CARE HOMES FOR OLDER PEOPLE
Bankfield Residential Home Hollins Lane Sowerby Bridge West Yorkshire HX6 2RS Lead Inspector
Lynda Jones Unannounced Inspection 25th October 2005 10:15 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 Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 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 Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Bankfield Residential Home Address Hollins Lane Sowerby Bridge West Yorkshire HX6 2RS 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 831333 01422 836331 Philip Bennet (Bankfield New Co) Ltd Mr Andrew Ivan Korkoza Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th March 2005 Brief Description of the Service: Bankfield provides personal care and support for up to 37 older people. The house is a detached Victorian property located approximately a quarter of a mile outside the centre of Sowerby Bridge. There is a steep drive up to the house. At the front of the house there is a garden with panoramic views of the surrounding countryside. Bedrooms are at ground, first and second floor level. All parts of the house can be accessed by a passenger lift. Most bedrooms are single, only two are double. 23 rooms have en suite facilities; the remainder have a hand washbasin with toilets and bathrooms nearby. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over a five-hour period. Six residents, six members of staff and one relative were spoken to, their comments have been used as evidence and are referred to in this report. Not all of the core standards were assessed during this inspection. The main focus was on residents care plans, accident records, staff personnel files and staff training records. What the service does well: What has improved since the last inspection?
Very good quality social assessments have been introduced. These ask simple, clear questions about resident’s experiences and expectations, the responses are then incorporated into the care plan. The content of the care plans has improved. There is evidence that the plans are reviewed regularly and that residents and relatives/advocates are involved in both their preparation and review. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 6 Training records are much better. A training matrix makes it possible to see what training has taken place, what is required and what needs to be updated. The arrangement of staff files has improved. These are now prefaced by a detailed recruitment checklist. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this inspection. EVIDENCE: Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10,11. The needs of residents are thoroughly assessed and the home has a good approach to promoting residents health care. EVIDENCE: There is evidence of significant improvement in the quality of care plans at the home. Four case files were examined and were found to contain detailed information relating to health, personal and social care needs. The social assessments that have been devised by the manager and introduced quite recently are particularly impressive. The notes at the beginning of the assessments state “the aim is to find out as much as possible about what makes each resident a unique individual”. The questions that residents and relatives are asked are clear and simple and give valuable information about life experiences, interests and personal likes and dislikes. There was evidence that the care plans were drawn up with the involvement of service users and that the plans were reviewed on a regular basis. Everyone present at review meetings signs the reviews. The format is detailed and contains some good information including details of when residents last saw
Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 10 the doctor, optician, chiropodist, audiologist and other health care providers, together with the outcomes of meetings. People are asked whether their privacy is respected and whether they are treated in a sensitive manner. There are specific questions about relationships with staff and other residents and people are asked if any changes could be made which would improve the quality of life at Bankfield. Staff need to take particular care that they avoid repetition in the daily records. Some entries were limited to comments such as “rested well, no problems” others noted that residents had “gone out for the day” but there was no information about who with, where, for how long and what sort of day it had been. Residents and a visiting relative said they felt that the care and support that was provided was very good and people expressed confidence in the management of the home. Residents said the staff worked hard and were kind and helpful and they felt that they were treated respectfully. Discussion took place with the manager about the care provided to one resident who died recently. The staff worked closely with the district nurse to ensure that the care needs of this individual could be met within the home and there is every reason to believe that this was dealt with in a sensitive, respectful manner. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Service users are encouraged to exercise control and choice over their lives and are asked for their views on the service provided. The meals are highly rated by residents and staff. EVIDENCE: There has been an improvement in the frequency and range of activities that are on offer at the home. One member of staff, who also covers some care duties, is employed for 25 hours each week to work exclusively on activities. When people move into the home they are consulted about their interests and the type of activities they may wish to take part in. No one is compelled to join in; everyone is free to choose how they wish to spend their time. Residents and staff were very enthusiastic about what was happening in the home. On the day of the inspection preparations were underway for a Halloween party. The range of activities on offer is on display on the notice board, some are group events, and others focus on individual crafts that people have expressed an interest in. Shopping trips, pub visits and theatre visits also take place and relatives are very welcome to join in. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 12 Residents said the home had a pleasant, friendly atmosphere and said there were always lots of visitors. A visiting relative said she called at various times of the day and was always made to feel welcome. Residents felt that they were able to determine how they wanted to spend their time and that the staff respected their preferred routines. Congratulations must go to the catering team for their culinary skills. From speaking to members of the team it is apparent that they set a high standard and they enjoy their work. Residents and staff were full of praise for the meals that are on offer. Residents said there was plenty of variety on the menu and everyone said they looked forward to and really enjoyed their meals. As well as producing “good home cooking” the cook was commended for the splendid range of desserts she manages to produce. Residents and staff report weight gains since the cook has been in post. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 13 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 14 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: Although these standards were not assessed on this inspection, previous reports indicate that significant improvements to the décor, curtains and carpets have taken place. On this occasion it was noted that the improvements are continuing, a large number of comfortable chairs have been purchased which are serviceable and brighten and improve the appearance of the lounge areas. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 15 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. The home is appropriately staffed to meet the needs of residents. Staff are enthusiastic and well trained for their work. There is still room for improvement in recruitment procedures. EVIDENCE: Staff training records and staff files have improved since the last inspection. The manager has produced a staff-training matrix, which shows at a glance, the range of training that has been undertaken by each member of the team. Individual training needs are indicated, as are the dates for renewal of certificated training. There is a strong commitment to staff training at the home. All staff have undertaken induction and foundation training and the home has a good record of providing training in areas such as fire safety, moving and handling, food hygiene and medication administration. The manager said he was hoping to arrange for the district nurse to provide some staff training on pressure care and palliative care The manager and deputy are undertaking NVQ 4; the manager will go on to complete the Registered Managers Award. 14 members of the team have started NVQ level 2 and 4 staff are undertaking level 3. 1 member of the staff team has already completed level 2. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 16 The staff files have been greatly improved, a useful recruitment checklist is held at the front of each file showing details of recruitment checks, contracts, supervision and appraisal details and any disciplinary matters. The majority of files were in good order however some information was missing on three files that were examined. The manager was reminded of the need to check employment histories thoroughly, to ensure that any references that are obtained are from most recent employers and to record dates of any POVA checks that are undertaken. The date that individual staff start work at the home should be clearly indicated on the file. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 17 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): 31,32,33,36,37, The home is well managed and there are good management support systems in place. Health, safety and the welfare of residents receives high priority. EVIDENCE: The home is well managed by an enthusiastic, dedicated and caring management team. An administrator and full time maintenance worker supports the team in their duties. Two operations managers who work across the group of homes visit regularly and provide valuable support and advice. The owner of the homes is also a regular visitor to Bankfield. The manager actively encourages comment on the way the home is run. Residents and relatives views are canvassed and staff are free to express
Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 18 opinions at regular staff meetings. The management style is open and suggestions about improvements are taken on board. Good systems are in place to ensure that staff are appropriately supervised. Health and safety issues throughout the home are continually assessed, taken very seriously and acted upon. Accidents are routinely audited so that prevention measures can be put in place. Care plans contain risk assessments relating to falls, added safety measures are incorporated into care plans and there was evidence of referrals having been made to the falls clinic. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 19 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 X X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 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 X 17 X 18 X X X X X X X X X 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 3 3 X X 3 3 X Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 20 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 Requirement The registered person must ensure that appropriate checks are carried out on all staff before they commence employment at the home. Timescale for action 25/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Care should be taken to avoid repetition in the daily records. Bankfield Residential Home DS0000057396.V261255.R01.S.doc Version 5.0 Page 21 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
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