Inspection on 08/11/05 for Bankfield Road Care Home

This inspection was carried out on 8th November 2005.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bankfield Road Care Home 09/01/07

Bankfield Road Care Home 10/05/05

Bankfield Road Care Home 22/02/05

Bankfield Road Care Home 16/08/04

Bankfield Road Care Home 14/02/04

Bankfield Road Care Home 27/11/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Bankfield Road Care Home Bankfield Road Care Home 2a Bankfield Road Widnes Cheshire WA8 7UN Lead Inspector Maureen Brown Unannounced Inspection 09:50 8 November 2005 th Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 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 Road Care Home DS0000005142.V263782.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 Adults 18-65. 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 Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bankfield Road Care Home Address Bankfield Road Care Home 2a Bankfield Road Widnes Cheshire WA8 7UN 0151 420 5395 0151 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) Community Integrated Care Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: 2A Bankfield Road is a care home providing 24-hour personal care for 6 adults with learning disabilities. The home is owned and managed by Community Integrated Care, a not for profit organisation. It is located off Liverpool Road in Widnes, on a bus route within easy reach of Widnes Town Centre and Hough Green station. There is a small parking area at the front and a garden with patio at the back. The home is a purpose built dormer bungalow with staff facilities only upstairs. Residents accommodation is on the ground floor and comprises six single bedrooms, two assisted bathrooms, a separate assisted toilet, a large lounge / dining room, a kitchen and utility room. There are no en-suite facilities. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during the morning and took four hours. An hour was spent planning the inspection by reviewing previous inspection reports and the service history. It included a full tour of the premises, inspection of records and discussions with three residents’, the deputy manager and other staff on duty. Eighteen out of forty-three standards were assessed and most of these were met at this time. One resident, four relatives’, one GP and one health and social care professional comment cards were received. Feedback from this inspection was given to the deputy manager at the end of this inspection. What the service does well: What has improved since the last inspection? Monthly reviews of residents’ risk assessments and care plans are now being carried out. The garden area is being maintained to an acceptable standard for residents to enjoy. Records that were difficult to locate during the previous inspection had been reorganised and this had significantly improved the ease of use. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 6 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 Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The home did not provide the residents with the statement of purpose and function and residents’ guide, therefore full written information regarding the home was not available. EVIDENCE: The deputy manager said the home’s “welcome to Bankfield House” booklet was shown to prospective residents. This was confirmed with relatives. Within the policy file, policies on philosophy of the home, client’s charter and mission statement were seen. A statement of purpose and function or residents’ guide was not available. This information is required to enable prospective residents and their families make an informed choice about whether the home is suitable for their needs. A previous requirement had been made regarding this and although some work had been completed the document was still in draft format and not available. See requirement No. 1. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 10 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: A sample of two residents’ files were seen. These were presented in individual ring binders and contained all the information required to adequately care for the individual residents. Included were copies of the essential life plan, “my health” document, risk assessments, personal activity programme and residents’ evaluation sheets. The care plans were written in consultation with the residents and their families and were based on their assessed needs and risks. Monthly reviews were undertaken and up to date. Case notes showed that residents’ day-to-day activities were recorded. The information in the care plans was accurate, well recorded and the documents were kept safe and secure. Within the daily care notes and personal activity programmes each persons’ preferred activities were noted. These included being passively involved in Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 10 household tasks, watching TV or DVD either with others in the lounge or in their own rooms and going out into the garden. Also enjoying the community with support as required going to the shops, local cinema and eating out. It was clear the service users were given information on what was available and that they made their own decisions on what to do supported by the staff. The home’s policy on confidentiality should include details on sharing information with family, friends and professionals. It needs to be clear about what confidential information would be shared, for example if a service user made allegations of abuse. See recommendation No. 1. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15 Residents were able to take part in some leisure activities, either in the home or the local community. The staff team supported residents with personal and family relationships as required. EVIDENCE: The residents’ plan reflects the range of activities undertaken which included a “lifestyle” programme which was undertaken at the local day centre. Opportunities included baking, beauty treatments, videos, DVD’s, listening to music, passive exercise and sensory stimulation. Other activities outside the home included shopping, visits to the cinema, meals out and visits to the local pub. Residents access the local community with their own adapted transport. Residents can see visitors in the combined lounge/dining area or in their own bedrooms. No separate space is available for this purpose. A recommendation in the last inspection report with regard to additional space for residents’ Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 12 visitors was discussed with the deputy manager who said that plans were being drawn up with regard to erecting a conservatory. Relatives commented that the only private space that could be used during visits was the residents’ bedrooms. During a tour of the home some residents were seen spending time alone in their rooms whilst others were enjoying social contact with others in the lounge/dining area. See recommendation No. 2. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 Residents received support from the staff for personal care in their preferred way. Administration and control of medications were appropriate for the needs of the residents. EVIDENCE: Visits to health professionals were recorded in the care plans, including visits to GP’s, opticians, chiropodists and dentists. These were not up to date. The deputy manager said a carer always attended appointments with residents. In the kitchen a locked steel cupboard was available for the secure storage of medication. A monitored dosage system was used and all medication was stored appropriately. The medication administration sheets were signed by the staff and were up to date. Controlled drug storage was available but not required at the time of this inspection. Weekly checks on the medication were recorded on the medication administration record sheets. See requirement No. 2. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Clear policies and procedure were in place to ensure that residents’ views were listened to and acted upon. EVIDENCE: The home’s policy on complaints was seen and also the full complaints procedure produced by Community Integrated Care (CIC). The complaints procedure included timescales for response to the complainant and to whom you can complain to. Residents said that they would speak to the staff if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns to the manager. Relatives confirmed that they were aware of the complaints procedure. The home or the Commission had not received any complaints since the previous inspection and a complaint book and relevant paperwork was available in the event of a complaint being received. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The home provided a clean and comfortable environment for the residents to live in. EVIDENCE: The home was furnished in a domestic style with additional equipment such as bars in toilets and bathrooms, rails along corridors and moving and handling equipment provided to meet each person’s needs. The décor in bedrooms was to resident’s preference and the residents and staff confirmed this. The home was clean, tidy and free from unpleasant smells. The laundry room was clean and tidy and cleaning materials were stored in a locked cupboard. The deputy manager said that Control of Substances Hazardous to Health data sheets were available, and staff confirmed they were aware of the data sheets. From the previous recommendation the need for weeding the garden and cutting the lawns had now been completed and a new gardening contract was in place. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 & 35 The manager provides clear leadership. Records were well maintained. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Three staff were on duty at the time of this inspection and the deputy said that a member of staff sleeps-in on the premises each night. The manager, deputy and housekeeper support the care staff. The staff team was well established. They had a range of experience and this was complimented by mandatory courses undertaken, such as moving and handling and food hygiene. Other relevant courses were also available, such as Adult protection and Cerebral Palsy. Three out of ten staff had completed NVQ level II and two staff were working towards this award. The deputy was undertaking NVQ level III and the manager was working towards the Registered Mangers Award. See requirement No. 3. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40, 41 & 42 Residents’ views were used in the planning for the home. Decisions are influenced by the information obtained from the completed satisfaction surveys and from conversations with residents. Arrangements are in place to minimise the risk so that the safety and welfare of the residents is promoted. EVIDENCE: The manager had given satisfaction surveys to residents’ and relatives. These details were currently being examined and the manager said that this information would be used to improve the service provided. This was a previous recommendation in the last inspection report and remains outstanding. This process should continue and the outcomes shared with residents’ and other interested parties. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 18 A previous recommendation was made with regard to the annual development plan, which should be based on the annual review of residents’ needs. The Manager said this was still in the process of being reviewed. Records seen were kept in good order. These were in line with the Data Protection Act 1998. The deputy manager said that residents had access to information stored about them. Residents said they were aware of information kept about them. All the policies and procedures seen were appropriate to the service and up to date. Policies were produced by Community Integrated Care and were reviewed on an annual basis. Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The gas safety, electrical safety and insurance certificates were in place and up to date. Fire alarm tests were being undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. All staff had received fire awareness training in September and October 2005. See recommendation No. 3. Bankfield Road Care Home DS0000005142.V263782.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 2 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bankfield Road Care Home Score X 2 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 3 3 3 X DS0000005142.V263782.R01.S.doc Version 5.0 Page 20 Yes Are there any outstanding requirements from the last inspection? 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 YA1 Regulation 4, 5 Requirement Timescale for action 30/12/05 2 3 YA19 YA32 12 18 The registered person must produce a statement of purpose and function and service users guide, so that prospective residents and relatives can have relevant information about the home. The registered person must 30/12/05 ensure that all healthcare needs are kept up to date. The registered person must 31/03/05 ensure that 50 of care staff are qualified to NVQ level II or above. 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. Refer to Standard YA10 YA15 Good Practice Recommendations The registered person should ensure that the homes’ policy on confidentiality is updated to include guidance to staff on when a confidence may be shared. The registered person should ensure that additional space is provided to accommodate a room for visitors to use. DS0000005142.V263782.R01.S.doc Version 5.0 Page 21 Bankfield Road Care Home 3. YA39 The registered person should continue to undertake satisfaction surveys for residents and relatives and share the outcomes with residents and others. Bankfield Road Care Home DS0000005142.V263782.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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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