Inspection on 11/08/05 for Bank House Nursing Home

This inspection was carried out on 11th August 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 Nursing Home 04/11/08

Bank House Nursing Home 15/11/07

Bank House Nursing Home 14/09/06

Bank House Nursing Home 02/03/06

Bank House Nursing Home 10/01/05

Bank House Nursing Home 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE BANK HOUSE Brandlesholme Road Bury Lancs BL8 1DJ Lead Inspector Mike Murphy Unannounced 11 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bank House Nursing Home Address Brandlesholme Road Bury BL8 1DJ 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) 0161 764 4358 0161 762 9825 Mr Alan Stott Mrs Lynne Burke & Mrs Saria Tahir CRH N Care Home with Nursing 43 Category(ies) of OP Old Age - 43 registration, with number PD Physical Disabilities - 1 of places BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Within the total of 43 places there can be a maximum of 42 nursing places, 1 18-59 nursing place and up to a maximum of 20 residential places Date of last inspection 10th January 2005 Brief Description of the Service: Bank House Nursing home is situated just outside the centre of Bury and is readily accessible by car and public transport.The home is registered with The CSCI to provide general nursing and personal care for up to 43 service users.The registered managers of the home are both qualified nurses, and qualified nursing staff are on duty 24 hours a day. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the home’s first of two annual inspections for the inspection year 2005 to 2006. The inspection took place over three hours. The inspector spoke to 12 of the 38 residents and 3 relatives, toured most of the premises, and inspected care and other records maintained at the home. What the service does well: What has improved since the last inspection? What they could do better: Whilst the home was looking after residents well care records were found to be in need of improving, particularly in relation to care plans and weight recording. The décor and paintwork on 1st floor corridors and some bedrooms were noted to be in need of attention. And a few issues remain outstanding from the recent fire officer’s inspection. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 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 F56 F06 S17315 Bank House V232085 110805 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 F56 F06 S17315 Bank House V232085 110805 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. Standard 6 does not apply to this home. Prospective residents are appropriately assessed prior to admission. This is essential to ensure that the home is able to meet the needs of such prospective residents and assist them in choosing if the home is suitable for them. EVIDENCE: Inspection of 8 residents care records revealed that a pre admission assessment had been conducted on all 8. These assessments included consideration of prospective residents physical, psychological and social needs. The assessments had been done the home managers who are both registered nurses. These assessments were supplemented by others conducted by various health and social care professionals such as doctors, nurses and social workers. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 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. The health and personal care needs of residents at the home were in the main being assessed and addressed appropriately. However a number of issues were identified relating to residents care records. The arrangements for the management of resident’s medicines were appropriate and staff interacted and assisted residents sensitively and appropriately during the inspection. Clearly these are important areas of support in ensuring residents receive appropriate care and treatment. EVIDENCE: The health care records of 8 residents who live at the home were inspected on this occasion. These were in the main found to contain care plans that were initially based on the pre-admission assessment that is referred to earlier in this report. Care plans in the main addressed the health, personal and social care needs of residents and were formally evaluated at least monthly. However 1 resident (who had been in residence for at least 1 month) had no care plans in their care file. Monthly reviews of other care plans were erratic. Risk assessments, that seek to protect resident’s health and safety were in the main recorded in respect of residents skin integrity, mobility, and nutrition BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 10 (including weight monitoring) and other relevant areas However weight recording was erratic. The arrangements for resident’s medicines were secure and appropriately documented. Discussion with residents indicated that staff at the home treat them with respect and seek to maintain resident’s dignity and privacy particularly when personal care is being provided. Examples of such comments are ‘pleasant and nice to me’, ‘they do a lot to help me here’, ‘ I can go to the big lounge or stay in my room if I want’, ‘ My family visit me at any time they want’. Residents also indicated in their comments, and this was supported in discussion with staff and inspection of care records, that they are able to access health care services appropriately, this included access to opticians, dentists, and chiropodists. Clearly this assists residents in maintaining their health and well being. All residents were registered with a local GP. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 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) 15 Meals provided a balanced and varied diet. This is an important area for residents as the meals provided are a central component of how they describe their satisfaction or otherwise with a home. EVIDENCE: Service users spoke very positively in respect of the food provided by the home. Residents were of the view that meal times were as reasonable and flexible as possible and that they were always provided with an alternative if they did not like something. Menus were balanced, varied, and provided choice. Resident’s meals are prepared on site. Lunch was observed on the day of inspection. This meal was hot and substantial. Staff served and assisted residents appropriately and sensitively. The kitchen had been recently subject to an inspection by an environmental health officer. The inspector was informed that the issues raised had been addressed. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 12 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 Appropriate steps have been taken to provide an environment where residents and others feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. These are important areas that are crucial to the protection of resident’s in a care home, many of whom are extremely vulnerable. EVIDENCE: Discussion with residents and their relatives indicated that there was a general awareness and information provided that enabled people to make a complaint if they desired. A detailed and accessible complaints procedure was in place and prominently displayed in the home, which included details of how complainants could contact the CSCI if desired. Resident’s spoken to felt comfortable and confident enough to raise a complaint if they felt it necessary to do so. Inspection of policies and procedures operated at the home, discussion with staff and inspection of staff training records indicated that staff were aware of the importance of protecting resident’s from potential abuse and how to communicate any concerns they may have in this area. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 13 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, 21,22,23,24,25,26. The home appeared to be generally well maintained. Although it was evident that an ongoing programme of redecoration is in progress some areas of the home are still in need of attention. EVIDENCE: The décor and paintwork on 1st floor corridors and some bedrooms were noted to be in need of attention. Adequate and suitable WC and bathing provision was accessible to service users. 12 resident’s bedrooms were inspected on this occasion – these were clean, appropriately/adequately furnished and very personalised, although as noted above the décor in some needs attention. Communal lounges and dining areas were clean, warm and appropriately furnished. Appropriate aids and adaptations were in place throughout the home to assist residents to maintain their safety and meet their physical needs. Individual aids and adaptations are provided following referral to the appropriate health care professional. The home was clean and free of odour at the time of this inspection. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 14 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. Staffing arrangements at the home appeared to be appropriately managed and suitable to meet the assessed needs of residents at the home. EVIDENCE: Inspection of staffing rotas provided by the home indicated that staffing provision at the home complied with the current minimum requirements that apply to care homes for older people. Discussion with senior staff on duty at the home indicated that they were of the view that staffing levels were appropriate to meet the dependency levels of resident’s. Inspection of 2 recently employed staff personnel files revealed that these contained an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check), proof of identity and evidence of induction training. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,38. The home continues to be appropriately managed at the time of this inspection. This is important as residents need to have confidence in and access to competent managers. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 16 EVIDENCE: The home has 2 registered managers in post. Both these persons are experienced qualified nurses. Appropriate communication strategies facilitate continuity of management over the week. The registered managers work together at least 1 day per week to ensure the smooth management of the home is maintained. Both registered managers have completed NVQ4 training in management. The arrangements for managing residents personal allowances were found to be secure, well documented/receipted, and to be audited regularly. Residents monies are kept separately in individual containers, and each resident has a personal financial record maintained. The certificate of gas safety and the 5 yearly electrical safety certificate were found to be up to date. Lifting equipment, the passenger lift, and stair lifts in the home had been serviced regularly. The inspection of portable electrical appliances in the home was seen to be recorded and ongoing. Fire equipment, including the fire alarm and emergency lighting system, had been serviced. The requirements of the fire officer’s report have or are in the process of being complied with. Recent training for staff relating to fire safety had been recently provided. Appropriate arrangements for the disposal of clinical waste were seen to be in place. An Environmental Health inspection had been conducted in November 2004. The issues raised have, the inspector was informed, been addressed. A health and safety inspection had been conducted by the HSE in January 2005. Again the inspector was informed the issues raised have been addressed. Manual handling training was provided on a regular basis. Accidents sustained by service users, and staff, were appropriately recorded. The premises appeared to be secure. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 17 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 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 x x 2 BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 18 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. 2. Standard 7 19 Regulation 15 23 Requirement That all residents have written care plans that identify how their needs are to be met. That a written action plan is submitted to the CSCI that details the programme of redecoration/refurbishment planned within the home that the CSCI is informed in writing that all the issues identified in the fire officers report dated the 3rd of June 2005 have been addressed. Timescale for action ongoing. 30th of September 2005. 30th of September 2005. 3. 8 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7.4 8.9 Good Practice Recommendations That residents care plans are formally reviewed at least once per month. That a record of residents weights are conducted at least monthly. BANK HOUSE F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton, BL6 6HG 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 F56 F06 S17315 Bank House V232085 110805 Stage 4.doc Version 1.40 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!