Inspection on 22/02/06 for Banbridge House

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Banbridge House 30/07/08

Banbridge House 13/09/07

Banbridge House 07/12/06

Banbridge House 27/09/05

Banbridge House 18/11/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Banbridge House 3 The Esplanade Minehead Somerset TA24 5QS Lead Inspector Kathy McCluskey Announced Inspection 22nd February 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Banbridge House Address 3 The Esplanade Minehead Somerset TA24 5QS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01643 702275 01643 708551 Miss Tina Boswell Miss Tina Boswell Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum number of 19 beds registered, up to three services users in the category of DE(E) may be admitted One named Service User under 65 to reside at the home, this condition will lapse when the named service user leaves the home. 27th September 2005 Date of last inspection Brief Description of the Service: Banbridge House is large detached property situated on the seafront at Minehead. There are sea views from communal rooms and some service users bedrooms. All areas of the home have been well maintained and furnished to a high standard. The home is within easy reach of the town centre, where there are all local amenities. The home is also within minutes of the West Somerset Railway. Banbridge House is registered with the Commission for Social Care Inspection to provide accommodation for up to nineteen people over the age of 65 years, who require assistance with personal care. The home is not registered to provide nursing care. The registered provider is Tina Boswell, who is also the registered manager. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted over one day (5hrs) by CSCI Regulation Inspector Kathy McCluskey. The registered provider/manager and her deputy were available throughout the inspection. The inspector was able to meet with the majority of the 17 service users living at the home and all of the staff on duty. No relatives/visitors requested to see the inspector. As part of this announced inspection, CSCI comment cards were made available to service users, visitors/relatives and relevant professionals. At the time of this report, completed comment cards had been received from one G.P and five relatives/visitors. Comments are included in this report. The inspector was able to see all communal areas of the home and a selection of bedrooms. Records were examined relating to the health & care of the service users, staff and health and safety. The inspector would like to thank the service users, staff and management for their time and cooperation with the inspection process. This was a very positive report. No requirements or recommendations were raised. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Banbridge House provides service users with a very clean, comfortable and very homely environment. The home is situated in a quiet road on the seafront of Minehead and is only minutes from all local amenities. The home is suitably adapted to meet the needs of service users with all levels of mobility. The main communal areas and some bedrooms benefit from sea views. Service users have access to a secure and well-maintained garden. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 6 All bedrooms, except for one, are for single occupancy. Service users are able to personalise their rooms. To ensure the privacy of service users, bedrooms are fitted with locks which can be over-ridden by staff in the case of an emergency. All service users spoken with informed the inspector that they ‘loved their rooms’. Service users benefit from a stable and committed staff team. On the day of this inspection, staff morale was noted to be high and this has a positive outcome for service users. The home ensures that staffing levels are appropriate to meet the needs of service users. Service users spoken with during the inspection all commented on the kindness of the staff. Service users stated that they never felt rushed and that assistance was offered in a manner which respected their privacy and preferences. Staff stated that they felt very well supported and had received appropriate training. Comments received by staff included; ‘Banbridge House is a lovely place to work’, ‘The residents here get very good care’, ‘If my parents needed care, I would be happy for them to come to Banbridge House’. Staff and service users were positive about the open and inclusive style of management promoted by the registered provider/manager. The home takes appropriate steps to ensure that the health and social care needs of service users are met. Each service user has an up to date plan of care and are allocated a key-worker. The home has established excellent links with appropriate healthcare professionals. A local G.P confirmed in a CSCI comment card that they were satisfied with the overall care provided by the home. This was ‘echoed’ in the five CSCI comment cards completed by relatives/visitors. Service users were positive about the range of activities available at the home. Service users confirmed that they were encouraged to make choices about their daily life at the home and that their wishes were respected by staff. All spoken with were very positive about the quality, quantity and choice of meals available. The home has a chef who is committed to ensuring that service users benefit from a wholesome and varied menu. Service users stated that they ‘loved the good home cooking’ and ‘traditional meals’. The home takes appropriate steps to ensure the health and safety of service users, staff and visitors. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 7 The home has systems in place to reduce the risk of harm or abuse to service users. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Standard 6 is not applicable as the home is not registered to provide intermediate care. The home ensures that prospective service users are provided with the information they need to enable them to make an informed choice about moving to the home. The home’s arrangements for ensuring that the home can meet the assessed needs of service users are good. EVIDENCE: The home has produced a Statement of Purpose and Service user Guide. Both provide service users, prospective service users and their representatives with information about the accommodation and services offered by the home. The inspector was not advised of any changes to these documents since the last inspection. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 10 The home’s current fee range is between £328 and £450 per week. Fees charged are determined by the assessed needs of an individual and the room offered. Extra charges are made for hairdressing, newspapers, dry cleaning, personal toiletries, chiropody and some activities. Prospective service users are fully assessed by the provider/manager or her deputy to ensure the home is suitable and can meet an individuals assessed needs. When considering a prospective service user, the needs of existing service users are also considered. This is felt to be positive. Assessments from other professionals are obtained where available. Documented evidence of pre-admission assessments were seen in the care records examined. Prospective service users and/or their representatives are encouraged to visit the home wherever possible before a decision is made. All service users move in on a one-month trial basis. The home does not provide an emergency admission facility. The home seeks the input of appropriate professionals where required, to ensure that the assessed needs or changing needs of service users can be met. Detailed examples of this were provided relating to the most recent service user. The inspector was also able to see evidence that staff had received appropriate training prior to the service user moving to the home, to ensure that the assessed needs could be fully met. On admission to the home, service users are issued with the home’s contract/statement of terms and conditions. The inspector was able to view contracts relating to the two most recent service users. Copies of Social Services financial agreements were also seen. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 The home takes appropriate steps to ensure that service users social and healthcare needs are met. Service users living at the home are treated with respect. The home follows appropriate procedures for the management and administration of service user’s medication. EVIDENCE: The inspector was able to examine the care records for the two most recent service users. These were found to contain appropriate information relating to the assessed needs of service users. Interventions for staff were clear. The inspector was able to see evidence that assessments, including pre-admission assessments, had been used to develop the service user care plan. Care records contained contact information for relevant professionals and family. Preferences and social history’s had also been recorded. Care plans were personalised and up to date. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 12 The home ensures that service users have access to appropriate health care professionals. All service users are registered with a G.P. Service users also have access to a visiting chiropodist and a dentist. District nurses also visit the home where required. At the time of the inspection, two service users were receiving input from a district nurse. Mental health specialists also provide input where there is an assessed need. The home has a good size clinic room with a bed, where service users are able to see the G.P or district nurse in comfort and in private. Service users weights are recorded monthly and monitored by the provider/manager. The inspector was informed that they were no service users currently with pressure sores. The home has an adequate supply of pressure relieving equipment. Service users with an assessed need are provided with appropriate mobility aids. One completed CSCI comment card was received by a G.P. Responses to questions were positive and it was confirmed that they were satisfied with the overall care provided to service users. Staff at the home were able to demonstrate a good awareness of the needs and preferences of service users. This was ascertained through observation and discussion with staff at the home and on examination of detailed ‘daily reports’. Service users spoken with were positive about the care they received and had nothing but praise for the staff and registered provider/manager. Service users stated that staff assisted them in a kind and unhurried manner. Service users confirmed that their privacy was respected and that they were treated with respect. During the inspection, staff were heard communicating with service users in a kind and respectful manner. Staff were observed responding to service users needs/requests promptly. As part of this announced inspection, CSCI comment cards were made available to relatives/visitors and service users. At the time of this report, five completed comment cards had been received from relatives/visitors. All indicated that they were satisfied with the overall care provided and confirmed that they were kept informed of important matters regarding their loved ones. The home’s procedures for the management and administration of service users medication were examined and found to be well maintained. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 13 The home uses the monitored dosage system (MDS) with pre-printed medication administration records (MAR). MAR charts were appropriately completed and medicines were found to be securely stored. The inspector advised that a thermometer should be placed in the room storing medicines to ensure that the temperature does not exceed 25c. Appropriate records and storage were seen for controlled medicines in use. The inspector was advised that there were currently no medicines requiring refrigeration. The inspector was able to see evidence that, as recommended at the last inspection, dates were recorded on opened creams/lotions. Since the last inspection staff have received training in the management and administration of medicines. It was recommended at this inspection that a list of staff responsible for administering medicines, along with a sample of their signature and initials, is maintained with the MAR charts. The provider/manager agreed to implement this at the time of the inspection. Banbridge House provides service users with a ‘home for life’. Service users are cared for at the home during their final days, providing the home can continue to meet the individual’s assessed needs. The home ensures that the family/friends of the service user are also supported. This was evident at the time of the inspection. The home ensures that the preferences of a service user following death are recorded on the individual plan of care. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Service users benefit from a varied programme of activities and are also encouraged to pursue their own hobbies/interests. Service users benefit from a chef who is committed to ensuring that service users can enjoy a wholesome and varied menu and that individual preferences are met. EVIDENCE: As previously mentioned in this report, the home records any preferences of service users in their plan of care. This also identifies their social history and any hobbies. The inspector was able to see evidence that service users are encouraged and supported to continue with their hobbies and interests. This was ascertained through observation and discussion with service users. Since the last inspection the home has reviewed its activity programme to ensure that it continues to provide a varied and interesting selection of activities for service users. Records are maintained following the activity and feedback from service users are encouraged. On examination of the minutes of a recent service user meeting, the inspector was able to see that the home’s activity programme was discussed. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 15 The activities programme is clearly displayed in the home so that service users and visitors can see what is happening each day. Just a few of the activities on offer include; keep fit, indoor bowls, newspaper reading, word and board games. An occupational therapist visits the home once a week to provide additional activities for service users. This includes painting, weaving and other craft activities. On the day of the inspection, the inspector was able to join the majority of service users and staff in a game of ‘virtual who wants to be a millionaire’. This appeared to be a great favourite, which was enjoyed by all. Service users spoken with were positive about the activities on offer to them. Visitors are welcome at the home at any reasonable time in accordance with the wishes of service users. Service users can choose where to see their visitors and can use the privacy of their own bedroom is they so wish. Service users spoken with informed the inspector that their visitors were always made to feel welcome. No visitors requested to see the inspector during this announced inspection. Service users informed the inspector that they choose how and where to spend their day. Service users stated that their choices were respected by staff and that they choose what time to get up or go to bed and where to have their meals. The home employs a chef who prepares a wholesome and varied menu which makes good use of fresh local produce and meats. The focus is on offering ‘traditional home cooking’. The chef regularly seeks the views of service users to ensure that they are happy with menu offered. Service users informed the inspector that they always have fresh vegetables and fruit and were very positive about the variety, quantity and quality of the food available. On the morning of the inspection, staff were observed talking to service users on an individual basis to ascertain their choices for lunch and tea. A record is maintained and is then handed to the chef. Service users confirmed that they were offered choices every day and that special diets or preferences were catered for. Service users informed the inspector that there was ‘always plenty to eat and drink’ and that additional snacks were made available where requested. Hot drinks are served regularly by staff. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 16 The home’s kitchens were inspected by Environmental Health on 01/12/05. The provider and chef confirmed that action had been taken to address the issues raised. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 The home has appropriate systems in place to enable service users and their representatives to raise concerns. The home takes appropriate steps to reduce the risk of harm or abuse to service users. EVIDENCE: The home has a clear complaints procedure, which is displayed in the home. Service users and staff spoken with informed the inspector that they would not hesitate in raising concerns if they had any. All stated that they found the provider/manager and staff approachable. Service users and staff did not express any concerns at this inspection. The provider/manager stated that the home had not received any complaints. No complaints or concerns have been raised directly with the CSCI. The home takes appropriate steps to ensure that service users legal rights are respected. All service users are registered to vote. To reduce the risk of harm or abuse to service users, the home follows robust staff recruitment procedures. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 18 The home has a whistle blowing policy and a copy of Somerset’s policy on the Protection of Vulnerable adults. The home’s whistle blowing policy also identifies relevant outside contacts including the contact details for the CSCI. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Service users live in a very clean, comfortable and homely environment which is well maintained and benefits from sea views. The home has been suitably adapted to meet the needs of service users with mobility difficulties. The home ensures that service users have access to appropriate mobility aids. EVIDENCE: Banbridge House is a large detached property located on the seafront at Minehead. The home has been well adapted to meet the needs of the service user group. Service user accommodation is provided over three floors. A shaft lift gives access to the first and second floor. The home is accessible for people with all levels of mobility. The stairs have handrails on both sides and grab rails are fitted throughout the property. A call bell system is available throughout the home. The home would contact the local occupational therapy service for advice on any further adaptations that may be required. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 20 The home benefits from an attractive garden. All areas of the home have been decorated and furnished to a high standard. Since the last inspection several bedrooms have been redecorated and have benefited from new carpets. The home has a large lounge, which is pleasantly decorated and comfortably furnished. There are large windows with clear views of the sea. The home also benefits from a very comfortable conservatory/lounge, which looks out onto the garden. In addition to the lounge areas, the home has a large reception and lobby area, both of which have comfortable seating. The dining room, which also has sea views, is pleasantly and comfortably furnished. All communal areas promote a ‘homely’ feel. The home, which is registered for up to 19 service users, has 17 single bedrooms and 1 shared room. Three bedrooms benefit from en-suite toilet/bathing facilities. All bedrooms are fitted with a wash hand basin as a minimum. Bedrooms seen at this inspection were found to be very comfortable and clean and it was apparent that service users were encouraged to personalise their rooms. To ensure the privacy of service users, all bedrooms are fitted with a lock which can be accessed by staff in the case of emergencies. Screening is fitted in the shared bedroom. Lockable space is available in bedrooms to enable service users to safety store valuables. The inspector was informed that bathing facilities are currently adequate to meet the needs of service users. The home has two assisted baths, though only one is in use, and a level access shower room. Toilets are conveniently placed close to communal areas. To ensure the safety of service users, baths are fitted with a thermostat to ensure that temperatures do not exceed HSE recommended limits. Monthly checks are carried out with records maintained. Hot water warning signage is displayed at wash hand basins. Also to ensure the safety of service users, upstairs windows have been restricted. Wardrobes are secured to the wall. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 21 On the day of this inspection, the home was warm and there was a high standard of cleanliness. There were no malodours in any area of the home. The home employs domestics who cover a 7 day period. These staff should again be commended for their obvious high standards and commitment. Service users spoken with were very positive regarding the standard of cleanliness at the home. This was relayed to the housekeeper on duty at the time of the inspection. To reduce the spread of infection, staff hand washing facilities are appropriately sited throughout the home. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 22 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Service users benefit from a stable staff team who have been appropriately trained. Staff morale appeared high, which has a positive outcome for service users. The home follows robust staff recruitment procedures. EVIDENCE: The inspector was informed that the home had a stable and committed staff team. One new member of staff has been employed since the last inspection. The home has not had to use agency staff. Copies of a four week staffing rota were made available to the inspector. This indicated that during the day/evening three carers are on duty. The registered provider/manager are also on duty during the week-days in addition to the numbers of carers. Nights are covered by one waking and one sleep-in carer. The provider/manager stated that, where required, staffing levels are increased to ensure that the assessed needs of service users are met. The provider/manager is very much ‘hands-on’ and often works as part of the care team. In addition to care staff, the home employs a chef and two housekeepers. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 23 During the inspection it was noted that the atmosphere at the home was relaxed and welcoming. Staff were seen to spend ‘quality time’ with service users. Without exception, all service users spoken with commented on the kindness of staff. The inspector was able to meet with all staff on duty during the inspection. All stated that Banbridge House was a ‘lovely place to work’ and that they felt well supported and appropriately trained. The inspector was informed that of the fourteen care staff employed, eight have achieved a minimum of an NVQ level 2 in care, this equates to 57 . Staff spoken with informed the inspector that they felt they had received the training needed to care for service users living at the home. Recent training includes; epilepsy and related medication, administration of medicines, continence, first aid, moving and handling and fire safety. Staff informed the inspector that they were looking forward to the planned training in dementia care. The inspector examined the recruitment file for the most recent staff member and was able to see evidence that the home was following appropriate and robust recruitment procedures. This included CRB and POVAFirst checks. The inspector was also able to see evidence that the staff member had undertaken a period of induction. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 24 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users and staff benefit from an open and inclusive style of management where their views are encouraged. Staff are appropriately supervised and the home is run in the best interests of the service user. The home takes appropriate steps to ensure the health and safety of service users, staff and visitors. EVIDENCE: The registered provider/manager of the home is Tina Boswell. Tina has been the registered manager of the home since 1994 and in August 2004 she was approved by the CSCI as registered provider of the home. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 25 Tina is a registered general nurse with a wealth of experience in the care of the elderly. She holds an NVQ assessors award D32/33 and has completed up to date training in medication, moving and handling, infection control, first aid and epliepsy. Training in dementia care is also planned. Tina has recently registered on the NVQ level 4 in management. Tina is very much a ‘hands-on’ manager who demonstrates a very good knowledge of the needs and preferences of service users living at the home. Staff and service users spoken with had nothing but praise for the provider/manager. They commented on her kindness and commitment to high standards of care. Staff stated that they felt very well supported. Staff and service users spoken with were positive about the management style at the home and informed the inspector that their views were encouraged and acted on. Regular meetings are held for staff and service users where views are encouraged. Minutes were seen. The inspector was able to see evidence that staff receive regular supervision sessions. Records are maintained in each staff member’s personal file. As part of its quality assurance programme, the home has recently sent out questionnaires to relatives/visitors to the home. This is planned to take place twice yearly. A few completed questionnaires had been returned and comments were noted to be very positive. The home’s business and financial plans were not requested at this inspection. The home displays up to date and appropriate employers liability insurance which expires in August 2006. The home will assist service users where appropriate or where required, to manage small amounts of personal monies. The home does not act as appointee of behalf of service users. Records of financial transactions were sampled at this inspection and were found to be appropriately completed with receipts available. Balances were not checked at this inspection. All records seen at this inspection were up to date and stored in accordance with the Data Protection Act 1998. At the time of this inspection, the home was taking appropriate steps to ensure the health and safety of service users, staff and visitors to the home. This was ascertained by a tour of the premises, discussions with staff/service users and on examination of the following records: Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 26 FIRE SAFETY – The home conducts weekly checks on the home’s fire detection systems and monthly checks on emergency lighting. Records were seen. Fire detection systems and fire fighting equipment are serviced by an outside contractor on an annual basis. This was last carried out on 16/11/05. All staff received fire training from an external company in March ’05. This has already been planned for this year. The home conducts regular in house fire drills for staff and service users. These were last conducted in January and February 2006. ELECTRICAL SAFETY – The home’s portable appliances (PAT) were appropriately checked in February 2006. Detailed records were seen. The home has an up to date electrical hardwiring certificate which expires on 13/07/09. GAS SAFETY – The home has an up to date annual Landlords Gas Safety certificate dated 28/02/05. HOT WATER OUTLETS/SURFACES – The home maintains records of monthly checks on all hot water outlets. Actual temperatures need to be recorded. To reduce the risk of injury to service users, bath hot water outlets have been fitted with thermostatic controls. Warning signage is displayed over wash hand basins. EQUIPMENT SERVICING – Bath and mobile hoists were last serviced, by an external company in accordance with LOLER regulations, on 22/11/05. The home currently has two mobile hoists (Trixie and Sarita) and a Malibu assisted bath with integral hoist. The inspector was informed that arrangements had been made for all wheelchairs to be serviced next week. - To ensure the safety of service users, all upstairs windows are restricted. One upstairs bedroom has patio doors and a balcony. The provider/manager stated that a risk assessment would be completed for any service user occupying this room (currently empty). The need to ensure that the bedroom door is kept locked to reduce any risk to other service users was discussed with the provider/manager at the time. - En-suite bath hot water taps have been disabled. These taps are run weekly to prevent the risk of legionella. - The home has a qualified first aider on every shift. Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 28 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Banbridge House DS0000061623.V275101.R01.S.doc Version 5.1 Page 30 - 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!