Inspection on 04/06/07 for Bankfield Manor Care Home

This inspection was carried out on 4th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bankfield Manor Care Home 31/01/08

Bankfield Manor Care Home 05/06/06

Bankfield Manor Care Home 30/11/05

Bankfield Manor Care Home 28/06/05

Bankfield Manor Care Home 03/11/04

Bankfield Manor Care Home 27/04/04

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

CARE HOMES FOR OLDER PEOPLE Bankfield Manor Care Home Boothtown Road Halifax West Yorkshire HX3 6HG Lead Inspector Cheryl Stovin Key Unannounced Inspection 4th June 2007 10:35 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 Manor Care Home DS0000030355.V331514.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. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bankfield Manor Care Home Address Boothtown Road Halifax West Yorkshire HX3 6HG 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) 01422 352398 Mrs Safia Bano Hussain Mrs Joan Philomena Berry Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (24), Physical disability (1) of places Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration to revert back to 25 OP when service user with category PD has been discharged. 5th June 2006 Date of last inspection Brief Description of the Service: Bankfield Manor is a residential care home situated in Boothtown, near to Bankfield Museum. There are some shops within walking distance and Halifax town centre is easily accessible. The home is set back from the main road in its own grounds and there is car parking available. Bankfield Manor offers personal care and accommodation for up to 24 people over the age of 65 years and one adult with a physical disability. The house is a former convent which has been adapted and extended to provide suitable accommodation. In the original part of the building, there is a passenger lift between the ground and first floors, the extension has a stair lift between the floors. The weekly scale of charges within the home range from £338 for a shared room to £354 for a single room. Additional charges are made for hairdressing, personal toiletries, newspapers and podiatry. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Bankfield Manor. This included an unannounced visit I made to the home on 4 June 2007. A total of 5 hours was spent on the visit. The purpose of the visit was to look at how the needs of people using the service are being met. During this visit, a full tour of the building was undertaken, records were examined and I spoke to staff, visitors and people living at the home. In addition to this visit, comment cards were sent out to give people an opportunity to share their views of the service with CSCI. A total of four comment cards were returned from people living at the home. The response was generally positive with people expressing satisfaction with the services and facilities provided in the home. One relative/visitor also returned a comment card, again the response was generally expressing satisfaction with the home. The last key inspection of Bankfield Manor was on 5 June 2006. A random inspection visit was made on 27 November 2006. This visit confirmed that the improvements seen at the key inspection had been maintained. A pre-inspection questionnaire was sent to the home which was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and the assistance given during the visit to the home. What the service does well: The people who live at Bankfield Manor said they receive a good standard of care and support. They told me that the home is “friendly” and “homely” and that the staff are “caring and kind” and meet their needs promptly. There is a National Vocational Training (NVQ) programme in the home and over 50 of staff have the NVQ level 2 award. The staff told me that they enjoy training opportunities and said it “helped them in their work”. Staff spoken to had a good knowledge of the needs of the people living at the home and staff were seen to be meeting those in a sensitive and dignified manner. People said that they enjoyed their meals and the meal being served during the visit looked appetising and plentiful. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 6 Visitors said they were always made welcome when they visit the home and this was seen to be the case during the visit. The atmosphere within the home is warm and welcoming; this was confirmed by people living at the home and visiting relatives. 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. The summary of this inspection report can Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Bankfield Manor Care Home DS0000030355.V331514.R01.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 Manor Care Home DS0000030355.V331514.R01.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, 6 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home to make sure the home can meet their needs. EVIDENCE: All people have an assessment before moving into the home to make sure their needs can be met. Prospective residents are also encouraged to visit the home to meet the staff, other people living in the home, and to sample the daily routine. The home provides written information about the services and facilities provided so that people know what to expect before moving into the home. The relative who returned a survey made the following comment “In terms of suitability of the home there was enough information provided, both Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 10 documented and verbal to help us decide that this was the place for my Mother”. Intermediate care is not provided in the home. Bankfield Manor Care Home DS0000030355.V331514.R01.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): 7,8,9,10 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s personal and health care needs are met. People are protected by the medication practices in the home. EVIDENCE: A selection of care records were examined. They contained care plans which were completed in detail. All people have a nutritional assessment, a falls risk assessment, a manual handling assessment and a skin care assessment. The care plans are completed in conjunction with the person using the service and their relatives. The people living at the home sign to say they are in agreement with their plan of care. A visiting health care professional told me that they were satisfied with the health and personal care given to the people living at the home. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 12 A personal profile is completed which includes details of the person’s past history and any particular interests. This makes sure that the staff are aware of the person as a ‘whole’ and can assist them to follow their interests. People said that they were treated with respect and staff were seen to be promoting the privacy and dignity of the people living in the home. A visiting relative told me that they “had never seen the staff treat them with anything other than utmost respect”. There is no office within the home, the senior staff work from a desk in the corner of one of the lounges. All people’s personal information is stored in this area and telephone calls regarding people living at the home and staff can be overheard. All personal information must be held securely, and confidential information must be locked away. One relative commented in their survey “There is no private office onsite which can make it difficult when you want to discuss any residents’ personal issues”. The home uses a Monitored Dose System (MDS) for the administration of medication. The stocks of medication are securely stored. The home has policies and procedures in place to ensure the safe administration of medication. All staff responsible for handling medication have been trained in medication administration. The Medication Administration Records (MAR) were accurately completed and all MAR sheets contained a photograph of the person the medication is prescribed for. This ensures that the correct person receives their medication. Stocks of medication held reconciled with the records kept. All people living at the home who returned a comment card said that they always or usually receive the care and support they need. One person said “I am happy living here”. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 13 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 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good. EVIDENCE: There is a welcoming atmosphere in the home. People confirmed that they choose when to get up and where and with whom to spend their time. There is a programme of activities in the home which includes visiting entertainers, quizzes, bingo and outings. On the day of the visit, some people were enjoying listening to a relative playing tunes on the organ. This is a regular occurrence which people said they appreciate. Other activities on offer in the home include cards and board games, hand and foot therapy, sing a longs, discussing current affairs and visits to the local shops and pubs. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 14 One person living at the home is a smoker and the smoking policy of the home is to smoke outside. This is particularly difficult, especially in inclement weather. Suitable facilities need to be made for those people living at the home who wish to smoke. The home should seek advice from Environmental Health regarding the new legislation about smoking which comes into force on 1 July 2007. Visiting relatives said that they are always made welcome when they visit the home and said that they are kept informed of important issues regarding their relative. The relative who completed a survey made the following comment: “My mother has been admitted to hospital twice. In both cases the staff made prompt contact to ensure we were aware and involved us at the earliest opportunity”. People confirmed that they enjoyed the meals provided in the home, and described the food as “very good food”, “the meals are lovely” and “we get some good meals here”. One of the people living at the home said in their survey “my chief complaint is the food, lack of fresh vegetables” People choose what they want to eat at breakfast, ranging from cereals and toast to a full English breakfast. The main meal of the day is served at lunchtime and the meal being served on the day of the visit was shepherd’s pie, cabbage and broccoli, followed by a choice of apple pie and custard or jelly and cream. The cook is aware of people’s dietary needs and preferences. There are people living in the home who are vegetarians and they are served fish, it is advisable to check with their relatives as vegetarians do not generally eat fish. The cook only works Monday to Friday and the care staff do the cooking at weekends. The care staff have not undertaken a certificated food hygiene course and must do so. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 15 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 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the policies and practices within the home. EVIDENCE: The home has a complaints procedure which is displayed in the entrance to the home. All but one of the people living at the home who returned a comment card knew who to speak to if they were unhappy about anything in the home. The survey card received from a relative indicated that they knew how to make a complaint, with the following additional comments: “If I wanted to make a complaint then I would. I have a good open relationship and dialogue with the manager and her assistant. Any issues have been dealt with. Whenever there has been any situation then they have responded positively”. The home has an adult protection procedure in place and staff receive training in the Protection of Vulnerable Adults. A ‘whistle blowing’ procedure is in place and staff are aware of the procedure to follow if they witness or suspect that abuse is occurring. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 16 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): 19,20,22,23,24,26 People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a generally safe and clean environment. EVIDENCE: The home is situated in the Boothtown district of Halifax with local shops and facilities nearby. The property is maintained to an acceptable standard with a routine programme of maintenance in place to ensure that this is always the case. I took a full tour of the building and saw that the programme of redecoration which was taking place appears to have come to a standstill. Some areas of the home, particularly the ground floor bathroom and bedroom areas, are in urgent need of redecoration and refurbishment. One of the ground floor Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 17 bedrooms is particularly small and not well lit or ventilated. Somebody has recently moved into this room and they should be offered alternative accommodation as soon as a room becomes available. The bedrooms that have been redecorated and refurbished are bright and welcoming. People are encouraged to bring with them personal items to display in their own rooms to give a homely feel. People said that they were satisfied with their rooms. In one bedroom there was no light bulbs in the main light fitting and only a bare light bulb in the bedside light. The bulb gets extremely hot and could easily have burnt the person using the lamp; a lampshade should be fitted to the lamp to make it safe. One person living in the home told me that he has no access to a call bell in his room due to a chest of drawers being put in front of the call bell. He described how he has to go into the toilet near to his room to summon assistance. Call bells must be easily accessible so that people can get assistance in an emergency. The home was seen to be clean and hygienic throughout and people living at the home, and visiting relatives, said this was always the case. All people who returned a survey said that the home was usually fresh and clean. Communal areas consist of three lounge areas and a dining room on the ground floor. The lounges are spacious and comfortable and there is sufficient space in the dining room. There are well maintained garden areas which the people living at the home were enjoying sitting in during my visit. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a trained and competent staff team, and people are protected by the safe recruitment practices. EVIDENCE: Staffing levels are sufficient to meet the needs of the people living at the home. Rotas seen indicated that there are three care staff, one of which is a senior, on duty during the hours of 8.30 am until 9.30 pm, plus the manager and two waking night staff. In addition to the care staff, domestic and catering staff are also employed. The staff team were observed to be meeting people’s needs in a sensitive manner with appropriate use of informality and humour. People expressed satisfaction with the staff team as a whole and made the following comments: “they can’t do enough for you”, and “she’s a real carer”. The relative who returned a survey said that “the staff are very caring and kind to the residents”. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 19 Three of the four people living at the home said in their surveys that the staff always treat them well. One made the following comment “some members of staff can be very bullying and treat you offhand”. As the comment card was returned anonymously, I was unable to follow this up during the visit. There is a commitment to NVQ training in the home and over 50 of staff hold the level 2 award. In addition to the NVQ training, a variety of other training opportunities are available. Staff were enthusiastic about the training provided and said that the training assisted them to do their job. Staff recruitment files were seen and there was evidence that all staff are subject to Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures prior to an offer of employment being made. Two written references are required and the completion of an application form as part of the recruitment procedure. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is adequately run and managed and people’s health and safety is protected. EVIDENCE: The manager of the home is competent and experienced to run the home. Since the last inspection she has been registered by the Commission as manager of the home. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 21 One visiting relative said that the manager is approachable and makes sure that the home is well run and run in the best interests of the people living there. There is a formal quality assurance system in place which gathers the views of the people living at the home and visitors and relatives. The results are analysed and the findings published. The latest survey indicated satisfaction with the services and facilities provided. There are health and safety policies and procedures in place to protect the welfare of the people living at the home. All staff receive training in safe working practices. Some minor health and safety issues were pointed out at the time of the visit. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 22 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 2 11 3 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 2 2 x x 2 2 2 2 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 3 x x 3 Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP24 Regulation 12 Requirement All call bells must be fitted with leads to enable people to summon assistance. Timescale for action 31/08/07 2 OP25 13 This remains outstanding from the previous inspection. To prevent the risk of scalding, 31/08/07 pre-set valves of a type unaffected by changes in water pressure and which have fail safe devices must be fitted locally to provide water close to 43°C. This remains outstanding from the previous inspection. Fire doors to bedrooms must be adjusted to enable them to shut properly to keep people safe. This remains outstanding from the previous inspection. For the comfort and safety of people living at the home, the rooms identified as requiring redecoration must be refurbished. 3 OP38 13 31/08/07 4 OP24 16 30/09/07 Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 24 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. 2. 3. 4 Refer to Standard OP24 OP14 OP15 OP10 Good Practice Recommendations Where people have chosen not to have privacy screening in their bedroom, agreement to this should documented in the individuals’ plans of care. Suitable arrangements should be made for those people wishing to smoke. Vegetarians should receive a suitable diet, and cultural and religious needs in respect of meals should be assessed. Consideration should be given to providing a private office space in the home so that people’s confidentiality is maintained. Bankfield Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Manor Care Home DS0000030355.V331514.R01.S.doc Version 5.2 Page 26 - 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. 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