actions will help residents with added privacy and a nicer environment. During the tour of the building, all the bedrooms visited were found to be clean and well maintained. The residents said that they like their rooms and that the staff respect their privacy. One resident who spends most of her time in her Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 16 room said that the staff always knock before entering. She said that she is very happy watching her television and reading her books. She said that the staff comes and cleans her room daily and that they have a good chat while the cleaning is being done. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 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 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, 28, 29 & 30 Quality in this outcome is poor. This judgment has been made using available evidence including a visit to the service. The recruitment process for new staff is not thorough. Residents may be put at risk. EVIDENCE: The staff records were examined to check recruitment procedure and training. It was found that a member of staff who started work in December 2005 did not have any references. The owner said that she wrote to the referees but did not receive any references back. It was pointed out to her the importance of having satisfactory references before starting any new member of staff. The inspector spoke to the staff concerned and she came over as being a very caring person. She was observed to be polite and kind to the residents. The record of CRB’s (Criminal Records Bureau) was examined. The owner is not dating the record she receives and she was advised to do so in order that CRB received can be verified. The rotas showed that there is an adequate number of staff on duty at any one time to care for the residents. There were 3 care staff, the owner and a cook on duty at the time of the inspection. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 18 The training records showed that staff have attended several training courses such as Moving and Handling, First Aid, and Medication. The staff said that they like going on training courses and that whatever they learn benefit the residents in the long run. Several care staff have completed their NVQ (National Vocational Qualification) level 2 and above. The home has 69 of its staff with this qualification. The recommendation from CSCI is 50 . Several of the staff have worked at the home for many years and this benefit the residents in that there is a continuity of service. The residents said that they get on well with all the staff and that they are more like family and friends. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 19 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 , 33, 35 and 38 Quality in this outcome is adequate. This judgment has been made using available evidence including a visit to the service. The home is managed by an experienced owner and there are quality systems in place to make sure that they are protected. EVIDENCE: The current registered provider has very little input in the home due to family commitments. His wife who has worked at the home for many years has taken the role of managing the home. She is very experienced in the running the home although the paperwork could be better organised. She had difficulty finding all the records required during the inspection. She is currently doing the Registered Manager’s Award and the NVQ level 4. Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 20 There is currently no registered person managing the home and this has been pointed out to the owner. The residents are well cared and they are not at risk. An application form has been sent to Mrs Haslam to register as the manager of the home. The Home did the Quality Assurance ISO (International Organisation for Standardisation) in 2001 and the last review was in April 2006. The home is assessed and its services monitored by an external body. The owner said that she has daily contact with the residents and the staff to ensure that a good service is provided. The home has a policy of not handling residents’ finances. All fees due to the home are paid by direct debit arrangements. How aware of equality and diversity issues are management, staff and others involved in the service delivery? This was found to be adequate. Within the service there is evidence of reasonable awareness and understanding of equalities and diversity. The owners were aware of different religions and how to meet the belief of residents. Staff who have completed their NVQ training have done a unit covering Equality and Diversity issues. The service shows a lack of awareness of new legislation, guidance and best practice and does not provide staff with necessary information. The owners were advised to access information on CSCI web site at www.csci.org.uk Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 21 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 X 3 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 22 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 2 Standard OP29 OP31 Regulation 18 8 Requirement The person in charge must employ new staff following a robust recruitment procedure. The provider must register a manager who experienced and qualified Timescale for action 30/06/06 31/07/07 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 Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Across The Bay DS0000009668.V286281.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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