Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 21/09/05 for Bennfield House Nursing Home

Also see our care home review for Bennfield House Nursing Home for more information

This inspection was carried out on 21st September 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

The home is well managed ensuring the safety and protection of service users. There is a stable staff group and a number have worked at the home for a good length of time. They spoke positively about their positions at the home. Staff have shown commitment to their own learning and should be commended for their efforts to obtaining NVQ qualifications, and they hope to reach their 50% qualified target in a few months. Service users care plans are comprehensively written to ensure staff can deliver appropriate care to those who live at the home. Three CSCI relative/visitor comment cards have been received following this inspection and gave very positive comments about the care given to service users at the home. Visitors to the home also expressed complete satisfaction regarding the staff and their commitment to providing a caring environment.

What has improved since the last inspection?

The registered manager has now obtained the required management qualification and also holds a nursing qualification, which ensures she has the qualities to effectively manage the home. The registered provider continues to make improvement to the fabrics and furnishings at the home. A new entrance and stair carpet has enhanced the area for service users, and a number of bedrooms have been decorated and new soft furnishings have been purchased.

What the care home could do better:

The staffs at the home has worked hard to maintain the quality of care provided to those who choose to live at the home, and continue to meet all standards assessed. The staff at the home continue to work towards qualifications in care including NVQ Levels 2 and 3 although they there is less than the required 50% who hold the awards.

CARE HOMES FOR OLDER PEOPLE Bennfield House Nursing Home 65 King Edward Rd Thorne Doncaster South Yorkshire Lead Inspector Valerie Hoyle Unannouonced 21 September 2005 09:00. 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. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bennfield House Nursing Home Address 65 King Edward Rd, Thorne, Doncaster, South Yorkshire 01405 812663 01405 817071 None Mrs. Anne Penelope Bennett 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) Mrs. Anne Penelope Bennett Care home with nursing 25 Category(ies) of Dementia (25), Dementia - over 65 years of age registration, with number (25), Mental disorder, excluding learning of places disability or dementia (25), Mental Disorder, excluding learning disability or dementia - over 65 years of age (25) Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th March 2005 Brief Description of the Service: Bennfield House is an adapted building with an added extension located in the residential area of Thorne. It is situated on a main road and has easy access to local transport and shops. The home cares for service users with dementia and nursing needs.The house provides accommodation on two levels. It has several lounge areas that service users can access and a relaxation area with sensory equipment. Bedroom facilities are provided on both floors in 21 single and 2 double bedroom facilities.There is a small secure garden area that is accessed via the lounge. Dining is provided either in the dining room or the lounge. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.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 6 hours where a partial tour of the buildings was undertaken. The inspector examined two service users care plans and supporting documentation. One service users and nine staff were spoken to during the visit. The inspector was able to speak to six relatives, to gain their views on how the home is run. What the service does well: What has improved since the last inspection? The registered manager has now obtained the required management qualification and also holds a nursing qualification, which ensures she has the qualities to effectively manage the home. The registered provider continues to make improvement to the fabrics and furnishings at the home. A new entrance and stair carpet has enhanced the area for service users, and a number of bedrooms have been decorated and new soft furnishings have been purchased. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 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. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.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 Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.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 Service users are not admitted into the home without a full needs assessment undertaken by the registered manager, to ensure their needs are met. EVIDENCE: The placing authority provides information to the home prior to admission and the registered manager is able to make an initial judgement about the suitability of the service user, and assess if the staff are able to meet their care needs. Two assessment documents examined included sufficient information to ensure care needs can be met by the staff at the home. One visiting relative was able to confirm that she had visited the home prior to admission, and said the staff were very good and caring. Another relative said that she would not have coped without the support of the staff at the home. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.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, 10. The care planning systems are sufficiently detailed to enable staff to deliver the care to service users who have specific identified needs. Arrangements for dealing with service users health issues are adequately met by staff at the home, with support from health professionals. Medication policies and procedures are well managed and the qualified nurses have responsibility to administer the medication to service users, ensuring their safety and protection. Staff have the necessary skills and knowledge to ensure service users are treated with respect and dignity. EVIDENCE: Two care plans examined and these were comprehensively written with clear methods of staff intervention. There is sufficient evidence to confirm staff on a regular basis reviews the care plans and comprehensive risk assessments ensure service users safety is maintained. Staff are comfortable with their abilities to meet the needs of service users and they are well informed and Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 10 trained to deliver the care. One member of staff was able to describe in great detail the intervention needed for two service and said that the training provided at the home assisted him to understand the needs of people with Dementia. Records examined and discussion with the staff confirmed service users healthcare needs are met. An audit of medication stocks and records was examined and were found to be correct ensuring the health and safety of service users. Qualified nurses have responsibility for administering medications and the local pharmacist is contracted to undertake periodic checks to ensure the stock levels are maintained and procedures are followed. Changes to the disposal of medication in nursing homes have been addressed by the home, in line with current legislation. A company has been identified and contracts have been agreed. There were many examples of good practise by staff and on many occasions there were good interactions between staff and service users and the visiting relatives. All relatives spoken to say that the care provided at Bennfield was excellent, staff always spent time discussing their mum/dads care and they felt well informed and involved in the home. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 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 standard(s) 12, 13, 15. Social activities are organised which are appropriate to the needs of the service users. Mealtimes are well managed and the facilities promote a calm environment with a pleasant dining area to accommodate service users. The home has clear visiting policies and procedures to ensure service users can maintain contact with their family and friends. EVIDENCE: Activities are arranged that are suitable to stimulate service users with dementia. Monthly entertainment is provided within the home and themed parties such as ‘Victory in Europe’ celebrations where typical foods served included tripe and onions and best pork dripping, followed by stew and bread and butter pudding. Staff worn fancy dress typical of the era and visitors said everyone enjoyed the party. Mealtimes are well organised and there is a wide variety of foods to ensure service users receive a well balanced diet. Staff assisted service users who required help and the atmosphere was calm and peaceful. A relative visits daily to have his main meal with his wife and said the food served was always Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 12 excellent. Another visitor said the home always smelt of home cooked food and that was very welcoming. Nine visitors were seen during the day and they said staff were welcoming and kind. There always seemed to be enough staff to ensure service users who spend time in their bedrooms constantly see staff passing by and spending time talking to them. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18. Service users and their relatives are provided information to enable them the raise concerns about the home and their care. Adult protection Policies, procedures and training of staff ensure the protection of service users from abuse. EVIDENCE: There is a complaints procedure that is available to service users and visitors. The procedure is also referred to in the service users guide, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. There is a comprehensive Adult Abuse and Whistleblowing and staff follow the procedures to those standards. The registered manager would investigate fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The registered manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. The registered manager recently made a referral to Social Services first team and a strategy meeting took place to determine how information was to be gathered. Social Services and the Commission for Social Care Inspection have concluded the investigation and await a final meeting to examine the outcome. The registered manager and the staff at Bennfield assisted fully with the process and ensured the safety and protection of service users throughout. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26. The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for service users. The home is clean and free from odours and there is sufficient domestic staff to maintain good hygiene standards. EVIDENCE: The registered providers continue to make improvement to the fabrics and furnishings at the home. A new entrance and stair carpet has enhanced the area for service users, and a number of bedrooms have been decorated and new soft furnishings have been purchased. The home is situated close to local amenities of Thorne. There is a small secure garden in the centre of the home to enable service users to sit out in fine weather. The home was clean and free from offensive odours and visitors said that the home was always kept clean and tidy. The domestic staff are commended for their efforts in maintaining the cleanliness of the home. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.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, 28, 29, 30 Staff have the skills and knowledge to fulfil their roles within the home, and a stable staff group ensures continuity of care by staff that knows the service users. Recruitment policies are followed ensuring the safety and protection of service users. EVIDENCE: Staff rotas examined demonstrated there is sufficient staff to meet the needs of service users. Training continues to be provided for staff, and two staff said they had just enrolled to start their NVQ level 2. Other staff continues to work towards attaining NVQ qualification although they do not meet the requirement of 50 NVQ qualified staff. The registered manager is hoping that most staff will obtain the qualification by the end of the year. Staff told the Inspector that they had completed an adult abuse course and felt confident in their abilities to deliver quality care to service users. They also said that they felt supported by the matron and the nursing staff and enjoyed working at the home. The registered manager has demonstrated a continuing commitment to developing the workforce, including attaining ‘Investors in People award’ The registered manager follows recruitment procedures to ensure the safety and protection of service users. One new member of staff confirmed that she Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 16 commenced employment following a CRB check and satisfactory references being obtained. Examination of nurses PIN and qualifications confirmed that the nursing needs of service users are met. The registered manager said that the nursing staff continue with their own development and attend courses as required by their registration. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 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 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) 31, 36, 38. The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the service users. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. Staff are provided with formal supervision required to ensure they have the opportunities to develop new skills and knowledge. EVIDENCE: The registered manager who also owns Bennfield House has a wealth of experience and knowledge and is able to demonstrate her ability to manage the home. She holds a nursing qualification and has submitted her Registered Managers Award portfolio for verification. She operates an open door policy to ensure she is accessible to staff and service users. Visitors and relatives spoke highly of the manager and said she was very caring. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 18 Staff receives supervision and the manager and nurses undertakes supervised practise, to ensure competencies in care practise and the safe moving and handling of service users is maintained. Discussion with the manager indicated that formal one to one supervision could be developed further and this is to be introduced. Staff and group meetings ensure that staff are informed about training opportunities and the day to day running of the home, they are also encouraged to be involved in decision making. Accident reports are analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of service users. Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 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 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 4 13 4 14 x 15 4 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 x 3 3 x x x x 3 x 3 Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 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 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 OP28 Good Practice Recommendations The home must work towards providing a minimum of 50 of staff who are NVQ level 2 qualified in 2005 Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 21 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster DN4 5HZ 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 Bennfield House Nursing Home 20050905 Bennfield House X00015 UN Stage 4 S15850 V191372 J55.doc Version 1.40 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!