Inspection on 16/06/06 for Bank House Residential Home

This inspection was carried out on 16th June 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 Residential Home 07/01/09

Bank House Residential Home 10/07/08

Bank House Residential Home 16/05/07

Bank House Residential Home 28/02/06

Bank House Residential Home 24/05/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Bank House Residential Home Bank House Gosberton Bank Gosberton Lincs PE11 4PB Lead Inspector Vanessa Gent Key Unannounced Inspection 15th June 2006 12:00 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 Residential Home DS0000061113.V300318.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 Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bank House Residential Home Address Bank House Gosberton Bank Gosberton Lincs PE11 4PB 01775 840297 01775 840297 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) Miss Jane Louise Moore Miss Jane Louise Moore Care Home 30 Category(ies) of Dementia - over 65 years of age (1), Learning registration, with number disability over 65 years of age (3), Old age, not of places falling within any other category (26) Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) 26 Dementia - over 65 years of age (DE(E)) 1 Learning Disability - over 65 years of age (LD(E)) 3 The maximum number of service users to be accommodated is 30. 2. Date of last inspection 5th June 2006 Brief Description of the Service: Bank House is a two-storey, private, family-run care home. It provides personal care for up to thirty older persons of both sexes, including one older person with dementia and three older persons having a learning disability. On the day of the inspection there were twenty-eight people living in the home. The home is located approximately a half of a mile from the village of Gosberton near Spalding, on a very quiet country lane. There is no public footpath from the home to the main road. Accommodation consists of twenty single rooms, none of which is ensuite, and five shared rooms, on the ground and first floors. The upper floor is reached by stairs or a passenger lift. There are five smaller lounges, which give a more homely feel to the communal areas and offer more privacy than one large lounge. The home overlooks lawns and garden areas and has car parking spaces at the front of the home. The philosophy of the home is that residents are entitled to be treated as individuals and that there is an ongoing development of best practice in clinical and social care. The fees for the home range from £335 to £415. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to the home (known as the site visit), as part of this inspection, was unannounced and took place over 4½ hours. Information already held on file was used to plan the visit. The main method of inspection used is called ‘case-tracking’, which involves selecting a proportion of residents, and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. The inspector also observed how care was delivered and how staff responded to the residents in the home. A pre-inspection questionnaire had not been completed before the visit to the home and no resident surveys were received. The site visit focused on whether key standards and requirements from previous inspections had been met and how the residents feel about the service provided. Three residents’ assessments and care plans were examined to ensure the health, safety and welfare of the residents is checked and that residents are allowed dignity, autonomy and choice. A partial tour of the home was made and a sample of other records examined. The inspector spoke with two of the three residents case-tracked, several other residents in the lounges, two visitors and two staff, as well as the provider/ manager for the home. The deputy manager was present for the first part of the home visit and the provider for the second part and both spent time discussing many issues that arise in the running of a care home. What the service does well: The home is run by a dedicated, knowledgeable, long-serving team of staff. They interacted well with residents who laughed and joked with them. Staff were seen to treat residents with respect, dignity and with a happy attitude. Residents are happy with the quality of care they receive and the pleasant environment in which they live. One commented, “Even the young staff are very good – they’ve got caring staff working here.” Another said, “We belong to the family”. A comment previously received from a relative stated that they were very pleased with the care given. It deserves the excellent reputation it enjoys”. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 6 Compliment cards seen said, “we always felt very at ease and welcomed”. Another said, “To Jane – You are a credit to the service you provide. The staff and standard of care provided at Bank House is first class.” The home provides a range of activities for residents to choose from. All residents said the food is very good, with plenty of choice at every meal. The quality assurance measures that the provider has in place are excellent documents that ensure that residents are cared for safely and with great consideration. 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 Residential Home DS0000061113.V300318.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 Residential Home DS0000061113.V300318.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, 4 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The process of admitting a resident to the home is thorough and residents are assured that their needs will be met. EVIDENCE: The statement of purpose is in the process of being updated, a copy of which will be faxed or sent to the Commission office when completed. The provider stated that all residents have a terms and conditions contract although none were seen at the visit to the home. When a prospective resident has been visited in their prior situation, a letter is sent to assure them that the home can meet their needs. Bank House Residential Home DS0000061113.V300318.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, 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The residents’ needs are identified in the detailed care plans. Meeting the residents’ health needs, safe administration of medicines and respecting residents privacy and dignity are evident. EVIDENCE: Care plans examined contain all the information, necessary for staff to care safely and adequately for the residents. Care plans are reviewed monthly and showed evidence of the resident being involved. Risk assessments were seen in each care plan examined as appropriate for each need identified. The dependency profile chart, which is adequate to determine the residents’ level of dependency, is being upgraded for even better monitoring. One relative spoken with said she “understands what the care plans are about and can get involved in them if they want to. Anyway, if I want to know anything, they’ll tell me. Everything’s fine; there’s nothing wrong at all.” Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 10 District nurses and other healthcare professionals such as the tissue viability nurse are involved where those health care needs of the residents become evident. Contact with healthcare professionals is well-documented. One resident had a persistent cough. The staff took the appropriate measures to ensure a full health investigation was obtained and staff escorted the resident to the hospital appointment. The previous inspection report found that medications were administered safely by well-trained staff. The community pharmacist gives quarterly updates on the staffs’ training and medication practices. Residents say they are treated with dignity and their privacy respected. “Even the young staff are very good.” “The staff look after us very well.” Bank House Residential Home DS0000061113.V300318.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, 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents are offered a range of activities. They are encouraged to have choice and control over their lives and receive a wholesome and varied diet. EVIDENCE: The provider employs an activities coordinator and both the residents and staff confirmed that the home offers a range of activities for the residents. Contact with local church groups has been established and the groups visit the home every Thursday in rotation. One resident is encouraged to keep contact with his church group and attend services regularly. One visitor said, “I am always very welcomed at the home. They communicate well if there are any concerns or the resident is not well.” Residents say they are satisfied with the activities and food provided and that choice is given in all aspects of their lives in the home. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 12 Residents commented, “The food is very good and well served”. The menu, along with other relevant information for the day, was displayed in the dining room. Bank House Residential Home DS0000061113.V300318.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, 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The residents are protected by a robust complaints policy and procedure and by staff trained in Safeguarding Adults. EVIDENCE: The home has a complaints policy which is clearly displayed. No complaints have been received either directly by the home or by CSCI office since the last inspection. Staff have been undertaking training by distance learning in how to protect vulnerable adults. This training is supported by the provider/manager to ensure all staff can care for the residents appropriately. Residents say they feel comfortable with the staff and that they are all very good, “even the young ones”. One visitor commented, “the staff love the residents to bits and treat me very nicely too”. Bank House Residential Home DS0000061113.V300318.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, 20, 22, 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The residents live in a clean, comfortable, hygienic and safe environment. EVIDENCE: During the visit, the home was clean, tidy and well-presented. A new ‘treatment room’ has been created. It is spotless and well-organised. A new heating system is in place and some windows have been replaced, with window restrictors fitted as standard. Outside, the building was in the process of being fully redecorated. Health and safety measures were in place during this procedure to safeguard residents, visitors and staff. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 15 Communally, there are five smaller lounges, which afford the residents more privacy than one large lounge for all. The residents and visitors say they like them as it gives them more privacy when visiting and it is not so impersonal. Shared rooms do not have separators to afford the occupants privacy as they may wish. Two residents who share prefer not to have privacy curtains. Their wishes have been respected and this is documented. The matter of privacy and dignity was discussed with the provider and manager and they agreed that it would be improved without delay. The home has been inspected by the Fire Officer and Environment Health Office within the past two years and each found the health and safety to be adequate. The maintenance is undertaken by the provider. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 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 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, 29, 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Staff are sufficiently trained to care for the residents safely and appropriately although the numbers of staff on duty may not always be adequate to meet all their wishes and needs. EVIDENCE: The staff duty rota was checked and the staffing levels found to be minimally acceptable to care for the residents adequately. The dependency needs and layout of the building should be taken into account when assessing if there are enough staff on duty at any time. Two staff files were examined. Recruitment procedures, including Criminal Record Bureau and Protection of Vulnerable Adults checks, are adequate to safeguard residents. The new induction booklet being introduced will be excellent so long as it will be well-completed. Staff say, and their files confirm, that encouragement is given for comprehensive training. Most training is done in-house or by distance learning, with support of the provider/manager who is a trained nurse and NVQ assessor (National Vocational Qualifications). The deputy manager is also an NVQ assessor. The training programme for 2005-06 was seen which confirmed that training is well covered. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 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 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, 32, 33, 35, 36, 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Measures are in place to protect residents, ensure they are comfortable and that their wishes are taken into account. EVIDENCE: The provider/manager worked in the care home prior to it coming into her possession. She is a trained nurse, has her Registered Managers Award and has had many years of experience working with older people. The deputy manager has also worked at the home for many years. Residents, relatives and staff have confidence in the manager and say they find her approachable and thoughtful of their needs and wishes. She is always Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 18 available and knows the residents well. Most of the staff have worked with her and at the home for a long time and feel supported and valued. The quality audit records seen are excellent documents and show that the provider/manager monitors the service’s practices and the residents’ wishes regularly and thoroughly. Residents’ surveys and meetings are in place and their views are listened to and taken account of in the running of the home. The provider does not hold many residents’ finances. Where personal allowances are cared for, good record-keeping is in place with the resident and staff or two staff signing and receipts kept for each transaction. Staff say they receive supervisions and their files confirm this. Staff meetings are held almost monthly and which are documented. Staff say they feel supported; most have worked at the home for a long time and are a close, established team who get on well with each other and provide a stable, happy environment for the residents. Health and safety is maintained in the measures taken by the providers, including good staff training and support, the maintenance programme and excellent auditing of the service. Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 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 3 3 X 3 X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 3 X 3 Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bank House Residential Home DS0000061113.V300318.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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