Inspection on 10/01/07 for Bare Hall

This inspection was carried out on 10th January 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

Bare Hall 19/12/05

Bare Hall 22/07/05

Bare Hall 07/03/05

Bare Hall 20/04/04

Bare Hall 14/11/03

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 Bare Hall 20 Bare Lane Bare Morecambe Lancashire LA4 6DF Lead Inspector Mr Ajam Auckburally Unannounced Inspection 11th January 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 Bare Hall DS0000009680.V321741.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. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bare Hall Address 20 Bare Lane Bare Morecambe Lancashire LA4 6DF 01524 410906 01524 401057 brian@barehallhome.co.uk 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) Mr Brian Neil Wainwright Mrs Brenda Diane Wainwright Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Where a double room is occupied by a single service user, the occupant must be consulted and must agree to share the room with another service user The home is registered for a maximum of 32 OP service users aged 65 and over. 19th December 2005 Date of last inspection Brief Description of the Service: Bare Hall is situated in the Bare area of Morecambe and close to all the amenities such as shops, post office, bus stop etc. Morecambe promenade and Happy Mount Park are also within easy reach. Most of the service users are unable to access these facilities on their own due to difficulties in walking and other medical problems. The home can accommodate a maximum of 32 people of both sexes who are 65 years old and over. All the bedrooms except 3 are single bedrooms and they all vary in sizes. The double rooms are used for married couples or people who have consented to share a room. The home provides care for elderly residents who do not need nursing care. There were 27 residents living at the home at the time of the inspection. The home is a detached building and has been extended to accommodate the number of residents it is registered for. A stair lift is available to access the first floor. Residents who are able and willing can use the lift independently. The residents are encouraged to remain as independent as they want and the staff will provide support and care where needed based upon appropriate assessments and care plans. Current weekly fees are between £366 and £385 and additional extras like hairdressing, telephone and newspapers are paid for by the residents. Bare Hall DS0000009680.V321741.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) Bare Hall was assessed as requiring a statutory key visit (inspection) between April 2006 and March 2007. An unannounced key site visit was carried out on 11th January 2007 which lasted for 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 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. Evidence about the inspection was gathered firstly by sending out questionnaires to residents, the families and the GP’s. When they were analysed, they showed that everybody was happy with the quality of care provided and the facilities at the home. A pre inspection questionnaire was also sent for the owners 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. During the inspection, case files of residents were looked at to check that records of needs and action taken were recorded and reviewed. Residents and staff were spoken to and their comments noted. There were 27 residents living at the home at the time of the inspection. There were 6 care staff in the home and other ancillary staff on duty. The owners who work at the home were also present. The number of staff on duty was well within the level recommended. The staff were observed to be polite and attentive when talking and dealing with the residents. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 7 Several areas of the home have been decorated and some carpets replaced. There is a continuing programme of training for the staff including an increase in the number of staff with NVQ qualifications. 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. The summary of this inspection report can be made available in other formats on request. Bare Hall DS0000009680.V321741.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 Bare Hall DS0000009680.V321741.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&6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are good practices and written information to help new residents in deciding whether to choose the home. EVIDENCE: Two residents were selected to find out what information they were given prior to coming to live at the home. One of the residents who have been at the home for several months said that during a pre admission visit, she was given the opportunity to speak to other residents and staff. She said that she was given verbal and written information about the home. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 10 The second resident who has been at the home for a few years could not remember the details of her admission, but said that she is very happy at the home. The owners said that prospective residents and/or their families are given written information (service user guide) and a brochure. The service user guide contains information about the home, the care provided, the charges, the staffing, the complaint procedure and other useful information. The staff spoken to said that when a prospective resident or their family come to look around the home, they are involved in taking them round and answering any questions. A member of the management team always visit prospective residents who are unable to visit the home, either in their own home or in hospital. An enquiry form is completed when someone enquires about a vacancy. Basic information about the needs of the person to be admitted is recorded. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. The owners said that referrals from residents of an ethnic background would be welcomed. They said that research would be carried out, for example if they were unsure how to meet cultural, religious and dietary needs of people from a different country or culture. Other residents spoken to said that they were very pleased with the home and that they have chosen well. They said that the staff are very good and that nothing is too much trouble for them. Intermediate care is not provided at this home. Bare Hall DS0000009680.V321741.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 excellent. 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 excellent. 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. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 12 The records 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. One of the residents needed help with toileting, and the records clearly showed how the staff were involved in providing assistance with this task. 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 to meet the changing needs of the residents. The residents can be involved in this exercise. The two residents said that they are very well looked after by the staff. Other residents spoken to were very positive about the staff and the management of the home. They described the home as being ‘very good’ and ‘homely’. One resident said “ There is no better place”. Four survey cards were received back from the relatives and they were positive about the staff and the care provided. One GP returned his survey card. There were no adverse comments made. The inspector observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. To meet the needs of residents who need support when walking along the corridors, handrails have been fitted on the walls. Some of the toilets have been fitted with grab rails to help those residents with poor balance and mobility. Some of the baths and showers have easy access and facilities to help residents who are disabled. A bath hoist is available in one of the bathrooms to assist residents in and out of the bath. There is ramp at the rear door to help with wheelchair access. All the residents are white British, but the owners said if a resident from a minority group was to be admitted to the home, they will make sure to have as much information as possible by researching this group to meet care and dietary needs. Resident’s health care needs are met by involving health care professionals. GP’s, District Nurses and chiropodist visit when required. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 13 The inspector observed a senior member of staff dispensing medications during lunch. She did it according to good practice and safety. The staff are 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. Bare Hall DS0000009680.V321741.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 is a good range of activities to help stimulate the residents. Residents are encouraged to participate in activities and are helped to remain independent and active. EVIDENCE: When the inspector started the inspection at 10 am, most of the residents were sitting in the main lounge and some were in their rooms. The staff said that residents do not have to get up at specific times and that they get up when they are ready. The inspector visited some residents in their own rooms. They said that they like to potter around until lunchtime and then join the other residents in the dining room. They said that they can do what they want and join in activities that they like. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 15 Activities include Bingo, manicure, board games, shopping, video, entertainers, etc. Some of the residents said that they like the manicure sessions as it helps them to relax and they can speak to the staff on a one to one basis. The staff said that they try and meet residents’ individual needs. They said that if residents wanted to go for a walk or do something, they would try to oblige. The residents said that they do what they want and that the staff are very helpful and would assist them when required. The residents said that the food is very good and that they get plenty to eat and drink. Breakfast is served in the dining room or in the bedrooms. Some residents said that they like having their breakfast in their rooms and then get up at leisure. The menus were examined and they clearly show that a wide variety of foods are offered to residents. The cook and the owners with input from the residents devise the menus. A choice of food is not provided at lunchtime when the main meal of the day is served. However, the owners said that if a resident does not like something, a substantial alternative is provided. On the day of the inspection, the main meal for lunch was Roast Ham which all the residents had. They all said that they enjoyed it very much. Meals are served in the dining room which has recently been decorated. The room is pleasant and airy. Residents may eat in their own rooms if they prefer. Records of meals served examined show that a good variety of meals are offered to the residents. The chef said that within reasons, he would cater for every taste. He said that he is able to cook food to suit ethnic needs and other dietary needs, and if he did not know how, he would find out. Residents are offered hot drinks at regular intervals during the day. They said that the drinks staff bring round are adequate for their needs, but would ask for more if they needed it. Bare Hall DS0000009680.V321741.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 stringent policies and procedures to safeguard and keep residents safe. EVIDENCE: The owners have produced a robust procedure for dealing with complaints. All complaints and incidents are recorded on a form as part of the quality monitoring system. Written information about how and who to complain to is given to residents or their families. The two residents being case tracked said that they are not sure about the formal complaints procedure, but would speak to the owners and the staff if they had any complaints. They said that they had every confidence that their concerns would be dealt with. The residents spoken to said that they had no complaints about the home or the staff. They said that everyone is helpful and would do anything to help them be happy. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 17 The residents were able to speak freely about the home and the quality of care they receive. The owners said that they are always available to speak to the residents or their families. There are systems in place for staff to report any incident of abuse either by staff themselves or by families. All the residents appeared to be safe and free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. The staff spoken to were aware of different types of abuse and have attended a course on abuse. Bare Hall DS0000009680.V321741.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 and is well maintained. Residents live in a clean and well kept home. EVIDENCE: During a tour of the building, the home was found to be clean and in good hygienic order. Some residents were in their rooms and they said that they like to stay in their rooms to read, watch television or just have some privacy. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 19 The residents said that they like the privacy their rooms afford them. They said that all the staff knock before they enter the rooms. The bedrooms vary in sizes and styles. They are adequately decorated and furnished. Residents are encouraged to bring as much of their personal things as they want. Several of the bedrooms have been personalised. The home is well maintained and the colours are light and pleasant. The dining room and the entrance hall have been decorated recently. Staff training records show that domestic staff have attended training courses on Infection Control and Basic Hygiene Course. An adequate number of domestic staff is employed to clean the home. The home has a good sized garden which is well maintained, and some of the residents take advantage of it weather permitting. A conservatory is available for residents to use. It is quite popular with some residents as they can see the garden and also watch who is coming and going. The residents’ general comments were that the home is beautiful, clean and homely. The home provides aids and adaptations to help residents with physical disabilities. Handrails have been fitted alongside the corridors to help residents with mobility. There are grab rails fitted to some of the toilets to help residents who are disabled. A stair lift is available for the residents to use independently if they wish. The owners said that they are considering plans to install a passenger lift in the near future. Bare Hall DS0000009680.V321741.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 excellent. This judgement has been made using available evidence including a visit to this service. There is a robust recruiting and training procedures to ensure that staff employed are fit to care for the residents. Residents are cared for by a team of well-motivated staff. 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 6 care staff, a cook, a laundry staff, two domestic staff, the owners, and two administrators on duty. Staff rotas checked showed that the staffing level is usually above the recommended level for the number of residents at the home The owners demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 21 The staff files examined show that appropriate checks had been carried out before offers of employment had been made. Such checks included CRB (Criminal Records Bureau) checks and a POVA (Protection Of Vulnerable Adults) check. Training records show that the staff at Bare Hall have attended several courses. These include: Abuse, Moving and Handling, First Aid, Medications, etc. Staff are also given basic training in Equality and Diversity as part of their induction training. Staff spoken to said that they treat all the residents with respect and accept any difference people may have. CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff achieved NVQ (National Vocational Qualification) level 2. The percentage of care staff at Bare Hall with this qualification is 60 and is commendable. 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. They said that the residents always come first and they work around what they want to do. 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 Bare Hall DS0000009680.V321741.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 excellent. This judgement has been made using available evidence including a visit to this service. The home has an efficient management team. The residents and staff benefit from living and working in a well managed home EVIDENCE: Bare Hall is owned and managed by Mr And Mrs Wainwright and they have owned the home for over 20 years. They both work in the home. Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 23 They are supported by a manager and other senior staff. They also employ an administrator/consultant and their daughter also works in the home as another administrative support. The management of the home has made great improvements in the home both to the physical aspects of the home and the quality of care for the residents. There is an ongoing programme of maintenance and decorating. The owners said that the home has an open door policy and that residents and staff are always welcome to come and have a chat. This was evident during the inspection as several residents and staff came to the office to speak to them. The inspector had the full cooperation of the owners, the staff and the residents during the inspection. The inspector found that the management of the home is open to suggestions and will take on ideas to improve the services at the home. Bare Hall DS0000009680.V321741.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 4 X 3 X 3 X X 3 Bare Hall DS0000009680.V321741.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. Standard Regulation Requirement Timescale for action 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 Bare Hall DS0000009680.V321741.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way 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 Bare Hall DS0000009680.V321741.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. 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