Inspection on 17/07/06 for Bank House Care Home

This inspection was carried out on 17th July 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

Bank House Care Home 21/11/05

Bank House Care Home 19/05/05

Bank House Care Home 22/03/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Bank House Care Home Church Street Sutton-in-ashfield Mansfield Nottinghamshire NG17 1EY Lead Inspector Stephen Benson Key Unannounced Inspection 17th July 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 Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 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. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bank House Care Home Address Church Street Sutton-in-ashfield Mansfield Nottinghamshire NG17 1EY 01623 552766 01623 442160 info@bhcarehomes.co.uk 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) Bank House Care Homes Ltd Mr Kishna Sooriah Mrs Patricia Sooriah Care Home 14 Category(ies) of Dementia (14), Old age, not falling within any registration, with number other category (14) of places Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within category OP or DE (aged 60 years or over) 21st November 2005 Date of last inspection Brief Description of the Service: Bank House is a care home providing personal care and accommodation for 14 older people including those with dementia. The home provides short and long term care and will accept emergency admissions. The home is owned by Mr. and Mrs. Sooriah, which is run as a family business. The home is located in a residential area in Sutton in Ashfield close to the town centre where there are shops, pubs, the post office and other amenities. The home was opened in 1989 and purchased buy the current providers in 2000. The home consists of an extended domestic dwelling.12 of the homes bedrooms are single, and 6 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a stair lift. The home has an enclosed garden that is well maintained and easily accessible. There is car parking available on the drive and there is unrestricted on road parking to the front of the home. The manager said on 18/07/06 that the fees for the service range from £279 £324 per week depending on dependency needs. There are additional charges for hairdressing and chiropody Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. The inspection lasted for 4 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty and care practices were observed and a relative was spoken with. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 6 All new residents must be fully assessed as described in Standard 3 of National Minimum Standards before they are admitted to the home to ensue that their needs can be met. There were some ground floor windows that were showing signs of rot and general wear and tear. These must be replaced or repaired so that residents are living in a home, which is well maintained. There was some money being looked after on behalf of residents that had not been recorded. Any money looked after for residents must be recorded to ensure that residents financial interests are being safeguarded. 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 Care Home DS0000063525.V303131.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 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 the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are not fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: There is an assessment pro forma to complete when undertaking an assessment on a new resident and the manager said that prospective new residents are visited prior to admission. Staff said that the manager or provider visit prospective new residents before they come to the home. Assessments were seen on files for recently admitted residents, however these were not fully completed and only contained personal details rather than an assessment of their needs. A recently admitted resident said that he had been visited before coming to the home and his family had talked with the manager about how he wished to retain his independence. There is no arrangement made for the home to provide an intermediate care service. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 9 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health, personal and social care needs are set out in an individual plan of care. Residents’ health care needs are fully met. Residents are protected by the homes procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy upheld and their wishes are acted upon. EVIDENCE: There was a care plan prepared for each resident, and this listed their health, personal and social care needs. Plans are reviewed each month and updated according to any change in circumstances. Plans described clearly how residents’ needs are to be met and staff said that they refer to these when wanting to check things out. The manager said that she has recently introduced a new keyworker system and part of their responsibilities is to keep care plans up to date, which is working well. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 10 Plans are signed by residents or their relatives showing that these have been discussed with them. Residents said that they had discussed their care with staff. There were sheets in care plans to record all healthcare appointments and those seen showed that residents had regular health checks. Good practices were observed when helping residents move. There was a memo to staff giving guidance how to care for residents during the current heat wave. Residents were wearing cool light clothing and cold drinks were seen been taken round. The front conservatory was not in use due to the temperature and fans and air coolers were in use. Staff described a good working relationship with the district nurses and said that they had called one out to see to a resident earlier that day. One resident said that he goes out to medical appointments with his family and a relative said that he thought residents’ healthcare was well looked after. Staff described good practices when administering medication and said that they had been trained in the safe handling of medicines. Medicine Administration Records were seen fully completed and the manager said that if any staff notice a gap when recording drug administration they have been told to report it to her and she will investigate this. A resident said that he had been asked if he wanted to self medicate but he would rather staff gave him his medication. Staff said that they do their best to maintain residents privacy and dignity and that the manager drills good practices into them. There were references to maintaining residents’ privacy and dignity in care plans. Residents said that they felt that staff respected their privacy and dignity. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find the lifestyle experienced in the home matches their expectations. Residents maintain contact with family and friends. Residents are helped to exercise control over their lives. Residents receive a wholesome and balanced diet. EVIDENCE: There is an activities from included in the care plans to record all activities undertaken, however it was noted that this was not being fully completed. The manager said that the cook’s role is combined with that of an activities coordinator, and that this had been successfully carried out by the two previous cooks. A new cook has just taken up post and will be starting to do activities when she has settled into her cooking role. Staff were seen playing dominoes with residents The manager said that she had made contact with an activities organisation having seen an article in the recent Commission for Social Care Inspection Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 12 newsletter and that she expects activities to be part of the daily care of residents. The manager said that she had recently carried out an audit of services provided in the home and one comment made by residents was that they would like more trips out. The manager said that she is planning to arrange a trip to Hardwick Hall over the summer. Relatives are able to take residents out and the provider will take any to the local pub that want to go. One resident goes out each day on an electric scooter. There was an assessment for this on file and an agreement form signed by the family. A relative said he visits most days and is always made welcome. Staff described promoting choice for residents saying that they will give them information to help them make choices, like what the weather is like to help them choose what to wear. Residents spoke of choosing how they spend their time; one saying he likes to go out and others were asked by staff if they want to watch television, which they said they did not. A new cook has just taken up post and is preparing some new menus. The manager said that she was currently trying dishes out to see which the residents like. There is not a choice at lunchtime, when the main meal is had, but alternatives are available and the cook said she was leaning residents’ preferences as to how they like the food cooked. The manager said that there is a choice of meal at tea time. Residents said they thought the food was good and were seen eating lunch and appeared to enjoy it. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 13 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their complaints will be listened to. Residents are protected from abuse. EVIDENCE: The home has a complaints procedure that is displayed in each resident’s room. Staff said that they would take any complaint they received straight to the manager. The complaints record was seen and there have been three complaints made since the last inspection, 2 about room temperatures and 1 about someone wandering into another resident’s room. The entries showed that appropriate action was taken. Residents said they did not have any complaints but would tell staff if they did. Staff said they had received training on adult protection as part of their National Vocational Qualification training. The adult protection procedures were seen in the office but these had not been updated with new inserts that had been sent to the home. The manager found these and said that she would ensure that these were updated. There have not been any allegations or incidents of abuse recorded since the last inspection. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: There has been some decorating carried out and new carpets fitted since the last inspection. A handyman is being employed to carry out routine maintenance and repairs. Staff said that the home is suitable for them to carry out their duties. The ground floor windows were in poor condition and need to be replaced or repaired. Residents said that the home is kept clean and fresh and areas of the home seen were clean and tidy and there was a domestic member of staff cleaning. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents needs are met by the numbers and skill mix of staff. Residents are in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The manager said that staffing levels are adjusted to provide an extra member of staff on duty for some evenings and this should be kept under review to ensure that there are sufficient staff on duty to meet the needs of residents at other times. The home employs domestic and catering staff. The manager said that all staff have either completed or are currently working towards National Vocational Qualifications levels 2,3 or 4. Staff referred to this training when discussing aspects of care. Staff files seen contained the required information with the exception of one which did not have a Criminal Records Bureau check, the provider later forwarded a Protection of Vulnerable Adults check that had been undertaken prior to the member of staff starting but had not been put on the file. A recently appointed handyman was at the home completing a Criminal Record Bureau check and the provider said he will not commence work until a Protection of Vulnerable Adults check is received. Staff described the mandatory training they had done and said that the provider ensures that all training is provided. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 16 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a suitable manager employed to run the home. Residents have opportunities to express their views on how the home is run. Residents’ financial interests are not being safeguarded. The health, safety and welfare of residents are protected. EVIDENCE: The manager, who is also joint provider, has worked at the home for a number of years and has completed National Vocational Qualification level 4 and has almost completed the registered Managers Award. Staff described the manager as providing positive leadership. The manager said she had recently completed an audit on services provided within the home and was looking to set up a residents and relatives committee, and introducing questionnaires for residents and relatives. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 17 The manager said that they did not look after residents’ money but some money is left to pay for hairdressing and chiropody. No record is made of this and a record must be made of all monies held in the home for residents. The fire log showed that the required safety checks and tests are carried out at the required frequency. Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 18 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 X X 2 X X N/A 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 Standard No Score 16 3 17 X 18 3 2 X X X X X X 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 X 3 X 2 X X 3 Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 19 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. 1 2 3 Standard OP3 OP19 OP35 Regulation 14 23 17 Requirement Timescale for action 01/08/06 The registered person must ensure that all new residents are fully assessed prior to admission. The registered person must 01/07/07 repair or replace all windows in poor condition The registered person must keep 01/08/06 a record of all monies held on behalf of residents 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 OP18 Good Practice Recommendations The registered person should keep the adult protection procedures up to date Bank House Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Care Home DS0000063525.V303131.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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