Inspection on 26/10/06 for Heath Bank Nursing Home

This inspection was carried out on 26th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 22/02/06

Heath Bank Nursing Home 17/08/05

Heath Bank Nursing Home 21/01/05

Heath Bank Nursing Home 06/07/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 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 26th October 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heath Bank Nursing Home DS0000040605.V317195.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. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 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.V317195.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate three named service users under 65 years of age receiving nursing care 22nd February 2006 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, 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 toilets, some rooms also have en suite showers The home was extended at the end of 2005 when 18 new bedrooms, additional bathrooms and toilets and a large lounge were added. The weekly fee is between £483 and £525. Residents pay extra for hairdressing, chiropody, aromatherapy and for newspapers and magazines of their choice. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk A pre-inspection questionnaire was completed by the home and this information has been used as part of the inspection process. Information from surveys, which were sent to residents and relatives, has also been used in the preparation of this report. Seven replies were received from relatives and five from residents. A site visit took place over a seven-hour period. During this time, discussion about care practices took place with the manager and staff on duty. Discussion also took place with residents sat together in the lounge and with one resident in private. A brief tour of the home took place, particularly to view the areas that had recently been redecorated. Records were looked at including; residents’ care plans, risk assessments, admission assessments, staff recruitment and training records. What the service does well: The admissions procedure is good, prospective residents are always assessed before any decision is made about moving in so that they can be sure their needs can be met at Heath Bank. Residents confirmed that they were given enough information about the home to help them make a decision about whether they wanted to live there. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 6 The care planning system is good; the records show that residents and their relatives are involved in the process and that people are consulted about how they want their care to be delivered. Residents said they received the care and support they needed and they felt they received the medical support they required. The care plans demonstrate that health care needs are appropriately assessed and that advice is sought from other care providers. Residents felt that staff listened to what they had to say and were usually available when needed. Relatives said they were satisfied with the overall care provided. Social care plans are good; residents are consulted about their interests and hobbies. A range of regular activities take place, people don’t have to join in if they don’t wish to. The activities are suited to the whole range of abilities of residents; people are not left out if they suffer from dementia. Some residents prefer more privacy than others and like to spend time in their rooms, the staff respect this. The dining area is pleasant and people said they enjoyed the meals very much. Residents and their families know about the homes complaints procedure. All complaints and concerns raised by residents and visitors are taken seriously and acted upon. People feel confident about talking to staff if they have any concerns. Staff have received training in adult protection and are aware of their responsibilities. There is evidence to indicate that the staff use their knowledge and observations of residents to pick up signs of concern or distress. The home is very well maintained and the health and safety of everyone in the building is given high priority. Staff and visitors are very complimentary about the standard of cleanliness and say the home always smell fresh. Furniture and fittings are of high quality, attention has been paid to match the décor, fabrics and accessories and residents and visitors feel this has been done to good effect. This has not been done at the expense of comfort. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 7 Staff recruitment procedures are good. Procedures are in place to ensure that all prospective staff are checked to make sure that they are suitable for this type of work. All staff receive appropriate supervision and training is given high priority. The home is very well managed and the administrator for the home provides very good support. The manager has clear views about areas for development and works to an annual development plan together with the homeowner and operations manager. Effective quality monitoring and quality assurance systems are in place. Residents and visitors are consulted about the way the home is run and their views are welcomed and taken on board. What has improved since the last inspection? What they could do better: The lighting could be improved in the large lounge. It is a large lounge with seating around the outside of the room; it is impossible to talk to someone on the other side of the room without raising your voice. The seating arrangements in this lounge don’t encourage conversation between residents. One relative said the room was off putting to new visitors. Nursing staff must make sure that the actions outlined in the care plans are carried out at all times. Residents must be weighed regularly. When nutritional Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 8 assessments indicate risks the plan must include details of the action needed to monitor and reduce the risk. Care of pressure areas must be clearly outlined in the plans for staff to follow. The records must provide evidence that the plan is being followed as prescribed. 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. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 9 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.V317195.R01.S.doc Version 5.2 Page 10 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): 1,2,3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with information about the home to help them make a decision about moving there. Everyone is assessed before they move in to make sure that the home can meet their needs. Everyone has a contract outlining the terms of residence. EVIDENCE: A sample of care plans was examined relating to residents who had moved into Heath Bank fairly recently. It was good to see that in each case, detailed pre admission assessments had been completed in order to make sure that each persons needs could be met at the home. Staff begin to gather information about individual needs from the point at which an initial enquiry is made. Five residents completed surveys giving their views about Heath Bank; each person said that they had been given enough information about the home to Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 11 help them decide if it was the right place to move to. One person said that a family member had visited the home as he had been unable to get there himself, another said several homes had been visited but Heath Bank provided a service that was best suited to the needs of this particular individual. Four people said they had received a contract outlining the terms and conditions of residence at the home. One person couldn’t remember receiving a contract. Intermediate care is not provided at Heath Bank. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 12 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): 6,7,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are good; they show what staff must do to meet the needs of residents. Systems are in place to make sure health care needs are met. Staff treat residents with respect and ensure their dignity and privacy is preserved. EVIDENCE: Five care plans were looked at. The planning format is good; the content of the records is at the front of each individual file making it is easy to find information quickly. Each care plan identifies how individual needs should be met. There was sufficient guidance for anyone reading the plans to understand how this should be done. The plans include a series of risk assessments covering for example; moving and handling, pressure care, nutritional requirements and falls risk assessments. These had been completed on all of the plans very soon after admission. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 13 The qualified nurses complete most of the content of the care plan. Care staff are beginning to be more involved in completing the social care element. The manager said he monitors the plans regularly, aiming to review five plans each week. As part of this audit he completes a pro forma indicating any areas that require attention and uses his findings as examples in staff training sessions to improve the planning process. In the main all of the plans were found to be up to date and there was evidence that all sections were being been reviewed regularly. There was good evidence that the staff were seeking advice from, and working alongside other health care providers. Records of visits by GPs, district nurses and chiropodists were recorded in detail showing why the visit was required and the outcome of the consultation. Evidence also showed that dentist, optician and audiology appointments were taking place with the required frequency. Outpatient appointments are flagged up well in advance so that staff can make arrangements to escort residents or check whether relatives wish to accompany people. One care plan that was examined, was not up to standard. A relative had provided information for the social care plan shortly after admission but no further work had been completed in this area by staff. The resident was weighed on admission and a nutritional assessment indicated that the resident was at risk. The plan stated that the resident needed to be weighed monthly. The daily records, a month later, show that the resident was still not eating well but there was no evidence to show that weight, food and fluid intake was being monitored. Having noted some reddening of skin, nursing staff made various references in the daily records to pressure relief and repositioning. The records indicate that action was taken to provide pressure relief, but this was not incorporated into the care plan and there was no evidence that all staff were aware of what action was required. This is not acceptable and was discussed with the manager during the visit. The “record of concern” is a useful record if used in the same way by all staff. It is a log of any unusual observations and is included in each individual care plan. Staff note for example, if someone had been unusually quiet or looked frightened and worried. Some staff use this record, others log observations of concern in the daily records. There needs to be agreement amongst staff about how this is to be managed. From speaking to care staff it is apparent that they are conversant with the information in the care plan on a day-to-day basis. This was confirmed by examining the daily records and by talking to staff about the care they provide. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 14 Throughout the day, the staff treated everyone with dignity and respect; residents spoken to said this was no different to usual. In the survey, residents were asked whether they received the care and support they needed. Three said “always”, two said “usually”. This response seemed to be related to the accessibility of staff. All five said staff were “usually” available when needed, one person felt the home had been short staffed recently, another said they sometimes have to wait for their tablets. All five residents agreed that they always received the medical support that they needed and that staff listened and acted upon what they said. One of the relatives said that when they visited there was not always a member of staff available in the large ground floor lounge. From observation on the day of the visit, some people who sit in this area are quite dependent and it is important that staff are always on hand in this part of the home. The seven relatives that commented said they were satisfied with the overall care provided at the home. The home has a medication policy supported by procedures and practice guidance. The procedure covers all aspects of receipt, administration and disposal of medication. Staff have access to the written information and are aware of their role and responsibilities. The home uses a monitored dose system; medication is delivered to the home already blister packed. All qualified nursing staff that administer medication have recently undertaken training in this area. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 15 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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social care plans are good and a range of activities are available if residents want to take part. The staff respect and support residents to follow daily routines of their choice. The meals are good and residents are happy with the food. EVIDENCE: The social care plans that were examined are of very good quality. The information, gathered from residents and their families, covers a wide range of areas giving a valuable insight into the sort of life experiences people had enjoyed and about their current social links. Care staff are now involved in completing this part of the care plan. This is a positive development; the care staff are a good source of knowledge. From speaking to staff on duty, and to the visiting hairdresser, it is obvious that the staff know residents well and understand their needs. They were able Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 16 to talk to residents about family members and knew about their background. This demonstrates that staff treat residents as individuals and find out what is important to them. Information in the social care plan includes details about family, friends and pets. People are consulted about their religious and spiritual needs and wishes. Everyone is asked about their hobbies and interests, what they like to read and whether they enjoy watching sport. People are also asked if they have any unfulfilled ambitions or dreams. The activities organiser uses this information to provide a range of group and individual activities that suit the varied needs and capabilities of residents. She is at the home five days a week between 10am and 3pm. The sorts of things on offer include quizzes, crafts, games that involve dexterity such as skittles and bowling and music and sing a long sessions. She said there is no timetable of activities, she consults people each day and asks what they would like to do. The day usually starts with some gentle exercises. On the day of the visit to the home, one of the residents was celebrating her 103rd birthday, music was performed by a visiting entertainer who the residents really like to hear and a sing a long session and party was well under way in one of the lounges. Residents confirmed that they had the option of joining in activities. Many enjoy taking part but it doesn’t suit everyone. Some people said prefer to spend time in their rooms during the day, watching TV or reading. Residents confirmed that the staff respected these choices and called on them in their rooms with drinks and to ask if they needed anything. One person enjoys sport and has Sky TV in his room, which was organised by his family. Throughout the day staff were observed spending time with people in the lounge who do not have the capacity to take part in organised group activities. The dining area has moved to what was once a lounge, the area is spacious, bright and pleasant. Tables are pleasantly laid with condiments available. The menu is on display and the staff told residents what was available at lunchtime. Staff who assisted residents, who needed help with their meal, did so with patience. The meal time was relaxed and unhurried. In the surveys all Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 17 the residents said they liked the meals provided at the home. During the visit residents said they looked forward to and enjoyed their meals. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 18 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives have access to a robust, effective complaints procedure, which they are aware of. Residents are safe and protected from abuse. EVIDENCE: There is a procedure for relatives and residents to follow if they have any complaints about the home. Six of the seven relatives who completed comment cards said they knew about the procedure, one person said the complaints forms were available in the hallway of the home. Three people said they had complained but they did not provide any details about the areas of their concerns. Residents who returned surveys said they knew how to make a complaint and indicated that they knew who to speak to if they were unhappy about anything. During the course of the visit, residents said they would speak to a member of their family or tell the staff if they were unhappy about anything. Some residents are unable to tell staff if they are unhappy or worried, in these instances staff must use their knowledge and observations of residents and record details in the “cause for concern” records. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 19 The information provided by the home indicates that there have been three complaints in the last twelve months; all were investigated within the 28-day timescale stated in the procedure. Of these, one complaint was substantiated. 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. The policies and procedures regarding protection of residents are of good quality and are regularly reviewed and updated. The service is clear when incidents need to be reported to the adult protection coordinator for the area. All staff have at the home have received adult protection training, regular refresher training is also available. The last course for all staff took place in August 06. Conversations with staff confirmed that they are aware of their responsibilities in this area. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 20 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): 19,20,21,22,23,24,25,26, Quality in this outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The home is decorated and furnished to a high standard throughout. Bedrooms are personalised and set out to meet the needs of each resident. The home is clean, comfortable, safe and well maintained. EVIDENCE: Heath Bank is well maintained, safe and comfortable throughout. Residents said the home is always clean and fresh, a view echoed by visitors. One resident said that all parts of the house were “extremely clean and a credit to the home” One of the relatives said she always found the home spotlessly clean when she called. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 21 A new extension to the home was completed at the end of 2005. All of the rooms offer good quality accommodation with en suite facilities. The décor, furniture and fittings are of a high standard and people occupying these rooms are very pleased with them. Additional bathrooms have been created and have been designed with sufficient space to accommodate specialist lifting equipment to ensure that residents and staff can safely manoeuvre about the room. The extension includes a very pleasant sitting room, which is also decorated and furnished to a high standard, creating a very comfortable sitting area overlooking the front of the house. This room is well utilised and was the setting for the birthday party taking place at the home during the day. The main lounge is quite large, with chairs arranged around the outside of the room. The arrangement of the furniture is not particularly conducive to encouraging people to talk to each other. There is often no space for visitors to sit next friends and relatives and they have to go off in search of chairs. One relative said this room is off putting for new visitors. The room is dark and the lighting needs to be improved. Refurbishment has taken place in other communal areas of the home. One of the visitors said the entrance area was now much brighter and walking into the home felt like “walking into a hotel”. Bedrooms in this area of the house that have been upgraded have been decorated in light shades to reflect the natural light. Furnishings and fittings are of good quality and time has been taken to colour coordinate accessories. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 22 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to meet the changing needs of residents. The recruitment process is good and procedures are in place to make sure that all staff are appropriately checked before they start work at the home. EVIDENCE: The manager reported that the home is staffed each day as follows: Mornings - 2 qualified nurse plus 7 care staff. Afternoons - 1 qualified nurse plus 5 care staff. Nights – I qualified nurse plus 3 care staff. At the moment the home is not fully occupied. When the home was extended the registration increased to fifty-seven places. At the time of this visit fortythree people were in residence and one person was in hospital. The home is adequately staffed to meet the needs of the residents. Suitable plans are in place to increase staffing levels as the number of people living at the home increases. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 23 Members of the domestic and catering team are on duty at the home every day. From the returned comment cards, three out of seven relatives did not think there were always enough staff on duty. When this was mentioned to the manager, he said there had been some staff shortages recently due to regular staff taking annual leave. He said the rota had been fully covered at all times either by other members of the team working additional hours, or by agency staff. The manager said the same agency was always used and as far as possible the same agency staff worked at the home as this provided residents with some continuity of care. There is a robust recruitment procedure that has the needs of residents at its core. The recruitment of good quality carers is seen as integral to the delivery of a good service. New staff do not start work in the home unless all of the appropriate checks have been carried out to confirm the suitability of the prospective employee. This was confirmed by examination of a selection of staff files relating to recently recruited staff. The induction and any probationary period for new staff is seen as an extension of recruitment. New staff are supervised and work alongside experienced members of the team. Arrangements are in place for all staff to receive supervision every month, including annual appraisals. Staff meetings take place regularly, the staff meet in core groups for example the domestic team meet together, as do nursing staff, care staff and night staff. Periodically throughout the year the whole team meets together. Staff training is given high priority at the home. All but two of the team have completed NVQ level 2 and staff are now going on to level 3 training. All staff have completed mandatory training in manual handling, fire safety, protection of vulnerable adults and basic first aid. Nursing staff have recently undertaken refresher training in medication administration. Domestic and kitchen staff have completed NVQ training relating specifically to their duties and all staff involved in the meals process have basic food hygiene certificates. There is an annual training plan for the home. The manager is keen to promote training opportunities for staff, the records he maintains show at a glance what Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 24 training has taken place and where updates are required. Training needs are discussed and documented as part of staff supervision. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 25 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): 31,33,35,38, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home. The management and administration of the home is based on openness and respect. The home has effective quality assurance systems in place and the views of users of the service are taken on board. The health and safety of residents, staff and visitors is given high priority. 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 Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 26 CSCI as the manager of Heath Bank. The home is well run and the manager has a clear view about areas of the home that need to be developed. The manager receives excellent support from the homes administrator. The home has sound policies and procedures, which are reviewed and updated, in line with current thinking and practice. The manager ensures that the policies and procedures are followed by staff. Staff practices are discussed during supervision, staff training and team meetings. All of the relatives who returned comment cards said they felt that the staff kept them informed of important matters and they felt involved in the care process. The home has a good quality monitoring system, the most recent findings from the annual survey of residents and relatives indicates that people are very satisfied with the service provided and they feel that the service offers value for money. Visitors found the staff kind and respectful and were able to answer their questions. Visiting professionals said the home was clean, in good condition; the staff polite and residents well cared for. The home does not administer money on behalf of residents. This is usually managed by the resident or family members. The home has a good record of meeting relevant health and safety requirements and legislation. Records are of a good standard and are routinely completed. Information provided prior to the visit indicated that maintenance and servicing of all equipment was up to date. Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 27 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 3 18 3 4 4 3 3 3 3 4 4 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 28 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 OP8 Regulation Schedule 3 (3)(n) Schedule 3 (3)(m) Requirement Where assessments indicate that there is a risk of developing a pressure sore, a treatment plan must be put in place. Where assessments indicate that there is a risk of under nourishment, a treatment plan must be put in place. Timescale for action 01/12/06 3 OP8 01/12/06 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 OP20 OP20 Good Practice Recommendations The lighting in the large lounge needs to be improved. Consideration should be given to altering the seating arrangements in the lounge Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Heath Bank Nursing Home DS0000040605.V317195.R01.S.doc Version 5.2 Page 30 - 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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