Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Holywell Bay Care Home Rhubarb Hill Holywell Bay Newquay Cornwall TR8 5PT The quality rating for this care home is: The rating was made on: one star adequate 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: Ian Wright Date: 1 1 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Holywell Bay Care Home Rhubarb Hill Holywell Bay Newquay Cornwall TR8 5PT 01637830801 01637831119 holywellbay@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Newport Care Limited care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia 0 0 Over 65 45 45 Conditions of registration: Service users to include 1 adult under the age of 65 years. The maximum number of service users who can be accommodated is 45. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Denentia aged 65 years and over on admission - Code DE(E) - maximum 45 places Mental disorder, excluding learning disability or dementia, aged 65 years and over on admission - Code MD(E) maximum 45 places Date of last inspection Brief description of the care home Holywell Bay provides care and accommodation for up to 45 older people- all of whom may be diagnosed with dementia and/ or mental disorder. The registered provider is Care Homes for Older People
Page 2 of 12 Newport Care Limited. The registered manager is Ms Sherran Thompson. Holywell Bay care home is situated in the village of Holywell Bay, which is on the north coast of Cornwall near the town of Newquay. The home has pleasant views of the sand dunes, golf course and sea. The home is a large two-storey property which has been extended. There is a choice of communal areas for example a large dining area, which also has a seating area, a large lounge, a TV lounge, and a smoking room. There are also other rooms which the registered manager said the provider is planning to redecorate so they can be used. The home also has an enclosed garden which residents can use. At the time of the inspection fees were between #550 and #2000 per week. Additional charges are made for hairdressing, newspapers and personal items. A copy of this inspection report is available via the home?s management or the CSCI website. Care Homes for Older People Page 3 of 12 What we found:
We completed this inspection to check progress regarding the statutory requirements issued at the key inspection which took place on the 24th April 2008. We met with the registered manager, and also inspected the premises. We discussed with the registered manager what action had taken place regarding the statutory requirements. We looked at some records to verify what was discussed. When we looked around the care home the premises was clean, warm and appeared generally well maintained. People using the service appeared clean, happy and well cared for. There appeared to be suitable numbers of staff on duty. What the care home does well: What they could do better:
Care Homes for Older People
Page 4 of 12 We still think some further improvements are required. These are primarily in relation to the fabric of the building: For example: (1) Bathroom facilities on the first floor are inadequate. There is one communal bathroom at one end of the building, but there are no specialist facilities at the other end of the building. This results in people who use the service needing to travel an extensive distance to use a specialist bath. There is a plan to have an additional shower facility, but this has not been implemented, and is not in the area where facilities are currently lacking. Many bedrooms have an ensuite facility but these facilities are not really suitable for the frail-elderly. The previous requirement is therefore renotified. (2) Further work still needs to occur to upgrade parts of the building. For example the roof leaks intermittently, and may need to be replaced. One area of communal rooms on the ground floor still needs to be redecorated (e.g. smoking room / chapel/ hair salon) (3) It is not clear whether thermostatic valves are fitted on all baths (in line with Health and Safety Executive guidelines). 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 5 of 12 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(2) The registered manager 01/05/2008 must ensure the medication system operates appropriately. For example: All prescribed medication is recorded on medication sheets or returned to the pharmacist. Medication is always recorded when administered. If not administered, it is not signed for and the reason is recorded (i.e. on the back of the medication sheet). The home must have suitable 01/10/2008 bathing facilities, in sufficient numbers to meet the needs of people accommodated in the home. Bathing facilities must be suitably adapted to meet the needs of the elderly and disabled. Bathing facilities must be within a suitable distance to the bedrooms of people who use the service. Complete improvements 01/10/2008 identified in environmental action plan produced by provider dated October 2007. Address appropriately concerns identified in the body text of this report. These measures will ensure 2 19 16, 23 3 19 16, 23 Care Homes for Older People Page 6 of 12 Holywell Bay is a satisfactory facility to operate as a care home. 4 30 18 Qualified nursing staff must 01/10/2008 receive appropriate training and development opportunities so they can maintain and develop their nursing skills and knowledge. 5 38 13, 18, 19, 23 Complete the identified 01/10/2008 training programme so all staff receive: (a)Training required by regulation such as infection control, food hygiene, fire training, manual handling training and first aid. (b) Training regarding people with challenging / aggressive behaviour, dementia and mental health needs. (c)Suitable records of training e.g. NVQ, induction training and other training certificates need to be maintained and available for inspection. The registered persons must submit to the commission: (a)A training policy which outlines what training staff will receive, and when. This should be forwarded to CSCI as soon as possible. (b) A plan outlining how the registered persons will ensure all staff receive training required in the report. This must include a current `audit? of what training people have received, and when the required training will be delivered. (c) An update of the delivery of staff training on 1st October 2008 Care Homes for Older People Page 7 of 12 regarding all staff. 6 38 13, 23 The registered persons must 01/10/2008 improve health and safety standards in the following areas: Ensure a risk assessment is completed regarding the prevention of legionella, and any necessary preventative measures are taken to prevent Legionnaires? disease. Emergency lighting and fire doors must be tested at intervals prescribed by the fire authority. Gas appliances must be serviced. Thermostatic valves must be fitted, where appropriate, to wash hand basins and bathsin line with HSE guidelines. Appropriate evidence must be forwarded to the Commission within the timescale set. (Timescale of 01/01/08 not met 2nd Notification) Care Homes for Older People Page 8 of 12 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 registered manager 01/12/2008 must ensure the medication system operates appropriately. For example: (1) All prescribed medication is recorded on medication sheets or returned to the pharmacist. (2)Medication is always recorded when administered. If not administered, it is not signed for, and the reason is recorded (i.e. on the back of the medication sheet.) (Requirement not fully assessed on this inspection, therefore timescale extended) This will ensure the medication of people who use the service have their medication managed according to, for example, Royal Pharmaceutical Society guidelines). 2 19 23 Complete improvements identified in environmental action plan, produced by provider, dated October 2007. (Timescale of 01/10/08 not 01/04/2009 Care Homes for Older People Page 9 of 12 met Second Notification) These measures will ensure Holywell Bay is a satisfactory facility to operate as a care home 3 21 23 The home must have suitable 01/04/2009 bathing facilities, in sufficient numbers to meet the needs of people accommodated in the home. Bathing facilities must be suitably adapted to meet the needs of the elderly and disabled. Bathing facilities must be within a suitable distance to the bedrooms of people who use the service. (Timescale of 01/10/08 not met Second Notification) This will ensure there are satisfactory bathing facilities for the people accommodated in the home. 4 29 18 Qualified nursing staff must 01/04/2009 receive appropriate training and development opportunities so they can maintain and develop their nursing skills and knowledge (Requirement not fully assessed at this inspectiontimescale extended) This will ensure nursing staff receive appropriate training to carry out their role. 5 29 18 Complete the identified 01/04/2009 training programme so all staff receive: (a) Training required by regulation such as infection control, food hygiene, fire training, manual handling and first aid (b) Training regarding people with challenging/ aggressive Care Homes for Older People Page 10 of 12 behaviour, dementia and mental health needs. (c) Suitable records of training e.g. NVQ, induction training and other training certificates need to be maintained and available for inspection. ( Requirement not fully assessed at this inspectiontimescale extended) This will ensure staff receive appropriate training according to regulation and to meet the needs of people who use the service. 6 38 23 The registered persons must 01/04/2009 improve health and safety standards in the following areas: 1. Thermostatic valves must be fitted, to wash hand basins and baths-in line with HSE guidelines. This will ensure the risk of scalding of vulnerable people is minimised 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 11 of 12 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. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 12 of 12 - 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!
