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Inspection on 15/07/05 for Bannatyne Lodge Care Home

Also see our care home review for Bannatyne Lodge Care Home for more information

This inspection was carried out on 15th July 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 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

There are good outcomes for service users. Service users and their relatives expressed high levels of satisfaction with the quality of the service provided. In particular, the standards of care, social and recreational activities, catering and cleanliness, all received very positive comments. It was noted also that the building and its grounds were well maintained, although some work is required to radiators.

What has improved since the last inspection?

The registered manager has returned to the home after a period of absence. Staff supervision sessions have recommenced and the home expects to achieve the specified standard this year. Criminal Record Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks are being carried out in accordance with regulations governing the employment of staff at the care home.

What the care home could do better:

Reports of monthly quality assurance visits carried out by the provider company`s representative should be sent to the Commission for Social Care Inspection (CSCI). The findings of the home`s quality assurance surveys should be made publicly available (e.g. in the home). Radiators and their control valves need to be urgently repaired or replaced due to wear and/or scaling problems. At least 50% of care staff should be qualified to NVQ level 2 or above during 2005 and it is expected also that the registered manager will achieve NVQ level 4 in management in 2005. Not all bedroom doors are fitted with suitable locks and the home needs to address this issue.

CARE HOMES FOR OLDER PEOPLE Bannatyne Lodge Care Home Manor Way Peterlee Durham SR8 5SB Lead Inspector Stephen Ellis Unannounced 15 July 2005 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 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. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bannatyne Lodge Care Home Address Manor Way Peterlee Durham SR8 5SB 0191 5869511 0191 5871741 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tamaris Healthcare (England) Ltd (wholly owned subsidiary of Four Seasons) Mrs Anne Marie Sellers CRH (N) 50 Category(ies) of OP Old age (50) registration, with number PD Physical disability (8) of places TI Terminally ill (4) Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Physical disability up to a maximum of 8. Persons with a physical disability, (aged 55 and over) may be accommodated commensurate with the home`s statement of purpose and funtion and where appropriately qualified and competent staff are provided. Terminally ill up to a maximum of 4. Persons with a terminal illness aged 55 years and over, may be accommodated commensurate with the home`s statement of purpose and funtion and where appropriately qualified and competent staff are provided. Date of last inspection 17 December 2004 Brief Description of the Service: Bannatyne Lodge is a care home with nursing for older people. It has some beds registered for people with physical disability over the age of 55 years, plus a small number for people who are terminally ill. It has 50 single bedrooms, each equipped with an en suite toilet and wash hand basin. Older people with or without continuous nursing needs may be admitted, depending upon their assessment of need. The home is well situated close to the centre of town. It is accessible by people with mobility problems and there are pleasant garden and patio areas for service users to enjoy.The home is well equipped and there are a number of attractive lounges throughout the building. All meals and beverages are supplied and these are well regarded by service users. A variety of social and recreational activities are available and people are free to join in, or not, as they wish. The home tries to promote service users’ quality of life, as well as their health and safety, through good nursing and social care practice. The premises are well maintained and decorated and kept clean. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. It included a look around the building, an examination of a number of records plus discussions with 16 service users, 3 relatives and 7 staff. What the service does well: What has improved since the last inspection? What they could do better: Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 6 Reports of monthly quality assurance visits carried out by the provider company’s representative should be sent to the Commission for Social Care Inspection (CSCI). The findings of the home’s quality assurance surveys should be made publicly available (e.g. in the home). Radiators and their control valves need to be urgently repaired or replaced due to wear and/or scaling problems. At least 50 of care staff should be qualified to NVQ level 2 or above during 2005 and it is expected also that the registered manager will achieve NVQ level 4 in management in 2005. Not all bedroom doors are fitted with suitable locks and the home needs to address this issue. 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. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 standard(s) 3 No service user moves into the home without having had his/her needs assessed and been assured that these will be met. EVIDENCE: Service users and relatives confirmed that service users’ needs were assessed prior to admission and that the service provided by the care home was meeting those needs well. An examination of service users’ plans of care confirmed that a full assessment of needs had been carried out, in keeping with the care home’s policy, and that the home was able to meet those needs. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 There are good arrangements for health and personal care. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: Service users and relatives said that they were well satisfied with the provision of personal and health care services at this care home. They felt that residents’ individuality and privacy were respected, with choice being encouraged and supported. They felt their needs were well understood and were satisfied that appropriate actions were being taken to address those needs. An examination of service users’ plans of care found them to be comprehensive and detailed. They were being regularly reviewed and updated. There were sound arrangements for the storage, administration and disposal of medicines. The medicines room was clean and well organised. Appropriate records were being maintained. Staff practice was in keeping with professional guidance and company policy. One service user was taking responsibility for the administration of his medicines. All other residents had given that responsibility to staff. Staff reported good links with the local primary care trust, including community nursing staff in a variety of specialties. Local health care services were described as being good by service users, relatives and staff. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 14 and 15 There are good arrangements for daily life and social activities, with catering provision being particularly good. EVIDENCE: Service users and relatives spoke highly of the culture within the home that recognised residents’ individuality, needs and preferences. One service user said: “It is like a five star hotel, very relaxed and clean.” Another resident said: “I can’t grumble about anything; the staff and everything here are good/smashing.” One relative said: “The home has been lovely, so helpful; can’t do enough for you; looked after well; given best attention.” A full programme of social and recreational activities is provided. A part time activities organiser ensures that there are individual and group activities available, something every weekday at least. These include outings, crafts, carpet bowls, film shows (video), dominoes, manicures and bingo, plus coffee afternoons and raffles. Service users and relatives spoke very highly of the catering provision. Residents found the standard very good with individual choice and preferences being recognised and acted upon. Catering staff members try to provide a varied, appetising and healthy menu, taking note of individual choice. Meals and beverages are served mainly in an attractive dining room that has been Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 11 redecorated and refurnished to good effect. However, residents may also take their meals in their rooms where this is appropriate. Service users and relatives commented that individual choice is respected and accommodated wherever practicable. Relatives are free to visit at any reasonable time and are always made welcome. There are good links with the local community. The home is situated close to the centre of town. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 standard(s) 16 Service users and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Service users and relatives expressed great confidence in the staff team and management of the care home. They described the staff and manager as being very approachable, helpful and supportive. They felt able to share any concern, worry or complaint, knowing that it would be taken seriously and acted upon appropriately. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 standard(s) 19 Service users live in a safe, well-maintained environment. EVIDENCE: A tour of the building revealed the home to be well maintained and in good decorative condition. Service users and relatives commented that they were pleased with the material standards of the home, describing it as clean, pleasantly decorated and homely. Furniture in the dining room has been replaced since the last inspection. It is comfortable and attractive, blending in well with the light pastel shades chosen for the walls and curtains. Records of service, tests and monitoring (e.g. hot water temperatures) are kept. Repairs are normally carried out promptly. The gardens are well tended, with attractive borders and hanging baskets, plus benches and patio area supplied. Hot water valves have been serviced and replaced where necessary since the last inspection. However, radiator control valves and radiators have been problematic for some time, with a significant number of radiators not operating properly. These urgently require repair or replacement. It is understood that Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 14 the home is aware of the problem and intends to take action before the cold weather returns. It was noted that a large number of bedroom doors are not lockable. Although this does not appear to be a burning issue with service users, suitable locks are required to be fitted to bedroom doors, in the interest of privacy and choice. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Service users’ needs are met by the numbers and skill mix of staff. Staff are trained and competent to do their jobs. EVIDENCE: Staffing levels were appropriate, being in accordance with guidance issued by the care home’s original regulators and service users’ assessed needs. On the day of inspection, there were 36 service users (21 nursing care and 15 non-nursing care). During the day (08.00-20.00) there are 5 care staff and one registered nurse on duty; at night, there are 3 care staff and one registered nurse on duty. In addition, on weekdays, there is the registered manager (whose hours are not included in the direct care hours provided) plus the activities organiser (21 hours over 5 days per week). Catering and domestic staff members are sufficient. There is an administrator and separate maintenance officer on site. Service users and relatives felt that sufficient members of staff with the right skills were provided. A full programme of staff training and development is provided, including induction and foundation training, based on assessments of training needs. Individual records of staff training are kept. The home is aiming to achieve at least 50 of its care staff qualified to NVQ level 2 or above within the next 6 months. At present, 7 members of care staff have achieved level 2 or 3 in NVQ. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The home is run in the best interest of service users. EVIDENCE: Service users and relatives said that they were very satisfied with the way in which the home was run. They felt their wishes and feelings were taken into consideration and they were consulted about important matters. Staff also reported good morale and teamwork, with clear communication. They felt that they were supported and supervised professionally. Staff described the home’s management as being approachable and fair, with good leadership. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 18 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 OP33 Regulation 26 Requirement Reports of visits undertaken in connection with regulation 26 must be completed each month and sent to the designated recipients, including the CSCI.(This was scheduled for action by 31/03/05) Radiators and their control valves need to be urgently repaired or replaced so that radiators work properly before the cold weather returns. Suitable locks should be fitted to all bedroom doors, in the interest of further promoting privacy and choice. Timescale for action 01/09/05 2. OP25 23 01/10/05 3. OP24 23 01/01/06 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 OP31 Good Practice Recommendations The registered manager should try to complete the NVQ level 4 in management, or other relevant management qualification, to meet the National Minimum Standards in 2005. The ratio of 50 care staff who have obtained NVQ level 2 B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 19 2. OP28 Bannatyne Lodge Care Home 3. OP33 4. OP12 is not yet achieved and should be monitored with a view to meeting the standard during 2005. The opinions of service users about the quality of the services and facilities provided at the home should be sought wherever possible, and the results of such surveys made public, in line with national minimum standards. The home might like to consider the creation of memory diaries/life story work with service users, in the interest of person centred care and enhancing quality of life. Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 20 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. Extracts may not be used or reproduced without the express permission of CSCI Bannatyne Lodge Care Home B54 S689 Bannatyne V228423 150705 Version 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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