Inspection on 01/06/05 for Bankfield House Care Home

This inspection was carried out on 1st June 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

Bankfield House Care Home 22/08/07

Bankfield House Care Home 21/07/06

Bankfield House Care Home 12/01/06

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 Bankfield House Bankfield Road Woodley Stockport SK6 1RQ Lead Inspector Sylvia Brown Announced 1 June 2005 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. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bankfield House Address Bankfield Road, Woodley, Stockport, SK6 1RQ 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) 0161-406-6468 0161-406-6467 Freshfield Care Ltd Mrs S Pyatt CRH Care Home 24 Category(ies) of DE(E) Dementia - over 65 (4) registration, with number OP Old Age - 65 years and over (24) of places PD Physical disability - 65 years and over (4) Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 24 service users to include up to four service users in the category of DE(E), up to four service users in the category of PD and up to 24 service users in the category of OP. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection N/A Brief Description of the Service: Bankfield House is a large detached property standing in its own grounds in the Woodley area of Hyde. Its placement is secluded and private, offering residents peaceful surroundings. The home currently provides accommodation for 24 residents over the age of 65 years. There is a small conservatory for those residents wishing to smoke and two lounges and an additional conservatory which are non smoking. The dining room is used at meal times and throughout the day for visiting and activities. Bedroom accommodation offers single and double rooms. Externally, there are large gardens and lawned areas for residents use during fine weather. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Bankfield was announced and completed over two days, starting at 8am on the first day and 10am on the second, with a total of ten hours on the premises. This was the first inspection under the new ownership; the home had prepared well for the inspection completing and returning a pre-inspection questionnaire and providing other required documents and records. Prior to the inspection the inspector spoke with one relative regarding the services at the home and received comment cards from three residents and one relative. One comment card was received from a general practitioner who visits the home. The inspector spent time sitting and talking to residents and was able to share two mealtimes with them. The care of two residents was specifically looked at, with their individual care plans being inspected and observations being made of the care they received. Overall the inspection was positive with the new owners actively attempting to develop all aspects of the service for the benefit, comfort and pleasure of residents. Verbal feedback of the findings of the inspection was given to the registered providers during and at the end of the inspection. What the service does well: The home continues to offer residents a consistent service. Residents stated they felt well cared for and supported by “good staff”. Residents’ clothing was clean and well presented with care and attention given to the co-ordination of clothing. The health needs of residents were maintained with arrangements in place to receive specialist support and equipment where required. All residents spoken to stated they felt well cared for and supported. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 6 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. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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 Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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) 2, 3, 4 & 5. Standard 6 is not applicable to Bankfield Residents have their care needs assessed and have the opportunity to visit the home, receive information and assess the service prior to making any decisions about their future. EVIDENCE: Inspection of three residents’ files confirmed that the registered manager visits the residents prior to them making any decisions about moving into the home. Files contained an assessment of need, contracts and letters of confirmation from the home that they could meet the needs of the resident. One resident explained that her son and daughter had acted on her behalf and visited the home to view the services on offer and view a room. Some records stated that residents and/or their relative had taken the opportunity to visit the home prior to making any decisions about the future. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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 Residents had care plans in place and received appropriate support to maintain, as far as possible, good health. Medication records were maintained correctly. Some care practices compromised residents’ dignity and privacy. EVIDENCE: All residents’ comment cards stated they felt well cared for. All residents spoken to stated they were supported well and received their medicines each day and that doctors and district nurses visited them at the home. Observations of the district nurse support were that treatments were given in private. Medication records were correctly maintained. Care staff were observed weighing residents in the lounge area, eye creams were also administered at the dining table and other practices which should have been completed discreetly were completed in view of others. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 10 Care plans/files detailed the needs of residents and the support provided to maintain their health, including visits by or to the opticians and podiatrists. Comments received from a medical practitioner stated that, in the main, the home communicates clearly and works together for the benefit of residents’ health. Comments were also made that the home demonstrates a clear understanding of residents’ health care needs and that it makes appropriate decisions when they can no longer manage the care needs of a resident. The medical practitioner had no complaints regarding the home and was satisfied with the care provided. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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) 12, 13, 14 & 15 Residents’ lifestyles meets their expectations. They continue to have contact with their families and friends and enjoy a well balanced diet. Residents are able to maintain control over their lives. EVIDENCE: Residents stated that, despite mobility difficulties, they had been able to remain as independent as they can. They stated they went to bed when they wanted to and got up when they wished. One resident had chosen to stay in bed the day previously, she stated she had received drinks, meals and support to enable her to do so in comfort. Residents were observed choosing where to have their meals and where to receive visitors. Menus displayed offered a variety of meals which, when served, appeared appetising. Residents were observed receiving guests and leaving the home to visit friends and family. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 12 The home has recently appointed an activities co-ordinator and, whilst the activities programme is fairly new, it appears to be enjoyed by residents. On the first day of the inspection residents were observed to be making cakes. It was observed that whilst the activities co-ordinator completed activities, care staff occupied themselves elsewhere. It was obvious that one person was not sufficient to support the numbers of residents in activities. A lengthy period of time was spent by residents waiting for the activity to be set up. One resident was overheard asking if it was “still on” and another asking the inspector “how long will it be before we start?” Residents stated that they had been to the theatre and had recently made flower arrangements. When asked, all residents were satisfied with the activities provided by the home. The owners stated that it is their intention to develop this part of the service to offer residents activities on a daily basis. The voluntary worker was observed giving out afternoon drinks alone. As a consequence, it was some considerable time before some residents received drinks. The inspector was informed by one resident and two visitors that they had not received a drink. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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 standard(s) 16 & 18 The complaints procedure is known and used by residents and visitors. The home has safeguards in place for the protection of vulnerable adults. EVIDENCE: The home has received one complaint since the last inspection. The complaints procedure is displayed within the home. Residents’ comment cards stated that they have a person they can speak to if they are unhappy about any parts of their care. When spoken to, all residents were satisfied with the service and had no complaints to raise. Staff are trained in adult protection procedures and are aware of their responsibility to report any incidents or suspicions of abuse. The home has written policies and procedures to be followed for the protection of all residents. Comment cards stated that residents felt safe . Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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 standard(s) 19, 25 & 26 The home was clean, safe and well maintained. EVIDENCE: It is recognised that Bankfield House is in need of upgrading and, as stated within the summary, plans are already underway to redevelop the home and provided a higher standard of accommodation than is currently available. Not withstanding that, residents stated they liked the home and found it a comfortable place to live. They stated they were looking forward to the redecoration and provision of new chairs. One resident stated she had received new bedding and was aware that her room was to be redecorated in the future. Throughout the inspection the home was clean and free from offensive odours. The garden areas are now attended to by professional gardeners and work has commenced to make the grounds more accessible to residents. Outside seating and tables are in place and used by residents during fine weather. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 15 During the inspection a handy person was present completing tasks and replacing light bulbs. Routine maintenance is provided and records identified that professional services are provided when specific work or repairs are required. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 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 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, 28, 29 & 30 The home provided sufficient numbers of staff who receive training for the work they are employed for. The home does not follow safe recruitment and selection procedures. EVIDENCE: The rota confirmed that the numbers of staff on duty were able to meet the needs of residents and exceeds that desired by the local authority. Of the 16 care staff, 11 have completed training at NVQ level 2 or above. The home’s induction of new staff is sufficient, however it could not be confirmed that the home’s six week induction and foundation training which has to be completed within six moths of employment meets the standard set by the National Training Organisation. There are serious concerns regarding the home’s recruitment and selection procedures which are not strictly followed when recruiting new staff. On the day of the inspection a new member of staff was completing her initial induction. Inspection of her file identified that her application was incomplete, in that, there was no educational details or employment history. References had not been received, there was also no proof of identity, photo or CRB check. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 17 The home had not followed the correct procedure for the recruitment of the volunteer. The failure to follow rigorous recruitment procedures potentially increases the risk of harm for residents. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 18 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, 36 & 38 The home is run in the interests of the residents. EVIDENCE: Health and safety records were completed appropriately. Accidents relating to residents are recorded and filed as required by the Data Protection Act 1998. Servicing records confirmed appropriate checks to equipment were made. Fire safety records recorded weekly checks and fire safety practices by staff. After the inspection and prior to completing the report, the inspector received a report from the Fire Officer detailing the outcome of the most recent fire safety inspection. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 19 The registered manager, Mrs Pyatt, is also one of the registered owners. Mrs Pyatt was the manager of Bankfield under the previous owner. She has the relevant qualifications and experience to manage a care home. Records confirmed that care staff receive formal supervision and annual appraisals. The inspector observed that some relatives have completed questionnaires, as have new staff, as part of the home’s quality assurance procedure. Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 20 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 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 x 3 x 2 Bankfield House F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 29 Regulation 7,9,19 & Schedule 2 23 (4) Requirement The registered person must have rigorous recruitment and selction procedures in place, which are followed at all times. The registered person must ensure that they provide confirmation that they have completed the required action as stated within the Fire Officers report of 1st June 2005. Timescale for action immediate 2. 38 15/7/05 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 10 Good Practice Recommendations The registered person should ensure that all care practices are carried out discreetly and, as far as possible, privately, including the weighing of residents, administration of creams and eye drops and other personal tasks. The registered person should ensure sufficent staff are provided to organised activities in a timely manner and provide the support required. The registered manager should ensure that the volunteer worker is supported to provide drinks and snacks in a timely manner. F54 F04 bankfield house A s62991 v222974 010605 stage 4.doc Version 1.30 Page 22 2. 3. 12 12 Bankfield House Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD 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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