Inspection on 05/06/06 for Bankfield Manor Care Home

This inspection was carried out on 5th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 04/06/07

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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Hawkhills

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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 5th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bankfield Manor Care Home DS0000030355.V292307.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.V292307.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 Safia Bano Hussain 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.V292307.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. 30th November 2005 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 to £354, additional charges are made for hairdressing, personal toiletries, newspapers and podiatry. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a Key Inspection which was undertaken by two inspectors over a total of 14 hours. In addition to the site visit to the home, when service users were consulted, relatives/visitors were invited as to their opinions of the services and facilities provided within the home by the completion of a comment card. Seven replies were received. A pre-inspection questionnaire was sent to the home which was returned accurately completed. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk What the service does well: The atmosphere within the home is warm and welcoming this was confirmed by service users and visiting relatives. The staff appeared to be working together as a team and meeting the needs of the service users in a sensitive and caring manner. Service users and visiting relatives spoke highly of the staff team as a whole, one relative commented that “the staff are more like friends than carers”. Relatives confirmed that they are kept well informed of any issues affecting their relative. The standard of the food served is generally very good with service users describing the food as “excellent”. All respondents to the relatives/visitors comment cards indicated that they were satisfied with the overall care provided within Bankfield Manor. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There is a programme of NVQ training within the home, however, the home must continue to work towards the target of 50 of the staff team to be qualified to NVQ II or equivalent. The service users’ plan of care must show how their care needs are to be met, and the care plans must reflect the current needs of the service users. Attention to detail in the service users’ rooms must be improved, for example, leads fitted to call bells to enable the service users to summon assistance. The hot water supply to the service users bedrooms and bathrooms must be regulated to 43oC, to prevent the risk of scalding. Fire doors must be adjusted to ensure that they close properly. Personal and confidential records must be held securely. Access to the home for wheelchair users must be improved and the doorbell positioned at a height suitable for their needs. Suitable arrangements must be made for those service users wishing to smoke. Bankfield Manor Care Home DS0000030355.V292307.R01.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. Bankfield Manor Care Home DS0000030355.V292307.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.V292307.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed prior to moving into the home. EVIDENCE: Service users records examined indicated that all service users receive a preadmission assessment, prior to moving into the home. Service users and relatives confirmed that they had the opportunity to visit the home before making a decision to become resident. One visiting relative stated that they had visited several other homes in the area but chose Bankfield Manor because of the warm and welcoming atmosphere. Intermediate care is not provided within the establishment. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each service user has an individual plan of care, however, some of the records were out of date, and do not give a clear indication of how their health and personal care needs are to be met. Medication practices in the home are safe. Service users confirmed they are treated with respect. EVIDENCE: A selection of care plans were examined. Some of the care plans contained out of date and conflicting information. An example of this was one service user’s care plan stated that they were able to walk independently, however, three staff confirmed the service user was now unable to weight bear. The moving and handling assessment had not been reviewed. The care plans contain a life history and personal profile section, however, the information in the care plans examined was very brief. There was no indication of how Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 11 service users cultural and religious needs are to be met. There was no evidence of residents or relatives input into the care plans. There is no office within the home, the senior staff work from a desk in the corner of one of the lounges. All of the service users personal information is stored in this area and telephone calls regarding service users and staff can be overheard. All personal information must be held securely, and confidential information must be locked away. Service users, with whom the inspectors consulted, felt that they were treated with respect and dignity. This was confirmed by visiting relatives spoken to during the inspection. The inspectors were concerned that communal razors were seen in the bathrooms which is unacceptable as it does not promote the dignity of the service users. There is a telephone for the use of the service users which is situated in the dining room, therefore, service users cannot make or receive telephone calls in private. The medication administration practices within the home were observed and found to be satisfactory and safe. The medication is securely and appropriately stored and Medication Administration Records were accurately completed. Stocks of medication held reconciled with records kept. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The daily routines within the home are flexible, however, limited activities are available for the service users’ to participate in, and cultural and religious needs are not identified. Relatives and visitors are made welcome when they visit the home. One service user’s ability to exercise choice and control over their life is inhibited by the smoking policy within the home. A varied and nutritious diet is taken by the service users. EVIDENCE: The daily routine is flexible and service users confirmed that they can choose when to get up and go to bed and where and with whom to spend their time. Some service users said there were very little activities provided within the home, one service user said he would like to play a game of dominoes and another said he would like to get out more, but said the staff were too busy to take him. Visiting relatives, spoken to during the inspection, stated that they had seen very little evidence of activities being provided. Not all of the service Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 13 users cultural and religious needs had been identified. One service user is a smoker and has to go outside for a cigarette. He is a wheelchair user and cannot reach the doorbell to summon staff to let him back inside the home when he is ready. He has to rely on catching the staff’s attention as they pass by the window. This is particularly a problem in inclement weather and suitable arrangements must be made for those residents wishing to smoke. Visitors stated that they are always made welcome when they visit the home and are kept informed of any concerns regarding their relative. All of the visitors spoken to expressed satisfaction with the care and facilities provided within the home and made the following comments: “the staff are very caring”, “the staff are more like friends than carers”, “the home is excellent” and “the home is always clean and tidy”. One visitor said that clothes sometimes get mixed up but stated that “it is only a minor issue in an otherwise excellent home”. Service users confirmed that they enjoyed the meals provided in the home, and described the food as “very good food”, “highly satisfied” and “couldn’t wish for better food anywhere”. The service users 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 first day of the inspection was: sausage casserole or beef burgers and chips, followed by pineapple sponge and custard. The cook is aware of the service users dietary needs and preferences. There are two ‘vegetarian’ service users’ in the home and they were 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. Following the meal tea was served to the service users’ from a teapot which had milk already added, this gave an institutional feel and did not take into account service users preferences. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place. Service users are protected from abuse. EVIDENCE: The homes complaints procedure is freely available to service users and visitors. Five of the relatives/visitors comment cards stated that they were aware of the procedure to follow if they wished to make a complaint. There have been three complaints made to the home since the last inspection, all of which have been resolved to the satisfaction of the complainants. All of the staff team have received training in the Protection of Vulnerable Adults. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained throughout. A programme of refurbishment is in place, which has enhanced the environment for the service users. Wheelchair users have difficulty gaining access to the home as the door bell is not at a height suitable to meet their needs. The home was noted to be generally clean and hygienic. EVIDENCE: A full tour of the building was undertaken. Since the last inspection a programme of refurbishment to the service users private accommodation has been taking place. Eight bedrooms have been completed to date and new beds, flooring and good quality furniture has been provided. This has greatly improved the appearance and facilities of these rooms. This is a rolling Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 16 programme and it is anticipated that all the rooms will be finished by the end of the year. The programme also includes the fitting of suitable and appropriate locks to the bedroom doors. It is suggested that the ground floor bedrooms are prioritised for the next phase of refurbishment. The majority of the bedrooms were personalised reflecting their occupants’ interests and tastes. It was noted that in several bedrooms there were no call bell leads, these must be replaced. Some bedroom doors did not close properly and need adjusting. In several bedrooms and bathrooms the water was very hot, there was no thermometer available to check the actual water temperature. Hot water temperatures must be checked and regulated. Some light bulbs require replacing. In one bedroom there were trailing wires around the room which require attention. The inspectors were unable to open the safety gate at the top of the stairs, which would present a hazard in the event of a fire, the catch must be repaired. Communal areas are spacious and comfortable. Externally there are well maintained grounds which the service users were enjoying at the time of the inspection. The doorbell to summon assistance to gain access back into the home is not at a height suitable for wheelchair users. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are adequate staffing levels to meet the needs of the service users. There is a programme of NVQ training within the home, however, only six members of staff hold the award. All staff are subject to POVA and CRB disclosures prior to being employed at the home. EVIDENCE: From records seen and following observation and discussion at the time of the inspection, sufficient staff are deployed to meet the needs of the service users’. Rotas examined indicated that there are three care staff on duty, plus the manager, during the day and two waking night staff. Six respondents to the relatives/visitors comment cards felt that, in their opinion, there are always sufficient staff on duty, one answered “mostly”. Visiting relatives spoken to expressed satisfaction with the staff team as a whole and felt that they were friendly and approachable. Service users’ confirmed that the staff meet their needs in a sensitive and caring manner. There is a programme of NVQ training within the home, however, the home does not meet the requirement for 50 of the care staff to be qualified to NVQ II or equivalent. In addition to the NVQ training, in-house training has been Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 18 provided in the following areas: fire safety, manual handling, adult protection and health and safety. Staff spoken to during the inspection welcomed the opportunities for training. Recruitment practices within the home are generally satisfactory. Staff files examined indicated that all staff are subject to CRB and POVA checks prior to employment. Two written references are also taken up. It was noted, however, that some previous employer references had been sent to their home address and not to the place of work. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management team within the home is adequate. Some areas of health and safety require attention Service users’ personal money is held securely. EVIDENCE: The current deputy manager of the home is in the process of applying to the CSCI to be registered as manager. Once all the necessary checks have been carried out a fit person interview will be arranged. There are clear lines of accountability between the owner, who is currently registered as manager of the home, and the acting manager. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 20 All staff receive training in health and safety and safe working practices. Certificates were seen indicating compliance with gas and electrical regulations. The hot water supply to some bedrooms and bathrooms was exceptionally hot and to prevent risks from scalding pre-set valves of a type unaffected by changes in water pressure and which have fail safe devices must be fitted to provide water close to 43oc. The safety gate at the top of the stairs was difficult to open and would be a hazard in the case of fire, the catch must be replaced. Some fire doors to bedrooms did not shut properly and must be adjusted. Care staff who prepare and cook meals must undertake a certificated food hygiene course. Any money held on behalf of the service users is securely and appropriately stored and cash held reconciled with records held. There are still individual, personal records being kept in unlocked cupboards and cabinets in a public area of the home. It was a requirement of the last inspection report that this is changed and the situation remains unaltered. All personal information must be stored securely. A quality assurance system is in place consisting of anonymous questionnaires which are completed by service users and their relatives. The results of the surveys are analysed and the results published. The results generally indicated satisfaction with the standards of care and facilities provided within the home. Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 1 3 3 3 1 1 3 STAFFING Standard No Score 27 3 28 1 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 1 1 Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15 Requirement The service user care plan must show how their needs in respect of their health and welfare are to be met and must contain up to date information. The door bell to the home must be at a height suitable for wheelchair users. All call bells must be fitted with leads to enable service users to summon assistance. To prevent the risk of scalding, 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 43oC 50 of care staff must be qualified to NVQ II or equivalent. All confidential information must be stored in securely locked cabinets or rooms. This requirement has been carried forward from the last inspection. Timescale for action 31/08/06 2 3 4 OP20 OP24 OP25 23 12 13 31/08/06 31/08/06 31/08/06 4 5 OP28 OP37 18 17(1)(b) 31/01/07 31/08/06 Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 23 6 7 OP38 OP38 13 24 Fire doors to bedrooms must be adjusted to enable them to shut properly. The safety gate at the top of the stairs must open easily to prevent a hazard in case of fire. 31/08/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP24 Good Practice Recommendations Where service users have chosen not to have privacy screening in their bedroom, agreement to this should documented in the individuals plans of care. The practice of using communal razors should cease with immediate effect. A limited range of activities are provided for the service users to participate in and more activities should be available to enable the service users social and recreation needs to be met. Suitable arrangements should be made for those service users wishing to smoke. Vegetarians should receive a suitable diet, and cultural and religious needs in respect of meals should be assessed. 2. 3. OP10 OP12 4. 5 OP14 OP15 Bankfield Manor Care Home DS0000030355.V292307.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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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