Inspection on 11/05/05 for West Bank Care Home

This inspection was carried out on 11th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

West Bank Care Home 06/11/09

West Bank Care Home 15/10/08

West Bank Care Home 16/10/07

West Bank Care Home 23/01/07

West Bank Care Home 17/05/06

West Bank Care Home 16/01/06

West Bank Care Home 08/11/04

West Bank Care Home 26/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 West Bank Care Home 21 Crow Tree Lane Bradford West Yorkshire BD8 0AN Lead Inspector Linda Trenouth Unannounced 11 May 2005 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service West Bank Care Home Address 21 Crow Tree Lane, Bradford, West Yorkshire, BD8 0AN 01274 547864 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Sariff Jomeen Care Home 10 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (5), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3) West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 08/11/04 Brief Description of the Service: West Bank is registered to care for adults who are recovering from a mental illness. The house has been converted to provide residential accommodation for male and female adults under and over the age of 65 years. Accommodation is provided on three floors and all but one room are single. A lounge and dining room are situated on the ground floors. Two domestic style bathrooms and three single toilets are situated over the three floors. The home is situated close to public transport and some parking is available within the grounds. There is a large garden with a summer house, which can be used by the all the residents. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over the inspection year from April until March, regulated care homes have a minimum of two inspections in the year; these may be announced or unannounced. The last inspection was announced and took place on the 8th of November 2004. There have been no further visits until this unannounced inspection. The people who live in the home use the term residents; therefore this is the term that will be used throughout this report. During the inspection records were examined, some areas of the home were seen, such as bedrooms, lounge and kitchen. Care staff and residents were observed throughout the inspection. Discussions were held with staff, residents and a relative visiting the home. Information about the inspection findings was feedback to Mr Jomeen. A list of requirements and recommendations identified from this inspection can be found at the end of this report What the service does well: What has improved since the last inspection? Supervision has now been introduced for all staff, followed by appraisals. An audit of staff training needs is also being undertaken. Staff have completed mandatory training and some training in mental health needs. Training in adult protection and dealing with challenging behaviour has also been provided. The owners use a freelance trainer to provide the specialist training for staff. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 6 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. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 4 and 5 The prospective residents and their carers/relatives are able to decide the home is appropriate to their needs from the detailed information provided, and the opportunity to visit. The home does not adequately assess the needs of the prospective residents and this raised concerns that needs may not be met. The new contracts were satisfactory however adequate support must be provided before any agreement or changes take place. EVIDENCE: Copies of the service user guide were provided and discussions with residents and visiting relatives confirmed that this information had been provided. The care records were reviewed and it was found that the assessment information for the most recent admission was unavailable. The information could not demonstrate that the home was in a position to meet the resident’s needs. All care documentation must be kept in the residents file. One resident was able to confirm that they had visited the home prior to moving in. All residents spoken to confirmed they had been given information about the home. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 9 New contracts have been issued to meet the standards and the proprietors have worked hard to ensure that they include all aspects of the service. Any agreement of the contracts must take into consideration the amount of independent assistance the individual resident will need to understand and agree the contract. The inclusion of an advocate, relative or friend in this process would be seen as good practice. The financial records must also include the amount of the residents Disability Living Allowance that is taken from the resident’s weekly/monthly and used for additional expenses. Requirements relating to this standard have been made. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 and 9 Residents are aware of their assessed and changing needs and are involved in the care planning process. The residents are not appropriately supported in decisions about sharing a bedroom. EVIDENCE: The care plans are reviewed annually and the staff and residents confirmed that the residents are involved and consulted or throughout. All residents must be given the choice of a single room. At the last inspection all residents had a single room, two residents now share a room and the occupancy of the home has increased. All residents must be offered the choice of a single room and should only share if they agree to do so. From discussions and observations of records there was not sufficient evidence provided that the two residents share a room because they choose to. There appeared to be little supported consultation with the residents and it was felt by the inspector that this was not done in the best interest of the individual residents. The responsible person said that they were both agreed to share, and from discussion with the residents they appeared West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 11 happy, however any future sharing of a room must be with appropriate support. This support would be provided from family member, advocate or social worker. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16 and 17 There was little organised individual leisure activity and therapeutic activity. A good choice of food is offered with an alternative if something is not liked. The home provides an environment where residents are encouraged to develop friendships and maintain family relationships. Appropriate external leisure and therapeutic activities are limited by the staffing levels EVIDENCE: The home addresses activities in the care plan but does not adequately deliver a programme for each individual. Any activity that happens appears to be ad hoc and comes from the residents themselves. There was little organised external leisure activity and therapeutic activity. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 13 From records observed and discussions with residents and a visiting relative it was clear that the home give the opportunities for residents to maintain and develop relationships. Residents discussed the lack of activities and also the lack of trips and holidays. The owners of the home confirmed that a holiday will be provided this year and that a meeting is about to be held to get the residents ideas on where they would like to go. The residents were very complementary about the food at the home and said that there was more than enough to eat. They felt that the choice of food was good and where you did not like something the staff would always make an alternative. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 19 and 20 The resident’s self-administration of medication was not appropriately assessed and placed the individual at risk. The residents physical and health needs were met. EVIDENCE: The medication procedure was in place and staff received training, advice and support from the local pharmacist regarding the administration of medication. Where resident’s self-administered medication there were however inadequate risk assessments undertaken and recorded on the file. A requirement relating to these standards has been made. The residents confirmed that they were consulted regarding their health needs and had regular visits to the hospital, GP, opticians, dentist and chiropody. The records include health care needs of residence. In-house reviews include the monitoring of health care needs. The residents also have Mental Health reviews and day centre reviews which are held on the individual file. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The residents confirmed that they felt their views and concerns were listened too. Staff had a reasonable understanding of abuse issues and confirmed they had received training in adult protection. EVIDENCE: The complaints procedure was seen within the statement of purpose. A copy of this document has been given to each resident in the home. A complaints procedure was also displayed in the home. Records of all complaints are held and residents confirmed that their concerns are listened to and if necessary investigated. The Local Authority Adult Protection procedures were available in the office. The acting manager was aware of their responsibilities and staff confirmed that they had training in adult protection awareness. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27 and 30 Residents live in a homely comfortable clean and safe environment. EVIDENCE: A significant number of improvements have been made to the environment thus ensuring comfort and pleasant surroundings. The home has recently been redecorated throughout, including lounge, kitchen, bedrooms, corridors and stairways. The only lounge in the home is now non-smoking, residents who smoke have a smoking area outdoors and in the porch area of the home. The bedrooms seen, lounge, kitchen and stairways were all cleaned and well maintained. Resident’s confirmed that they felt the home generally looked better and they felt that the non-smoking lounge was as a very good idea. All confirmed that they were happy with their rooms and that they had a key to lock their door and maintain their privacy. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 Staff receive supervision and annual appraisal. EVIDENCE: Staff confirmed that supervision and appraisals had been introduced and that records were held. The records confirmed that from the individual staff training needs had been identified. There has been no change of staffing since the last inspection. The staff recruitment files were reviewed at the last inspection. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 and 43 The home does not have a registered manager. The residents are included in the decision-making and their views and opinions are sought. The home has a responsible approach to the health and safety of the residents. The home has a quality assurance system, which is effective for the home. This includes regular health and safety checks ensuring residents and staff safety and also includes residents’ questionnaires. The questionnaires give the residents further opportunities to comment on the care they receive and the environment of the home. EVIDENCE: The responsible individual Mr Jomeen is presently acting as manager of the home. The service is small and the acting manager is directly accountable by working daily with the residents and staff. Mr Jomeen has registered on NVQ West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 19 level V in management but is not yet clear if he will apply to be registered manager of the home. Whilst no formal quality assurance system is in place staff and residents made positive comments about the management of the home. The residents discussed that they could take any problem to Mr and Mrs Jomeen and the staff. It was evident from discussion and direct observations that the resident’s views are taken into account. Staffs felt at ease with the management and were clear about their role within the home. Staff felt that they could discuss and contribute to the decision making within the home. Mr Jomeen ensures that all health and safety checks are undertaken including electrical testing, fire systems tests and environmental health requirements. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 2 2 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West Bank Care Home Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x x x 2 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 21 yes Are there any outstanding requirements from the last inspection? 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 14 Regulation 16 Requirement There must be more stimulation, activities and outings undertaken with service users. All service users on long-term placement must be offered a seven-day annual holiday. (previous timescale 1.09.04 not met) A training and development programme must be established which meets Sector Skills Council training targets (previous timescale 1.8.4 not met) A registered manager must be appointed at the home (previous timescale 1.07.04 not met). The home must provide evidence of the assessment of all the service users. The service users must be supported by family, friends and or advocate, as appopriate, when drawing up a contract. Timescale for action 1o.06.05 2. 35 19 10.06.05 3. 4. 5. 31 2 5 8 12 5 10.06.05 10.06.05 10.06.05 6. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 22 No. 1. Refer to Standard Good Practice Recommendations no recommendations. West Bank Care Home 20050511 West Bank IR Stage 4 J52 V220059 S1145.doc Version 1.30 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds, LS13 1HP 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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