Inspection on 09/09/09 for Bankfield Manor Care Home

This is the latest available inspection report for this service, carried out on 9th September 2009.

CQC found this care home to be providing an Good service.

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

Bankfield Manor Care Home 04/06/07

Bankfield Manor Care Home 05/06/06

Bankfield Manor Care Home 30/11/05

Bankfield Manor Care Home 28/06/05

Bankfield Manor Care Home 03/11/04

Bankfield Manor Care Home 27/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Key inspection report Care homes for older people Name: Address: Bankfield Manor Care Home Boothtown Road Halifax West Yorkshire HX3 6HG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Paula McCloy     Date: 0 9 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 25 Information about the care home Name of care home: Address: Bankfield Manor Care Home Boothtown Road Halifax West Yorkshire HX3 6HG 01422352398 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: CastleVillas@aol.com Mrs Safia Bano Hussain care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Registration to revert back to 25 OP when service user with category PD has been discharged. Date of last inspection Brief description of the care home Bankfield Manor is a residential care home situated in Boothtown, near to Bankfield Museum. There are some shops within walking distance and Halifax town centre is easily accessible. The home is set back from the main road in its own grounds and there is car parking available. Bankfield Manor offers personal care and accommodation for up to 24 older people. The house is a former convent, which has been adapted and extended to provide accommodation. In the original part of the building, there is a passenger lift between the ground and first floors, the extension has a stair lift between the floors. 0 1 Over 65 24 0 Care Homes for Older People Page 4 of 25 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: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted approximately 5.5 hours. Care Homes for Older People Page 5 of 25 During the visit we spoke to 4 people living in the home, 4 members of staff, a visiting GP, the manager and 1 relative. We also observed staff delivering care, looked at various records and looked around the home. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: 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 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 Care Homes for Older People Page 7 of 25 order line 0870 240 7535. Care Homes for Older People Page 8 of 25 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 9 of 25 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. People can visit the home to see for themselves if they think it is suitable. No one moves into the home unless staff are sure they can meet their needs. Evidence: There is a Service User Guide available that gives people written information about the home and the service they provide. Copies of this are available from the home. This means that people can take written information about the home away with them to read. A member of staff from Bankfield Manor will go and assess anyone thinking of moving into the home. There is an assessment document that staff complete, which means that peoples needs are identified and that staff are sure they can meet those needs before people move in. We looked at the files for two people and found all of the assessment information we would expect, together with a care plan for each. Care Homes for Older People Page 10 of 25 Evidence: The manager told us that two peoples relatives have been to look around recently and they have reserved places at the home. The rooms that they have selected are going to be redecorated before people move in. This means that people can visit the home to see for themselves if they think it is suitable. Care Homes for Older People Page 11 of 25 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. Peoples health and personal care needs are being met. Evidence: We looked at two care plans because we wanted to see what individual needs had been identified and what action staff have to take to meet these needs. We found that the care plans were detailed and easy to follow. All of the necessary risk assessments have been completed and staff are writing down the action they need to take to reduce or eliminate that risk. For example one person has been identified as being at risk of malnutrition. The care plan gives clear information about what food she likes and what to offer her if she refuses her meals. We looked at the weight records and saw that her weight was stable. This means that staff are taking the right action to meet this persons needs. Care plans are being review every month and there is a good monthly summary that gives a good over view of what life has been like for people and any changes that have been made to the care plan. Care Homes for Older People Page 12 of 25 Evidence: Peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Details of any visits by health care professionals are clearly documented in the persons care plan, together with the advice that has been given. People told us that they get the medical support they need. People told us that the staff notice if there is anything wrong and always get a doctor or nurse. The manager contacted the GP to see two people on the day of our visit. We spoke to the GP he told us that staff call him in appropriately and follow his instructions. People looked well cared for and we saw that men had been shaved, peoples hair brushed or combed, spectacles were clean and peoples personal and oral hygiene was well maintained. The medication system is well managed. We watched part of a medication round. The manager spent time with each individual, offering encouragement when needed. People are receiving their medication at the prescribed times and records are well maintained. Care Homes for Older People Page 13 of 25 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. People can follow their own routines and there are activities on offer to keep people stimulated. Evidence: The care plans we looked at both contained detailed life histories and information about peoples personal preferences. This provides staff with very valuable information about people they are caring for. The care plans also contain information about peoples interests and how they like to spend their time. People told us that the routines of the home are flexible and if they want to stay in bed in the mornings they can do. We saw that people were getting up throughout the morning. As people come dowstairs the staff take their order for breakfast and serve a drink of their choice. People who want to have their meals in their bedroom can do so. Staff provide activities to keep people stimulated. A quiz was organised on the morning of our visit and those people that wanted to joined in. Entertainers are also booked every month and a local priest and minister visit regularly. People living in the home are asked what activities they want in residents meetings. This means that they are consulted about the things they want. Care Homes for Older People Page 14 of 25 Evidence: At lunchtime there is a set meal, but there are alternatives on offer if people do not like the dish of the day. We observed a meal time. People received a well presented meal and people told us that the food is good. The manager has regular meetings with people living in the home and food is always discussed and changes made to the menu are made in line with peoples requests. Care Homes for Older People Page 15 of 25 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. Complaints and adult protection issues are being dealt with properly. This means that staff are listening to people and keeping them safe. Evidence: The homes complaints procedure is on display. People told us that the know who to talk to if they are unhappy or if they want to make a complaint. Staff told us that if anyone made a complaint or raised a concern they would report it to the manager. People we spoke to told us that they would be able to raise any concerns with the manager and were confident that any issues would be sorted out. The staff we spoke to were able to tell us what they would do if they felt there were any practices in the home that werent in the best interest of the people living there. The manager told us that most of the staff have completed adult protection training. This means that staff are fully aware of all of the different types of abuse and about the reporting procedures. Care Homes for Older People Page 16 of 25 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 home is clean and comfortable and improvements are on going. Evidence: Bankfield Manor is a residential care home situated in Boothtown, near to Bankfield Museum. There are some shops within walking distance and Halifax town centre is easily accessible. The home is set back from the main road in its own grounds and there is car parking available. It is a former convent and family house that have been adapted for the current use. There are double and single bedrooms available. The home was awarded 2 stars by environmental health for hygiene in the kitchen after their last visit. The manager told us that since then a new cook has been recruited and improvements to the standard of hygiene in the kitchen have been made. We looked around the home. Peoples bedrooms were very personalised and people are encouraged to bring any items of furniture, ornaments and pictures with them when they move in. People told us that the home is kept fresh and clean. Care Homes for Older People Page 17 of 25 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. Staff are well trained and competent to do their job. Staff are properly checked before they start working in the home to make sure they are suitable and safe to work with older people. Evidence: At the time of our visit there were 16 people living in the home. During the week there are two care staff on duty with the manager during the day and two care staff on duty in the evenings. At night there are two waking care staff and a manger available on call should an emergency arise. There is one cook and one domestic who both work mornings during the week. There is no cook or domestic cover at weekends. We could see from the duty rotas that an additional member of staff works at the weekends to cover the cooking. We talked to the manager about the staffing levels. She is in the process of recruiting care staff and is aware that staffing levels will need to increase when more people move into the home. She is also trying to recruit a weekend cook. We talked to the staff who told us that they manage with the current staffing levels, but that if there was three care staff on duty this would give them more time to spend with people and improve the quality of the service. Recruitment procedures at the home are good. Staff told us that criminal records bureau checks and references had been obtained before they started working at the home. Staff files confirmed that the necessary checks are being completed to ensure Care Homes for Older People Page 18 of 25 Evidence: the suitability of new staff. This means that staff are safe to work with older people. Over half of the care staff team have completed or are in the process of completing their National Vocational Training (NVQ) at level 2 or 3 in caring for older people. This means that they are qualified and competent to do their job. We asked staff about their induction training when they first started working at the home. They all said that their induction had been good and covered everything they needed to know. We asked staff if they are being offered training. Staff told us that they are given training that is relevant to their role and keeps them up to date with new ways of working. Staff told us they feel well supported by the manager and feel that they have enough experience and knowledge to do their job. The manager has looked at every ones training needs and people have been booked on relevant courses to make sure their training is up to date. Care Homes for Older People Page 19 of 25 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 well managed and run in the best interests of the people living there. Evidence: The manager is experienced and qualified. People living in the home, staff and relatives all told us that she is approachable and works in a very hands on way and clearly has a good relationship with people. The manager is aware that she needs to apply for registration with us. The manager talks to people living in the home and relatives on a daily basis. She holds regular meetings with people living in the home and seperate staff meetings. Peoples views about the service are also asked for through surveys. Recently people have been asked for their views about meals and the activities that are provided. The manager is going to collate this information and write a report to let people know what people said and what action she is going to take as a result. This means that people have the opportunity to have their say about what is happening in the home and influnce the service that is being provided. The owner also visits the home regularly Care Homes for Older People Page 20 of 25 Evidence: and every month and writes a report about the conduct and management of the home. These reports detail any agreements that the manager or owner have made. The manager holds money on behalf of people living there. We looked at the records. we found that the records were clear and that receipts are obtained for any purchases. We did find that errors in arithmetic had occured on two seperate records, when the manager had been on holiday. We brought this to the managers attention and she will take this up with the person concerned. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly. We looked at the gas safety report and this was up to date. According to the records in the home the lift and stairlift were due to be inspected in June 2009. We could not find any records of this inspection being completed. It is important that equipment is serviced regularly to make sure it is safe to use. Care Homes for Older People Page 21 of 25 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 22 of 25 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 1 27 18 Staffing levels must be kept under review to make sure that at all times there are enough suitably qualified, competent and experienced staff on duty. This will make sure that there are enough staff on duty to meet peoples needs. 30/10/2009 2 38 23 The lift and stairlift must be examined thoroughly every 6 months by a competent person. This will make sure the lifts are safe to use. 09/10/2009 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 31 The manager should apply for registration with the Care Quality Commission. This will make sure there is someone Care Homes for Older People Page 23 of 25 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 legally responsible for the management of the home. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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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