Inspection on 14/03/06 for Prior Bank House

This inspection was carried out on 14th March 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

Prior Bank House 13/06/07

Prior Bank House 01/02/05

Prior Bank House 07/09/04

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 Prior Bank House 74 Cherry Tree Road Sheffield South Yorkshire S11 9AB Lead Inspector Marina Warwicker Unannounced Inspection 14th March 2006 10:20 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 Prior Bank House DS0000003002.V282806.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. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Prior Bank House Address 74 Cherry Tree Road Sheffield South Yorkshire S11 9AB 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) 0114 255 2115 0114 255 0477 Anchor Trust Mrs Denise Walker Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Prior Bank House provides personal care for a maximum of thirty-two older people. It is part of a group of care homes operated by Anchor Trust. Prior Bank House is an adapted Victorian house surrounded by mature garden and woodland. It is situated in the residential area of Nether Edge in Sheffield. On the ground floor there are communal areas such as lounges, dining areas and a conservatory. In addition there are service areas and fourteen bedrooms. On the first floor are the remaining eighteen bedrooms. There is a lift. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out between 10:20am and 1:30pm on Tuesday 14th March 2006. The inspector toured the premise, spoke with residents and interviewed staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2&5 Information was available at the home for prospective residents and relatives. The residents receive a statement of terms and conditions when they take up permanent occupancy at the home. EVIDENCE: The service users and the staff said that there was sufficient information available about the home. The service users said that they were given copies of contracts when they moved into the home. Two relatives and a service user said that they were able to visit the home before moving in and the staff were welcoming, helpful and friendly during their visits. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10&11 All service users have comprehensive assessments of their needs and the service user plans are drawn up from the information. The senior care staff administer medication. The staff maintain privacy and dignity when delivering health and personal care to service users. Not all staff have received training on palliative care and bereavement counselling. EVIDENCE: Three staff and four service users were consulted. It was evident that the care staff reviewed the service user plans regularly and made amendments when necessary with the agreement of the service users. The care staff consulted with the specialist health care professionals with regards to pressure area care, continence management and other medical conditions. Staff said that the service users were monitored for weight loss or unnecessary weight gain; this Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 9 was achieved by monthly weighing of service users. The senior care staff had attended medication training and they manage the medication at the home. However, there is to be an update on the basic knowledge of how medicines are used, recognition and dealing with problems relating to administration of medication. Staff said that this training was overdue. Records were kept of all medicines received, administered and returned to the pharmacy by the staff at the home. The pharmacy audit of 31/01/06 was satisfactory. The inspector recommended to the staff that they have a list of medicines each service user has been prescribed and why they were prescribed the medicines and the most common side effects in the service user plans. One staff interviewed had attended a course on death and dying and said that the course was very informative and thought provoking. However, the other staff had not attended any training on death and dying. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14&15 The routines of daily living and activities at the home are flexible and varied. This takes into account expectations, preferences and capacities of the service users. Wholesome, appealing and nutritious meals are served at the home. EVIDENCE: Those service users who spoke with the inspector said that they were able to exercise their choice in relation to leisure activities, meals and the daily routines. They said that they could have family and friends to visit them and the staff were always polite and welcoming. The staff said that local community groups and volunteers visited the home and took part in entertainments. The inspector saw the service users having lunch. The service users were offered a choice of menu and the staff were around to offer help to those who needed it. The mealtime was unhurried and service users were seen enjoying their lunch. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Service users are enabled by the care staff to exercise their legal rights and participate in civic process if they so wish. EVIDENCE: The service users and the staff told the inspector that during local and general parliamentary elections they were able to either go to the voting point or use postal votes. The staff said if any service user lacked capacity then they would introduce an advocacy service. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25&26 The location and layout of the home is suitable for its stated purpose. The home is accessible, safe and well maintained. EVIDENCE: The service users said that the home was comfortable and that they enjoyed living there. There were adequate lavatories and washing facilities. However, one of the baths has been out of action for some time. This was due to a broken bath hoist. The staff said that they had aids and adaptations to meet the needs of the service users. During conversation it was noted that the dependency levels of the service users had increased and the staff were requiring more time when delivering care. Please see the next section on staffing for the inspector comments. The inspector checked four bedrooms in detail. They were referred to as the service users’ flats. The flats had locks on doors and they were individually furnished to suit the needs of the occupier. The service users said they were comfortable in their flats. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 13 The home was clean and tidy and the inspector would like to commend the domestic staff for their hard work. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29&30 The home maintains the staffing numbers and skill mix. The staff are offered NVQ training. The management operate a thorough recruitment procedure. Not all staff had received appropriate induction training. EVIDENCE: The staff said that due to the rising dependency of the service users they would benefit by increasing the staff numbers by an additional carer for the morning shift. They also commented that if the present staffing levels were to be maintained during the afternoon shift the management must make arrangements for cover for sickness. These concerns were discussed with the locum manager who assured the inspector that she would be looking into this matter as a matter of importance. Three staff recruitment files were checked. One had a gap in employment history, which had not been explained. However, the other files were satisfactory. The staff who had the gap in employment was on duty and this matter was rectified on the day. Comments on staff training will be made under standard 38. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35,36&38 A locum manager is in charge of the day to day running of the home whilst the registered manager is away. The administrator follows suitable financial procedures and they are audited by their head office staff. The management of the home ensure as far as is possible the health safety and welfare of service users and staff. However, not all the staff had received mandatory training e.g. moving and handling, health & safety, safe storage and disposal of hazardous substances. EVIDENCE: The service users and the staff commented how visible the locum manager was and that she helped with serving breakfast and was supportive of staff. The locum manager explained that she had identified the gaps in training and that she showed evidence of organising training days. All staff interviewed said that Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 16 they have had supervision from the registered manager in January 2006 before going on leave. Staff said that the Responsible Individual had not interviewed them during regulation 26 visits. Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 X 2 Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP11 Regulation 12,18 Requirement The care staff must be trained in palliative care, practical assistance and bereavement counselling so that they are able to deal with death and dying of service users. Timescale for action 14/07/06 2 OP21 23 3 OP27 17,18 All bathrooms must be accessible to service users. The broken down hoist in one of 14/04/06 the bathrooms must be replaced and the bathroom brought into use. The staffing numbers must be reviewed in the light of service 14/03/06 user dependency levels. Immediate. Staff induction must be formalised and staff need to be competent in the areas covered. To ensure safety and welfare of the service users and staff the management must train all staff in mandatory topics e.g. moving & handling, health & safety and safe storage and disposal of hazardous substances. 14/07/06 4 5 OP30 OP38 18 13,37 14/07/06 Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Prior Bank House DS0000003002.V282806.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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