Inspection on 16/05/07 for Bank House Residential Home

This inspection was carried out on 16th May 2007.

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 16/06/06

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 Julie Western Unannounced Inspection 16th May 2007 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 Residential Home DS0000061113.V336890.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.V336890.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.V336890.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 16th June 2006 Brief Description of the Service: Bank House is a two-storey, private, family-run care home located in a rural setting approximately a half of a mile from the village of Gosberton and 6 miles from the town of Spalding. The Georgian building has been extended to provide 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-nine people living in the home. Accommodation consists of twenty-two single rooms, none of which is en-suite, and four shared rooms, on the ground and first floors. The first floor is accessible by stairs or a passenger lift. The home overlooks lawns and garden areas and has car parking spaces at the front of the home. The home’s philosophy, which is displayed around the building, is that residents are treated as individuals and that there is an ongoing development of best practice in clinical and social care. The owner, who is a nurse, manages the home assisted by her husband and a deputy manager. The fees for the home range from £348 to £431 with additional charges made for hairdressing, chiropody and newspapers. This and other information, such as the statement of purpose and a copy of the last inspection report is available from the office. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took into account any previous information held by CSCI including the home’s previous inspection reports, its service history, any preinspection questionnaires completed by the Manager and any residents’ questionnaires sent to the home by the Commission prior to the inspection. The site inspection was unannounced, took place over two hours and consisted of tracking a sample of residents’ care records and assessing the care given. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Five residents, three care and ancillary staff and four visitors were spoken with. The manager was present throughout the inspection. What the service does well: What has improved since the last inspection? The outside of the building has now been completely redecorated. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Bank House Residential Home DS0000061113.V336890.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.V336890.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The home does not provide intermediate care [see standard 6]. EVIDENCE: Records seen confirmed good practice. The owner usually visited prospective residents at home or in a care setting such as a hospital to undertake a thorough assessment of all their care needs; records confirmed this. Three residents spoken with all received prior information such as the statement of purpose and service user guide before admission. Two, including the most recent admission, did not visit the home before, being in hospital, but Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 9 their relatives visited on their behalf. A third said ‘I visited and stayed for afternoon tea before I decided to come here’. Written admission documentation was clear and gave staff the information needed to care for the residents. A staff member described the admission procedure and the importance of making new residents and their families feel welcomed. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s records give a clear picture of the health and personal care needs of the residents and enable staff to meet these needs with sensitivity and regard for their privacy and dignity. EVIDENCE: Care plans were comprehensive and contained details on how the health care needs of residents were to be met, including full risk assessments. Regular reviews took place and care plans were signed, showing the involvement of the residents and their supporters. Records showed that residents regularly saw their GP, practice nurse and where necessary, consultant. On the day of the inspection two opticians and two community nurses visited the home. All said that the general standard in Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 11 the home was good to excellent and the nurses said the health care standards were high, with knowledgeable and polite staff. Medication records were clear and the owner said that only care supervisors, who were fully trained in the safe handling of medication, were able to administer medicines. The drugs trolley, medicines and records were kept safely in a treatment room; a cassette medication storage system was used and the local surgery dispensed this system. The staff team were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. One resident spoken with said the staff were ‘very good, very kind, all of them’. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities are regular and tailored to suit individual residents. Residents have a choice of meals from a balanced and varied menu. EVIDENCE: The home employs a part-time activities co-ordinator, who has been trained in specialist activities for people with a dementia. Activities were displayed on the notice board in the main lounge, together with the day’s menu and other information for residents. These included a visit of representatives from church denominations in rotation each week, music, painting, flower arranging and manicures. Residents also said they could go to the shops with a carer if they wanted to. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 13 One of the four lounges housed a very large television screen and residents said they regularly watched films and sports on it. One said he had no wish to go out or on holiday, as ‘this is like a big holiday!’ One of the residents recently had his 100th birthday and residents described how the celebrations went on for two days and were very enjoyable. Records demonstrated that menus were planned and based on residents’ dietary needs and preferences. There was evidence of fresh fruit and vegetables in the kitchen. The menu was balanced and offered a choice of meals. Staff members spoken with said that six residents had diabetic meals and all residents were weighed regularly. The kitchen staff had basic food hygiene certificates and the cook had a nationally recognised qualification in catering. Residents were seen eating and enjoying the mid-day meal; one said ‘It couldn’t be better’. The most recent visit from the Environmental Health Officer had resulted in the home being given a rating of ‘Good’ for its kitchen and health standards. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is clear and gives residents and their supporters the confidence that comments and complaints will be listened to; residents are kept safe from harm by clear policies and procedures. EVIDENCE: Residents who were spoken with said they had no wish to complain but would go to the owner or her husband if they did. The complaints policy was displayed around the building. Procedures for safeguarding adults were up to date and comprehensive. The complaints record showed that there had been one Adult protection referral on 1st August 2007, concerning lack of and behaviour of staff. This had been closed following an investigation with no further action taken due to insufficient evidence. Staff members spoken with said they had received annual training in safeguarding adults which training records confirmed; the owner said there was a rolling programme of training for this. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, comfortable and pleasant environment that is suitable for their needs. EVIDENCE: A tour of the premises showed that the building was maintained to a high standard internally with the exception of one of the lounge carpets, which was dirty. The gardens and grounds offered various seats and places for residents to enjoy the view. Since the last inspection the outside of the building has been fully redecorated. There are five lounge areas; this gives residents more privacy and a choice of where they sit. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 16 Rooms were well personalised and decorated; a resident spoken with said ‘my room is very pleasant’. The home was clean, particularly the treatment room, which was spotless and well organised, and smelled fresh throughout. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent. EVIDENCE: The staff rotas showed that there were enough staff members to meet the needs of the residents. Staff members spoken with said they had enough time to complete their tasks and residents confirmed this. Residents spoken with all praised the staff team; one said ‘they’re very good, helpful and kind’. Two staff files were examined; they contained recruitment procedures, including criminal Records Bureau and Protection of Vulnerable Adults checks. The most recent member of staff to be appointed described how she was interviewed, gave references and underwent an induction procedure. Staff members spoken with said that encouragement is given for training. The training plan showed that recent training had included fire, health and safety and moving and handling. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 18 Nine staff members had achieved National Vocational Qualifications at Level 2 with a further six working towards it; two had achieved the NVQ at Level 3 and the assistant manager was currently undertaking the Registered Manager’s Award, a nationally recognised qualification for managers of care homes. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of the residents are promoted. The views of the residents are listened to and they are involved in decisions affecting them. EVIDENCE: The owner manages the home; she is a qualified Registered General Nurse, has the Registered Manager’s Award and has worked in the home since 1991, buying it from her parents in 2004. She runs the home with the assistance of her husband and a deputy manager and lives above the home, remaining on call in emergencies. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 20 Residents and staff all said they had confidence in the manager and that she was approachable and accessible. Most of the staff had worked in the home for a long time and felt valued and supported. There is a quality assurance system based on satisfaction questionnaires being sent to all residents and their families. Their replies are analysed and the results are acted upon. Residents said they were often asked for their views about the running of the home. Staff meetings were held with minutes taken and staff members spoken with said they had regular supervision. The most recent visit from the Fire Officer found the fire precautions to be satisfactory. Maintenance is identified and carried out by the owner and maintenance records are well kept. Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 21 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Bank House Residential Home DS0000061113.V336890.R01.S.doc Version 5.2 Page 22 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 Standard OP26 Regulation 23[2][b] Requirement Attention must be given to the beige lounge carpet that is dirty. Timescale for action 10/08/07 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.V336890.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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