Inspection on 25/07/07 for Across The Bay

This inspection was carried out on 25th July 2007.

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 18/05/06

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 25th July 2007 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.V339523.R01.S.doc Version 5.2 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.V339523.R01.S.doc Version 5.2 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 vacant post Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2006 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 £340 and £380 and additional extras like hairdressing, newspapers and private chiropody are paid for by the residents. There were 19 residents at the home at the time of the inspection. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 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 visit (inspection) between April 2007 and March 2008. An unannounced key site visit was carried out on 25th July 2007. The inspection lasted a total of 5.5 hours. 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 friendly atmosphere and with the full cooperation of the owner, 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. Evidence about the inspection was gathered firstly by sending out a questionnaire, AQAA (Annual Quality Assurance Assessment) for the owner of the home to complete and return. The completed questionnaire gave information about several areas such as staffing, checks that the home has made about the safety and maintenance of the building, information about residents and other useful information. The AQAA also requests information about good practices and developments. There were 19 residents living at the home at the time of the inspection and there was an adequate number of care staff on duty. The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: The inspection was conducted in a very friendly and cooperative manner and the residents spoken to said that they were happy living at the home. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 6 During the visit, the inspector spoke to and observed a number of residents who all appeared to be very comfortable and relaxed in their surroundings. The staff benefit from a good standard of training. It was also pleasing to note that the home continue to meet the national target in NVQ training, with 81 of carers holding the qualification at level 2 or above. The staff were observed to be polite and respectful when talking and caring for the residents. The new pre inspection questionnaire, AQAA (Annual Quality Assurance Assessment) was completed well and with good detailed information about the home. The residents spoken to said that they are well cared for and that all the staff are kind. What has improved since the last inspection? What they could do better: The home is owned by Mr Haslam and Mrs Bailey who are the registered providers. Mrs Bailey has never been involved in the day to day running of the home. Mr Haslam has been running the home with the help of his wife. However, in the last year, due to family commitments, Mr Haslam has had very little input in the management of the home. Mrs Haslam who is supporting her husband in the day to day management of the home needs to register as the manager of the home. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 7 The toilet doors on the half landings should be fitted with appropriate locks. They should also be adjusted so that they close properly. 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 summary of this inspection report can be made available in other formats on request. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 8 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.V339523.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures and practices to admit new residents are good. Prospective residents are given adequate written and verbal information to make an informed choice about the home. EVIDENCE: The records of admission of the last resident admitted to the home were examined and they showed that a full assessment was carried out prior to admission. The owner said that prospective residents are encouraged to visit the home and spend some time with the other residents. They can have a meal and participate in daily activities. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 10 The last person admitted said that his daughter knew the home well and made the arrangements for him. He said that he is very happy with the services provided and that the staff are kind and helpful. The owner said in most instances, it is a member of the family of prospective residents who would visit on their behalf. During the visit a written assessment is done to decide whether the home can meet the needs of the resident. Questions will include such things as mobility, mental state, likes and dislikes, any idiosyncrasies and other needs, which will help the staff, provide the right care. A full assessment is carried once the new resident is admitted and continues all the time. Regular reviews are carried to ensure that the level of care provided is appropriate. Existing residents are encouraged to be involved in helping new ones settle in. They can help by telling new residents about the routines of the home. The service user guide needs to state that the home takes people in the category of OP (Older People) 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. Intermediate care is not provided at Across the Bay. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practices to meet the health and personal care needs of the residents are good. Residents benefit from having their needs assessed and met by a team of dedicated staff. EVIDENCE: Two residents, one of whom being the last one admitted to the home were case tracked. This means that two residents were selected by the inspector and the care they receive examined closely. Their assessments and care plans were examined and they were spoken to. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 12 The case files show that detailed written information about the residents has been recorded. These include an assessment to identify the needs of the residents and also a care plan which shows how the needs were being met. The physical assessment covers; personal hygiene, mobility, hearing, vision and other areas. The care plans give details of how the assessed needs are met. For example, if someone needed help with personal hygiene, the record will show that this person needs staff to wash and dress her. The care plans are reviewed monthly or as required to meet their changing needs. The residents and their families can be involved in this exercise. The residents said that they are very well looked after by the staff. They were very positive about the staff and the management of the home. They described the home as being very good. The inspector observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. Most of the staff have worked at the home for a long time and have developed good relationships with the residents. Some of the toilets have been fitted with grab rails to help those residents with poor balance and mobility. A passenger lift is available to access all the floors. All the residents are white British, but the owner said if a resident from a minority group was to be admitted to the home, he will obtain as much information as possible by researching this group to meet care, cultural and dietary needs. Resident’s health care needs are met by involving health care professionals. GP’s, district nurses and chiropodist visit when required. The home is sensitive to the needs of all the residents and does everything to help them remain as independent as possible. The staff said that their job is to work with the residents and meet all their needs. They said that they have very good relationships with all the residents. They were observed talking and helping the residents with respect and dignity. The medications of two residents were audit trailed and were found to be correct and dispensed according to prescribed times and dosage. Medications are kept in a secure cupboard and accessible only to staff who have been trained in dealing with them. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 13 The medication policy states that residents who are able and willing can keep and administer their own medications. None of the residents currently in the home was self-medicating. The residents spoken to said that they prefer the staff to manage their medications. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements to meet the social and recreational needs of the residents The home provides a variety of activities to keep the residents stimulated and active. EVIDENCE: The residents spoken to said that they are free to do what they want. They said that they can follow their religions and that priests and vicars visit the home on a regular basis. The owners said that if any resident wanted to attend church or other social events, then they would take them. The residents said that the staff are good and that they would take them shopping and for walks if they wanted to. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 15 Some of the residents said that they prefer to spend part of the day in their rooms. Some of them were seen in their rooms when the inspector looked around the home. They said that they like the privacy of their rooms and that all the staff respect their wishes. They added that the staff will bring them a cup of tea to their rooms if they want The owner said that they try and arrange as many activities as possible. One member of staff is responsible for coordinating activities. She records in a book, activities residents have done. These include manicure, walks, watching DVD, bingo etc. An entertainer comes to the home regularly to entertain the residents. The staff said they will try and accommodate any reasonable activity the residents may wish to do. The residents said that the owners and the staff will help them do what they want. 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 was off on the day of the inspection and one of the carers was doing the cooking. She said that when the cook is off, the cooking is done by one of the owners, but she was also off sick. The staff said that residents can have within reasons what they like to eat and drink. Cold drinks are available in the lounges and residents can help themselves when they want. 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. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good policies and procedures to safeguard and keep residents safe. Residents are able to speak their minds without the fear of reprisals. EVIDENCE: The home has a detailed complaint procedure which explains what people should do if they have a complaint. The home has received no complaints since the last inspection. The owner said that he talks to the residents everyday to help them sort any problems out. A copy of the complaint’s procedure is available to all and a copy is also displayed in the lounge. The residents said that if they have any complaints, they would not hesitate to speak to someone about it. They said all the staff and the owners are very approachable and easy to speak to. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 17 A policy and procedure on abuse is available. The policy has details of what the owners and staff should do in the event of an abuse taking place and also how to prevent it. Some of the staff have had formal training on this subject and the rest of them should also complete this course. The owner has been advised to keep a complaint book to record any complaints or concerns raised by residents, staff and visitors. The residents were observed to be free from neglect and abuse. They all appear to be well cared for. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is kept to a good hygienic standard. Maintenance and decorating are on going . Residents live in a clean and safe home. EVIDENCE: Across the Bay is situated in Morecambe and facing the sea front. The home is close to all amenities but still too far for frail elderly people. The staff said that they either will accompany residents to the shops or do their shopping for them. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 19 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 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. There are two lounges on the ground floor and a dining room on the lower ground floor. They are adequately fitted and furnished and residents can use them freely. Two of the toilets doors situated on the half landings need suitable locks fitted to them. One of these toilets also needs the door adjusting as it was not closing properly. These actions will help residents with added privacy. Two small toilets on the lower ground floor are being converted into one large disabled one. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust recruiting procedure to ensure that staff employed are fit to care for the residents. A team of well-motivated staff ensures good care practices for the residents. EVIDENCE: The number of staff on duty has been maintained to a good level to meet the needs of the residents. At the time of the inspection, there were 3 care staff and the owner on duty. Staff rotas examined show that the staffing level is well within the recommended level for the number of residents at the home. The owner demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. The staff files examined show that appropriate checks have been carried out before offers of employment were made. Such checks included CRB (Criminal Records Bureau) and a POVA (Protection Of Vulnerable Adults). Each file also contained two references for the staff. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 21 The staff spoken to said that they enjoy working at the home very much. They said that the management is very supportive and listens to what they have to say. Most of the staff working at the home have been there for many years and said that they have good working relationships with the residents and the staff. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Sixteen care staff are employed at the home and 13 of them have completed their NVQ (National Vocational Qualification) level 2. This means that 81 of them have done this course. The recommendation is that 50 of them should achieve this qualification. The owner said that the remaining 3 staff are currently on the course. This is commendable. The staff have also attended other courses on Dementia, Moving and Handling, Medications, Nutrition and other relevant courses. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good management team. The residents and staff benefit from living and working in a well managed home EVIDENCE: Across the Bay is owned by Mr John Haslam and Mrs Bailey, a silent partner. Mr Haslam has been reducing the amount of time he spends at 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. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 23 She has completed her Registered Manager’s Award and the NVQ level 4. Mrs Haslam is intending to register as the manager of the home and this needs to be done as soon as possible The Home was awarded 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 home has a policy of not handling residents’ finances. All fees due to the home are paid by direct debit arrangements. The residents said that the owners are around everyday and that they can speak to them when they want. The staff said that they receive support and guidance from the owners. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 24 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 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.V339523.R01.S.doc Version 5.2 Page 25 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. 2. Standard OP31 Regulation 8 Requirement The provider must register a manager with CSCI who is experienced and qualified to manage the home on his behalf Timescale for action 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP21 Good Practice Recommendations Toilet doors on the half landings should be fitted with appropriate locks to provide privacy and safety. The doors should also be repaired so that they close properly. Across The Bay DS0000009668.V339523.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V339523.R01.S.doc Version 5.2 Page 27 - 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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