Inspection on 02/12/05 for Bannatyne Lodge Care Home

This inspection was carried out on 2nd December 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.

Other inspections for this house

Bannatyne Lodge Care Home 20/07/10

Bannatyne Lodge Care Home 04/02/09

Bannatyne Lodge Care Home 25/01/07

Bannatyne Lodge Care Home 15/07/05

Bannatyne Lodge Care Home 17/12/04

Bannatyne Lodge Care Home 10/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Bannatyne Lodge Care Home Manor Way Peterlee Durham SR8 5SB Lead Inspector Mr Stephen Ellis Unannounced Inspection 2nd December 2005 12:45 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 Bannatyne Lodge Care Home DS0000000689.V255647.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. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bannatyne Lodge Care Home Address Manor Way Peterlee Durham SR8 5SB 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) 0191 5869511 0191 5871741 Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons) Ms Anne Marie Sellers Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (8), Terminally ill (4) of places Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 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. Named Individual The home may accommodate a named individual as set out in a letter to the registered person dated 22 September 2005 which establishes the basis on which the individual`s needs will be met by the home. Where necessary the home`s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named individual, who falls outside the registered category. 15th July 2005 Date of last inspection Brief Description of the Service: Bannatyne Lodge is a care home with nursing for older people. It has some beds registered for people who are physically disabled 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 residents to enjoy. The home is well equipped and there are a number of attractive lounges throughout the building. The premises are well maintained and decorated and kept clean. All meals and beverages are supplied and these are well regarded by residents. 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 residents’ quality of life, as well as their health and safety, through good nursing and social care practice. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4.25 hours. The inspector looked around the building and spoke to 9 residents, 7 staff and the manager. He inspected a number of records that are required to be kept. Two volunteers from Darlington Association on Disability (DAD) assisted the inspector. They spoke with one or two residents and staff about sensory impairment and the services and facilities available for people with such disabilities. They also made some suggestions about how the service could improve. What the service does well: What has improved since the last inspection? What they could do better: Reports of monthly quality assurance visits carried out by the registered provider’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 (for example, in the home, by way of newsletter). At least 50 of care staff members are required to be qualified to NVQ level 2 or above and it is expected also that the newly appointed manager will achieve NVQ level 4 in management in 2006. Not all bedroom doors are fitted with suitable locks and the home needs to address this issue. Nursing and care staff members would benefit from palliative care and dementia care training, as discussed at the inspection. Life story work with residents is desirable, as discussed with the manager. A disability review of the Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 6 building, equipment and services provided, is desirable to consider any improvements that could be made. 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 DS0000000689.V255647.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 Bannatyne Lodge Care Home DS0000000689.V255647.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): 3. All residents have had a full assessment of their needs, prior to their admission, and have been assured that the home will meet those needs. EVIDENCE: Residents said that they were happy with the services and facilities provided, especially the care, and felt that the home was able to help them appropriately. Three care plans that were examined showed attention to detail and covered all of the important areas to do with health and personal care. They showed that people’s care needs had been thoroughly assessed. Bannatyne Lodge Care Home DS0000000689.V255647.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 and 10. Good arrangements are in place for residents’ health and personal care. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Residents said that they felt their health and personal care needs were well met. They felt their views were taken seriously and they were treated courteously, with respect shown for their individuality and privacy. As one resident said: “The staff are very good and understanding of me as an individual.” The records of residents’ care needs and plans of care were comprehensive and detailed in the three examples examined. They addressed the health and personal care needs of the people concerned. They provided useful written guidance to care and nursing staff, as confirmed by staff and manager. The plans of care were being reviewed monthly, as required. Staff expressed confidence in their understanding of residents’ needs and their ability to provide for them. For example, they said they had the necessary equipment within the home (e.g. aids and adaptations) plus access to primary health care teams and specialist services when required. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 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 the following standard(s): 12 and 15. There are good arrangements for daily life and social activities, with catering provision being particularly good. EVIDENCE: Residents spoke highly of the culture within the home that recognised their individuality, needs and preferences. As one resident said: “You couldn’t wish for better. The staff are really helpful and I’m treated as an individual”. Another resident said: “It’s very good here. I get all the help I need”. A full programme of social and recreational activities is provided. A part time activities organiser ensures that there are individual and group activities available, normally something every weekday at least. These include outings, crafts, carpet bowls, film shows (video), dominoes, manicures and bingo, plus coffee afternoons and raffles. (The activities organiser is currently on sick leave, but is expected back soon.) Residents spoke highly of the catering provision. They 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. A cooked breakfast is available and snacks and hot drinks are provided for supper each evening. Meals and beverages are served throughout the day, mainly in an attractive dining room that has been redecorated and refurnished to good effect. However, residents may also take their meals in their rooms where this is appropriate. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 11 Residents 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 DS0000000689.V255647.R01.S.doc Version 5.0 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): 18. Residents are protected from abuse. EVIDENCE: Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau plus Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to try to ensure that unsuitable people are not employed to care for vulnerable adults. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. Over the past year, most care staff members have completed Protection of Vulnerable Adults training, which has been wide-ranging in its coverage of the topic. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good teamwork evident and this reinforces the caring culture and provider policies concerning adult protection. As one member of staff said: “Most staff have been here a long time; we see this as ‘our’ home and we all work well together and help each other out”. Staff expressed confidence in the manager and described her as being approachable and understanding. They would not hesitate to approach her about any suspected abuse of residents. A good programme of staff supervision is being conducted. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 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 and 26. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The inspector had a tour of the building, which revealed the home to be well maintained and in good decorative condition. Residents 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 this year. It is comfortable and attractive, blending in well with the light pastel shades chosen for the walls and curtains. Radiators and their thermostatic mixing valves have been repaired or replaced so that they are all working well. The maintenance officer confirmed that he was satisfied with the state of repair of the home. Records of service, tests and monitoring (e.g. hot water temperatures) are kept and repairs are carried out promptly. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 14 It was noted that a large number of bedroom doors continue to be un-lockable. Although this does not appear to be a burning issue with residents, suitable locks are still required to be fitted to bedroom doors, in the interest of privacy, choice and dignity. There were no unpleasant odours and the home was found to be clean in all the areas inspected. Care staff have completed training in Infection Control and, where appropriate, Food Hygiene. Paper towels and liquid soap were provided in toilets and bathrooms in wall-mounted containers, to promote hygienic practices (although residents have personal flannels and towels in their rooms). Some aids and adaptations for disabled people are in place (for example, adapted telephones and headphones for television and music centre). However, the services and facilities provided should be reassessed to ensure that positive outcomes for people with disabilities (for example, sensory disabilities) are being maximised. For example, the home’s induction loop for hearing impairment should be checked and publicised. Stairs are likely to benefit from being fitted with white or yellow edging to aid visual discrimination. It is desirable to have visual fire warning systems, in addition to aural fire alarms, for the hearing impaired. It is desirable to have remote controls for TV etc with large, easy to see and use buttons. Further advice should be sought from occupational therapists and disability advice centres on services and facilities for disabled people. Bannatyne Lodge Care Home DS0000000689.V255647.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 and 30. There are sufficient numbers of staff, with the right skills, for the needs of residents. Residents are in safe hands most of the time, although more care staff require NVQ level 2 or above, to confirm competence. The home’s recruitment policy and practices support and protect residents. Staff members are trained and competent to do their jobs, but staff training needs must be continually addressed to ensure that the service is able to fulfil its statement of purpose and categories/conditions of registration. EVIDENCE: Staffing levels were found to be appropriate, in accordance with the guidance issued by the Commission for Social Care Inspection and residents’ assessed needs. On the day of inspection, there were 36 residents being accommodated (24 nursing care and 12 non-nursing care). During the day (8 am to 8 pm) 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 full time 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 employed in sufficient number for the current needs of the home. There is a full time administrator and separate, full time maintenance officer on site. Residents and staff felt that sufficient members of staff with the right skills were provided. However, staff added that there were times when more staff would be desirable, for personal, one-to-one care, but they were able to manage with current staffing levels. Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 16 A 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 during 2006. At present, 7 out of 22 members of care staff have achieved level 2 or 3 in NVQ. Staff training in palliative care and dementia care should be considered, to ensure staff members have the right skills for the needs of all the residents. The home’s recruitment policy and practice is sound, ensuring that all preemployment checks are carried out as required, including Criminal Record Bureau enhanced checks and the taking up of two written references. Bannatyne Lodge Care Home DS0000000689.V255647.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, 35 and 38. The manager of the home appears fit to be in charge, of good character and able to discharge her responsibilities fully. She will be making application to the Commission for Social Care Inspection to be registered as manager. This process involves checks on the manager’s ‘fitness’ or suitability to be registered. Residents’ financial interests are safeguarded in those situations where the home is involved. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The newly appointed manager has experience of being in charge at the home (for example, when she has deputised for the previous manager, Anne Marie Sellers, who left recently). Staff and residents described the new manager as being competent in her role, committed to good outcomes for residents, and Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 18 approachable and caring. She expects to start her Registered Manager’s Award at NVQ level 4 soon, and to complete it before the end of 2006. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of many residents. In those situations where the home looks after residents’ monies, such as pocket monies, clear individual records are maintained. The pooled banking of such monies is made clear in writing to residents and their representatives. In these circumstances, any interest earned on the pooled bank account, is paid into the Residents’ Fund, for the benefit of all residents. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They said they believed the home was safe and run in the best interests of residents. Staff training in health and safety matters such as food hygiene, moving and handling and infection control, reinforce the registered provider’s written policies. Bannatyne Lodge Care Home DS0000000689.V255647.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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 3 x x 3 Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP24 Regulation 23 Requirement Suitable locks are required to be fitted to all bedroom doors, in the interest of promoting privacy, choice and dignity. Reports of visits made under Regulation 26 must be completed each month and sent to the required recipients, including the Commission for Social Care Inspection, each month. This requirement is outstanding from 31/03/05 and 01/09/05. Timescale for action 01/01/06 2 OP33 26 01/01/06 Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 21 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 OP12 OP22 Good Practice Recommendations Life story work with individual service users is desirable, in the interest of person centred care and quality of life. The services and facilities provided should be reassessed to ensure that positive outcomes for people with disabilities (for example, sensory disabilities) are being maximised. For example, the home’s induction loop for hearing impairment should be checked and publicised. Stairs are likely to benefit from being fitted with white or yellow edging to aid visual discrimination. It is desirable to have visual fire warning systems, in addition to aural fire alarms, for the hearing impaired. It is desirable to have remote controls for TV etc with large, easy to see and use buttons. Further advice should be sought from occupational therapists and disability advice centres on services and facilities for disabled people. A minimum of 50 of care staff should be qualified to NVQ level 2 or above in care during 2006. The manager should complete the Registered Manager’s Award at NVQ level 4 during 2006. Nursing and care staff members would benefit from palliative care and dementia care training, as discussed at the inspection. The views of service users about the quality of the services and facilities provided at the home should be sought, and the results made public, perhaps by way of newsletter within the home. 3 4 5 6 OP28 OP31 OP30 OP33 Bannatyne Lodge Care Home DS0000000689.V255647.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Darlington Area Office 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. 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