Inspection on 15/05/07 for The Bay

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The Bay 06/11/08

The Bay 02/05/06

The Bay 08/09/05

The Bay 03/05/05

The Bay 02/12/04

The Bay 22/06/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Bay 29 Dymchurch Road St Marys Bay Kent TN29 0HF Lead Inspector Wendy Gabriel Key Unannounced Inspection 15th May 2007 13:00 The Bay DS0000023319.V337907.R01.S.doc Version 5.2 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 The Bay DS0000023319.V337907.R01.S.doc Version 5.2 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 Adults 18-65. 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. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bay Address 29 Dymchurch Road St Marys Bay Kent TN29 0HF 01797 367538 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) Parkcare Homes (No2) Ltd Post Vacant Care Home 16 Category(ies) of Learning disability (16) registration, with number of places The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users is restricted to one over the age of 65 years old whose DOB is 05/09/1940. Three (3) can also be used for service users who have a physical disability. 2nd May 2006 Date of last inspection Brief Description of the Service: The Bay is a residential care home for up to sixteen people with learning disabilities. It is part of the Craegmoor group of companies and the registered provider is Parkcare Homes (NO. 2) Ltd. The Bay consists of three detached, adjacent houses with a communal garden at the rear. It is situated in a small close about a mile from the coastal town of New Romney. The sea, churches and local shops are within walking distance. Larger shopping areas, colleges and other amenities are available at Ashford, Hythe and Folkestone. The manager of the home is Mr Keith Yarnley. He previously managed another home in the Craegmoor Group. His application for registration is currently with the CSCI. The fees range from £391.47 to £871.25. For information about fees and services please contact the Provider. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the unannounced inspection the Inspector was able to speak to people living in the home, staff, the deputy manager and the manager. A tour of all three houses was accompanied either by the deputy manager, a member of staff and different residents. Some records were looked at including: medication records, duty rota, a care plan and a staff employment file. Care plans are soon to be changed to the company person centred format; but currently would benefit by more detailed information and the manager agreed to this. Redecoration is ongoing and all three houses were clean and homely. The home is now full with 15 people, all have single bedroom accommodation. The manager and deputy manager said that they are now fully staffed. The atmosphere was happy and had a ‘buzz’ of activity and good communication during the inspection. What the service does well: Activity has improved greatly in the past year. All bedrooms seen had personal items that reflected people’s different interests. Several people were able to tell the Inspector about their activities and plans for the future. One person said that he enjoyed all his activities including work. He had a good understanding of how staff and the manager had enabled many activities that he had expressed an interest in. The home has improved activities for people and in December 2006, the manager Mr Keith Yarnley, was the overall winner of an award, given by the owning company, for his contribution towards creating social activities for people living in The Bay and other local co-owned homes. This is a wonderful boost for the home and encourages good practice. Staff induction and training is well underway and NVQs have been gained or are being taken by all but 2 members of the team. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides suitable information for prospective residents and undertakes assessments to ensure their needs and aspirations can be met. EVIDENCE: The home provides a service users guide and a statement of purpose for new and prospective residents and their families. Visits will be made to a prospective resident and an assessment made. A comprehensive written assessment was seen. Suitability of placements has improved over the past year and the home is now full with fifteen residents. Some of the people living in the home have been there for up to 15 years and groups of good friends have been established. The manager said he would like to place some people in different groups to suit their abilities, but has to be careful not to disturb established friendships. One person said that she had been unhappy at times over the years but since the manager had been at the home found life to be very different. She went on to say she felt safe and relaxed living there now and was very happy. Communication between residents was noted to be appropriate and relaxed. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 9 Contracts are between the placing bodies and the company. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents said their lifestyle choices are met by the home. The management of care plans includes risk assessments. Further detail is to be included to inform staff on practical assistance they may give to people. EVIDENCE: Care plans are due to be changed to a new, person centred format in the next month. The plans are regularly reviewed, but would benefit by further information for staff detailing any assistance required for individuals. Some of the care plans viewed had signatures of the individual whose plan it was. The deputy manager said people were encouraged to be involved with reviews and any changes made would be through consent of each person. Both he and the manager said they hoped the new person centred plans would be more user-friendly for residents. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 11 People spoke about their different activities and plans for the future. Several of them knew who to speak to if they had any concerns and indicated that things had improved this past year with the new manager. On the day of the inspection a conference was taking place nearby for people living in all the local co-owned homes to attend. People had the opportunity of joining in the event, asking questions and being on the organising committee. Another csci inspector participated at the conference and said that there had been a good presentation by the manager who had been there in the morning and that was very well received by residents. All residents were well supported by staff who had advocated for them appropriately. The inspector concluded that the conference had been positive, good-natured and at times hilarious and that there was real consultation and participation. Enabling people to be involved and consulted on their own lifestyle choices is excellent practice. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good management of activities has enabled people to develop individual interests and work and learning opportunities. Management and staff encourage individual rights and choices including contact with family and friends. People are able to make choices about their daily meals. EVIDENCE: Several of the people in the home have work placements including at a nursery, café and in the office of a local hotel. The hotel has been so pleased with the support given by the person working there that they are considering offering more opportunities to other people in the home. This not only enhances self-esteem it also involves people with the wider community and is good practice. Training is available in different subjects and, as previously indicated, social activities are varied and suit many different personalities and age ranges. An The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 13 older person said he enjoyed music and was able to name his favourite singers and bands. A day centre has been organised for four days a week at nearby Lydd, run by Craegmoor for people from the area homes. The day centre has dedicated staff that does not take away staff hours from the staff in the home. Several people enjoyed telling the Inspector about their jobs and outings and all were greatly looking forward to their forthcoming holiday. One person is going to visit family, one is in Australia and others have chosen to go to Butlins. More holidays are anticipated later in the year. The home has two cars plus a seven seater and nine seater vehicles. There is a dedicated driver and the manager tries to ensure a driver is available on each shift. One person said he loved using the computer and is planning to buy his own. The home enables people to use e-mail and carry mobile telephones if wanted. The local learning disability team is contacted as needed and the home seeks advice on different aspects of care from this and other sources including community nurses. Two people said they sometimes assist with preparing their meals in the kitchen. The individual kitchens were clean and tidy and there was a selection of food available. Dinner looked appetising and nutritious. People seen eating their dinner indicated they were enjoying their meal. Other people said they were able to choose what to eat at mealtimes. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health care is well managed and recorded. Medication administration is sound and additional recorded information was agreed to enhance this. EVIDENCE: The home accesses Health care professionals when required and records health care appointments and events. There was ongoing, recorded evidence for staff to support a resident with a particular health issue. Equipment was seen that indicated the staff commitment to enabling this person towards fitness. A member of staff commented on the amount of training he had been given and that staff is given training on specific conditions. Medication administration is sound and only certain staff are allowed to administer medication following training. The manager agreed to provide The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 15 written information on how different people will communicate when they want their ‘as required’ medication. All residents receive an annual GP check and the home also uses an annual ‘OK health check’. People were dressed age appropriately and were smart and individual. It was evident that some people took a lot of pride in their appearance. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents said they knew who to talk to if they had concerns and were confident the manager would listen to them and act on their behalf. People are protected from abuse by staff training. EVIDENCE: Several people living in the home said they would feel comfortable talking to staff or the manager if they were worried about anything. One person said they felt more comfortable and safe this past year than at some other times in the past and that this was due to the manager. The home has a complaint policy and notices informing people of the complaint process. Staff receive regular training on POVA (protection of vulnerable adults) and C.P.I. training. No complaints had been received by csci since the previous inspection. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All three houses are clean and hygienic. There are plenty of toilet, showering and bathing facilities to meet individual needs. Bedrooms are individual and lockable and reflect the tastes of each person. EVIDENCE: The home is comfortable, homely and clean. There was evidence of some areas of redecoration and plans have been made to continue with redecoration in the 3 houses. Bedrooms are completely individual and people who showed the Inspector their own rooms told her about their favourite possessions and interests. One person said he had been offered a choice of rooms when he first came to the home and had been pleased to get the room he had wished for. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 18 Maintenance; including weekly fire checks is undertaken by a maintenance man. There are plenty of bath and shower rooms and toilet facilities. A new shower has been installed since the last inspection to meet the needs of one person who could no longer manage to access the bathroom. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and induction is now sound and is supported by company procedures. Staff receive appropriate training and supervision. Residents’ benefit from well supported staff. EVIDENCE: Some staff confirmed that they work in teams; each with a team leader and that there are between 4 and 6 staff on duty daily. Many of the people living in the home are away during the day, attending different venues for their jobs and activities. Some staff commented on the varied training offered. English courses are offered to foreign staff to assist their spoken English. Some English staff had asked to be allowed to go on the courses and the company had encouraged this. Some staff were very enthusiastic and have now asked the company to let them also attend maths courses. Training is offered for specific health issues and one member of staff said he has attended a course on diabetes. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 20 The company has a comprehensive induction package. Recruitment policies are sound. CRB checks are in place. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Management of the home has improved the well being of people living there and promotes health safety and welfare. The leadership and ethos of the management enables peoples’ rights and choices. EVIDENCE: The manager has demonstrated a clear understanding of the needs of people living in the home and he values the rights of individuals to express their wishes. The manager has been registered for another company home and is currently awaiting his registration for The Bay. The manager has many years experience working with people with learning disability. Several of the people living in the home commented on how much better the home has become since the new manager came to work there. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 22 When residents visited the office during the inspection, they were included in the conversation and encouraged to join in. As previously noted in this report, the manager has introduced considerable opportunities for activities for everyone living in the home, including different social clubs and events. It is good to note that this has been recognised by the company and that he was nominated and was the overall winner of an award given by the company Staff morale appeared good and there was a happy atmosphere between staff and residents. Two members of staff explained the way each team worked including a verbal and written handover between each shift. This encourages continuity. Handover is recorded and this is good practice as it ensures staff are aware of any appointments or changes. Health and safety is maintained by regular checks and annual maintenance checks were in date. The company now undertakes annual and monthly audits and these include clinical governance, financial services, care services, and a monthly healthcare audit. The Registered Providers have made significant strides in providing a forum in which people living in the homes can talk of other concerns and express and discuss their wishes with their peers. There are regular meetings for staff and people living in the home. The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 4 X X 3 X The Bay DS0000023319.V337907.R01.S.doc Version 5.2 Page 24 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 2 Refer to Standard YA20 YA6 Good Practice Recommendations Record how residents communicate their need for their ‘as required’ medication. Further detail is to be added to care plans to assist staff meet assessed needs. 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