Inspection on 02/11/05 for Burking Banks

This inspection was carried out on 2nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 02/06/05

Burking Banks 07/10/04

Burking Banks 16/06/04

Similar services:

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 West Yorkshire WF13 2LF Lead Inspector Bronwynn Bennett Unannounced Inspection 2 November 2005 09:40 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 Burking Banks DS0000026268.V251185.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. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Burking Banks Address 69-73 Moorlands Road Dewsbury West Yorkshire WF13 2LF 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) 01924 456653 01924 457285 Mr Kevin Martin Ms Ann Fisher Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2005 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, which 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 DS0000026268.V251185.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out during a six-hour period and was the second inspection conducted during this inspection year. The inspector made a tour of the building and looked at a sample of the records kept by the home. The inspection was conducted with the manager of the care home. The inspector spoke with some of the residents, staff and a relative. 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 DS0000026268.V251185.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 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 the following standard(s): 3. The residents’ care needs are assessed prior to admission into the care home. EVIDENCE: The care records for one resident recently admitted into the home held the details of the care management assessment and the manager had completed a detailed pre-admission assessment. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 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 the following standard(s): 9,10. The residents are treated with dignity and respect. Greater care needs to be taken with the administration of medication; the medication procedure needs to be followed consistently. EVIDENCE: The residents spoken with said that the staff are “Good” and “Helpful”. The inspector observed the residents being treated with dignity and respect and there was evidence in the care records (kept) for maintaining the individual’s privacy and dignity. Where the residents have chosen to share a room, screening is provided. The recommendation made at the previous inspection regarding oral healthcare needs has now been addressed, and the residents have a detailed oral healthcare plan in place. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 9 The home has purchased suitable sit on weighing scales so the staff are now able to monitor the weight gain or weight loss of the residents. The medication records were checked for two residents. The records could be reconciled with the medication kept for one resident, however the records did not tally for another medication looked at by the inspector. Burking Banks DS0000026268.V251185.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): EVIDENCE: These standards were not assessed during this inspection. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 11 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. The residents feel able to raise any concerns or make a complaint. EVIDENCE: The home has a complaints policy in place. The residents and a relative spoken with said they would feel comfortable to raise any concerns or make a complaint. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 12 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): 26. Generally the home is clean and tidy but the manager should examine the cleaning schedules and domestic arrangements in the care home. EVIDENCE: There has been some general maintenance works carried out in the home including some redecoration in the communal areas and in some residents’ bedrooms. Although standard 21 was not assessed during this inspection the manager advised the inspector that quotes are being obtained to update the bathroom identified at the last inspection. The home was generally clean and odour free, however greater care needs to be given to thorough cleaning within the home. Some of the dining areas, chairs and some individual rooms were in need of thorough cleaning. During a tour of the building the inspector observed cleaning products left in two residents’ bedrooms and bleach was left in a bathroom (see standard 38). Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 13 This practice must stop as it poses a potential health and safety risk to the residents. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 14 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): 27,29. Generally, there is sufficient staff on duty to ensure the residents’ care needs are met; however the levels of domestic staff should be reviewed. The recruitment processes are not safe enough to sufficiently protect the residents living in the care home. EVIDENCE: A recorded staff rota is kept. The manager was advised that there should be a recorded rota for all the staff working in the care home. The manager should consider whether domestic staff are employed in sufficient numbers to maintain hygiene standards in the home as some areas were not adequately clean. The employment records were looked at for two staff in the home. The inspector noted that both workers had commenced employment prior to the completion of the relevant police checks and there were gaps in one employment history. All staff must receive satisfactory police checks prior to starting employment and any gaps in the employment histories must be explored. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 15 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): 33,38. The home does not have a quality assurance monitoring system to indicate that the home is run in the best interests of the residents. The health, safety and welfare of the residents is not fully promoted and protected. EVIDENCE: The home does not have a formal quality monitoring system in place. The manager said that there is informal, ongoing discussion with the residents and their relatives. Feedback is sought from the residents during the formal review of their care. The home conducts weekly testing of the fire alarm system, emergency lighting and the staff have received fire training. The inspector noted that the Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 16 fire risk assessment is in need of updating and the manager was advised that more fire procedures should be displayed throughout the home. The staff undergo training on an annual basis for safe movement and handling practices. The inspector requested a sample of maintenance records; some of these documents were not available for inspection. The manager must make available, for inspection, all certificates and documentation that relate to the health and safety of the service users and staff. The manager must ensure that the home complies with the relevant legislation and evidence of this should be forwarded to the Commission for Social Care Inspection. The maintenance worker who is responsible for the testing of electrical equipment has not received training to enable him to be suitably competent. Any works conducted in the home must only be completed by persons competent and trained to do so. Records are kept for the monitoring of the hot water temperatures, but the hot water temperatures for bathing are not monitored on a weekly basis and a recommendation is made in this matter. Cleaning products were left unattended in two residents’ bedrooms and bleach left in a bathroom. This practice is dangerous and poses a potential health and safety risk to the residents. The home has a record of any accidents and injuries. The inspector noted a bruise to a resident’s hand; this injury had not been reported or recorded. This was discussed with the manager who took immediate action to ascertain where this injury had occurred and advised the care staff to make a suitable record. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 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 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 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 2 X X X X 1 STAFFING Standard No Score 27 1 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X X X X 1 Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 18 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. 1. Standard OP26 Regulation 16(2) (j) Requirement Satisfactory standards of hygiene must be maintained throughout the home to minimise the risk of infection. Areas of poor practice detailed in the body of this report must be addressed. Domestic staff must be employed in sufficient numbers to ensure the home is maintained in a clean and hygienic state. The registered person shall not employ a person to work in the care home unless – they have obtained in respect of that person the information and documents specified in paragraphs 1 – 9 of schedule 2. The registered person shall establish and maintain a system for monitoring the quality of care provided at the care home. Consultation should take place with the residents as part of the quality assurance process. A report in respect of any review should be supplied to the Commission and made available DS0000026268.V251185.R01.S.doc Timescale for action 03/12/05 2. OP27 18 (1) (a) 03/01/06 3. OP29 19 (1) (b) (6) (i) 03/12/05 4. OP33 24 (1) (2) (3) 03/04/06 Burking Banks Version 5.0 Page 19 5. OP38 13(4) (a) to the residents. The registered person shall ensure that all parts of the care home where the residents have access are, so far as reasonably practicable free from hazards to their safety: The testing of electrical equipment must be completed by persons competent to do so. 03/12/05 6. OP38 13 (4) (a) All the records relating to health 03/12/05 and safety must be available for inspection by the Commission for Social Care Inspection. (Copies of the requested maintenance reports should be sent to Commission as soon as they are available). All cleaning products should be handled in compliance with the COSHH Regulations 1988. Cleaning materials must not be left in the bathrooms or the residents’ bedrooms. Greater care must be taken to ensure that any accidents or injuries to the residents are suitably recorded. 03/12/05 7. OP38 13 (4) (a) 8. OP38 13 (4) (a) 03/12/05 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. Refer to Standard OP9 Good Practice Recommendations Greater care needs to be taken with the administration of medication. Medication in the custody of the home should be handled in accordance with the homes policy and procedure. DS0000026268.V251185.R01.S.doc Version 5.0 Page 20 Burking Banks 2. 3. 4. 5. OP21 OP27 OP38 OP38 The identified bath hoist should be repaired and repainted. The identified bathroom should be updated and redecorated. A recorded staff rota should be kept for all staff that works in the home. The manager should review and update the home’s fire risk assessment. The hot water temperatures for bathing should be recorded on a weekly basis. Burking Banks DS0000026268.V251185.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Brighouse Area Office 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 DS0000026268.V251185.R01.S.doc Version 5.0 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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