Care Home: Across The Bay

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Staff training and development plus access to courses is excellent, to ensure staff have the confidence and competencies to provide the care and support people who live at the home need. Some members of staff have exceeded the standard qualifications recommended to work in a care home. Records looked at show each staff member has a training file which enables the manager to be aware of what training is needed and when it requires updating to ensure staff continue to develop. One staff member said, "We are provided with very good training courses". Another wrote, "You can get support to attend training events". A person who lives at the home when asked about staff providing care said, "They all are confident and know what they are doing". Information in the AQAA tells us of the emphasis and commitment to training staff to ensure people develop and provide them with the skills and confidence to care and support people who live at the home. There has been little change in the people who work at Across The Bay and only one new staff member has been employed over the last two years, which helps build up relationships with people who live at the home and enable staff and residents to get to know one another well . One person who lives at the home spoken to said, "Its nice having the same people around, you get on better". One staff member said, "Staff seem to stay here for a long time". We noticed during our time at the home routines looked relaxed with people allowed unrestricted access to communal areas and outside gardens, people watching the television and staff chatting to residents. One person who lives at the home said, "You can please yourself what you wish to do". Meals and food provided at the home are varied and choices are available if people don`t like the main meal on offer. From talking to staff and people who live at the home and comments returned in surveys it was clear the quality and quantity of food provided is good, comments included, "Good home cooking", Also, "The cook does a lot of home baking". What has improved since the last inspection? The owner tells us in the AQAA of improvements to the decoration of the home continues to be ongoing and walking around the premises we confirmed where improvements have been completed. A new decking area outside, new windows installed and a new large television in the lounge so that people continue to live in pleasant comfortable surroundings. One person who lives at the home said, "Its a lovely place to live". One staff member said, "We keep it clean and try to update the home continuously". Improvements to the fire safety system has been completed following an assessment from the fire brigade to ensure people are kept safe, the owner informed us of the completion of recommendations in the AQAA. What the care home could do better: We looked at care records of people who live at the home and recommended they should be reviewed once a month to ensure any changes are highlighted and care canbe monitored on a regular basis. The application form for employment at the home should request a full employment history with any gaps explained to ensure suitable staff only are employed. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Across The Bay 479 Marine Road Morecambe Lancashire LA4 6AF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 1 2 0 8 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Across The Bay 479 Marine Road Morecambe Lancashire LA4 6AF 01524410625 01524410625 info@acrossthebay.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr John Graham Haslam,Mrs Jennifer Mary Bailey care home 24 Number of places (if applicable): Under 65 Over 65 24 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 24 Date of last inspection Brief description of the care home Across the Bay is a registered home for older people and is situated in Morecambe. The home faces the sea front and is close to Happy Mount Park. Other amenities such as shops and the post office are nearby, but still too far for most of the residents to reach due to their frailties. The home is a four-storey building and a passenger lift is available to access all the floors. Communal facilities include two lounges on the ground floor and a dining room on the lower ground floor. Current weekly fees are between £360.00 and £415.00 and additional extras like hairdressing, newspapers and private chiropody are paid for by the residents. Care Homes for Older People Page 4 of 26 Brief description of the care home Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit was part of the key inspection process and took place on the 12/08/09. We spoke to people who live at the home individually, staff, the manager/owner and a group of residents in the lounge. Care, maintenance, previous inspection reports and other records were looked at, as well as a walk around the building. As part of the inspection process we talked to people using the service and asked staff about those people needs. We also looked at their rooms, care plans and daily notes, this is called case tracking. Other people who live at the home were invited to pass their opinions to us if they wish. Care Homes for Older People Page 6 of 26 We received responses from surveys/ questionnaires sent to people who live at Across The Bay and staff for their views on how the home is run. Comments we did receive were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. What the care home does well: What has improved since the last inspection? What they could do better: We looked at care records of people who live at the home and recommended they should be reviewed once a month to ensure any changes are highlighted and care can Care Homes for Older People Page 8 of 26 be monitored on a regular basis. The application form for employment at the home should request a full employment history with any gaps explained to ensure suitable staff only are employed. 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures were clear and precise, to ensure care needs of people who live at the home are met and people can make an informed choice before moving in. Evidence: We looked at assessment information for two people who live at Across The Bay which showed that, comprehensive information was obtained by the manager and from social services. We spoke to a person who lives at the home about the time she moved in and she said, They were all nice and made me feel at home. One staff member wrote in a survey, We ensure people get the support from the start. A care plan had been developed from the information to ensure health, social and welfare needs are identified and the care and support needed can be met. There was evidence of family involvement to gather information so that all needs of people who Care Homes for Older People Page 11 of 26 Evidence: come to live at Across The Bay are looked at. One member of staff spoken to about the assessment process said, We like people to come and visit for a few times. The manager informs us in the AQAA how the process for assessing people is undertaken prior to them moving in and a plan of care developed as soon as they are admitted to ensure they give the right care and support. Standard 6 was not assessed as the home does not provide intermediate care. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home have their health and personal care needs met by staff who respected their privacy and dignity. Evidence: Care records looked at for people living in the home were comprehensive and set out a plan of care monitoring all health,welfare and social hobbies and interests. Relatives and people who live at the home have a say in care plans and in the way they are supported. This was evidenced by signatures of care records by residents and relatives. One person spoken to who lives at the home said, We all discuss the support I need. We discussed with staff the needs of people we case tracked they had an awareness of peoples needs and were able to discuss the care provided, one staff member said, I find the system for recording care is helpful and easy to understand. Each person has a risk assessment in place to ensure their safety. We confirmed these are updated when necessary to reflect any changes that may have occurred in the building or individually ensuring people are protected and safe. The care records should be reviewed every month and reflect any changes, however one Care Homes for Older People Page 13 of 26 Evidence: record of care looked had not been reviewed monthly. We looked at the medication procedures with a senior carer, medication of people we case tracked had safe practices in place to ensure people receive the right medicine at the right time and they are protected by the procedures in place. One member of staff spoken to said, I give out medication, I know only senior trained staff do. The manager explained to us they have good a good relationship with the pharmacist who visits the home to instruct staff on medication issues. One staff member said, We have a good relationship with the chemist. We looked at records and confirmed nutritional screening of people who live at the home is monitored so that any health issues are noticed and acted upon. This was confirmed by information contained in the AQAA. Notes of people who live at Across The Bay show they have access to health professionals and where possible a doctor (GP) of their choice. During our visit we talked to people who live here in the lounge, individually and watched staff caring for people and helping them in a sensitive, dignified way. One person who lives at the home said to us, They treat everyone the same. The manager tells us in the AQAA how it is important for staff to care for residents with respect, dignity and equality.They are given instruction so they are aware of how to treat people to ensure respect is shown at all times, this was confirmed by talking to staff. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are well managed, creative and provide daily variation and interest for people living at the home. Evidence: We had a talk to the cook and a look around the kitchen area which we found clean and tidy. We asked about training and the cook said, I have completed my Food and Hygiene course. Comments about the quality and quantity of food and meals prepared were good, they included, I enjoy baking, also, The food is very good. The cook confirmed they provide food for diabetics and are able to provide meals if required from any religious cultures. We looked around and found evidence of fresh fruit and vegetables stored in the kitchen and plenty of stocks in the fridge and cupboards, to ensure people who live here receive a healthy diet with plenty of choice. A person who lives at the home spoken to about meals and set times said, A choice of what you want if you dont like something. Records looked at show staff monitor the intake of food and liquid of people living at the home to ensure any concerns are identified and appropriate action taken. One staff member spoken top said, We monitor the food intake of residents so we can identify if anyone has a problem. Care Homes for Older People Page 15 of 26 Evidence: Routines watched during the day looked relaxed, some people were sat in the lounge area, staff were carrying on with their daily routines, we noticed staff chatting to residents and generally supporting people in a dignified way. Records show at the assessment stage hobbies and interests of people who live at the home are written down, staff spoken to said they try and help residents individually follow their hobbies and interests. We spoke to people who live and work at the home about activities and social events, comments included, We have something going on from outside entertainers monthly. Also a person who lives at the home said, We have events going on all the time. Visiting times have no restrictions. All people who live and work at the home spoken to confirmed friends and relatives are welcome any time. One person who lives at Across The Bay said, My family come to see me and take me out there is no restrictions on what time they come. People we spoke to who live here confirmed they were able to bring some personal items into the home which was agreed during the admission. Rooms we were invited into had personal possessions around so that people who live here felt it was home. One resident said, I like to have my homely items around me. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: Information the manager gave us in the AQAA tells us of how they provide safeguarding adults training for staff to ensure they are aware of any signs of abuse taking place and are able to take the appropriate action Staff spoken to confirm they have attended training, one said, I have recently completed safeguarding adults training. The manager tells us in the AQAA complaints are taken seriously at Across The Bay and they have a procedure for dealing with any issues or concerns. All potential residents and families are provided with brochures which have all the details of the complaints policy. One person who lives at the home spoken to said, Never complained but I know what to do if something bothered me. We noticed a policy of the complaints procedure is provided in the hallway of the home. There has been no complaints since the last inspection. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises is safe and clean maintained to a good standard providing comfortable surroundings for people who live at the home. Evidence: We had a walk around the premises and outside areas, we found it clean, tidy and maintained to a good standard ensuring people live in comfortable surroundings. Maintenance work is carried out out by the manager/owner, if small repairs and records kept to ensure the building is kept in good order. One staff member said, Any repairs are attended to immediately. The manager tells us in the AQAA of improvements to the environment such as, a new TV in the lounge area, new decking outside, in which one resident commented, The new outside decking area looks well. Also some of the bedrooms we looked at had recently been decorated to ensure people live in a pleasant home. One person who lives at the home wrote in a survey, Its kept nice and up to date. There are policies in place for laundry processes and for the control of infection ensuring the home is kept clean and hygienic. Information in the AQAA informs us of how staff are trained in infection control, this was confirmed through talking to staff. Care Homes for Older People Page 18 of 26 Evidence: We checked hot water temperatures and were shown records of regular temperature checks to ensure residents safety. Water was found to be delivered at a safe temperature in line with health and safety guidelines. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Access to training and staff development is excellent, this helps to develop their skills and competencies. Recruitment procedures are in place and followed to ensure all checks have been carried out before staff start to work at the home. Evidence: Access to and training of staff is excellent which ensures people are cared for by competent skilled staff. We looked at training records, received positive comments from surveys and spoke to staff about training. One staff member said, We have good support from the owner to go on courses. Another staff member wrote in a survey, Well supported by the owners to develop by going on courses. Information in the AQAA tells us that all care staff have enrolled or completed a recognised qualification in care which is the National Vocational Qualification (NVQ) to level 2 or above, some staff are now doing NVQ level 3. One staff member spoken to said, I am doing my level 3 training. Each staff member has a training and development file so that identified training can be provided and updated to ensure staff develop their skills and provide a better service for people who live at the home. One person who lives at the home wrote, The staff are very good at caring for us. We looked at recruitment procedures and the process for staff to go through to start work at the home to ensure proper checks have been completed. Staff records Care Homes for Older People Page 20 of 26 Evidence: examined confirm all checks were in place including, application forms, two references and a Criminal records bureau (CRB) check, to ensure thorough checks are carried out before people start to work at the home. One staff member spoken to about the recruitment and induction process said, I went through a thorough checking process and training before I started to work here. However the application form should request a full employment history with any gaps explained to ensure suitable staff are employed. Staff rotas looked at and observation during the day confirm staffing levels were sufficient in numbers to care for the people who live at the home. Comments from people who live at Across The Bay said, They are always willing to spend time with you even if they are busy. One staff member spoken to said, We have enough people on duty to provide the care. It was clear from watching staff with people during the day and speaking to staff they are clear about their role and work well as a team to ensure the individual and collective needs of people who live at the home are being met . One person who lives at the home said, All the staff are extremely kind. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well and systems are in place for the protection and safety of staff and people who live at the home. Evidence: The owner who manages the home is highly qualified and as a wealth of experience in running care homes. Information in the AQAA confirms the owner has completed all the necessary qualification required to run a care home. One resident spoken to about the owners and how the home is run said, They are both lovely.Also Its a lovely home. We asked staff about management support and one said, We have great support from the owners. We checked records of health and safety looked at information in the AQAA and confirm regular tests are carried out to emergency lighting, fire procedures, gas appliances and electrical equipment, ensuring the safety of people living at the home is maintained. Care Homes for Older People Page 22 of 26 Evidence: Financial records looked at were in good order, systems are in place for people to control their own money where possible and ensure safeguards are in place for their protection. Records of finances for people who live at the home were accurate and up to date. The owner tells us in the AQAA Across The Bay has achieved an award, the International Standards Organisation (ISO) for setting high standards of staff training and development including the recruitment of staff and systems they have in place to ensure people are protect and provided with care and support they need. Other systems to gather views on how the home is run from residents and stakeholders include questionnaires sent out, staff meetings and residents meetings to ensure the home continues to run smoothly and any suggestions to improve the home are implemented. One staff member spoken to said, We are always looking at ways to improve the home Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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 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 1 7 Care records of residents should be reviewed once a month and updated if necessary. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) 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 26 of 26 - 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!