Inspection on 22/08/07 for Bankfield House Care Home

This inspection was carried out on 22nd August 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

Bankfield House Care Home 21/07/06

Bankfield House Care Home 12/01/06

Bankfield House Care Home 01/06/05

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 Care Home Bankfield Road Woodley Stockport Cheshire SK6 1RQ Lead Inspector Steve Chick Unannounced Inspection 11:30 22 August 2007 nd 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 Bankfield House Care Home DS0000062991.V344019.R02.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. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bankfield House Care Home Address Bankfield Road Woodley Stockport Cheshire SK6 1RQ 0161 406 6468 0161 406 6467 admin@bankfieldcare.co.uk 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) Freshfield Care Ltd Mrs Susan Pyatt Care Home 24 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (24), of places Physical disability (4) Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 24 service users to include: *up to 4 service users in the category of DE(E) (Dementia over 65 years of age). *up to 4 service users in the category of PD (Physical disability). *up to 24 service users in the category of OP (Old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 21st July 2006 2. Date of last inspection 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. Two lounges and an additional conservatory 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. The home’s fees structure varies between £343.00 and £475.00 per week. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection also included an unannounced site visit to the home in August 2007. For the purpose of this inspection three service users were interviewed in private, as was one relative of a service user. Additionally discussions took place with the manager and three staff members were interviewed in private. The inspector also undertook a tour of the building and looked at a selection of service user and staff records as well as other documentation, including staff rotas, medication records and some maintenance documents. A meal was sampled. Since the previous key inspection an unannounced visit was made to the home in January 2007 to monitor compliance with requirements made. This report also uses information gathered since the previous visit and information provided by the manager. This includes the return of several questionnaires both from service users and relatives of service users to the Commission for Social Care Inspection. The manager had also completed and returned an Annual Quality Assurance Assessment (AQAA) providing information on a range of aspects of the running of the home. All key standards were assessed. Service users spoken to during the inspection, the relative spoken to and questionnaires returned by relatives and service users were all positive about the standard of care provided at Bankfield House. One relative said [X] has a positive outlook on the future and is looking forward to the rest of her life! (Something she has not looked forward to for a number of years). Another relative said the whole place is like a lovely hotel. I am extremely happy with Bankfield and on her lucid days [X] fully agrees with me. Both from interviewing service users and comments made in questionnaires which were returned, there was evidence of several people living at Bankfield House who had had previous experience of a relative having lived there. Several made the point that they would not themselves have chosen (or chosen on behalf of a relative) to live at Bankfield House unless they had been totally satisfied with it. One service user who had been a visitor before becoming a resident themselves, felt that the home was really wonderful. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Several areas, of documentation and record keeping, particularly in connection with service users’ personal files, needed to be undertaken with more consistency and rigour. Whilst this did not present as having an immediately detrimental impact on service users, it did have a negative impact on the homes ability to be accountable for their care and safety. Plans to improve the physical facilities and decor need to be implemented. Recruitment practices were not good. The legal framework regarding the minimum vetting which is required to be undertaken before any member of staff commences work must be complied with fully. Given the other positive aspects of the home it was disappointing that this had not been addressed, in spite of being identified in the previous inspection report. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 7 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. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 8 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 Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 9 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 and 6. Quality in this outcome area is good Service users needs are appropriately assessed and they, or their representatives, are able to visit before a decision is made that the home is appropriate for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A selection of service user files was looked at. All provided documentary evidence that service users had their needs assessed by somebody competent to do so before they moved to the home. This was to ensure, as far as is possible, that Bankfield House could meet the identified needs of the service user. The manager was able to identify circumstances in which a prospective Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 10 service user had not been accepted as she did not feel the home could meet their needs. All respondents to the service user questionnaire confirmed that they received enough information about the home before they moved in so they could decide if it was the right place for them. One respondent to the survey questionnaire reported that they had a very good guided tour and were encouraged to ask questions as a part of the process of deciding if Bankfield House was the right place for them. Bankfield House does not offer intermediate care. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 11 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 and 10. Quality in this outcome area is adequate. Service users’ individual plans of care are not maintained with sufficient consistency to ensure they reflect current needs. Service users have access to appropriate community-based medical services to ensure their health needs are met, but a lack of the rigorous implementation of the homes medication procedures may jeopardise their health or safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit in August 2007 a selection service user files was looked at. All had a written care plan. There was documentary evidence that this written plan had been shared with and agreed by a representative of the service user. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 12 Discussion with a member of staff indicated that the home was now also ensuring that service users who had the capacity to be involved in discussions about their care were being asked to sign to confirm their agreement. There was evidence that the care plans were periodically reviewed and amended. Inconsistency in dating amendments meant that sometimes it was difficult to identify a clear sequence of changes. The quality and consistency of the information contained in the care plans was inconsistent. Daily records were maintained, but these did not always present as reflecting the care which is actually given, nor that which had been identified as being needed. The structure of the care plan format used at Bankfield House included subdivisions which were called service to be provided and objective. Examples were seen where there was no clear link between these two. There was documentary evidence that service users were being weighed regularly as a contribution to monitoring their health and well-being. Whilst this is, theoretically, good practice, examples were seen where the information obtained was not translated into action. For example a recorded weight gain of over 2 kg between monthly weighings was noted as a weight loss. In another example, an administrative error had resulted in an apparent gain of one stone one pound within the month. This gain had been noted, but not triggered any action. There was documentary evidence to indicate that the manager was auditing the files, identifying these errors and omissions and referring them back through the senior staff to rectify. It was reported that this level of auditing was relatively new to the home, but was clearly necessary to ensure the written records were meaningful. Staff who were asked during this visit, expressed confidence that a combination of their knowledge of the individual service users, information held on their personal files, verbal information given at shift handovers and the staff communication book resulted in them having appropriate information on the current needs of individual service users. Service users who were interviewed during this visit were very positive about the nature of care they received. One service user said that the staff fall over backwards to help you another said staff are very good, no doubt about that. Service users spoken to also reported that their observation of the way in which staff responded to more dependent service users was that everyone resident at the home was treated with an equal degree of respect and dignity. All completed questionnaires returned by service users responded always to the question do you receive the care and support you need?. Comments made by relatives who completed questionnaires included I have visited X on different days and times, and always find her being lovingly looked after. -- Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 13 excellent attitude from all staff -- allows appropriate level of independence … maintains a persons self-respect … . There was documentary evidence that service users have access to the full range of medical and paramedical services available in the community. Service users and relatives who were asked all expressed confidence that appropriate medical support was obtained, when necessary and in a timely manner. Similarly staff who were interviewed were confident that medical support was appropriately obtained. Bankfield House uses a pre-dispensed monitored dosage system to administer service users’ medication. There was documentary evidence that the manager audits the medication administration records at the end of each monthly period. The medication administration records which were looked at at this visit had only commenced a few days previously. While these appeared to be predominantly appropriately maintained, some errors were noted. Correction fluid had been used on the pre-printed medication administration record which is contrary to best practice. One example was seen where it was not clear if eye drops were being administered with the frequency required by the prescription. One medication was recorded as being not dispensed, and there was no evidence that anyone had sought to explain what this meant, or whether this was an omission which needed to be resolved. Observation, discussion with service users, staff and visitors all indicated that service users privacy was maintained and that they were treated with dignity. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 14 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 and 15. Quality in this outcome area is good. An appropriate range of activities was available for service users, and visitors are welcome in the home, which enhances service users fulfilment and social stimulation. The provision of food to maintain service users’ health and well-being is good and service users are able to maximise their autonomy within the context of communal living. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the selection of service users written care plans which were looked at aspects of social and spiritual care needs did not appear to be addressed consistently. However there was good evidence that this administrative shortfall had been identified and was being addressed. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 15 The manager reported that service users benefited from the presence of an activities coordinator for two sessions each week. There was evidence of craftwork which had been made by service users with the intention of selling at the planned summer fete. There was evidence of various outings being undertaken by service users, including to Morecambe, Chester zoo, Southport and the local canal. Staff who were spoken to confirm that these outings did take place and that they try to ensure that all service users have access to such outings. Service users spoken to confirmed a range of activities which they could participate in if they wished. Minutes of the recent meeting of relatives, friends of Bankfield, service users and staff were seen. These demonstrated an appropriate range of issues were being discussed and acted upon. Two service users were actively involved in the planning and implementation of landscaping at the front of the building. Discussion with the service users confirmed their participation. At the time of this visit service users were sitting out enjoying the sunshine. Three respondents to the service user questionnaire said that there were usually activities arranged by the home that they could take part in, one responded sometimes and another did not complete this question. In response to the question does the care service support people to live the life they choose all but one respondents from relatives carers and advocates said always. The other respondent said usually. A computer was available for the use of service users. At the time of this visit discussions were still under way about the best way to assist service users in acquiring the new skills necessary to make the most of this facility. Bankfield House has a policy of open visiting. Service users and staff who were spoken to confirmed that visitors are welcome at any reasonable time. One visitor who was spoken to, confirmed he could visit whenever he wanted to and described the staff as welcoming. This visitor commented that the staff looked after him as well as his wife and particularly appreciated the fuss made of him, on his birthday, by the staff team. All service users spoken to expressed the view that they were able to exercise autonomy and choice in the way in which they conducted their daily routines. They were free to get up and go to bed when they chose, could access their room or any of the communal facilities whenever they wanted and presented as being involved in the running of the home. One service user spoken to particularly appreciated the lack of what he called regulation and rules. One meal was sampled during this visit which was pleasantly presented and tasty. Menus confirming todays meals and choices were printed and placed on each table. Discussion with the cook indicated that there was ample provision of food without unreasonable restrictions on his budget. Service users spoken to were complimentary about the food provided at Bankfield House and Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 16 confirmed the provision of adequate amounts. One service user said the food is excellent and there is enough of it, another service user observed that there was always something left over and youre asked if youve had enough. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 17 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 and 18. Quality in this outcome area is good. Service users are confident that any complaints they may have would be dealt with appropriately and feel protected from abuse or exploitation by the homes policies and practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Bankfield House has been found, on previous visits, to have a robust complaints procedure which is made available to service users. This procedure was not looked at on this occasion. It was apparent that not all comments and complaints are recorded in a separate log, although this does not mean that expressions of dissatisfaction are not responded to appropriately. All service users and visitors spoken to, expressed a high level of confidence that any complaint would be listened to and responded to appropriately. Similarly staff believed that Bankfield House would respond to any complaint in an appropriate manner and were clear about their responsibility to pass on any complaint that they could not deal with themselves. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 18 All service users who were spoken to expressed the view that they were safe at Bankfield House and were not subject to abuse or exploitation. One service user, when asked what the best thing about the home was, replied the sense of security. Another service user’s response to the same question was being safe and I know if I have any problems I can go to Sue [the manager]. There was evidence on notice boards and in the office, of information being available to service users, or their relatives, of independent advocacy services who could become involved if necessary. Staff who were interviewed during this visit believed that service users were safe. Whilst they expressed the view that the management structure would deal appropriately with any allegation of abuse or exploitation, they were also aware of the whistleblowing policy and reported that they would go to an appropriate external authority, if necessary to protect the interests of service users. There was documentary evidence that staff received some training in issues relating to protection of vulnerable adults. The home’s AQAA identified the planned continuity of staff training in this area. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 19 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 and 26. Quality in this outcome area is good. The home is predominantly appropriately maintained to provide a safe, clean and homely environment for service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During this site visit a tour of the building was undertaken. This included communal areas and a selection of service users bedrooms. There was clear evidence of the personalisation of individuals bedrooms. Works on the landscaping and improvement to the front of the building was continuing. The manager reported that they were still pursuing plans to Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 20 improve the facilities both within the building and to landscape the rear gardens. She acknowledged that the decor was looking tired but was confident that improvements would be made in the near future. Service users who were interviewed during this visit expressed satisfaction with the accommodation. There was a record kept of when staff identified any remedial maintenance work which was needed. This provided good evidence that staff were encouraged to report any work which needed doing. Although the handyman ticked off jobs when completed these ticks were not dated and consequently it was hard to establish for how long things remained broken. Some minor damage to some furniture was noted during the tour. The home presented as being clean and tidy with no unpleasant odours at the time of this unannounced visit. Service users and staff confirmed that this was the usual state of the building. One service user commented, when asked about the state of cleanliness, someone is dusting all day long. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 21 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 and 30. Quality in this outcome area is adequate. Recruitment procedures are not applied with sufficient rigour to minimise the risk to service users of inappropriate staff being employed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the staff rota for the week beginning the 3rd August 2007 was made available. This provided confirmation that the home’s intention to provide four carers during the day and two at night was achieved. Respondents to the service users questionnaire reported that staff were either always, and in one case usually, available when they are needed. Bankfield Houses AQAA reported that they are good at supporting care staff to achieve NVQ two and three. Staff who were interviewed confirmed that training is encouraged. There was documentary evidence that staff had attended a range of training opportunities. Staff who were interviewed confirmed they held NVQ qualifications and that they were encouraged to request further training. A selection of staff files was looked at which gave documentary evidence of training undertaken. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 22 A selection of staff files was looked at in connection with the recruitment and vetting procedures. Whilst each file looked at did hold a copy of a clear criminal record disclosure form, these had not always been obtained before the person started work. An example was seen where neither written reference had been received before the person started work. Another example was seen where the application form did not provide a full employment history. In this latter case the manager reported to the individual was well known to her, but accepted that a written record of an acceptable explanation of the gaps in employment history was required. Observation during this visit indicated relaxed, positive and appropriate relationships between staff and service users. Service users and visitors who were spoken to during the site visit were positive about the attitude and competence of the staff team. One relatives questionnaire described all the staff as wonderful, another noted that the home provided a good friendly atmosphere and another respondent wrote staff take time to talk to [X] and make friends. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 23 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, 35 and 38. Quality in this outcome area is good. The manager is competent to run the home, use the quality audit systems and implement the health and safety procedures for the benefit of service users and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Previous inspection reports have identified that the manager has the qualifications and experience to effectively run a care home. During this visit Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 24 service users and staff who were spoken to reported positively on the managers competence and openness. Documentary evidence from the minutes of meetings confirmed that service users were consulted on the running of the home and their views on improvements were sought. Service users spoken to during the visit expressed the view that they were listened to. The home had undertaken its own questionnaire survey in April 2007. A sample of the returned questionnaires were looked at and presented as generally being very positive. Although the manager reported that feedback from these questionnaires was acted upon there was no specific written assessment of the questionnaires nor an action plan completed as a consequence of information supplied by them. It was reported by the manager, and confirmed by the administrator, that the home does not hold money on behalf of the service users. If purchases are made on their behalf the service user, they or their representative, are subsequently invoiced for that amount. Previous inspections have found that the home follows appropriate health and safety procedures. Information supplied by the manager in the AQAA indicated that appropriate policies and procedures regarding health and safety issues were in place and that necessary equipment is regularly maintained. A small sample of documentation to confirm this was looked at and presented as being appropriately maintained. Staff who were interviewed confirmed the availability and mandatory use of personal protective equipment such as disposable gloves and aprons, to minimise the risk of cross infection. As mentioned elsewhere in this report service users reported that the home was always clean and tidy with no unpleasant smells. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 25 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 2 8 3 9 2 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 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 26 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 OP29 Regulation 19 Timescale for action In order to take the best steps to 01/10/07 protect the interests of the vulnerable older people living at the home, the owners must not employ anybody to work at Bankfield House without, as a minimum, having undertaken all the enquiries listed in schedule 2 of the Care Homes Regulations 2001. This means references, police checks and full employment history must be in place before anyone starts work at the home. Requirement 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 OP7 Good Practice Recommendations The registered person should ensure that the regular auditing of written information held in respect of service users is undertaken. This is to make sure that staff have DS0000062991.V344019.R02.S.doc Version 5.2 Page 27 Bankfield House Care Home 2. OP9 3. OP16 4. OP33 access to a clear, comprehensive, consistent and accurate plan to help to inform them of the best way to meet each individual’s needs. The registered person should ensure that the pre printed medication administration records are audited at the beginning of the period they cover as well as at the end. This will ensure that the information on the medication administration records is accurate, clear and presented in such a way as to enable staff to confidently ensure that service users are being given the correct medication at the correct time. The registered person should ensure that a separate record is maintained of all complaints and comments, even when they are quickly resolved. This is to enable management to easily identify if any action is necessary to modify practice in the home. The registered person should ensure that the annual quality audit includes an action plan to demonstrate that the views of service users and relatives are taken into account in seeking to develop the service. Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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. Extracts may not be used or reproduced without the express permission of CSCI Bankfield House Care Home DS0000062991.V344019.R02.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!