Inspection on 27/09/05 for Banbridge House

This inspection was carried out on 27th September 2005.

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

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

Other inspections for this house

Banbridge House 30/07/08

Banbridge House 13/09/07

Banbridge House 07/12/06

Banbridge House 22/02/06

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 Unannounced 27 September 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Banbridge House Address 3 The Esplanade, Minehead, Somerset, TA24 5QS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01643 702275 01643 708551 Miss Tina Boswell Miss Tina Boswell Care home 19 Category(ies) of Old age (19) registration, with number of places Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Evidence must be provided to CSCI that the Registered Manager has enrolled to study for the NVQ level 4 qualification in management by the end of February 2005. Date of last inspection 18th November 2004 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. At the time of this report, the CSCI are currently processing an application from the registered provider to vary the homes registration to include 3 places for service users in the category of dementia. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over one day (5.5hrs) by CSCI Regulation Inspector Kathy McCluskey. The registered provider/manager and her deputy were available throughout the inspection. The morning of the inspection was spent talking to service users and staff and looking around the environment. The afternoon was spent examining records relating to staff, service users and health and safety. The inspector would like to thank service users, staff and management for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report and the last announced inspection report. What the service does well: Banbridge House provides service users with a well-maintained, comfortable and homely environment. The home benefits from a convenient location close all local amenities. The home is situated in a quiet road on the sea front. The main communal areas and some bedrooms benefit from sea views. Service users have access to a secure and well-maintained garden. 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’. The home is suitably adapted to meet the needs of service users with all levels of mobility. Service users benefit from a stable staff team. 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 Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 6 assistance was offered in a manner which respected their privacy and preferences. 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. Service users were positive about the range of activities available at the home. The home organises transport for trips out. 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’. Service users benefit from a provider/manager who promotes an open and inclusive style of management and also provides ‘hands-on’ care. The home takes appropriate steps to ensure the health and safety of service users, staff and visitors. What has improved since the last inspection? What they could do better: Service users spoken with indicated that there was nothing that the home could do better. All were happy with the care and services they received. All staff receive regular fire training though it has been recommended that details are recorded for the regular fire drills carried out. The provider/manager is a registered nurse and has managed the home effectively for over 10 years. As part of the CSCI conditions of registration, the provider/manager must ensure that she registers for an NVQ level 4 in management. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 7 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 D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4 and 5. Standard 6 is not applicable as the home is not registered to provide intermediate care. 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 takes appropriate steps to ensure that the assessed needs of service users and prospective service users can be met. EVIDENCE: The home has a Statement of Purpose and Service user Guide which are made available to service users, prospective service users and their representatives. These documents provide information about the home and the services offered. Copies of these documents were seen to be displayed in the reception area of the home. Contained within these, is a copy of the homes last CSCI inspection report. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 10 The home’s current fee range is between £313 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 and chiropody. Prospective service users are assessed by the provider/manager or her deputy to ensure that 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. The provider/manager was able to provide examples of this. Documented evidence of pre-admission assessments was seen in the care records of the most recent service user. 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. Service users spoken with were very positive about the care they received. All stated that they felt ‘well cared for’ and that their needs were met by the home. The home has an adequate supply of specialised equipment which includes hoists and pressure relieving equipment. Appropriate aids and adaptations are sited around the home to assist service users with mobility difficulties. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 and 10 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. EVIDENCE: Two service user care plans were examined at this inspection. Care plans were well organised and clearly identified the individual’s assessed needs and preferences. Instructions for staff were clearly stated. All service users are allocated a member of the care team as their key-worker. Care plans also included service users social history’s and relevant contact details. Assessments were seen relating to the prevention of pressure sores and moving and handling needs. As required at the last inspection, the inspector was able to see evidence that care plans were now being reviewed on a monthly basis. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 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 provider/manager stated that the home received excellent support from healthcare professionals. 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. Service users’ needs regarding the administration of prescribed medicines were seen to be documented in the individual’s plan of care. The inspector was informed that all staff have recently received training in the management and administration of medicines and were awaiting certificates. The home’s last community pharmacy advice visit was conducted in May of this year and procedures were found to be good. It has been recommended at this inspection that creams in use are marked with the date of opening/expiry to ensure that they do not exceed their shelf life. Service users spoken with informed the inspector that their privacy and dignity was always respected by staff. Locks are fitted to bathrooms, toilets and bedrooms which can be over-ridden by staff in the case of an emergency. As previously mentioned, the home benefits from a good size treatment/clinic room where staff can receive treatment/examinations from visiting professionals in private. Screening is available in the shared room. On the day of this inspection, staff were observed communicating and interacting with service users in a kind and professional manner. The service user’s preferred term of address is recorded in the plan of care and respected by staff. Service users commented on the kindness of staff at the home. Bedrooms are fitted with telephone sockets and a payphone is available for service users. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 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: Service users spoken with were positive about the range of activities available at the home. The home ensures that the preferences of service users are respected and that service users can continue with their own hobbies/interests. This was confirmed by some service users spoken with. The home has arranged for an occupational therapist to visit once a week to provide additional activities for service users. This includes painting, weaving and other craft activities. On the morning of the inspection, many service users were looking forward to a ‘keep-fit’ session in the home’s lounge. Many who had mobility difficulties stated that they found these sessions beneficial. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 14 Service users also benefit from trips out. A favourite appeared to be shopping for personal items in Minehead. As requested by service users at a recent meeting, the home is in the process of organising a trip on the West Somerset Railway steam train. The home arranges transport for trips outside of the home. 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. 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. Service users were very positive about the meals available at the home. All stated that they really enjoyed the ‘traditional home cooking’. Menus seen identified wholesome, varied and interesting choices. 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. On the morning of the inspection, the provider/manager was 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 and the inspector saw that jugs of juice were available throughout the day in communal areas and bedrooms. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18 The home had 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 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 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 D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 16 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 D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 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. EVIDENCE: Banbridge House is a large detached property located on the seafront at Minehead, which 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. There are two assisted baths, 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 D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 18 The home benefits from an attractive garden. All areas of the home have been decorated and furnished to a high standard. 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. The majority of bedrooms were seen at this inspection and all were found to be very comfortable and clean 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 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 though 3 were identified at this inspection as needing securing. The provider/manager agreed to take action to address. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 19 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. To reduce the spread of infection, staff hand washing facilities are appropriately sited throughout the home. As agreed at the last inspection, the provider/manager has taken action to make appropriate hand-cleansing facilities available in the shower room. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 Service users benefit from a stable and committed staff team. The home is appropriately staffed to ensure that the assessed needs of service users are met. The home follows robust staff recruitment procedures. EVIDENCE: The home appears to be adequately staffed to meet the needs of service users. Staff and service users spoken with did not express any concerns about staffing levels at the home. Service users stated that staff were always ready to assist them during the day or at night. Service users confirmed that call bells were answered promptly by staff. The inspector was informed that the home had a stable and committed staff team. The home does not currently have any staff vacancies and the home does not use agency staff. During the inspection it was noted that the atmosphere at the home was relaxed and welcoming. Staff were noted to spend ‘quality time’ with service users. Without exception, all service users spoken with commented on the kindness of staff. The provider/manager and the deputy are at the home Monday to Friday between 0800 and 1700hrs. The provider/manager also works shifts where needed and provides ‘hands-on’ care to service users. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 21 Three carers are on duty between 0800 and 2030hrs. 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. An example was given to support this. The home also employs a chef and two housekeepers. The home has an appropriate on-call system in place. The inspector examined the recruitment files for the two most recently employed staff. Both files were well maintained and contained information as required under Schedule 2 of the Care Homes Regulations 2001. Enhanced CRB and POVA checks were also available. The home is in the process of arranging training for staff in the care of people with dementia. Progress will be followed up at the next inspection. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34 and 38 Service users benefit from an open and inclusive style of management where they are encouraged to express their views. The home takes appropriate steps to ensure the health and safety of service users, staff and visitors. EVIDENCE: Tina Boswell has been in the registered manager of the home since 1994 and in August 2004 she was approved by the CSCI as registered provider of the home. It was a condition of the registration that she registers on for an NVQ4 in management. The inspector was informed that the completed application forms would be sent off imminently. Confirmation that this has been done must be sent to the CSCI. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 23 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. 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. The provider/manager takes a very ‘hands on’ approach, which was evident at the time of the inspection. Regular meetings are held for staff and service users with minutes maintained. The last staff meeting was held in March and another is planned. Service users last attended a meeting on 25/08/05. Staff and service users informed the inspector that they found the provider/manager and the deputy approachable and always willing to listen. 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. At the time of this inspection, the home is taking appropriate steps to ensure the health and safety of service users, staff and visitors. This was ascertained by a tour of the premises, discussions with staff/service users and on examination of the following records: 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 May & August of this year. All staff received fire training from an external company in March ’05. The home conducts regular in house fire drills. This was confirmed by service users spoken with. The need to maintain appropriate records for this was discussed with the provider/manager at the time. ELECTRICAL SAFETY – The home’s portable appliances (PAT) are visually checked by a competent person on a monthly basis. This was last carried out in September 2005. At the time of the inspection, as recommended by the inspector, in line with HSE guidelines, the provider/manager took appropriate steps to ensure that high use hand held portable appliances were tested by a suitably qualified electrician. 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. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 24 HOT WATER OUTLETS/SURFACES – The home maintains records of monthly checks on all hot water outlets. 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 21/04/05. Servicing is next due in October 2005. - 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 had been completed for the service user occupying this room. As this bedroom door was found to be unlocked and unoccupied during the inspection, the need to take appropriate action to ensure that other service users were not at risk, was discussed with the provider/manager. - 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 D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 x 3 x x x 3 Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 26 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31 Regulation 10(3) Requirement The registered provider/manager must register for the NVQ level 4 in management and forward confirmation to the CSCI that this has been addressed. Timescale for action 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP38 Good Practice Recommendations The registered person should ensure that expiry dates are recorded on prescribed creams/lotions in use. The registered person should ensure that detailed records are maintained for fire drills carried out at the home. Banbridge House D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Riverside Chambers Tangier 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 D53 - D02 S61623 Banbridge House V226054 270905 Stage 4.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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