Inspection on 19/05/05 for Bank House Care Home

This inspection was carried out on 19th May 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

Bank House Care Home 17/07/06

Bank House Care Home 21/11/05

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 Bank House Church Street Sutton in Ashfield, Mansfield Nottinghamshire NG17 1EY Lead Inspector Stephen Benson Unannounced 19 May 2005 9:30 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. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bank House Care Home Address 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) Bank House Church Street Sutton in Ashfield Mansfield Nottinghamshire NG17 1EY 01623 552766 01623 442160 info@bankhousecarehomes.co.uk Bank House Care Homes Ltd, Church Street, Sutton in Ashfield, Nottinghamshire NG17 1EY Mr Krishna Sooriah Mrs Patricia Sooriah Care Home (CRH) 14 Category(ies) of Old age, not falling within any other category registration, with number (OP) 14 of places Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within category OP or DE (aged 60 years or over) Date of last inspection 22/03/05 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 home’s 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 home does not have a website but further in formation can be obtained from the manager Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two unannounced inspections to be carried out between April 2005 and March 2006. The inspection lasted for 6 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 deputy manager, both of the care staff on duty were spoken with and care practices were observed. Other residents and a visiting friend and relatives were spoken with but no visiting professionals were seen during the inspection. 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: The health of residents is well looked after and they have all the recommended checks and an eye is kept on their well being. Attention is paid to residents’ appearance and visitors said that they noticed this. The arrangements for giving out medication are good and residents said they know when they are going to be given their medication. There was very good support seen being given to residents and staff and residents talked at ease with each other. Residents praised the attention they get from staff. One visitor has an arrangement to share in some of the care for her friend. The daily routines are flexible so that residents can do what suits them; Residents said they make a number of choices over when they do things and staff were giving residents choices. The cook also works as an activities coordinator in the afternoons. Residents were spending their time as they said they liked to and television is only put on if wanted. Visitors were full of praise for the home and described it as a big happy family. Lunch was well served and gave plenty of choice. Complaints are welcomed and records showed that these are acted upon and appropriate action taken. The building is well maintained and homely and residents and relatives said that it is always clean and fresh. One resident said how much she liked the rear lounge in the summer. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 6 Correct recruitment practices are followed and staff were very happy with the training they receive. The home has continued to run well whilst the manager has been on maternity leave. The home has got the Investors in People award and visitors said they feel their comments are listened to. 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 Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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 Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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 New residents have been admitted to the home without first establishing whether their needs can be met. EVIDENCE: All new residents are assessed on admission, however there was not an assessment for all residents before admission as is required. For the three residents case tracked two were referred through care management and should therefore have an extended community care assessment, one was on file but the other had not yet been sent by the social worker. The third person was self funding and should have been assessed by a suitably trained representative from the home, however this had not been done. There have been a number of difficulties experienced with meeting the needs of this resident, and some disruption caused to other residents, which could have been identified prior to her moving in, or indeed established whether this was a suitable placement. Other residents and relatives said that the staff were extremely patient with the resident under extremely difficult circumstances. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 and 11 There is room for some improvement in recording in care plans. Healthcare needs are well attended to and an excellent level of support is provided by staff who treat residents with respect. EVIDENCE: A total of five care plans were looked at and these included a list of activities of daily living, the resident’s ability at achieving these, whether there was any risk that needed to be assessed and what assistance is required. There is a system in place to review these which the provider said was going to be changed slightly soon to improve it. In the main these plans were fully completed but there was one risk assessment for a resident falling that had not been updated following a fall and staff described different views as to how this should be managed. There were also some behaviours identified for one resident, including being found in the kitchen and threats of aggression that had not been risk assessed. Visitors spoken with said that they were involved in discussing the care for their relatives but this was not recorded. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 10 There were systems in place to record and monitor healthcare needs of residents and these showed regular involvement of doctors, district nurses, optician, dentist and chiropodist. There was no resident who currently had a pressure sore but a record on one file showed a resident had previously, which was appropriately treated and monitored. All residents looked clean and well presented and visitors commented positively about the attention that is paid to personal hygiene. There was a separate assessment for monitoring residents’ psychological health and support for one resident was being discussed during this inspection. There was also a system for assessing nutritional intake, which is being used for several residents. Medication was appropriately stored, seen administered correctly and records were fully completed. A resident said that her tablets are always bought to her after dinner. One visitor described having an arrangement with staff that she could be involved in some personal support for a resident. Staff were observed offering support to residents in a number of areas during the inspection and this was done in an extremely attentive and sensitive manner. When providing support staff were engaging residents in conversation and one followed the resident’s lead and danced as she helped her walk to the dining table. A number of residents said how happy they were with the attention they receive from staff. Staff were observed providing care and attention to one resident who was very poorly and a relative said that they have asked for her to be able to stay at then home rather than go into hospital as she is very happy with the care she is receiving. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 and 15 There is flexibility in the home and residents are encouraged to exercise choice. Visitors are welcome and join in with the day to day life in the home. Meal arrangements are well managed although nutritional intake could be increased through not using cheaper brand foods. EVIDENCE: There was considerable flexibility identified in the daily routines. One visitor said she had requested to be able to care for her friend when she visits and this was agreed. Residents said that they can stay in bed in the mornings if they want and can have a bath any day they wish. The cook also works as an activities coordinator when she finishes in the kitchen if anyone wants to do anything and she was seen discussing a crossword with one resident. There were small bunches of lavender hung around the home made by residents in an activity session. There is an activities book to record what activities take place and who was involved. One resident said that she preferred to listen to the radio rather than watch television, which is what she was doing. Staff said that they do not turn the television on unless a resident wants to watch a programme. There were three visitors who came to the home during the course of this inspection who all said that they can visit at anytime and one described the Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 12 home as being run as one big happy family. Visitors were seen talking with staff and other residents and offering round sweets. One visitor said that she had volunteered to help with activities in the past. Another resident had a note pad with a message saying when her son was going to visit next. Staff were seen offering residents choices when the opportunity arose. They Residents were asked if they wanted a blanket, as it was cold due to the heating being repaired and asked what they wanted to do. Lunch was a mixed grill and residents were asked which of the foods they wanted and were given a choice of three different drinks. One resident changed her mind several times as to what she wanted to eat and each of these were accommodated. Hot drinks are available at any time and there is a drinks round morning, after lunch and afternoon. The lunch menu showed a variety of meals provided and the tea menu was described as being varied but the menu book could not be located. There were well stocked food stores, although it was noticed there was a high use of supermarket bargain brands. One relative said that she bought in extra food, as she did not think that the cheaper brands contain enough nutrition. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Residents are able to raise complaints and these are taken seriously and acted upon. There are procedures in place to prevent residents been subjected to any abuse. EVIDENCE: There is a complaints procedure displayed in each bedroom and a relative said that she knew how to raise any questions and that these are promptly dealt with. There is a complaints book and there have been three complaints made since the last inspection. These were all appropriate and dealt with accordingly, one was about a shrunken cardigan, which was replaced and another about ants, which were treated. One resident complained during the inspection about not having been given a proper dinner. This was duly recorded in the complaints book, however this had not been the case and was due to the resident having problems with her memory. There is a copy of the adult protection procedures and an adult protection policy. Staff said they had received training on adult protection. There has not been any reported incident of abuse, however staff did recall having diffused a potential violent situation by one resident to another. This had not been recorded and a requirement is set in the Health and Personal Care section of this report. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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 standard(s) 19 and 26 The home is kept to high physical standard and repairs are promptly dealt with. The absence of a sluice raises the possibility of risk from infection. EVIDENCE: The building was well maintained and decorated and included a number of homely touches. A maintenance man is employed and the heating was being repaired during the inspection having discovered a fault the previous night. A relative said that she liked the homeliness of the building. One resident said that she loves sitting in the rear lounge in the summer and is looking forward to doing so this year. There is a well maintained garden which residents are able to sit out in. There is a keypad lock on the front door and the exit code is displayed nearby so those able can freely come and go. There is not a separate staff room and staff felt one would allow them to have somewhere to go to unwind when needed. Although there is not an obvious solution to this, it is recommended that consideration is given to providing staff some designated space. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 15 Everywhere was clean and tidy and smelt fresh throughout. Both residents and relatives said that the home was always like this. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 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, 29 and 30 The staffing levels in the home are satisfactory and there is a good regime of training. Recruitment procedures for staff need to be expanded. EVIDENCE: The rota showed that there are always two staff on duty and additional support from a cook, cleaner and handyman. The cook also does additional hours as an activity coordinator. New staff recruited have to have two satisfactory references and undergo a Criminal Records Bureau check. There is no application form to check the applicants previous work history or check on their health. Staff are issued with terms and conditions of employment following satisfactory completion of a probationary period an d are issued with a copy of the code of conduct issued by the General Social Care Council. The provider is qualified to provide most of the required training and also employs an NVQ assessor. Staff said that training provided in the home is excellent. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 17 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, 33 and 35 Suitable arrangements were made to cover the maternity leave of the manager. There are systems in place to enable residents and their relatives to express their views on the care provided. EVIDENCE: The current manager is on maternity leave, due to return shortly. Cover has been provided during this period by an employee of the providers who is based at another of their homes. Staff and residents both said that the temporary arrangements had been satisfactory and that the manager had been in to see them. The home has achieved Investors in People status, which provides an internal audit of the systems within the home. There were copies of resident satisfaction surveys seen on file and residents said that they are asked for their views. Visitors said that they have passed opinions on things, which have been well received. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 18 All finances are dealt with by the resident or their relative and staff from the home do not handle any of the residents money. Arrangements are made for any payments due e.g. chiropody to be left in the resident’s room prior to the appointment. Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 19 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 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 2 COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 4 x 3 x x x Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 20 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 3 Regulation 14 Requirement Ensure all new residents are assessed prior to admission to establish whether their needs can be met within the home Ensure all identifed risks are recorded and risk asessed Involve residents and relatives in care plans and record this Ensure that the food provided contains the required of nutrition Introduce a check on any potential new staffs previous work history and state of health Timescale for action 1st June 2005 1st June 2005 1st September 2005 1st July 2005 1st June 2005 2. 3. 4. 5. 6. 7 7 15 29 13 15 16 13 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 29 Good Practice Recommendations Consider ways of providing staff with a designated staff area Bank House Care Home C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Edgeley House Tottle Road Riverside Business Park 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 C53 C03 S63525 Bank House V228238 190505 Stage 4.doc Version 1.30 Page 22 - 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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