Care Home: Bay House

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What the care home does well The home maintains good links with the local community in Olney. The privacy and dignity of residents in the home is protected. Residents are well supported in maintaining contact with family and friends. Families have provided positive accounts of their experience of the home and of the quality of care provided to residents. The home provides a homely and comfortable environment for residents. Staff give positive accounts of the home and the support provided by the manager. The home maintains an ongoing programme of staff training and development. The manager conducts an annual survey of residents and relatives and is considering other ways of engaging with people to improve the quality of the service. The proportion of staff with NVQ qualifications at level 2 or above has increased since the last inspection and now comfortably meets the national minimum standard. What the care home could do better: The home needs to continue its efforts to offer a range of activities to residents to ensure stimulation, psychosocial well-being and appropriate physical activity.The registered persons must ensure that events which affect the well-being of residents are reported to in accordance with the requirements of Regulation 37 reporting. The home`s current threshold for such reporting is too low. The proprietor must carry out regular visits to the home in accordance with Regulation 26 and file a report on each occasion The provider and registered manager should establish a programme of regular supervision meetings as required under Regular 18. The registered manager should record in staff files the fact that a new member of staff has satisfactorily completed the home`s induction programme. Random inspection report Care homes for older people Name: Address: Bay House Olney 31 Weston Road Bucks MK46 5BD one star adequate service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Mike Murphy Date: 2 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: Bay House Olney 31 Weston Road Bucks MK46 5BD 01234711356 Telephone number: Fax number: Email address: Provider web address: www.olneycarehomes.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Alyson Laslett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Olney Care Homes Limited care home 23 Number of places (if applicable): Under 65 Over 65 0 0 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users to be accommodated is 23. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Bay House is a residential Home situated in the Market town of Olney. All local amenities are within walking distance of the home. The Home offers residential support Care Homes for Older People Page 2 of 11 Brief description of the care home to 23 Residents over the age of 65. The Home is an older three-storey building with a newer ground level extension. Facilities are provided over two floors of the building with the third floor vacant. The Home has maintained many of its original features and is set in well-maintained gardens. Information to support prospective residents and their families to make a decision for admission to the home is provided in the homes Statement of Purpose and the Residents Guide. Both of these documents are provided to enquirers, with additional copies held in the home. Care Homes for Older People Page 3 of 11 What we found: This Random inspection was carried out by one inspector in June 2010. The inspection included an unannounced visit to the home on Monday 29 June 2010. The inspection process included discussion with the registered manager, residents, staff, and two visitors. The process also included observation of practice, examination of care plans, staff records, and recent reports by other regulatory bodies, a review of progress since the last inspection, and inspection of some parts of the building. The inspection took account of information supplied by the registered manager in the homes Annual Quality Assurrance Assessment (AQAA) of 16 March 2010. A number of residents and the relatives with whom we spoke expressed satisfaction with the home. They describe a home which has a positive ethos - a place in which people can live in comfort and safety. Relatives told us they have confidence in the management of the home and are comfortable in raising any concerns with the registered manager. The home has good arrangements for assessing the needs of prospective users of the service (residents). Care plans are comprehensive and appropriately address the assessed needs of residents. The present system of care planning, while comprehensive, needs further development and modification in order to be described as person centred, particularly for those residents with dementia. The home has a part-time activities co-ordinator who has been in post for just over nine months. On the day our inspection visit the post holder was attending a NAPA (National Association for Providers of Activities for older people) led training day. A number of care staff acknowledged that encouraging and supporting residents to participate in activities was a responsibility for all care staff and that activities need not necessarily require organising a group of participants. While progress to date is acknowledged there is scope for further development of activities in the home. Standards in the homes environment remain uneven. Since the last inspection in October 2009 two double (or shared) rooms have been converted for single occupancy. New chairs have been purchased for the lounge. New carpets were due to be laid in the course of the week after our visit. A new staff call system has been installed in the annexe. Work on part of the plumbing system was in progress on the day we visited. Two fire doors have had new intumescent fire seals fitted to meet fire safety standards. Examination of staff files showed generally good practice in staff recruitment. Two points of detail were noted - one application form had not been dated and signed by the applicant and in another form only the years of previous employment had been given. New care staff attend the Milton Keynes Council run five day induction course. The manager is advised to make a record in individual staff files of satisfactory completion of this course. Care Homes for Older People Page 4 of 11 Details of staff training were supplied. These consisted of two documents; a schedule of training events attended by named staff, and an undated programme of training events for 2010 by month. The former included essential training such as Induction and Health and Safety related training, the latter a wider range of subjects including (among many others) Bereavement, Mental Capacity Act, Dementia, End of Life Care, and Activities. Staff communicated a positive approach to training in the home. We found a mixed picture when reviewing the homes performance in the context of the management standards. People - staff and visitors - spoke well of the present registered manager. The manager was described as supportive, attentive to peoples concerns, and visible around the home. Since the last inspection the manager has started a Diploma course on the subject of Dementia. The manager has also attended a Leadership and Management course accredited by Bracknell and Wokingham College. The latter included regular meetings with a mentor in Milton Keynes. This useful contact was continuing. The home had conducted separate surveys of residents and relatives in February and June 2010 respectively. The results were on display in the entrance hall. The manager had not yet done a report on the work. Such a report would normally include a plan of action. The results of the survey indicated a good level of satisfaction with the home. The manager acknowledged the limitations of such surveys in a small service and planned to supplement it with a meeting with families and residents. The form of such an event had still to be decided. The views of residents had been sought in a recent round of staff appointments. The manager expected this participation to progress to the involvement of one or two resident representatives on a future interview panel. Relatives had been invited to participate in annual care reviews but none had taken up the invitation to date. Staff supervision seems to be well established. Staff attend personal supervision every two months. Supervision sessions cover a range of issues including training, information, achievements, and any other matters which either the supervisor or supervisee wish to discuss. Staff meetings are regularly held - the frequency varying by staff group. The homes threshold for reporting events under Regulation 37 needs to be reviewed. While the home generally reports appropriately under this regulation, it was noted on this occasion that it had failed to report two significant matters which had occurred since the last inspection. In one event the behaviour of a resident resulted in a member of staff being injured and the resident being transferred to a specialist care setting. In another event a resident was discharged from hospital with serious pressure sores on both heels. It was noted that these had subsequently been described as Appalling by a social worker. It was also noted that the district nurses had complained to the hospital about the care which led to a patient developing such sores. The manager told us that she did not report the first event because it did not involve any harm to the resident and that she did not report the second event because the pressure sores had developed while the person was in hospital. Both events were unusual occurrences which merited reporting to the Commission. Care Homes for Older People Page 5 of 11 Records of the formal involvement of the registered provider in the management of the home were limited. The provider is required to make an unannounced visit to the home once a month and to prepare a written report of such visits. The last inspection was in October 2009. This inspection took place in June 2010. Records of providers visits were available for December 2009 and for January and March 2010. The last two inspections included reference to a need for records of supervision meetings between the provider and manager be maintained. We found no such records on this inspection and were informed that only one such meeting had taken place since the last inspection. The home had been inspected by the Fire Authority in February 2010. The manager told us that a requirement to fit new intumescent seals on two fire doors was actioned on the same day. The home was inspected by an Environmental Health Officer (EHO) in March 2010. A number of requirements were made, many relating to a need to review procedures relating to water temperatures and Legionella risk once the plumbing work being carried out had been completed. The EHO also included a requirement relating to the maintenance of the stair lift. The manager told us that this had been actioned. We had sight of both reports during our inspection. What the care home does well: What they could do better: The home needs to continue its efforts to offer a range of activities to residents to ensure stimulation, psychosocial well-being and appropriate physical activity. Care Homes for Older People Page 6 of 11 The registered persons must ensure that events which affect the well-being of residents are reported to in accordance with the requirements of Regulation 37 reporting. The homes current threshold for such reporting is too low. The proprietor must carry out regular visits to the home in accordance with Regulation 26 and file a report on each occasion The provider and registered manager should establish a programme of regular supervision meetings as required under Regular 18. The registered manager should record in staff files the fact that a new member of staff has satisfactorily completed the homes induction programme. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 12 16(2)(m) The registered persons must 30/11/2009 ensure that regular and engaging activities are made available to residents which take account of their individual needs and choices with specific activities made available for people with Dementia. Care Homes for Older People Page 8 of 11 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, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 33 26 The registered manager must carry out monthly Regulation 26 visits and maintain written reports of such visits To provide evidence of the providers involvement in monitoring the quality of the service 31/07/2010 2 38 37 The registered manager must ensure that Regulation 37 notifications are made to the Commission without delay. To ensure that the Commission are kept informed of significant and untoward events in the home. 12/07/2010 Care Homes for Older People Page 9 of 11 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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