Inspection on 03/08/05 for Bank House

This inspection was carried out on 3rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Bank House 07/02/07

Bank House 01/03/06

Bank House 25/11/04

Bank House 12/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Inspirations

Westmead

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Bank House Chetwynd End Newport Shropshire TF10 7JE Lead Inspector Janet Adams Announced 3 Ausut 2005 09:30 rd 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. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bank House Address Chetwynd End Newport Shropshire TF10 7JE 01952 814371 01952 814350 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) Mr Colin James Richard Davies Care Home 20 Category(ies) of Old Age (20) registration, with number of places Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No conditions apply. Date of last inspection 25th November 2004 Brief Description of the Service: Bank House is registered with the Commission for Social Care Inspection to provide residential care for a maximum of twenty older people. The registered proprietor of the home is Mr Colin Davies who is a qualified nurse. Bank House is a detached property situated in the heart of Newport close to all local amenities. The home has been undergoing extensive refurbishment since the present owner acquired the property in 1995. Ongoing improvements since the last inspection has resulted in improved bedroom accommodation and furnishings. The private garden at the rear of the property now has a new patio and seating area. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and commenced at 9.30am lasting six hours. It included observing activity within the home, inspecting the premises, an ‘in depth look’ at records, for residents and staff, talking and listening to over half of the 18 people living there, and four of the staff on duty at the time of the inspection. These discussions were carried out in private on a one to one basis, or together in groups. Everyone was happy to share comments, which were explored and reflected in the main body of the report. No visitors were available to talk to on this occasion. The inspection got off to a good start as the home manager had sent in a lot of detailed information the CSCI (Commission for Social Care Inspection) had requested before the inspection. Before the inspection, CSCI also sent out comment cards to residents, their relatives and visiting professionals, so that other peoples opinions of their experiences about Bank House could be taken into consideration to get a full picture of what life is like at the home. Three district nurses gave positive information about their impression of life at Bank House. Written comments received from all 11 of the 18 residents living in the home who filled in the comment cards were complimentary, 16 comment cards were received from relatives prior to the inspection, all containing positive comments, which were similar to the favourable inspection findings. The home has a history of meeting and exceeding national minimum standards and providing a good service for people; consequently on this occasion only those certain ‘key’ standards have been inspected. What the service does well: Bank House provides a spotlessly clean and homely place to live for the individuals who are currently supported and cared for there. It was impressive to see that the efforts of the home team have meant that Bank House had more than met 13 of the 24 National Minimum Standards for Older People looked at during the inspection. This shows that they excel in many aspects of providing a personal care service. Unanimous comments received before and on the day of the inspection confirmed that home provides good quality care and support for the people living there in a desirable manner. Many people have lived at the home for many years. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 6 The following comment from a relative sums up these findings: ‘My mother is extremely happy in Bank House. All the staff treat her with respect, and deal sensitively with any problems. She refers to Bank House as ‘my home’ – a good description of the excellent care she receives.’ 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. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 7 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 Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 8 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) 3 &4. Bank House has in depth pre- admission procedures, which assures people that the home will meet their needs by staff that individually and collectively have the skills and experience to deliver the care, which the home offers to provide. EVIDENCE: When four residents records were looked at, including those for a resident on short term care, it was seen that the home has commendable systems to get as much information as they can about any person considering moving into the home. Bank house have specially designed assessment forms, which makes sure all necessary details are written down. All four records seen had a wealth of written information which shows the person carrying out the assessments had the knowledge and skills necessary to make a professional decision whether the home could meet the individual needs of any one moving into Bank House. Furthermore, an ‘admission checklist’ form which details 11 different actions the staff have to sign for, makes sure anyone admitted gets the right information and support to settle in the home. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 9 Observations and discussions with residents, staff, and home management team indicated that the home meets the individual needs of the elderly people living at Bank House in a desirable manner. Written comments received from a total of three visiting professionals and 16 relatives confirmed this. The following comment from one of the health care professionals sums up the extra information they provided; ‘ I have been visiting and treating patients in Bank house regularly for a number of years. I find the staff and management most professional, efficient and helpful. Residents are always treated with the utmost of respect and appear happy with life. Bank House, compared to other homes I visit, go that extra mile.’ Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 10 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, &11. There is a good, consistent care planning management system in place, which confirms residents get the care they need and expect, by staff that meets the individual needs of each resident in a professional and sensitive manner. EVIDENCE: The care plans of three of the 18 people living at Bank House were looked at in depth. It is obvious the home undertakes a lot of work and effort to keep these records up to date. It was commendable to see residents health, personal and social care needs set out in appropriate detail in their records to give a full picture of the way the person prefers them to be carried out. The records were maintained to a very professional standard and were full of information to make sure anyone reading it knew exactly how to safely care for that person. The variety of staff signatures seen in the care plans confirmed that the whole team was fully involved in delivering care according to the persons care plan. Some very easy to understand forms were seen to be in use to enable the residents to be fully involved with their care plans if they made the choice to do so. One resident commented that the use of coloured paper for the different sections of the care plan helped you to find the information you Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 11 needed a lot easier. The use of photos on the spine of the care plan also helped residents identify the records belonged to them. The explicit details recorded on the residents’ health and safety risk assessments showed that the home fully complied with all guidance and legislation for this matter. Another comment received by a district nursing sister confirmed these findings; ‘Colin and his staff always act professionally and refer to the district nursing team as and when appropriate, Residents appear happy and well cared for. The staff try very hard to provide the best care possible.’ The sensitive issue of caring for a person’s needs in the event of their passing away was also seen to be suitably dealt with. During the past 12 months, the home managed the care and needs of two people at the end of their life. Impressive findings in records, which were reflected in letters of gratitude from relatives, confirmed the staff had gone above and beyond their duties to ensure this sensitive matter was respectfully carried out. Private discussions with residents and relatives confirmed the written comments received which stated they feel staff maintain their privacy and dignity. Observations of daily routines made by the inspector on the day confirmed that service users are treated with respect. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 12 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 Full involvement with individuals living at the home raises staff awareness to promote choice and control over their lives wherever possible, including their day-to-day pastimes and opinions about the good homely type of meals provided. EVIDENCE: Discussion with staff on duty confirmed they were very knowledgeable about all of the residents’ personal interests. It was seen that individuals were encouraged and empowered as far as it was practical to maximise their independence and be involved in choices about all daily activities in and out of the home. Lots of information seen and on display around the home confirmed the home was an established part of the local community. The home makes full use of its location, and several residents are supported to go into the town centre of Newport on a regular basis. It was favourable to hear that there were always alternative activities laid on for residents who did not want to venture out of the home. A notice board details up to date information about the range of activities that are available for residents to take part in if they choose. All activities listed appeared appropriate for the residents within the home. This shows the home has a team approach to keep people involved and stimulated in pastimes appropriate to their wishes. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 13 An unusual but welcome daily visitor to the home is a pet rabbit that visits Bank House garden through the fence from the house next door and is a topic of pleasure for many of the residents who watch its antics from the conservatory! Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 14 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 & 18. Concerns and complaints are dealt with promptly and professionally and enhance the effective procedures and practices are in place to protect individuals from abuse. EVIDENCE: From the information provided to CSCI before the inspection it was confirmed that no complaints had been received in the past 12 months. All comment cards received back from residents, relatives and visitors contained details to confirm that they knew how to make a complaint if they needed to, although they all acknowledged they had not done so. All feedback from visiting professionals such and district nurses confirmed that they had not dealt with any complaints about the home. The home has all necessary documentation in relation to the protection of vulnerable adults. The staff have regular training for this matter. The excellent record keeping the home has to look after the residents makes sure the home team are aware of any potential risks to resident well being. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 15 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) 19,22,23,24 &26 The standard of the environment within Bank House is continues to improve. Residents have a safe, homely, comfortable place to live. EVIDENCE: An ongoing refurbishment programme in the home has resulted in further improvements to the surroundings for the people living, visiting and working there. Recent changes have included the additional provision of two toilets, the conversion of a double bedroom into single rooms, and the provision of an additional two en suites. Furniture and carpets in many bedrooms have been replaced, and the call bell system has been upgraded. Externally, landscaping of the garden has been completed. The home is to be commended for its cleanliness. All areas were seen to be spotlessly clean without unpleasant odour. This is summed up by another written comment from a relative: ‘We are pleased with the constant improvements that are being made to the building and to the extra facilities which are offered, that is, the new furniture, conservatory, and the beautiful back garden.’ Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 16 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) 27,28,29,&30. Residents are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: The staff rotas on display and staff on duty at the time of this inspection demonstrated that adequate numbers and skill mix of staff are on duty at all times. All of the information written in comment cards received by CSCI also confirmed this to be the case. It was impressive to hear that the residents will be involved in the recruitment of future staff. They are already lined up to interview candidates for the activity organiser vacancy. The home has well organised systems and detailed records for staff. When five sets of staff files were looked at in depth, they were seen to contain all the necessary information to show potential staff were well screened before they are deemed suitable to start work at the home. The introduction of a new training planner and record system has been successful in showing an up to date picture of the staff’s recent achievements. It was good to see the training folders were used to store the staff members’ induction records in to show they received appropriate support when they started work at Bank House. There has been a commendable steady improvement in the way staff training is carried out. The manager himself had just received a letter to confirm he had passed the Registered Managers Award. Over 68 of the care team are now qualified up to NVQ level 2. The home team have been supported to get a wealth of in depth training in topics, which cover medication, management, Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 17 infection control and dementia. Even the housekeeping team have attained qualifications in NVQ for their most important role. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 18 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) 33, 34,36, 37 &38. The competent registered provider and manager at Bank House ensures the staff team have been effectively supervised and managed. The health, safety and welfare for residents, staff and visitors continue to be maintained, improved and adjusted to make sure safe working systems already in place meet changing needs as they arise. EVIDENCE: The manner in which registered manager, and staff responded to this inspection indicated that a good management approach is in place and that staff are committed to ongoing improvements, achieving best practice and to developing equal opportunities. With the guidance and support of Colin Davies, the registered manager and his management team, the team spirit at the home goes from strength to strength. All of the management team have just Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 19 completed a six-week course in supervisory management, and they have devised an effective system to monitor the team’s progress and development. Staff actions and comments show that the home is focussed on resident centred care. It was reported the staff were willing to pay for the free meals the home provides for them when they are on duty, in order to boost the activity budget for the residents. Many of the new ideas to improve the service on the home have been as a result of staff and residents suggestions. - A successful project, which has stemmed from resident and staff involvement, has been the commencement of waste recycling in the home. The home has its own motto’ what we do this week isn’t necessarily what we do next week’, which reflects staff are motivated to be flexible to peoples changing needs. The home has also just recently been awarded the Investors in People Award.’ In order to continue to improve what services they provide, the home has an ongoing quality assurance system, which is suitably accounted for in the business plan the home submitted for the inspection. Although the home was seen to meet and exceed many of the standards assessed, it was noteworthy to comment that the home continues to strive to improve the service it provides, for example, there are already changes to the daily records of residents underway. Bank house has a consistent and sensible approach to all health and safety matters. From records seen, all staff has received appropriate Health and Safety training. Necessary certificates and service records for equipment and appliances seen confirm the home is being maintained as it should be in order to comply with all the legislation it needs to. As with the other good record keeping systems already mentioned in this report, it is noteworthy to comment that the home has a robust accident recording and audit system. A final written comment from a relative summarises the commendable inspection findings at Bank house: ‘Colin and his team continue to provide an excellent standard of care always striving to improve on the already high standards in place. I visit the home at least twice a week and am always pleased with what I see. My mum feels very safe and happy at Bank House.’ Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 20 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 x x 4 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 x 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 x COMPLAINTS AND PROTECTION 4 x x 3 3 3 x 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 3 x 3 3 4 Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 21 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 Regulation Requirement No requirements were made as a result of this inspection. 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. 1. Refer to Standard Good Practice Recommendations No recommendations were made as a result of this inspection. Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 Bank House E56 S20537 Bank House V213461 AI 030805 Stage 4.doc Version 1.40 Page 23 - 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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