Inspection on 22/07/05 for Bare Hall

This inspection was carried out on 22nd July 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 19/12/05

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 Ajam Auckburally Unannounced 22nd July 2005 10:00am 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 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 F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bare Hall Address 20 Bare Lane, Bare, Morecambe, Lancashire. LA4 6DF Telephone number Fax number Email 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 410906 Mr Brian Neil Wainwright and Mrs Brenda Diane Wainwright CRH Care Home 32 Category(ies) of OP Old Age 32 registration, with number of places Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 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 Date of last inspection 7th March 2005 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 older people of both sexes. All the bedrooms except 3 are single bedrooms and they 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 F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the first of two to be carried out this year. The inspection, which was unannounced, was carried out on 22nd July 2005 and lasted 4.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection although unannounced had the full cooperation of the management, the staff and the residents. It was carried out in a very relaxed and friendly manner and everyone participated. There were 25 residents in the home and they all appeared to be well cared for. There was a total of 10 staff on duty at the time of the inspection and 5 of them were care staff. The home is always well staffed for the number of residents living in the home. The staff said that they have plenty of time to do their routine work such as bed making, bathing and providing care for the residents and still find time to talk to them and help them do what they want. All the residents spoken said that they were happy and content living at the home. One resident who was leaving to stay with his daughter said “ I am very sorry to be leaving here, I have been very happy and all the staff have been so kind. I have booked to come back for a holiday in a few months’ time.” What the service does well: The owner said that her staff and herself provide good quality care for all the residents. She said that the residents are treated as an individual and that all their needs are met. The residents the inspector spoke to said that they are well cared for and that all the staff treat them with respect and dignity. The inspector observed the staff speaking to the residents in a polite way and allowed them the time and space they needed. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 6 The owners have employed the services of a consultant/advisor who help them with the paperwork. He has devised and introduced good systems to help the staff and the management of the home. These include assessments and care plans, training records, supervision records and many more. The owner said that the input form the consultant has been invaluable to the home. The staffing level at the home is usually well above the recommended level. On the day of the inspection, there were 5 care staff, 2 domestic, a laundry staff, a cook, an admin support, the consultant and one of the owners on duty. The home is committed to staff training and the staff have attended several training courses relevant to their post. The training records were examined and they showed in details the different courses staff have attended. What has improved since the last inspection? What they could do better: There is a need for the home to have 50 of the care staff achieve NVQ level 2 as recommended by CSCI. (Commission for Social Care Inspection). Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 7 The owner said that 7 of the 25 care staff have completed their NVQ level 2 and 10 more staff are currently on the course. The owner said that she is hoping to have more than 50 of care staff with NVQ level 2 by the end of the year as recommended by CSCI . The owner said that plans have been approved to install a passenger lift at the home. 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 F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Pre admission assessments to meet the needs of new residents are good. New residents benefit from having their needs met. EVIDENCE: Every resident considering coming to live at Bare Hall has a pre admission assessment done. This is done by different methods and the most common one is when a relative of a resident rings the home to see if there is a vacancy. If there is, then the person is asked some basic questions and given the option to visit the home. Where it is possible and practicable, a senior member of staff will visit the prospective resident. The person in charge said that in most instances, the prospective resident does not visit the home prior to admission; it is usually a member of their families. 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. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 10 A full assessment is carried once the new resident is admitted and continues all the time and regular reviews are carried to ensure that the level of care provided is appropriate. Some of the residents spoken to said that their families visited on their behalf before they came to live at the home because of various reasons such as not feeling well enough or trusting the family to do the right thing. The written records of two residents were examined and they clearly show that pre admission assessments were done and these were followed up by full assessments and reviews. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8 & 10 There is a good system in place to meet the health needs of the residents. Policies and training to care for the residents with respect are in place. Residents health needs are met and they are treated with respect. EVIDENCE: Two residents’ case files were examined and they clearly show that medical details of the residents are recorded. They include the name and contact of the GP’s. Other health professionals such as dentist, optician are also included if the resident has one. A brief medical history is recorded along with any medications the resident may be taking. If the district nurse is treating someone, this information is also written down. The district nurse keeps her own notes on the treatments she provides to the residents. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 12 The residents said that if they need a doctor, then one is sent for. They said that they prefer the doctor to visit them at the home as they are not fit enough to go to the surgery. The owner said that the residents are always given an escort when they attend hospital or doctor’s appointments. She said that it is important that residents are not sent to hospitals or other appointments on their own unless they are able and want to. The staff spoken to said that they respect the privacy and rights of all the residents. They said that they always knock before entering a resident’s bedroom. The residents said that as far as they are concerned all their rights as people are respected. One resident said “ It is very good here and you can do what you want. The staff are nice and they will do anything for you.” The owner said that all staff are given training to ensure that they care for the residents with dignity. Policies regarding residents’ rights, privacy and dignity are available in the home’s policy manual. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 12 & 13 Efficient policies and procedures to help residents maintain their social, cultural and religious needs are in place. Residents are able to practice their religious belief and maintain their cultural and social needs. EVIDENCE: The residents spoken to said that they are free to do what they want. They said that they can follow their religion and that priests and vicars visit the home on a regular basis. The owner said that if any resident wanted to attend church or other social event, then a member of staff 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. 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 Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 14 The owner said that the residents can practice their religions freely and priest and other religious leaders visit the home regularly. The owner said that she tries and arrange as many activities as possible. Bingo is played weekly or as residents want. . The staff said they will try and accommodate any reasonable activity the residents may wish to do. They said that they arrange one to one shopping for the residents. Some of the residents are taken to shops or the park in wheelchairs. Other activities include entertainers coming to the home and outings as requested by the residents. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 16 The policies and procedures to deal with complaints are well produced and effected. Residents live in a safe environment and are able to speak their minds without fear of reprisals. EVIDENCE: The home has a detailed complaint procedure which explains what people should do if they have a complaint. It says that in the first instance, people should complain to a member of staff unless the complaint is about staff. The next step is to speak to the manager or one of the owners. If this does not resolve the complaint, then the complaint can be passed to the Commission for Social care Inspection (CSCI). All complaints are recorded on an incident sheet. The home had received no complaints since the last inspection. 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. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 26 The standard of cleanliness and hygiene is good. Residents live in a clean and pleasant environment. EVIDENCE: The home was found to be clean and in good hygienic order. The domestic staff training records showed that they have attended training courses on infection control and other chemicals they use. An adequate number of domestic staff is employed to clean the home. The residents said that their rooms are cleaned on a daily basis and that the domestic staff are sensitive to their needs. They said that they do not need to leave their rooms when they are being cleaned. They added that they chat to the staff whilst they are working. The management of the home have produced policies and procedures for the control infection. Information on the hazards of the cleaning materials used in the home are available. Staff are trained in handling hazardous materials. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 17 The home is generally well decorated and fitted. New carpets have been fitted in the main corridors and the lounges. The garden is well maintained and at the time of the inspection the car park was being flagged. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 The policy and procedures for recruiting staff are well written and executed. Residents are cared for by staff who have been carefully selected. EVIDENCE: The written recruitment policy gives detail of the way a member of staff is employed. When there is a vacancy for a job, it is advertised locally and interested parties are given application forms to complete. From information received, prospective staff are selected for interviews. Once a new staff has been selected, two written references are taken and POVA (Protection Of Vulnerable Adults) and CRB (Criminal Records Bureau) are done. No staff starts work until all the checks have been done. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting residents and staff. Training also include, Fire Procedures, Moving and Handling and many other relevant courses Induction training records were examined and they showed that new staff are given good training when they start work. Seven of the twenty-five care staff employed have completed their NVQ (National Vocational Qualification) at level 2 and above. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 19 The home has 25 of its care staff with this qualification.. This is less than the recommended 50 by CSCI (Commission for Social Care Inspection). However, the owner said that another ten care staff are currently doing the course and she is hoping to exceed the 50 by the end of the year. The residents spoken to said that the staff team is good and everyone is caring and helpful. They added that nothing is too much trouble and that they feel safe and well cared for. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 The policy and procedures to protect the finances of the residents are good. The home is run to serve the best interests of the residents. The residents’ finances are safeguarded and they feel that the home is run for their benefits. EVIDENCE: The home has good policies and procedures to protect the finances of the residents. The records of monies held on their behalf were examined and they were found to be accurate and current. The manager said that residents and their families are encouraged to deal with their own finances if possible, and this seemed to be the preferred way for most of them. Fees due to the home are mostly paid by direct debit arrangements. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 21 The monies held by the home on behalf of some of the residents are for those whose families live far away or for those who have no families. Those residents who are able to deal with their finances said that they are free to use their money as they like and if they need help, the staff will provide assistance. The owner said that the residents have complete freedom in their daily activities. She said that residents can do what they want and that she are available to speak or advice them when they want. The residents said that they are happy living at the home and that everyone has their best interests at heart. Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 x 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x 3 x x x Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 23 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. 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 28 Good Practice Recommendations 50 0f care staff should achieve NVQ lvel 2 by the end of 2005 Bare Hall F57 F09 S9680 Bare Hall V240446 190705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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. 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