Inspection on 02/06/05 for Burking Banks

This inspection was carried out on 2nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Burking Banks 28/06/07

Burking Banks 30/08/06

Burking Banks 02/11/05

Burking Banks 07/10/04

Burking Banks 16/06/04

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Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Burking Banks 69-73 Moorlands Road Dewsbury WF13 2LF Lead Inspector Bronwynn Bennett Unannounced 2 June 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. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Burking Banks Address 69-73 Moorlands Road Dewsbury WF13 2LF 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) 01924 456653 01924 457285 Mr Kevin Martin Ms Ann Fisher Care Home 35 Category(ies) of Older people 35 registration, with number of places Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection Brief Description of the Service: Burking Banks is a care home registered to provide personal care for up to 35 older people. It is situated in a residential area of Dewsbury, a short journey from the town centre. The home is easily accessible by public transport and is within easy reach of the local hospital. The home is made up of two houses linked by a first floor corridor. Both parts of the home have their own dining rooms, lounges and kitchen areas. The main meals are cooked in a central kitchen. The home has an extension to one of its lounges, that makes the outdoor patio area accessible for service users. The gardens to the home are well maintained. Parking is available at the rear of the home. The home is furnished in a homely style, with six smaller communal rooms rather than one large one. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection lasting for approximately seven hours. Fourteen residents and seven staff were spoken to throughout this inspection. Records were also looked at. What the service does well: What has improved since the last inspection? 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. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 6 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 Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 7 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) These standards were not assessed on this occasion. EVIDENCE: These standards were not assessed on this occasion. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 8 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. Staff are working well to provide a good standard of care. Care plans do not contain satisfactory details regarding oral health care and up to date records of residents’ weight. The home’s policy and procedure for medication must be followed. EVIDENCE: Residents and relatives spoken to said they were happy with the care provided by staff. It was evident that residents have good relationships with staff. Residents and relatives spoken to commented that they had been involved in care planning and care plan reviews. The care records for four residents were looked at in detail. The individual plans of care were detailed giving clear information of the care that needs to be provided. Daily records gave clear information about how the resident had spent their day. Risk assessments were in place for each resident ensuring that staff are given the correct information to work safely with residents. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 9 Care and protection of individual residents pressure care areas was seen in care records. Evidence was seen during this inspection of pressure relief equipment used within the home. Nutritional assessments are also completed, although the home does not have the necessary weighing scales to monitor weight and a recommendation is made about this. Oral hygiene needs for the individual resident are not detailed in care records kept. It is important that care staff are aware of the support required for residents’ mouth care. The home seeks the support from community mental health services when required and this was discussed with the manager. The medication and the records kept were looked at for three residents. Some medication could not be reconciled with the records kept. Greater care needs to be taken with the administration of medication. One resident has chosen to self-administer their own medication and is provided with a suitable lockable space for this purpose. The manager advised that two senior staff who administer medication have completed the care of medicines training and a further two staff are awaiting to complete this course. One senior carer spoken with had a good understanding of medication and how to access advice should there be any concerns. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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) 12,13,14,15. Residents are supported to make choices about their daily lives and are provided with the opportunity to maintain links with the community. EVIDENCE: The home offers a variety of activities and on the day of this unannounced inspection a church service took place. A record was seen of the ongoing activities provided by the home. Some residents spoken with said they enjoyed the activity provided within the home. One resident spoke warmly of their experience within the home and said “Its one happy family.” The home has an open visiting policy and residents can choose to see their friends and relatives in private. All relatives and friends spoken to said that they are made to feel welcome by staff whenever they visit. Residents are supported to maintain contacts with the local community and one resident attends the local church independently. The manager advised that residents are encouraged to handle their own finances for as long as they are able to do so. During a tour of the building residents bedrooms were seen and bedrooms were personalised. The residents and relatives spoken to said that they were encouraged to bring personal items belongings with them. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 11 The home offers a varied menu and specialist diets are catered for. During this visit to the home breakfast was observed and it was served in a relaxed and unhurried manner. The food seen on the day was well presented and looked appetising. Residents spoken to said that they enjoyed their meals and they were always offered a choice of food. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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) 16,18. Staff are knowledgeable about adult protection issues, however residents should feel confident to raise concerns or make a complaint. EVIDENCE: The home has a complaints procedure clearly displayed within the home; this procedure contains the relevant information of how a complaint will be responded to. A record of complaints was seen and there have been no recorded complaints since the homes last inspection. Staff spoken with had a good understanding of the homes whistle blowing policy and adult protection issues. Staff were clear about the action that should be taken in dealing with any suspicion of abuse. Residents and relatives said that they were aware of the home’s complaints procedure, however one resident said that they would not feel comfortable about making a complaint. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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) 19,20,21,24,26 Residents live in comfortable surroundings but care must be taken to ensure that the residents’ privacy and dignity is maintained at all times. The home was generally clean, however improvements need to be made to ensure that all areas of the home are suitably clean and free from odour. EVIDENCE: The manager said that the home has a maintenance programme and on the day of this unannounced inspection the home was generally clean, light and airy. The communal areas are furnished with domestic style furnishings that are suitable for the residents. Outside areas are available for residents to use in warmer weather. The designated smoking area and the quiet lounge have recently been redecorated. There are accessible toilet facilities for residents near lounge and dining areas; with facilities also located close to resident’s bedrooms. A bathroom was Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 14 discussed with the manager as it is presently in need of updating and redecoration and not accessible to residents. A bath hoist is still in need of repair. Residents’ bedrooms were seen during a tour of the building. It was evident that the home has a maintenance programme to redecorate and replace carpets when needed. Residents’ rooms seen were comfortable with resident’s personal possessions in them, however three of the bedrooms seen required thorough cleaning and another bedroom had an odour of urine. One shared room did not have the required screening to maintain the residents’ privacy and dignity. The manager discussed that all new residents are given the option to hold their own door key. One relative spoken with was unhappy that their relatives’ door was kept locked throughout the day. This was discussed with the manager. All residents are provided with a suitable lockable space for safe storage of medication or valuables. The home’s laundry area is located to the lower floor, and it was clean, tidy and well organised. The home has a sluice washing machine that meets disinfection standards. The laundry floor requires repainting and this was discussed with the manager. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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) 27,28,30. The home is able to demonstrate that staff are competent to do their jobs, and the residents’ are cared for by a suitably qualified staff team. EVIDENCE: A rota is kept for care staff on duty. Advice was given to the manager that a recorded rota should be kept for all staff who work within the home. Nine care staff have achieved the NVQ Level 2 Award in care and one member of staff has gained the NVQ Level 3 Award. Staff spoken to said that they had received induction training prior to working in the home that covered issues such as adult protection and fire training. The manager said that all staff receive the minimum three paid days training per year. The home has a suitably trained person to carry out safe movement and handling training for staff. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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) 31,35 The manager is approachable and supportive with residents, relatives and staff. Resident’s financial affairs are safeguarded by the home. EVIDENCE: The manager is competent and experienced. She is a qualified nurse and has completed her registered manager’s award. The inspector noted that the home is run in a relaxed way. Residents were seen to be comfortable and have a good relationship with the manager. Staff spoken to said that the manager is supportive and relatives said that the manager is approachable. Three residents’ monies was checked and all tallied with the written records kept. One resident is supported to handle their own finances. Safe facilities are provided for the safekeeping of money and valuables kept for residents. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 x x 1 x 2 STAFFING Standard No Score 27 2 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x x x 3 x x x Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 18 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 24 Regulation 12(4)(a) Requirement Srceening must be provided in shared rooms to maintain the residents privacy and dignity. Timescale for action 2/6/05 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. 3. Refer to Standard 8.2 8.9 9 Good Practice Recommendations Details of oral health care needs should be documented in the individuals plan of care. Suitable weighing scales should be purchased in order to monitor any weight gain or weight loss of residents. Greater care needs to be taken with the administration of medication. Medication in the custody of the home must be handled in accordance with the homes policy and procedure. The home should review the complaints procedure and the manner in which they recieve complaints; to ensure residents are comfortable in raising concerns or making a complaint. The identified bath hoist should be repaired and repainted. The identified bathroom should be updated and redecorated The identified areas should be clean and free from odour. The laundry floor should be painted. A recorded staff rota should be kept for all staff who work J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 19 4. 16 5. 6. 7. 8. 21 26.1 26.4 27 Burking Banks in the home. Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 Page 20 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse. HD6 4AB 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 Burking Banks J51J01_s26268_Burking Banks_v230928_020605.doc Version 1.30 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. 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!