Inspection on 19/12/05 for Bare Hall

This inspection was carried out on 19th December 2005.

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 10/01/07

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 19th December 2005 10:30 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.V270369.R01.S.doc Version 5.0 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.V270369.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bare Hall Address 20 Bare Lane Bare Morecambe Lancashire LA4 6DF 01524 410906 9999 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.V270369.R01.S.doc Version 5.0 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. 22nd July 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 25 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. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the second of two to be carried out this year. The inspection took place on 19th December 2005 and was an unannounced one. It lasted for 4 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection was carried out in a relaxed atmosphere with the full cooperation of the owner, the staff and all the residents. The inspection took the form of looking at some of the records, talking to the residents and the staff and checking the building. There were 25 residents living at the home and they said that they were well cared for and that all the staff were kind and helpful. What the service does well: What has improved since the last inspection? There is a continuing programme of training for the staff in all aspects of their work. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 6 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. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 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 Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 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): EVIDENCE: The home does not provide intermediate care. The other core standard was assessed during the previous inspection and was met. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 9 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&9 The arrangements for assessing and meeting residents’ needs are good. The policies and procedures on medications are robust. Residents have good care plans and their medications are dispensed in a safe manner. EVIDENCE: Every resident has a personal file containing his or her assessments and care plans. The case files of two residents were examined and they showed that they have been assessed properly and that care provided is according to assessed needs. The records also show that care provided is recorded and that monthly reviews take place. The residents spoken to said that they receive good care and that the staff are kind. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 10 One resident said, “I am very happy living here. It could not be better. Everyone is so kind.” The staff the inspector spoke to were fully aware of the needs of the residents and said that they were involved in providing care according to individual assessments. The inspector observed the senior staff dispensing medications to the residents. This was done according to procedures. The records of medications were examined and they were found to be correct. An audit trail of the medications of three residents was done and they were found to be accurate. The providers were aware that following the death of a resident, medications should be kept for a week in the event that a post mortem is carried out. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 11 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): 14 & 15 There are good practices to encourage residents to remain active and provide them with choices. Food is an important part in the home’s daily activity. Residents are given choices in their daily activity and have good food. EVIDENCE: The residents said that they can have as much independence as they want and that the staff help them when they need assistance. The owner said that the policy of the home is to encourage residents to remain as independent as they want. Residents were observed doing their own things. Some were in the lounge and others were in their rooms. They said that they are able to remain as independent as they want or able to. They said that staff are helpful and will provide assistance when required. The staff spoken to said that although residents are encouraged to retain their independence, they are not forced to do anything. They can choose when to go to bed and when to get up. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 12 The records of meals served were examined and they show that a variety of food is provided. A choice of food is not provided at lunchtime when the main meal of the day is served. However, the owner said that if a resident does not like something, a substantial alternative is provided. She said that all the staff are aware of the likes and dislikes of the residents. A wide choice of food is provided for breakfast and teatime. The resident said that the food is good and that they get plenty to eat and drink. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 13 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): 18 Policies and procedures on abuse are thorough. Residents feel safe and protected. EVIDENCE: The owners have produced a stringent and detailed written policies and procedures on adult abuse. The owners and the staff have had training on adult abuse. The owners were able to describe accurately the steps they would follow in the event of an abuse to a resident. The staff spoken to said that they would never abuse any resident in their care and that they would report if they saw any form of abuse. The residents said that they feel safe and secure living at the home and that everyone treats them well. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 14 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 Arrangements to keep the home to a high and safe standard are good. Residents live in well maintained and safe home. EVIDENCE: The home is well maintained and decorated. The owners said that when a room becomes vacant, it is usually redecorated and carpet replaced if necessary. During the tour of the building, the inspector found that all areas of the home were well-maintained and safe from hazards. The home was found to be clean and in a good hygienic state. Domestic staff are given training in the handling of hazardous substances. All staff have had training in infection control. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 15 All visitors are asked to sign an in an out book for fire safety. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 16 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 & 30 A well-selected and caring team of staff care for the residents. Residents feel safe and are well cared for. EVIDENCE: Most of the staff have been working at the home for a long time and the residents said that they feel safe and well cared for by them. One resident said “ the staff are very good, they will do anything for you.” There is always a good atmosphere in the home and residents and staff get on well together. The residents said that the staff care for them with respect and that they feel safe with them around. They said that they do not feel afraid to speak up or to ask for anything. All new staff are given an induction training which provide them with basic skills to care for the residents with respect and dignity. The home employs 21 care staff and 6 of them have completed their NVQ level 2 with 8 more staff currently on the course. This gives the home 28 of care staff with this qualification and the recommendation from CSCI is that this should be 50 . Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 17 The owners said that staff training is important and that when the 8 staff complete their course, the home will exceed the 50 recommended. Other training courses staff have attended are: First Aid Medications Stroke Awareness Food Hygiene Health and Safety Moving and Handling Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 18 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): 38 Care practices promote residents’ best interest and their health and well-being. Residents live in a safe home and are well cared for. EVIDENCE: The residents said that the owners are kind and helpful and that they are always available to see them. The residents said that they feel safe living at the home. They said that the staff are very caring. Staff training such as Moving and Handling, Fire Safety, First Aid, Food Hygiene and Infection Control are given to ensure the health and well being of the residents. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 19 Risk assessments of the building are carried out to ensure that the home is safe and that there are no hazards which could hurt the residents. Every resident is risk assessed to ensure that care provided is tailored and safe. The residents said that all the staff have their best interest at heart. They said that they are all kind and encourage them to be independent and live as good a life as possible. Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 20 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 21 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. 1. Refer to Standard OP28 Good Practice Recommendations 50 0f care staff should achieve NVQ lvel 2 by the end of 2005 Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 22 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 Bare Hall DS0000009680.V270369.R01.S.doc Version 5.0 Page 23 - 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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