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Inspection on 01/12/08 for Bay Tree The

Also see our care home review for Bay Tree The for more information

This inspection was carried out on 1st December 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staff on duty were spoken to and all said that they were well supported by an approachable manager. The home provides a homely and comfortable place for people to live. Six surveys were returned from staff and two from people living at the home. Staff comments included. `This is a small home and it`s run like a family home. We have more time for the residents and their families` `Local word of mouth said the Bay Tree had a good reputation.` `We consider the needs of each resident and treat them as individuals.``A very pleasant working environment.` People living at the home indicated that they were treated well but did not write comments.

What the care home could do better:

We found that the home was not managing medication in a way which protects people living at the home adequately. The same member of staff must prepare medication and take this medication to the person who needs it. Another member of staff may remain with the trolley to ensure that medication is attended and remains safe whilst the medication round takes place. The CSCI pharmacist has been consulted for advice on the current practice in the home. If one member of staff prepares medication and another takes this to the person who needs it, this does not comply with legislation and means the people living at the home are not adequatley protected from risk of misadministration. For this reason the current practice must stop.Staff must have updated abuse awareness training. This was planned for October but had not taken place on the day of inspeciton. Staff must also have refresher infection control training in order to protect the welfare of those living at the home. All training should be recorded to provide evidence that it has been completed.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Bay Tree The Station Road Robin Hoods Bay North Yorkshire YO22 4RL The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Karen Ritson Date: 0 1 1 2 2 0 0 8 Information about the care home Name of care home: Address: Bay Tree The Station Road Robin Hoods Bay North Yorkshire YO22 4RL 01947880718 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Thomas Edward Dobson,Mrs Jean Dobson care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 18 Conditions of registration: Date of last inspection Brief description of the care home The Bay Tree is a detached Victorian building set in its own ground in village of Robin Hoods Bay. There are three floors, with the residents occupying the first two floors and the proprietors the top floor. A shaft lift provides access to the first floor but due to the lay out of the building several bedrooms and one bathroom have restricted access due to there being two or three stairs. The Bay Tree is located close to all the village amenities although access to public transport is limited because of the location. The front garden is well maintained and is enclosed. Seating is provided for use by the residents if they want to. At the rear of the building there is a veranda for use by the residents. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. The fee charged is between #365 Care Homes for Older People Page 2 of 7 and #385 per week; however, this may vary with the degree of assessed need or if a service user occupies a double room as a single. Chiropody, hairdressing and newspapers are not included in this fee and these are charged at cost. This information was provided to CSCI on 18/09/2007. Care Homes for Older People Page 3 of 7 What we found: This random inspection took place on 14th October 2008. The inspector spoke with two members of staff and the manager. The inspection took three hours in total which includes time to write the report. Information sent by the home to the commission was taken into consideration and surveys which were completed and returned to us from people living at the home adn other. and Annual Quality Assurance Assessment What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 9 13 The person preparing medication must be the person who administers this to the service user. The use of a `runner ` is not acceptable. 01/11/2007 2 18 13 Staff must receive abuse 31/01/2008 awareness training to protect service users welfare. Care Homes for Older People Page 5 of 7 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The same member of staff 30/12/2008 must prepare medication and administer it. To protect service users from errors of administration. 2 16 13 Staff must receive abuse awareness training. to protect service users from risk of abuse. 30/12/2008 3 38 13 Staff must have updated 30/01/2009 infection control training and this must be recorded. To ensure that service users welfare is protected. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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