Inspection on 16/05/05 for The Yachtsman Rest Home

This inspection was carried out on 16th May 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

The Yachtsman Rest Home 23/10/07

The Yachtsman Rest Home 16/08/06

The Yachtsman Rest Home 02/10/05

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 Yachtsman Care Home 41-42 Laidleys Walk Fleetwood Lancashire FY7 7JL Lead Inspector Wesley Cornwell Unannounced 16th May 2005 9:30 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 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. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Yachtsman Care Home Address 41-42 Laidleys Walk Fleetwood FY7 7JL Telephone number Fax number Email 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 and Robert Mark Saunders Mrs Janet Thwaites CRH Care Home 30 Category(ies) of OP Old Age 30 registration, with number of places Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A suitably qualified and experienced manager must be employed. Date of last inspection 10 January 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. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.30am and took place over 6 hours. The Inspector spoke to three staff members, four residents, one visitor, one healthcare worker the deputy manager and the homes owners. Comment cards were completed by 3 residents and four visitors providing their views about the home. Staff and care records were also examined. A full tour of the premises was undertaken with the deputy manager. What the service does well: What has improved since the last inspection? There have been improvements made to the environment since the last inspection with a number of bedrooms being redecorated and new carpets and windows fitted. The manager of the home has completed the Registered Managers Award. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 6 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. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 standard(s) 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The records of three residents 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 residents. Catering staff had been informed about residents who had special dietary needs. One resident who had special dietary needs confirmed these were being met. Residents confirmed they had been involved in their assessment and were happy that their needs were being met by the home. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 9 Promotion of health is taken seriously. Residents welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that 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 records of three residents were looked at and these clearly described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of residents and these are monitored and kept under review. Entries made on care plans showed good communication between the home and healthcare professionals. The records of one resident confirmed they were receiving regular visits to the hospital to monitor their health. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 10 One healthcare professional visiting the home said staff communicate clearly and work in partnership with them and are able to demonstrate a clear understanding of the care needs of residents. Medication practices observed were safe and good records had been maintained. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 standard(s) 12, 13 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. EVIDENCE: Residents spoken to confirmed they enjoyed the food provided by the home. One resident who required a special diet confirmed this was being accommodated. One visitor spoken to said, “The food provided by the home is of good quality and my relative enjoys the meals on offer”. Meal times were served in a relaxed and unhurried manner with staff seen providing discreet assistance to residents who required help with eating. The menus were inspected and found to provide a varied and balanced diet. The cook was able to confirm she had information about residents with special diets and personal preferences. Staff members also confirmed they were fully aware of residents who had special dietary needs and these were being met. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The Inspector was able to observe throughout his visit relatives and friends visiting the home. One visitor said, “I visit my relative daily and I am always made welcome by the staff”. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 12 During the Inspectors visit an entertainer arrived to provide a social afternoon for residents. The Inspector observed residents enjoying participating in the entertainment. One resident said, “I like the social afternoons. We have two entertainers who visit the home and we look forward to them coming”. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 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. People visiting the home also said they were aware of the complaints procedure but hadn’t had any cause to make a complaint about the home. 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. The staff members on duty informed the Inspector abusive practices and how to recognise these had been covered during their NVQ training. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 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 and safe environment. EVIDENCE: Since the last inspection the homes owners have continued to make improvements to the environment. A number of residents bedrooms have been redecorated and new carpets fitted. The Inspector also observed new windows had been fitted in some residents bedrooms. Lounge and dining areas have been decorated and furnished for the comfort of residents. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 15 One resident said, “This is the best home around. I am very comfortable living here. We have lovely views of the sea and we can see people coming and going along the promenade. I have my own room and want for nothing”. Three other residents spoken to said they were happy with their rooms and were provided with the choice of spending time on their own or in the lounge area’s. A recommendation from previous inspections was for the home to provide locks with an override facility to resident’s bedroom doors. The manager of the home informed the Inspector there are plans for this work to be implemented. Toilet and bathing facilities are located on the ground and first floor and are easily accessible for residents. The home has a passenger lift to provide access between the ground and first floor. The Inspector observed residents using the passenger lift independently during the visit. Radiators throughout the home are guarded or have guaranteed low temperature surfaces to protect residents from the risk of burning. 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. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Staff are well trained to ensure they have the competencies to meet residents needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. The homes recruitment procedures are not robust and these potentially place residents at risk. 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. I like living at the home and feel safe. There is always plenty of staff on duty and they are always there when you need them”. One visitor said, “The staff are smashing. I like this home because they have a low staff turnover and I am very confident the staff are meeting my relatives needs”. 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. Records show thirteen staff members have gained National Vocational Qualifications (NVQ) and another five members of staff are working towards these. The homes owners have provided the manager with a training budget. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 17 Discussion with staff and examination of records confirmed training had been provided for staff members to ensure they had a clear understanding of the specific care needs of residents accommodated at the home. One area of concern identified during the inspection was the homes recruitment procedures. Examination of staff records showed two staff members had been recruited before their police clearances had been received. The Inspector has contacted the manager separately to this report requesting this matter be addressed. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 and 38 The home is well managed and run in the best interests of residents. EVIDENCE: The manager has many years experience in caring for the elderly and has recently completed the registered Managers Award. She is well supported by the homeowners who visit the home daily. Residents, visitors and staff members were very positive in their comments about the homes manager and her style of management. Residents and visitors spoken to said they found the manager to be approachable, supportive and helpful. Staff members said they found the manager was supportive and provided a clear sense leadership. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 19 The manager has developed good systems to gather staff, residents and relative’s views as part of her monitoring of quality. Staff spoken to had a clear understanding of their role and what is expected of them during their shift. Inspection of records for residents were comprehensive, well written and up to date. Discussion with a healthcare worker confirmed the home has effective communication procedures in place to ensure the health care needs of residents are met. Staff members spoken to confirmed they receive formal supervision and value the support of management. Inspection of maintenance records confirmed facilities and equipment was being maintained as required. Records were available to the Inspector to verify that training on health and safety issues had taken place. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x 3 x 3 Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 21 NO 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. 1. Standard 29 Regulation 19 Requirement The home must ensure all information and documentation required by regulation in respect of any person managing or working at a care home has been obtained prior to appointment. Timescale for action 16th May 2005 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. Refer to Standard 24 Good Practice Recommendations The home should provide locks with an overide facility on residents bedroom doors. Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Portway 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 Yachtsman Care Home F57 F09 S37739 Yachtsman V210957 170505 Stage 4.doc Version 1.30 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. 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. 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