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Inspection on 13/01/09 for Bankfield Premier Care

Also see our care home review for Bankfield Premier Care for more information

This inspection was carried out on 13th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

We found that information about the home had been reviewed and revised and was available for people to read in the entrance hall. We observed what went on at breakfast time. We found that the time people spent sitting waiting for their breakfast and medication had reduced. There were more staff on duty between 7.00am and 8.00am to help people get up. We did however overhear a person comment, "Why do we have to get up so early if breakfast is not ready?" People appeared smartly dressed, their hair was combed and they were wearing glasses and hearing aids where appropriate. Interaction between people living at the home and the staff team appeared to be frequent and friendly. Staff were seen to be discreet when speaking to people and gentle in their manner. They made sure that they came down to a person`s eye level when they were talking to them. Communication between staff appeared to be good and they were observed to be checking out with each other that what needed to be done had been done. People were given a choice about what they wanted for breakfast and were offered more on request. They were also asked individually what they would like for dinner. We looked at the care and support files of three people. They were seen to be generally in good order but some attention is still needed to ensure that the scoring on risk assessments is accurate to ensure that people received the right support. Records showed that people were being involved in activities on a regular basis. However we are aware that the activities co-ordinator is also working at another home within the organisation. Care must be taken to ensure that people living at Bankfield do not have less access to activities because of this arrangement. We looked around the environment. The arrangements for bathing and showering were seen to have improved. There was a new shower room and an upgraded bathroom that were in use. A new rise and fall bath had also been fitted to enable people with restricted mobility to have a bath. This bathroom should be ready in the near future. A new hairdressing room had also been created in a room that used to be a small bathroom to good effect. Staffing levels have improved with most vacancies now filled. We checked the recruitment files of new staff and found that they were generally in good order. We made several suggestions about how they may be improved further, for example making sure a reference was always taken from the staff member`s previous employer. We were informed that the registered manager had decided not to return to Bankfield. Interviews were in process to find a replacement for the manager.

What the care home could do better:

Everyone at breakfast was given a drink from a communal teapot into a plastic mug. There was no sugar, milk or condiments on the tables which some people were clearly still able to use. Some feeder cups being used were badly stained. Arrangements for the setting out of dining tables needs to be reviewed to see if the situation can be improved to promote independence, where appropriate and in a safe way. Although we were pleased with the improvements made to the bathing arrangements more work is still needed to the environment. The carpets in corridors were badly stained and worn in places and in some areas potential trips hazards were beginning to develop, which could put people at risk of falls. We received an up to date staff training matrix from the acting manager. The information still shows that there are significant gaps in the mandatory health and safety training undertaken by the staff team. This training needs to be done to ensure that the staff know how to care for and support people in a safe way. The acting manager said that she had undertaken some supervision sessions with staff but not as many as she would have liked. We will look at this area again at our next visit to ensure that improvements have been made. When we arrived we saw that people`s care records, which are kept in a communal area of the home, were not securely held and accessible to anyone. The appropriateness of keeping the records in this area need to be reviewed to see if there is somewhere better available to keep them whilst ensuring that they are accessible for staff to use.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Bankfield Premier Care Gigg Lane Bury Lancs BL9 9HQ The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Julie Bodell Date: 1 3 0 1 2 0 0 9 Information about the care home Name of care home: Address: Bankfield Premier Care Gigg Lane Bury Lancs BL9 9HQ 01617648552 01617613689 deniserimmer@bankfield.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr David Arthur Hopkins care home 47 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 47 Conditions of registration: The home is registered for a maximum of 47 service users to include:- *Up to 47 service users in the category of OP (old age not falling within any other category). Date of last inspection Brief description of the care home Bankfield Premier Care Home is a care home providing personal care for older people over 65 years of age. It is a large purpose-built detached home situated in a residential area of Bury. It is close to main bus routes and is approximately 3 miles away from Bury town centre. There is limited parking to the front of the home for the use of staff and visitors. There is a large enclosed courtyard at the back of the home. The home is registered to care for 47 residents and provides accommodation on the ground and first floor. Most of the bedrooms are single rooms and 22 of the single rooms have an en-suite facility of toilet and wash hand basin. The bedrooms on the first floor are reached either by stairs or a passenger lift. Care Homes for Older People Page 2 of 7 What we found: Our visit to the home was unannounced and started at 7.30am and finished at 2.30pm. Two inspectors were involved in the visit. The reason for our visit was to check that the home was being managed properly in the absence of the registered manager, who has been managing another home within the organisation for some time. We also checked that the owner of the home had addressed the requirements we made at our last visit. During our visit we spoke to the acting manager and the head of care. We spent time watching what went on and looked round the building. We looked at the care files of three people living at the home and the recruitment files of new members of staff. What the care home does well: We found that information about the home had been reviewed and revised and was available for people to read in the entrance hall. We observed what went on at breakfast time. We found that the time people spent sitting waiting for their breakfast and medication had reduced. There were more staff on duty between 7.00am and 8.00am to help people get up. We did however overhear a person comment, Why do we have to get up so early if breakfast is not ready? People appeared smartly dressed, their hair was combed and they were wearing glasses and hearing aids where appropriate. Interaction between people living at the home and the staff team appeared to be frequent and friendly. Staff were seen to be discreet when speaking to people and gentle in their manner. They made sure that they came down to a persons eye level when they were talking to them. Communication between staff appeared to be good and they were observed to be checking out with each other that what needed to be done had been done. People were given a choice about what they wanted for breakfast and were offered more on request. They were also asked individually what they would like for dinner. We looked at the care and support files of three people. They were seen to be generally in good order but some attention is still needed to ensure that the scoring on risk assessments is accurate to ensure that people received the right support. Records showed that people were being involved in activities on a regular basis. However we are aware that the activities co-ordinator is also working at another home within the organisation. Care must be taken to ensure that people living at Bankfield do not have less access to activities because of this arrangement. We looked around the environment. The arrangements for bathing and showering were seen to have improved. There was a new shower room and an upgraded bathroom that were in use. A new rise and fall bath had also been fitted to enable people with restricted mobility to have a bath. This bathroom should be ready in the near future. A new hairdressing room had also been created in a room that used to be a small bathroom to good effect. Care Homes for Older People Page 3 of 7 Staffing levels have improved with most vacancies now filled. We checked the recruitment files of new staff and found that they were generally in good order. We made several suggestions about how they may be improved further, for example making sure a reference was always taken from the staff members previous employer. We were informed that the registered manager had decided not to return to Bankfield. Interviews were in process to find a replacement for the manager. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 19 23 The ongoing programme of 30/09/2008 redecoration and refurbishment being carried out throughout the home must continue to improve the living conditions for people living at the home. To ensure that the people 30/09/2008 that live at the home are in safe hands the shortfalls in mandatory health and safety training identified on the skills audit must be addressed. (Outstanding in part 30/09/07 and 30/03/08) The registered manager must ensure that members of the staff team receive regular supervision and that this is evidence as part of ongoing continuous professional development and to consolidate direction and recent training received by the staff team. 31/07/2008 2 30 18 3 36 18 Care Homes for Older People Page 5 of 7 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 15 Arrangements for the setting out of tables needs to be reviewed. This needs to be done to promote the independence of people who are able of serve themselves, safely. The appropriateness of keeping the records in a communal area of the home needs to be reviewed. This needs to be done to improve the confidentiality of records but they must also be easily accessible to staff for their use. 2 37 Care Homes for Older People Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. 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