CARE HOMES FOR OLDER PEOPLE
Bankfield Residential Home Hollins Lane Sowerby Bridge West Yorkshire HX6 2RS Lead Inspector
Lynda Jones Unannounced Inspection 3rd January 2006 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.V277787.R01.S.doc Version 5.1 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.V277787.R01.S.doc Version 5.1 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.V277787.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th October 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.V277787.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk The last inspection of the home was unannounced and took place on 25 October 2005. There have been no further visits until this unannounced inspection. This was an unannounced inspection carried out by one inspector over a 4hour period. The main purpose of the inspection was to make sure that the home continues to provide a good standard of care for the people who live there. The methods used at this inspection included looking at medication and care records and talking to service users, staff and the manager. A tour of the building also took place. What the service does well:
Prospective service users are provided with useful information about the home to help them make a decision about moving in. Pre admission visits to the home are actively encouraged. Evidence shows that service users are appropriately assessed before they move in to make sure that their needs can be met. The home is well managed and staffed by a competent team of staff. People who work at the home are friendly and helpful. The registered provider and operations managers are approachable and keen to provide a good quality of care at the home. They can be contacted if anyone has any concerns about any aspect of provision. Measures are in place to make sure that staff are suitable to work with older people, checks are made with previous employers and with the Criminal Records Bureau. Staff receive a range of training opportunities, which includes awareness of adult protection issues.
Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 6 The home is clean and well maintained. Shared areas are pleasantly decorated and comfortable. Bedrooms are individually decorated and set out to meet each person’s needs and tastes. Everyone has lots of their own personal possessions around them in their bedrooms. Service users and staff say the food is very good with plenty of variety on the menu and good quality produce used. Visitors to the home are very welcome and the invitation to stay for a meal is always on offer. 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. Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 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.V277787.R01.S.doc Version 5.1 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): 1,2,3,5. All prospective service users have their needs fully assessed prior to admission and visits to the home are arranged for them and their families. EVIDENCE: There is a good, well-presented service user guide, which provides information about Bankfield for prospective service users and their families. The information is written in plain English and is in large print. The layout of the guide and the use of graphics makes the information more manageable. Copies are available on request from Bankfield. Everyone is invited to visit the home to meet service users and staff before making a decision about moving in. Relatives are very welcome to call at the home to view the facilities. One relative called at the home unannounced, during the inspection to have a look round and to talk to staff. All prospective service users are assessed by the manager to make sure that their needs can be met at Bankfield.
Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 9 The home has a Statement of Purpose, which gives information about the registered provider and manager and details of the staffing structure. The document also contains information about the facilities that are available. Copies are available at the home. Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 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): 9 Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Medication records are well-maintained and appropriate policies and procedures are in place covering all aspects of medication administration. Records are in place for all medicines received, administered and disposed of to ensure that there is no mishandling. All medication is stored in locked cupboards in a locked medical room. All senior staff that administer medication have received training or are taking part in training on the safe handling of medication. The senior on duty confirmed that General Practitioners routinely carry out medication reviews in respect of all service users. Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 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): Not assessed on this inspection. See last report. EVIDENCE: Comments were recorded in the last report about the variety and good quality of the food served at the home. Service users and staff made similar positive comments again on this inspection. Hospitality was offered to visitors who were at the home to see their relative. They had travelled from outside the area and were staying over in the locality and spending time at the home during the day. The visitors were provided with a meal and dining space was made available for them in one of the lounges that was not in use. The manager said that relatives were always welcome to stay for a meal if they wished. Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 12 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): Systems are in place at the home to ensure that service users are safeguarded from abuse and that complaints are dealt with effectively. EVIDENCE: The home has a procedure that clearly specifies how complaints can be made; it also includes information about timescales for the home to respond to complainants. Details are contained in the service user guide. The manager said there had been one complaint in the last twelve months. Discussion took place with the manager about keeping a log of complaints so that it is possible to see at a glance the date of complaint, who made the complaint, what it was about, what action was taken to resolve the complaint and the outcome. This is not possible with the existing records. The complaint on file at the home had been made by a relative but it was not possible to tell which service user the details related to, nor was it possible to see details of the outcome. All staff receive training about adult protection issues as part of their induction package when they start work at the home. In addition, all staff took part in abuse awareness training during 2005. The staff records indicate that appropriate checks are carried out on all new staff before they start work in the home. References are always taken up and checks are carried out with the Criminal Records Bureau and Protection of Vulnerable Adults register.
Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 13 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): 19,21,22,23,24,25,26. The home is clean and well maintained throughout, providing a safe, comfortable environment for service users. EVIDENCE: All parts of the house are comfortably furnished and pleasantly decorated. There are 24 en suite bedrooms out of a total of 33 single rooms, and of the 2 double rooms 1 has en suite facilities. All bathrooms and toilets are close to bedrooms and the shared areas of the home. There is evidence that assisted toilets and bathing facilities have been installed to ensure the safe handling of service users. Bedrooms are arranged to suit individual needs. Each one is individually decorated and there is evidence that people have lots of their own possessions around them such as photographs, ornaments and plants. People spend varying amounts of time in their rooms depending on their preferred daily routine.
Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 14 All bedrooms are fully furnished although service users are informed that they can bring items of their own furniture with them when they move into the home if they wish. The manager talked about plans to create a “reminiscence room” in one of the small lounges. There are plans to decorate the room with old photographs of the surrounding area and to obtain other memorabilia, which will serve as focal points for discussion and reminiscence. Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 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): Not assessed on this inspection. See last report. EVIDENCE: Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 16 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): Not assessed on this inspection. See last report. EVIDENCE: Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 17 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 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action 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 OP16 Good Practice Recommendations A record should be kept of all complaints made, including details of investigation and any action taken. Bankfield Residential Home DS0000057396.V277787.R01.S.doc Version 5.1 Page 19 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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