Inspection on 22/02/06 for Heath Bank Nursing Home

This inspection was carried out on 22nd 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

Heath Bank Nursing Home 17/12/09

Heath Bank Nursing Home 11/03/09

Heath Bank Nursing Home 26/10/06

Heath Bank Nursing Home 17/08/05

Heath Bank Nursing Home 21/01/05

Heath Bank Nursing Home 06/07/04

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Hawkhills

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Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Heath Bank Nursing Home Linden Road Halifax West Yorkshire HX3 0BS Lead Inspector Lynda Jones Unannounced Inspection 22nd February 2006 13:15 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 Heath Bank Nursing Home DS0000040605.V265879.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. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heath Bank Nursing Home Address Linden Road Halifax West Yorkshire HX3 0BS 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) 01422 352299 01422 365557 Philip Bennett (Heath Bank New Co) Ltd Mr John Wright Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate three named service users under 65 years of age receiving nursing care 17th August 2005 Date of last inspection Brief Description of the Service: Heath Bank Care Home offers 24 hour nursing care to 57 residents. The registration also includes the provision to offer nursing care for three named persons under the age of 65 years. The home is in a quiet residential area of Halifax and is approximately 10 to 15 minutes walking distance from the town centre. The home offers single and double bedrooms, a number of rooms have en suite facilities. There are two lounges in the main part of the house and a separate dining area. A new extension was completed at the end of 2005 providing 18 new en suite bedrooms. Additional bathrooms, toilet facilities and a large lounge have been added. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk The last inspection of the home was unannounced and took place on 17 August 2005. This was an unannounced inspection carried out by two inspectors over 3.5 hours. The main purpose of the inspection was to make sure that the home continues to provide a good standard of care for the people who live there. The findings of the inspection are positive. This is a well run home providing good quality care. Residents appear to be well cared for and comfortable at the home. The methods used at this inspection included looking at care records, staff records, complaints log and health and safety records. A tour of the building took place and time was spent talking to service users, the registered manager and some of the staff on duty. As many of the standards were assessed at the last inspection, this report should be considered together with the report from 17 August 2005. What the service does well: Heath Bank is a well run home providing good care to residents. Admission procedures are good, detailed pre admission assessments make sure that the needs of residents can be planned for and met when they move into the home. According to a recent survey carried out at the home, the staff are kind and helpful. Staff are friendly and welcoming when visitors call at the home. Care is taken to help residents with their appearance. People are well dressed, shaved and have their hair done regularly. Residents and relatives say the laundry service is good. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 6 The care plans that were examined indicated that residents’ health care needs are being identified and met. The home is well maintained and health and safety matters are given high priority. All accidents occurring at the home are routinely analysed to see if risk can be reduced. The new extension to the home has been tastefully decorated and furnished to a high standard. Plans are in progress to upgrade bedrooms in the older part of the house. Staff training opportunities are good. Consultation (by use of questionnaires) takes place with residents, relatives and visiting professionals about the quality of the service provided. The records of complaints/concerns are well documented and show that changes to practice take place where required. What has improved since the last inspection? What they could do better: The menu for the day should be displayed for residents to read. Residents have to wait some time between taking their seats in the dining room and meals being served. This needs to be addressed to see if the process can be improved. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 7 A heated food trolley in the dining room would enable staff to consult with residents about what they want at meal times. 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. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 8 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 Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 9 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 home’s admission procedures are good. All prospective residents are fully assessed before they move into the home. This ensures that their care and support needs are planned for and can be met. Prospective residents or their relatives are encouraged to visit the home so they can assess the suitability of the facilities for themselves. EVIDENCE: A sample of care plans was examined. In each case there was evidence that good quality assessments of the needs of each person had been carried out before admission was agreed. This enables the prospective resident and their relatives to be confident that the home can meet individual needs. It also allows for preparations to be made for admission. The initial care plan can be put in place and the staff can make sure that any specialist equipment that is required is obtained in advance. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 10 The manager welcomes visits from prospective residents or their relatives. This allows people the opportunity to view the accommodation and to meet the staff. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 11 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, The detail in the care plans will be improved with the introduction of the new format. Personal files are in the process of being better organised, this should make it easier to access information. The plans examined indicated that the health care needs of residents were regularly reviewed EVIDENCE: Plans are underway to amend the format of the care plans that are used at the home. Discussion took place with the manager about the content of the new plans and about the process of transferring information from the old format. The proposed content and format is very good. Residents will be much more involved in the construction and content of the plan. The documentation should allow staff to gain a detailed understanding of each person’s health, social and emotional needs and tailor the plan of care accordingly. The proposed social assessments are also very good. They include important information about the background and life experiences of residents, about where they have lived, where they have worked and about each person’s Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 12 current social links. The records include information about individual likes and dislikes and about the sort of daily routine that people prefer. This helps the staff to support people so that they can maintain some continuity and control over their lives. The plans that were examined indicated that residents’ health care needs are being identified and met. The records indicate that staff are vigilant as they deliver day-to-day care, evidence shows that GPs and other health care professionals are being involved as necessary. The care plans clearly document each visit by health care professionals, the outcome of the visits and any advice that has been given. The personal hygiene needs of residents are also clearly documented in the care plans. In order to make sure that all plans are up to date, completed in full and reviewed regularly, the manager plans to carry out a quality audit of care plans on a monthly basis. Random selections of plans are also routinely audited by the operations manager during her visits to the home. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 13 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): 12,13,15. The proposed social care assessments are good. These should prompt staff to gather important information about the interests and hobbies of individual residents. This should then result in appropriate leisure and recreational activities being provided that suit each person. EVIDENCE: A survey was recently conducted at Heath Bank, relatives and friends were questionnaires were asked for their views about various aspects of life at Heath Bank. 20 out of 38 questionnaires were completed and returned. The perception of 70 of relatives/friends seemed to be that activities were “sometimes available”, 15 said activities were “often available, 5 reported that activities were “always available”. 80 of relatives/friends said that residents could choose whether they wanted to take part in activities. There was no information available to show what sort of activities had proved successful or how individual residents had been engaged in activities of their choice. The new care plan format prompts staff to gather information about the hobbies and interest of residents when they move into the home. If used Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 14 effectively this should provide staff with a good guide to the sorts of things that people enjoy and should ensure that there is something available to suit everyone. The capacity for activity will vary according to each individual, not everyone likes group activities therefore staff need to ensure that they offer special support and assistance to those residents whose needs are better met by one to one activities. Developments in the way that social assessments are carried out and in the range of activities that are available will be followed up on the next inspection. Residents and staff confirmed that visitors to the home are welcome at any time. The last report contained comments on the meals provided and the organisation of the menus. The comments from residents and visitors were positive; everyone said the food at the home was good. The manager reported that there had been a recent change to mealtimes, with the main meal of the day being served at teatime instead of lunchtime. Staff had noted that as people were getting up and having breakfast in the mornings at different times according to their preferred routine, they were often not ready to have their main meal at midday. The manager and staff plan to talk to residents to see if this new arrangement suits them better. There is no menu for the day on display in the home for residents to see. This should be addressed. Residents had quite a long wait at teatime between the time the first people were seated to the time the meals were served. The manager was asked to consult with staff to see if this could be improved in any way. The meals were already plated in the kitchen and then served at the table. The manager said there were plans for this to be changed and for the meals to be served in the dining room from a heated trolley. Residents who needed assistance with their meals were asked if they needed help, and they received support from staff that was delivered with patience and sensitivity. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 15 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 All complaints and concerns raised by residents and visitors are taken seriously and acted upon. The manager is open and receptive to all comments on the service provided, evidence shows that working practices are amended and improved wherever possible as a result. EVIDENCE: The recording of complaints and concerns that are brought to the attention of staff is detailed. The records give a good account of the complaint, who was involved and of the action taken at the time. The records show that complainants are kept fully involved and informed throughout the thorough investigations which are conducted. Details of all of the actions taken to resolve complaints are recorded. There is an open approach to complaints and concerns, the manager is available most days at the home and he reports that he wants residents and visitors to feel confident about raising issues with him. All comments about the service are taken seriously and where improvements in practice are necessary they will be acted upon. It is positive to see that the records include details of any actions that need to be taken to prevent a recurrence of situations that have caused concern. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25,26 The home is clean and hygienic throughout. The building is well maintained. The newly constructed extension has been decorated and furnished with obvious care and attention paid to detail. Plans are in place and on target to upgrade established parts of the home and this work is being carried out to a good standard. EVIDENCE: Since the last inspection a new extension to the home has been completed offering accommodation in eighteen en suite bedrooms. All of the rooms are decorated and furnished to a high standard and time has been taken to make sure that the décor and accessories are fully coordinated. The bedrooms were not occupied at the time of the inspection but plans were underway for two people to move in. The additional bathrooms that have been created have been designed with sufficient space to accommodate specialist lifting equipment and to ensure that residents and staff can safely manoeuvre about the room. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 17 The extension includes a very pleasant sitting room, which has been carpeted, decorated and furnished to a high standard, creating a very comfortable sitting area overlooking the front of the house. The manager said that this area would be fully utilised when more people take up residence. Other parts of the home have been improved recently. The entrance area has been decorated and is now much brighter and welcoming. The position of the lounge and dining room has been swapped over and the rooms redecorated. The new dining area is spacious; tables were tastefully set with individual place settings and matching table linen. The manager reported that new dining chairs were on order. The main lounge is quite large, with chairs arranged around the periphery of the room. The arrangement of the furniture is not particularly conducive to encouraging people to talk to each other. There is a large plasma TV at one end of the room. The TV was on but no one was watching it. Staff need to make sure that residents have some control over this. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,30. The home is appropriately staffed to meet the needs of residents. Recruitment practice has improved and more robust procedures are in place to make sure that all staff are appropriately checked before they start work at the home. A range of training opportunities are available to all staff. EVIDENCE: The manager reported that the home is staffed each day as follows: Mornings - 2 qualified nurse plus 5 care staff. Afternoons - 1 qualified nurse plus 4 care staff. Nights – I qualified nurse plus 3 care staff. Members of the domestic and catering team are on duty at the home every day. The manager has produced a useful matrix, which serves as a quick reference guide for details of staff training. The records show that 29 staff have recently received training on safe moving and handling techniques. 25 members of the team have taken part in fire safety training and 19 staff have completed a basic food hygiene course. 6 staff are currently undergoing NVQ training at level 2 and 3 members of domestic staff are involved in NVQ level1. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 19 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, 36 The registered manager is experienced and well qualified. Resident’s benefit from a well run home. Residents and their relatives are consulted about the service provided at the home. Health and safety records are up to date and indicate that the equipment used in the home is regularly serviced. EVIDENCE: The manager took up post at the home in May 2005. He is a qualified nurse and has considerable management experience. He has gained the Registered Managers Award and is well qualified for the role. He has been registered by CSCI as the manager of Heath Bank. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 20 The home is well run and the manager has a clear view about areas of the home that need to be developed. There have been some encouraging improvements in the quality of the record keeping in general at the home. Regular staff meetings take place and the views of staff are encouraged and taken on board. The operations manager visits the home regularly and reports to the Commission for Social Care Inspection each months on the conduct of the home. The commission is also regularly informed about incidents occurring in the home in accordance with Regulation 37 of the Care Homes Regulations 2001. The registered owner and the manager also consult the Commission when any changes to the home are being considered. The arrangements for providing staff with regular supervision and appraisal are excellent. This whole area has received careful consideration. Senior staff who are taking on some of this responsibility have already received preparatory training from the manager. Health and safety records issues at the home are given high priority. Associated records were checked and were found to be well maintained, indicating that tests and servicing of equipment are kept up to date. Accident reports were checked and were completed in sufficient detail. Accident analysis takes place to identify any recurring problems and to try to reduce the risk of future accidents. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 21 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 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 X X X 3 3 3 Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 22 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 2 Refer to Standard OP15 OP15 Good Practice Recommendations The menu for the day should be on display in the home. Consideration should be given to ways of improving the delivery of meals so that residents do not have to wait too long at the dining tables before meals are served. Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 23 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 Heath Bank Nursing Home DS0000040605.V265879.R01.S.doc Version 5.1 Page 24 - 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. 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