Inspection on 28/02/06 for Bank House Residential Home

This inspection was carried out on 28th February 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 16/06/06

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 Mr Toby Payne Unannounced Inspection 28th February 2006 09:00 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.V283774.R01.S.doc Version 5.1 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.V283774.R01.S.doc Version 5.1 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.V283774.R01.S.doc Version 5.1 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 24th May 2005 Brief Description of the Service: Bank House is a 30 place private family run care home providing personal care for 26 older persons, 1 older person with dementia and 3 older persons having a learning disability. On the day of the inspection there were 30 people living in the home. The home is located approximately a half of a mile from the village of Gosberton near Spalding. There is no public footpath from the home to the main road. Accommodation is situated on the ground and first floors. There are five lounges and a separate lounge designated for people who wish to speak with visitors in a more private setting. There are five double bedrooms and all other bedrooms are single. The home overlooks lawns and garden areas and has car parking spaces at the front of the home. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9 am. It took place over 4 hours. The inspector spoke to 14 residents one visiting community nurse, 4 staff, as well as the deputy manager and manager for the home. The main method of the inspection was called “case tracking”. This involved selecting one resident and tracking the care they received through the checking of records, discussion with them and the care staff. The inspector also observed how care was delivered and how staff responded to other residents living in the home. What the service does well: What has improved since the last inspection? The home installed a new heating system throughout the home in July 2005. This has made the home warmer. One bedroom had been redecorated and recarpeted. An audit system has been introduced to monitor the quality of the service provided in the home. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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.V283774.R01.S.doc Version 5.1 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 and 5 Residents are assessed before they enter the home but no written confirmation is sent to the person. Staff receive training to ensure they can meet the needs of the people living in the home. Bank House Care Home meets the needs of residents coming into the home. EVIDENCE: Care records examined contained an assessment undertaken before the individual’s admission and a written contract/statement of terms and conditions. However, the home does not write to the person who has been assessed to confirm the home meet their assessed needs. Staff receive a comprehensive induction programme, which enables them to understand the needs of the residents in the home. Residents can have a trial visit lasting up to 8 weeks to see whether or not they like the home. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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 and 9 Resident’s needs are sensitively met and are identified in detailed care plans. Medication administration has improved and is now administered safely by staff who have received training. EVIDENCE: All residents had detailed care plans outlining their health and welfare needs. Care records showed evidence of being reviewed which are regularly. Records also showed evidence of the involvement of residents . Medication recording has been improved since the last inspection. Records examined showed there were no gaps and stock well maintained. Staff who administer medication received training in 2005. A visiting community nurse commented, “I am satisfied with the way staff carry out my instructions” and “there is very good communication between the home and our service”. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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): 12 Residents are encouraged to have choice and control over their lives. They are offered a wide range of activities and arranged outings; and they receive a wholesome and varied diet. EVIDENCE: The home employs an activities coordinator who works 12 hours per week and both the residents and members of staff confirmed that the home offers a range of activities and outings for its residents. The inspection took place during breakfast and residents were seen to have breakfast at their own pace, with the cook asking them what they wished to have. This was served in the dining room. Breakfast was leisurely and served from 07 30 to 10.30 hours. Residents commented, “the food is very good and well served”. The menu was displayed in the dining room. The home was awarded a Food Safety Award in 2003. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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): 16 and 17 The home takes the issue of addressing complaints very seriously and ensures they can exercise their legal rights. EVIDENCE: Each resident receives a detailed complaints procedure when they are admitted to the home. No complaints have been received by the CSCI and home since the last inspection. None of the residents had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a resident. Residents are supported during elections. Where required legal advice can be obtained. If an advocate is required to offer independent support to a resident, the home can arrange this. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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): 19, 20, 21, 22 and 23 Residents live in comfortable, clean, tidy and hygienic surroundings. Their safety is assured by the home’s maintenance and repair programme. EVIDENCE: The home was clean, tidy and individual bedrooms were comfortably furnished with personal possessions, and well decorated. The home was free from any offensive odours. A member of cleaning staff was cleaning he home and felt there was sufficient time given to clean the home. There is also an identified building and maintenance programme and the outside of the building is to be redecorated in the spring. There are a variety of comfortable sitting areas in the home. There are 5 lounge areas and one dining room. All these areas are on the ground floor. There is one bathroom and 4 toilets on the ground floor. There were 2 bathrooms (one with a shower over the bath) and 6 toilets on the first floor. All toilets have disabled access. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 Page 13 There were a variety of lifting equipment including 2 mobile hoists and 2 fixed bath hoists on the ground and first floors. There were slide sheets and slings for the hoists. Residents commented, “I am very comfortable” and “I have a lovely bedroom”. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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 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 There were s sufficient numbers of competent and trained staff to care for the people living in the home. EVIDENCE: Residents did not express any worries about the level or availability of staff. During the inspection staff were seen to promptly attend to resident’s needs. Staff also felt they had sufficient time to care and support the residents. Residents commented, “It is very nice here”, “ staff are very nice” and “we are fine here”. None of the residents expressed any concerns about to the skills of the staff. There is an education programme for staff for 2006 and 50 of the staff have obtained a qualification in care (NVQ). Staff are also undertaking dementia awareness training. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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 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, 37 and 38 There is a competent manager. The home is run in the best interests of the people living in the home. There are policies and procedures which are up to date. EVIDENCE: There is an experienced manager who is a registered nurse and has obtained a management qualification. She is supported by a deputy manager who has had many years experience of working in the home. Residents commented that they would have no hesitation in going to the manager and knew that if they had any concerns or worries they would be listened to and taken seriously. The home had comprehensive policies and procedures, which were last reviewed in 2005. Records were well maintained, available and up to date. The home has an annual audit, which is very detailed and covers care practice, Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 Page 16 personnel, health and safety and all aspects of the home. There is also an annual questionnaire sent out to residents and other relevant people to obtain their views of the catering and food, personal care, daily living, premises and management. The last was sent out in March 2005. The home also had a detailed health and safety policy and the fire risk assessment was last reviewed in January 2006. Hot water temperatures are tested every month and the last test on the 21/2/2006 showed they were within safe range of temperatures. Staff commented, “we work as a team”, “the manager is very approachable and supportive” and “I know when I have gone home that I have done a good job”. Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 3 3 3 3 x x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x 3 3 Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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. Standard OP3 Regulation 14(1)(d) Requirement The manager must ensure that written confirmation is sent to a new resident that based on the assessment the home can meet their health and welfare needs. Timescale for action 28/05/06 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 OP27 Good Practice Recommendations It is recommended that the manager obtain a copy of the Residential Forums Care Staffing in Care Homes for Older People. This provides guidance recommended by the Department of Health concerning staff numbers. It is recommended that the manager introduce a quality audit of medication. 2 OP33 Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Bank House Residential Home DS0000061113.V283774.R01.S.doc Version 5.1 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. 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