Inspection on 08/02/06 for Bennfield House Nursing Home

This inspection was carried out on 8th February 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bennfield House Nursing Home 12/06/07

Bennfield House Nursing Home 21/09/05

Bennfield House Nursing Home 14/03/05

Bennfield House Nursing Home 16/09/04

Bennfield House Nursing Home 27/01/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

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

CARE HOMES FOR OLDER PEOPLE Bennfield House Nursing Home 65 King Edward Rd Thorne Doncaster South Yorkshire Lead Inspector Valerie Hoyle Unannounced Inspection 8th February 2006 09:00 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 Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bennfield House Nursing Home Address 65 King Edward Rd Thorne Doncaster South Yorkshire 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) 01405 812663 01405 817071 Mrs Anne Penelope Bennett Mr David Bennett Mrs Anne Penelope Bennett Care Home 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 DS0000015850.V280391.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 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 DS0000015850.V280391.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection of this inspection year. (2005/06) This unannounced inspection was conducted over 4.5 hours where a partial tour of the building was undertaken. The inspector examined three service users care plans and supporting documentation. Six staff and two service users were spoken to during the visit. Staff was observed interacting with residents (service users) in a positive supportive manner, enabling them to participate in daily living skills. The views of a visiting massage therapist were also gained during this visit. The deputy manager was available throughout the visit and assisted while examining records and procedures. What the service does well: What has improved since the last inspection? The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for service users. Several bedrooms have been decorated to individuals taste and new bedding and curtains ensure everything is co-ordinated. A new car park area has been created at the rear of the building, which allows visitors to park more easily. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 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 DS0000015850.V280391.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. The assessment document for a recently admitted service user was examined included sufficient information to ensure care needs can be met by the staff at the home. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 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, 9 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. EVIDENCE: Three 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. Annual care plan reviews are undertaken by the placing authority and the staff organise annual reviews for those who pay privately for their care. A selection of reviews were examined and the document included questions relating to the quality of care and information about how relatives can raise any concerns. Comprehensive risk assessments ensure service users safety is maintained, these are currently being reviewed by the registered manager. Staff are comfortable with their abilities to meet Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 10 the needs of service users and they are well informed and trained to deliver the care. Staff have recently received training to meet the complex needs of service users who displays challenging behaviour. Staff said the training gave them a better understanding of the needs of service users with dementia. Records examined and discussion with the staff confirmed service users healthcare needs are met. Examination of the care plan demonstrated that GP’s are requested when required, and comprehensive records are kept to ensure information is passed to all staff involved in following any medical intervention. The inspector observed a number of service users receiving massage therapy by a qualified professional therapist. She said consent from relatives was always sought from relatives, as most service users do not have the capacity to give consent. Service users appeared relaxed and enjoyed the massage and the therapist said the atmosphere in the quiet area helped relax service users. 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 removes the medication to ensure the safety and protection of service users. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 Social activities are organised which are appropriate to the needs of the service users. Service users are encouraged to make choices and control over their own lives. EVIDENCE: Activities are arranged that are suitable to stimulate service users with dementia. There is a member of staff who has responsibility for organising activities. She told the inspector that recently raised money for breast cancer by holding a pink day. Staff and residents joined in the event by dressing in pink clothing and the buffet followed the pink theme. Posters seen showed that a Valentines party is planned for February and there is three residents birthday parties with outside entertainment provided. There was a calm environment throughout this visit with some service users spending time in their bedrooms, while others spent time in the quiet lounge. A partial tour of the building found many examples of how service users are encouraged to bring in personal items to help them feel at home. Service users are unable to retain responsibility for their own money due to their mental capacity; this responsibility is usually passed to the relatives. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 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 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 registered providers have plans to move the laundry facilities outside to enable the facility to be converted into an ensuite bedroom. There are also plans to build a conservatory onto the rear of the building and a new secure garden area. This will provide another valuable facility for service users. The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for service users. Several bedrooms have been decorated to individuals taste and new bedding and Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 14 curtains ensure everything is co-ordinated. A new car park area has been created at the rear of the building. 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 DS0000015850.V280391.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 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 one new member of staff said she was working through her induction programme with the support of more experienced staff. She said she enjoyed working at the home and recent training had helped her understand the needs of people with dementia. 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 in the next few months. Other staff said that the atmosphere within the home was relaxed and everyone worked hard to ensure service users were well looked after. 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 DS0000015850.V280391.R01.S.doc Version 5.1 Page 16 commenced employment following a CRB check and satisfactory references being obtained. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 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, 33, 35, 38 The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the service users. The registered provider is able to demonstrate that she actively seeks the views of service users. Procedures are in place to ensure the financial interests of service users are safeguarded. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. 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. Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 18 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. Service users are unable to manage their own finances due to capacity. A number of service users financial records were examined, the records were accurate and there are clear auditing procedures to ensure service users are protected. Quality systems are in place, and the home continues to be registered with ISOQAR and continues to perform to their requirements, Staff should be commended for their efforts in attaining excellence. The views of service users are difficult to gain using a survey due to their capacity; therefore staff discuss the quality of care provided with visitors and relatives. Evidence that consultation takes place was found on annual care plan reviews examined. 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 DS0000015850.V280391.R01.S.doc Version 5.1 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 4 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Bennfield House Nursing Home DS0000015850.V280391.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 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 DS0000015850.V280391.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr 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 DS0000015850.V280391.R01.S.doc Version 5.1 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. 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