Inspection on 25/11/05 for Bay Tree Lodge

This inspection was carried out on 25th November 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

Bay Tree Lodge 09/05/09

Bay Tree Lodge 09/05/07

Bay Tree Lodge 30/12/04

Bay Tree Lodge 07/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Bay Tree Lodge 19 Bincleaves Road Rodwell Weymouth Dorset DT4 8RS Lead Inspector Gloria Ashwell Unannounced Inspection 25th November 2005 12:45 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 Bay Tree Lodge DS0000026766.V269002.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. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bay Tree Lodge Address 19 Bincleaves Road Rodwell Weymouth Dorset DT4 8RS 01305 772271 01305 768346 june.simpsontopenworld.com 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 Michael Simpson Mrs June Simpson Care Home 6 Category(ies) of Old age, not falling within any other category registration, with number (6) of places Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Either room 3 or 6 may be used as a double, provided that the registration figure is not exceeded. 25th July 2005 Date of last inspection Brief Description of the Service: Bay Tree Lodge is a detached property in a quiet residential area approximately one mile from Weymouth town centre. The home provides care and accommodation for a maximum of six older people with low care needs in four single bedrooms and one double bedroom, on ground or first floor levels. There is a stairlift, for the use of residents unable to negotiate stairs. Communal areas comprise a lounge/dining room and a smaller ’conservatory’. There is access to the attractive well-maintained garden at the rear of the house. The home is a well-established ‘family run’ care home, registered to Mr and Mrs Simpson; Mrs Simpson manages the home on a day-to-day basis. The home does not routinely provide wakeful night staff; Mr & Mrs Simpson live on the premises, are on-call throughout the night and respond to resident’s requests for assistance. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. The previous inspection took place on 25 July 2005; since that inspection no complaints against the home have been received or investigated. The inspector arrived (unannounced) at 12.45pm; she spoke to all residents, and together with Mr & Mrs Simpson considered other evidence relating to the National Minimum Standards, as described in this report. Additional information used to inform the inspection process included 3 Comment Cards completed and returned to the Commission since the previous inspection; 2 cards were from health care professionals, 1 was from the relative of a resident accommodated at the home. The cards indicated high levels of satisfaction. In recognition of the circumstances and history of this small home, which is known to routinely meet almost all National Minimum Standards and to be in the continuous direct care of registered providers Mr & Mrs Simpson, this inspection was brief in duration and focussed on discussion with residents and assessment of only the most essential standards. Standards assessed and found met during the previous inspection were not reassessed during this inspection. What the service does well: What has improved since the last inspection? Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 6 In accordance with requirements contained in the report of the last inspection improvements have been made to arrangements for the recording of administered medication. Since the previous inspection the home has installed a stairlift, enabling service users unable to negotiate stairs to be accommodated at first floor level. 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. Bay Tree Lodge DS0000026766.V269002.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 Bay Tree Lodge DS0000026766.V269002.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): 3 The home does not provider Intermediate Care so Standard 6 does not apply. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: The records of a recently admitted resident included details of pre-admission assessment carried out by the manager when the prospective resident visited Bay Tree Lodge. The assessment records identified the needs of the prospective resident and enabled the manager to determine that the home is able to properly meet them. Bay Tree Lodge DS0000026766.V269002.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): 9 (Standards 7, 8 & 10 were assessed and found met at the last inspection) Medicines prescribed by doctors are safely stored and carefully administered to residents by staff, unless the resident has chosen to store and administer their own medicines, in accordance with risk assessment. EVIDENCE: Residents wishing to do so can manage their own prescribed medicines, although most prefer this to be done by the staff. Medicine administration records (MARs) have been improved since the last inspection in accordance with requirements made in the report; they properly indicate that medicines are accurately administered as directed by the prescriber. Staff involved in handling medicines receive related training. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 10 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): (Standards 12, 13, 14 & 15 were found met at the last inspection) EVIDENCE: Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 11 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): (Standards 16 & 18 were assessed and found met at the last inspection) EVIDENCE: Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 12 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): (Standards 19 & 26 were assessed and found met at the last inspection) EVIDENCE: Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 13 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 Evidence for Standard 29 was not assessed; since 2004 no new staff have been employed at Bay Tree Lodge. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: At the time of inspection there were sufficient staff on duty to properly meet the needs of residents; there are usually at least 2 staff on duty during each day. On occasion, this may reduce to one, particularly when the second staff member is accompanying a resident outside the home e.g. to visit friends or go shopping. The home does not routinely provide wakeful night staff; Mr & Mrs Simpson live on the premises, are on-call throughout the night and respond to resident’s requests for assistance. This circumstance is kept under continuous review by the home; Mr & Mrs Simpson stated that in the event of increased dependency wakeful night staff would be provided. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 14 Staff receive training appropriate to their needs and are supported and encouraged to train for National Vocational Qualifications. At all times there are staff trained in First Aid and health-care in the home. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 35 (Standard 38 was assessed and found met at the last inspection) Staff have good leadership from Mr & Mrs Simpson. Residents are satisfied with the home and feel staff care for them well and put them at their ease. With the exception of the personal allowance of one resident, the home does not manage the finances of residents. EVIDENCE: The Registered Manager is Mrs Simpson, who together with her husband has owned the home since 1999. Mr Simpson has obtained the Registered Manager’s Award in care. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 16 Residents said they are very satisfied with the calm, peaceful and relaxed atmosphere and lifestyle at Bay Tree Lodge. With the exception of the personal allowance of one resident (for which all transactions are confirmed by receipt), the home does not manage the finances of residents. Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO 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 Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Bay Tree Lodge DS0000026766.V269002.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!