Inspection on 28/06/07 for Burking Banks

This inspection was carried out on 28th June 2007.

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

Burking Banks 30/08/06

Burking Banks 02/11/05

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 Key Unannounced Inspection 09:00 28th June 2007 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.V341568.R01.S.doc Version 5.2 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.V341568.R01.S.doc Version 5.2 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 enquiries@burkingbanks.co.uk 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.V341568.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2006 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. Information about the home and the services provided are available from the home in the Statement of Purpose and the Service User Guide. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit. The inspector arrived at the home at 8.30am and left at 4.15pm. During this visit the inspector spoke with people living at Burking Banks, some of the staff and the manager Ms Ann Fisher and the operations manager. The inspector looked at records of people’s care, staff records, how medicines are given and carried out a tour of the home. In addition to this visit the Commission for Social Care Inspection sent surveys to thirteen people who live at Burking Banks. Thirteen surveys were returned. Surveys were sent to thirteen relatives and six were returned. The inspector did observe the care people receive and how the staff treat people. There were thirty-two people living at the home on the day of this visit. Before we visited Burking Banks the manager gave the CSCI information about illnesses, accidents and incidents and how the home is managed The inspector would like to thank everyone for their assistance during this inspection process. What the service does well: People have their care needs assessed prior to them being admitted into the care home. The care staff continue to be caring and supportive towards everyone living at Burking Banks. And people enjoy good relationships with the staff team at the home. There were many positive comments received from the surveys received by the CSCI. One person commented they were completely satisfied with the way in which the staff took care of their loved one. Burking Banks offers a relaxed and homely environment for people to enjoy. People living at the home are treated in a dignified and respectful manner by the care staff. The care records are detailed and ensure the staff receive the correct information about the care needs required by each individual. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 6 The standard of food served at the home is good and ensures that people are provided with a varied and nutritious diet. The staff are working hard to ensure they achieve NVQ (National Vocational Qualification) level 2 or above. 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. The summary of this inspection report can be made available in other formats on request. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 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 Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs are assessed prior to their admission into the care home. EVIDENCE: Individuals who responded to the survey said they received enough information about the care home before deciding if it was the right place for them to live. The information received by the CSCI prior to this visit states that the potential needs of people are assessed before they move in to the care home. In addition there is a service user guide and people are encouraged to visit the home before deciding if the home is the right place for them. The records looked at showed evidence of a social workers assessment. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 9 Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health, personal and social care needs recorded in their individual plan of care, and there healthcare needs are being met. Generally people are protected by the homes medication policy and procedure. People are treated with dignity, respect and privacy. EVIDENCE: People living at Burking Banks who took part in the survey said that the staff treats them well. One relative commented that the care staff were kind and patient and overall everyone that responded to the relatives survey felt the home responded to the needs of their loved one. One person commented that they were completely satisfied with the care provided at Burking Banks. The home offers people a homely and relaxed environment. During this visit people were observed enjoying good relationships with the staff at the home. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 11 Some people spoken to during this visit commented that the staff are helpful and supportive. The care records for four people were looked at. Since the last visit by the CSCI the home has redeveloped the way it records the information relating to peoples care. The overall content of the care records for people is good, and generally gives clear information about individual care needs. This ensures the staff has clear information of the actions that must be taken to ensure the care needs of each individual are met. All the records looked at were reviewed and up to date. Risk assessments were available for safe moving and handling of people, nutrition needs and tissue viability (the risk of developing pressure sores). Not all the daily records looked at recorded how people had spent their day or if the individual care plan had been followed. The quality of the recording from some staff continues to be more detailed than other entries. This was discussed at the last visit to the home and a recommendation is made in this report about the matter. The home’s medication system was audited. The home uses a monitored dose system. This means most medication in the home is given out from sealed foil strips to prevent errors. All medication could be reconciled with the records kept. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally people’s cultural, religious, social and recreational needs are being met, and they are supported to maintain contact with their family and friends. People are able to exercise choice and control over their lives. The home provides everyone with a varied and nutritious diet. EVIDENCE: Overall people who responded to the survey said they were able to do what they wanted each day and make decisions in their lives. One relative commented in the survey that the home arranges entertainment for people. However, some respondents to the relatives survey had concerns about the activity and stimulation provided to people living in the care home. These concerns should be explored by the manager to ensure the range of activities provided meets the needs of everyone living at Burking Banks. The manager advised that there is a programme of activity for people living in the home. One person spoken to said they enjoyed taking part in any activity Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 13 arranged by the home. Another person said that the staff respect their right not to take part in any planned activity. The activities currently provided by the home are, aromatherapy, church service, keep fit, quiz and hairdressing. People are supported to access activity outside the home such as visits to church. The people spoken with said that their friends and relatives can visit the home freely, and are able to see their visitors in private if they wish. One relative who responded to the survey said they were always welcomed into the home by the staff. People are able to manage their own finances should they choose to do so and they are provided with lockable facilities to keep personal items safe. Some bedrooms were seen during this visit and they had been personalised by the individual. The home offers a four weekly menu that offers a choice and a variety of foods. People spoken to said the food served in the home is nice and there is always plenty to eat. The food provided is well presented and appetising, the inspector sampled a bread and butter pudding that was very nice. The inspector observed staff supporting individuals appropriately at mealtimes to enjoy their meal. It was pleasing to see the chef serving some of the meals and checking out that everyone had enjoyed the food served. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally, people who use the service and their relatives are confident to in raising any concerns and complaints. People living at the home are protected from abuse. EVIDENCE: With the exception of one person, everyone who responded to the survey knew who to speak to if they were not happy, and knew how to make a complaint. All the respondents to the relatives survey said they knew how to make a complaint. Two relatives who responded commented that the home “sometimes” responded appropriately where concerns have been raised about peoples’ care. The operations manager informed the inspector that she is improving the way any concerns and complaints made to the home are dealt with. There is a complaints policy and procedure displayed in the home. Some people spoken to and a visiting relative said they felt confident to raise any concerns or make a complaint. The home has received four complaints since the last visit by the CSCI; all have now been addressed by the home and resolved. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 15 The staff spoken to had a good understanding of vulnerable adults and the necessary actions that must be taken should there be any allegations of abuse. The manager confirmed that all the staff has undertaken vulnerable adults training and that the staff are fully informed of the homes whistle blowing procedure. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally people live in a safe and well-maintained environment. The home is generally clean and people have comfortable rooms with their own processions around them. EVIDENCE: Overall the comments received from surveys received by people living in the care home indicate that the home is fresh and clean. During this visit the home was fresh and clean. Action has been taken to improve the overall cleanliness of the home, and the domestic arrangements have improved to maintain adequate levels of hygiene in the home. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 17 The home has an ongoing programme of maintenance and many improvements have been carried out since the last visit by the CSCI. There has been some furniture replaced and new carpets fitted. In addition the bathroom on the first floor has been completely refurbished and the toilet identified during the last visit by the CSCI has been redecorated. The laundry facilities were generally clean and well organised. However, the laundry floor requires repainting to ensure it provides a surface that can be cleaned easily. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally staff are employed in sufficient numbers and receive training to ensure they are competent to do their jobs. Generally people are protected by the home’s recruitment practices. EVIDENCE: The people spoken to during this visit and a visitor made positive comments about the staff. There were comments such as “ the staff are kind and approachable” and “the staff are very helpful”. All new staff undertakes the homes basic induction training and “Skills for Care” induction standards. (Skills for Care is the national training organisation) is currently being introduced at the home. There are eleven staff currently working at the home that have achieved the NVQ level 2 or above in care. The manager said that five staff is ongoing with this training. A respondent to the survey felt that the staff should be encouraged to develop in specialist skills such as dementia care. The employment records for three staff were looked at. All the records held the required information to ensure that people are protected by the home’s recruitment practices. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 19 Since the last visit by the CSCXI the home has taken action and improved the domestic arrangements in the home to ensure that all areas of the home are clean and hygienic. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36 and 38. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run and managed by a person who is fit to be in charge. Generally the home is run in the best interests of people who use the service. The financial interests of people living are safeguarded. Generally the health and welfare of everyone is promoted and protected. EVIDENCE: The home’s registered manager is Ms Ann Fisher. The staff said that the manager is approachable and supportive. The people spoken to during this visit said they knew who to talk to if they were not happy or had any concerns. Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 21 The registered provider (the owner of Burking Banks) has employed an operations manager who is currently working with the manager of the home to improve, and monitor, the quality of the services being provided at Burking Banks. To ensure they provide a good service the home is presently working towards developing a quality assurance system that seeks the views of people living at the home, their friends and relatives. The financial records for three people were checked and were correct. Where people have chosen to handle their own finances they are provided with secure facilities for privacy and safekeeping. The fire records were looked at and showed that there are weekly checks of the home’s fire alarm system and emergency lighting. The majority of staff has received fire safety training and there have been fire drills carried out at the home. However, two newly appointed staff had not received the required fire training. This was discussed with the manager who took immediate action to address this mater. It is a recommendation of this report that the manager ensures that all staff complete fire training as part of the induction process and that fire training is carried out for all staff on a six monthly basis. Some of the staff team has completed training in Infection Control (to prevent the spread of infection and communicable diseases). First Aid, Health and Safety and Food Hygiene. This training is being planned for the remainder of the staff. All staff has recently completed Movement and handling training (to ensure people are moved safely). Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 22 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 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 23 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 OP38 Regulation 23.4 d and e Timescale for action The registered person shall make 29/08/07 arrangements for people working in the care home to receive suitable fire training. And such training must be given to all new staff as part of the homes induction training. This training must also ensure that people working at the care home are aware of the procedure to follow in the case of a fire, including the procedure for saving life. Requirement Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 24 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 OP12 Good Practice Recommendations The home should ensure that the range of activities provided meets the needs of everyone living at Burking Banks. The laundry room floor should be repainted to ensure it can be cleaned easily. The home should continue to develop induction training for all new staff to ensure it meets “Skills for Care” standards The home should continue to develop a quality assurance and quality monitoring system to seek the views of people living in the home, their relatives, and any other interested people. 2. 3. 4. OP26 OP27 OP33 Burking Banks DS0000026268.V341568.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V341568.R01.S.doc Version 5.2 Page 26 - 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!