Inspection on 16/08/06 for The Yachtsman Rest Home

This inspection was carried out on 16th August 2006.

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

The Yachtsman Rest Home 23/10/07

The Yachtsman Rest Home 02/10/05

The Yachtsman Rest Home 16/05/05

The Yachtsman Rest Home 10/01/05

The Yachtsman Rest Home 05/07/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Yachtsman Rest Home 41/42 Laidleys Walk Fleetwood Lancashire FY7 7JL Lead Inspector Mr Wesley Cornwell Unannounced Inspection 16th August 2006 09:30 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 The Yachtsman Rest Home DS0000037739.V300130.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 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. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Yachtsman Rest Home Address 41/42 Laidleys Walk Fleetwood Lancashire FY7 7JL 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) 01253 873472 Graham Phillip Saunders Robert Mark Saunders Mrs Janet Thwaites Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A suitably qualified and experienced manager must be employed Date of last inspection 2nd October 2005 Brief Description of the Service: The Yachtsman is registered for 30 male and female residents over the age of 65 years. The home is located on the sea front at Fleetwood and has unrestricted views of Morecambe Bay. Accommodation comprises of two lounges, two dining rooms and a sun lounge. Resident accommodation is located on the ground and first floors and comprises of 28 single bedrooms and 1 double room. En suite facilities are available in 9 rooms. A passenger lift is available to facilitate access between the ground and first floor. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are £320.00 to £360.50 covering all aspects of care, food and accommodation. The manager provided this information on the 16th August 2006. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced and started at 9.30 am and took place over 4 hours. The Inspector spoke to four staff members, five residents, one visitor, the manager and the owner of the home. Comment cards were completed by six residents and two healthcare professionals providing their views about the home. Staff, care, maintenance and financial records were also examined. A full tour of the premises was undertaken with the manager. What the service does well: Residents seen during the visit said they liked living at the Yachtsman and felt well cared for. Several residents were very positive in their comments about the staff at the home who were described as being caring and conscientious. One resident said, “I haven’t lived here very long but I am settled and very happy with my care. I am well treated by the staff and my privacy is respected”. The relative of one resident said they were very happy with the level of care being provided by the home and found the manager and staff to be friendly and helpful. Healthcare professionals were also positive in their comments about the care being provided by the home. One healthcare professional said staff at the home provided a good standard of care and they would definitely recommend the home to anyone requiring care. Observation of care plans confirmed equality and diversity is promoted. This was being achieved by staff members supporting residents to maintain their individuality. Discussion with one resident confirmed the support being provided by the home enabled them to pursue hobbies and interests and maintain an independent lifestyle. Meals are varied with an alternative available if required. Residents were pleased with the choice and variety available. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. One visitor said, “I am always made welcome by the staff when I visit the home”. Staffing levels were sufficient for the number of residents living at the home. Staff members seen said they were happy with their workload and were well supported by the manager. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 6 Staff at the home are well trained and are competent to do their jobs. Observation of care practices throughout the day confirmed residents are treated with respect and dignity. The home is well maintained and was clean and tidy ensuring a pleasant environment for people to live. 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 Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 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 The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The care plan records of three residents recently admitted to the home had full assessment information. Staff members confirmed they had access to this information and could describe in detail the care needs of the residents. Staff responsible for the preparation of meals said they were informed about residents who had special dietary needs and these are always accommodated. One resident confirmed they had been involved in their assessment and was happy that their needs were being met by the home. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 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): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs were met. Residents feel respected by the staff team and their right to privacy is upheld. EVIDENCE: Individual records are kept for each resident with a plan of care setting out the action that is needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and were being reviewed at least once a month and updated to reflect any changing needs in the health and personal care of the resident and these were being actioned. The records of three residents were looked at and these described their healthcare needs. Discussion with three staff members on duty confirmed they were fully aware of the healthcare needs of residents and these are monitored The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 10 and their care plans kept up to date. The records of several residents identified as having mental healthcare needs confirmed their health and care needs were being met and their placement at the home was appropriate. Entries made on care plans showed good communication between the home and healthcare professionals. The records of one resident confirmed a healthcare problem had been identified and appropriate action had been taken by the home. Two General Practitioners said staff at the home communicated clearly and worked in partnership with them and they were satisfied with the overall care provided to residents living at the home. One healthcare worker said, “ The staff at the home are very professional and in my opinion provide a very good standard of care for the residents”. Residents spoken to said they liked living at the home and were well treated by staff members. One resident said, “ I have lived at the home for many years and I am very happy with my care. The staff are all very kind and will do anything for you”. The relative of one resident said, “ I am very satisfied with all aspects of care. I have every confidence that my relatives needs are being met ”. Medication practices observed were safe and good records had been maintained. The staff members responsible for the administration of medicines had received accredited training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. Residents spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 11 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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes procedures enable residents to exercise choice and control over their lives. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Residents spoken to said routines within the home were flexible and they were able to make their own decisions about how to live their lives. One resident said, “ I am very happy living at the home. I like to spend time on my own in my room and the staff respect my wish. I find the staff are very respectful of my privacy”. Another resident confirmed their religious needs identified in their care records were being observed by the home with regular visits being received from the local clergy. Most residents at the home handle their own financial affairs or these are handled by their relatives/representatives. Records being kept by the home in The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 12 respect of residents unable to manage their own finances were being well maintained. Care plan records confirm the home are promoting equality by treating residents as individuals and ensuring people with diverse needs are having these met. Discussion with one resident confirmed the support being provided by the home enabled them to pursue hobbies and interests and maintain an independent lifestyle. Residents spoken to said the staff at the home were polite, kind, caring and supportive and had the skills and competence required to meet their needs. Residents spoken to said they were happy with arrangements in place for receiving their visitors. Relatives and friends were observed visiting the home throughout the visit and being made welcome by staff members. One visitor said, “I visit my relative daily and I am always made welcome by the staff. I enjoy my visits to the home. The staff are very friendly and approachable”. The home provides a varied and balanced diet for residents. The staff member responsible for the preparation of meals was able to confirm they had information about residents with special diets and personal preferences. Residents spoken to were happy with the choice and diversity of meals available. The relative of one resident also said they were very satisfied with the food being provided by the home. Meal times were served in a relaxed and unhurried manner. Staff members were observed being very attentive to residents needs. Residents spoken to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 13 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission to the home. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The relative of one resident also said they were aware of the complaints procedure but hadn’t had any cause to make a complaint about the home. At the time of this site visit no complaints had been recorded by the home or referred to the Commission for Social Care Inspection to investigate. The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members on duty informed the Inspector abusive practices and how to recognise these had been covered during training recently provided by the home. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 14 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): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely, clean and safe environment. EVIDENCE: The home has been well maintained and decorated for the comfort of residents. Since the last inspection several bedrooms had been redecorated and had a new carpets fitted. The manager said the refurbishment of the home was ongoing and there were further plans for refurbishment throughout the home. Residents spoken to were very happy with the improvements being made to the home. A tour of the building confirmed resident bedrooms had been personalised with their own belongings. All residents spoken to were happy with their rooms and said they had the choice of spending time on their own or in the lounge area’s. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 15 Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. It was observed during the visit the home was clean and hygienic ensuring a pleasant environment for people to live. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 16 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): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment of staff throughout the day is sufficient to meet the needs of residents. The homes recruitment procedures are robust and these provide safeguards for the protection of residents. Staff are trained and competent to do their jobs. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. One resident said, “The staff are very kind and I can’t find fault with any of them. They are always available if you need them”. The relative of one resident also said in their opinion there was always sufficient staff members on duty. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Two General Practitioners said staff members demonstrated a clear understanding of the care needs of residents and would follow specialist advice if given. Records show 74 of staff members have achieved National Care Qualifications. Discussion with staff and examination of records confirmed training had been provided for staff members to ensure they had a clear The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 17 understanding of the specific care needs of residents accommodated at the home. Examination of staff records showed the home was obtaining relevant documentation for staff members employed by the home ensuring the protection of residents. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 18 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents. The homes financial records are well maintained ensuring residents financial interests are safeguarded. The home has policies and procedures in place to ensure the health and safety of residents and staff are promoted and protected. EVIDENCE: The manager has many years experience in caring for the elderly and has a relevant management qualification. She is well supported by the homes owners who visit the home daily. Residents spoken to were very positive in their comments about the manager who was described as being friendly, approachable, very helpful and The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 19 professional. Quality assurance systems are in place to gather the views of residents and keep them informed about events being organised by the home. The manager has also recently introduced surveys to seek the views of health and social care professionals about the level of service being provided for residents at the home. Completed surveys recently returned to the home were seen and were very positive about the standards being achieved by the home. Inspection of records for residents finances were well maintained and up to date ensuring residents interests are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for residents and staff. The manager was reminded of her responsibility to inform the Commission in writing of all notifiable incidents as required by regulation 37. Since the last inspection five residents had died and there had also been occasions when residents had required hospital attention following a fall at the home. The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 20 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP38 Regulation 37 Requirement The registered manager must ensure the Commission is informed in writing of all notifiable incidents that occur within the home. Timescale for action 16/08/06 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 The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection North Lancashire Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI The Yachtsman Rest Home DS0000037739.V300130.R01.S.doc Version 5.2 Page 23 - 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. 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