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Inspection on 21/11/05 for Bank House Care Home

Also see our care home review for Bank House Care Home for more information

This inspection was carried out on 21st November 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The only key standards not inspected at the last inspection were standards 28 and 38 so the previous inspection should be seen for further details of what the home does well.

What has improved since the last inspection?

All requirements set at the last inspection have been complied with. New residents only move into the home following an assessment to make sure that their needs can be met. When any risk is identified a record of this is made in the care plan. Residents and relatives are encouraged to contribute to their care plans. At the last inspection there were temporary management arrangements in place as the permanent post holder was on maternity leave, and has now returned to work.

What the care home could do better:

There are good arrangements in place for meeting most of the required health and safety checks, although the boiler needs to be serviced annually and checks undertaken on the water storage system to help \prevent the risk of Legionella.

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 Inspection 21st November 2005 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.V267492.R01.S.doc Version 5.0 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.V267492.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bank House Care Home Address Bank House 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 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.V267492.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within categroy OP or DE (aged 60 years or over) 19th May 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 home does not have a website but further in formation can be obtained from the manager Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two unannounced inspections carried out between April 2005 and March 2006. The inspection focussed on the key standards not inspected last visit and on the requirements that were set. The inspection lasted for 1 ½ 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. There were not any visitors o the home 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: What has improved since the last inspection? What they could do better: There are good arrangements in place for meeting most of the required health and safety checks, although the boiler needs to be serviced annually and checks undertaken on the water storage system to help \prevent the risk of Legionella. Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 6 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.V267492.R01.S.doc Version 5.0 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.V267492.R01.S.doc Version 5.0 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 New residents are assessed prior to admission to ensure their needs can be met within the home. EVIDENCE: A requirement was set at the last inspection to ensure that all new residents are assessed prior to admission. The manager has now prepared a pre admission assessment form and goes to assess prospective residents prior to admission. Completed assessment forms were seen on files of recently admitted residents. Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 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 Residents health, personal and social care needs are set out in an individual plan of care. EVIDENCE: A requirement was set at the last inspection to ensure all identified risks are recorded and risk assessed. Evidence was seen within care plans that this is being done. Another requirement was set to involve residents and relatives in their care plans. The manager has introduced a form for residents and/or relatives to record their views on. Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 10 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): None EVIDENCE: Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 11 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): None EVIDENCE: Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 12 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): None EVIDENCE: Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 13 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): 28 and 29 Staff receive the training they need to carry out their duties. Correct recruitment procedures are followed. EVIDENCE: Staff said that they are encouraged to undertake training and that there is a mixture of NVQ levels 2 and 3 being worked towards at present. Residents said that they felt staff were properly trained to do their job. Some staff have completed their NVQ and others are enrolled to start shortly. A requirement was set at the last inspection to introduce a check on any potential new staff’s work history and state of health. One new member of staff started on the day of this inspection. The manager said that this was done, however the staff file has not yet been made up. Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 14 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): 38 Efforts are made to promote and protect the health and safety of residents but these need to be expanded. EVIDENCE: There is a training programme in place for all mandatory training, which is provided to all staff. A new boiler was fitted last summer but has not been serviced since. All electrical tests are completed and arrangements are made to test any new portable electrical appliance bought in. There were no records showing that safe practices are adopted to help prevent the risk of Legionella. The new cook who started the day of this inspection said that she had been given a fire safety induction when she arrived. Fire records showed that all the Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 15 required tests are carried out at the required frequency. Residents said they hear the alarm being tested. Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 16 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 17 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. Standard OP38 OP38 Regulation 13 13 Requirement Arrange for the boiler to be serviced annually Undertake safety tests to prevent the risk of Legionella Timescale for action 01/02/06 01/02/06 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 OP29 Good Practice Recommendations Consider ways of providing staff with a designated staff area Bank House Care Home DS0000063525.V267492.R01.S.doc Version 5.0 Page 18 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.V267492.R01.S.doc Version 5.0 Page 19 - 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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