Inspection on 15/10/08 for West Bank Care Home

This inspection was carried out on 15th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

West Bank Care Home 06/11/09

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 11/05/05

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 30/01/2009.

CARE HOME ADULTS 18-65 West Bank Care Home 21 Crow Tree Lane Bradford West Yorkshire BD8 0AN Lead Inspector Liz Cuddington Key Unannounced Inspection 15th October 2008 11:00 West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 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 West Bank Care Home DS0000001145.V372798.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 Adults 18-65. 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. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 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 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) kimhjomeen@yahoo.co.uk 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 DS0000001145.V372798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th October 2007 Brief Description of the Service: West Bank is a care home for adults who are recovering from a mental illness. A lounge and kitchen/dining room are situated on the ground floor. Two bathrooms and three single toilets are situated over the three floors. The home is close to public transport and some parking is available within the grounds. There is a large garden with a summerhouse, which can be used by people living in the home. The weekly fees are the local authority/health care trust rates. Some of the extras charged for include transport, clothing and personal expenses. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated it is likely that enforcement action will be taken. The purpose of this inspection was to assess the quality of the care and support received by the people who live at West Bank. The visit to the home was carried out over one day by one inspector. Since the last inspection in October 2007 no complaints or concerns have been made to us about the home. The methods used to gather information included conversations with the people living at the home and the staff, looking at care plans and examining other records. We also received the home’s self-assessment questionnaire before the inspection visit. This questionnaire provides valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at West Bank and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. The people we spoke with said they are very satisfied with the care and support given by the staff. The care and support plans are regularly reviewed and updated and reflect each individual’s preferences and needs. People are involved in making West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 6 decisions about the way the home they live in is run, and the manager and staff make sure people’s views are central to any decisions. It was clear during the inspection that the staff know and understand the needs of each person and do everything they can to support people’s needs. People’s right to make individual choices is respected and supported. There is good and friendly interaction between the people who live at the home and the staff. People said they feel safe and know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. The staff are encouraged to keep up their professional development by taking training to make sure their skills and knowledge are up to date. The home keeps us informed of any significant occurrences affecting the health and well-being of the people who live there. What has improved since the last inspection? What they could do better: West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 7 To make sure they are suitable to work with vulnerable people, all newly employed staff must have new, up to date Criminal Records Bureau and Protection of Vulnerable Adult register checks before they are allowed to begin work in the home. To make sure the home is safely managed, in the best interests of the people who live there, a manager needs to be appointed and registered with us without delay. 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. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Before people move in the staff carry out a thorough pre-admission assessment and there is an introduction procedure, to make sure the home would be able to meet the individual’s needs. EVIDENCE: There have not been any permanent admissions in the last twelve months, but the home does offer a respite service. When someone comes to West Bank for a respite visit, the staff re-assess the person’s needs each time to learn if his or her needs have changed. If they have, the care and support plan is amended to reflect those changes. When someone is considering living permanently at the home they are provided with information to help them make a decision. They are also invited to visit as often as they wish and stay for short periods. This gives the person the opportunity to make an informed decision and helps the home decide if they are able to meet the person’s needs. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 10 This procedure, along with a Social Services’ assessment, will help the staff to start developing a suitable plan of care and support. The home has introduced a ‘buddy’ system, where one person befriends the person who is moving to West Bank and helps them to settle in. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To maintain their autonomy and independence, staff support people to make choices and decisions about all aspects of their daily lives. People are involved in planning and agreeing the level of care and support they need and how this is to be provided. EVIDENCE: Four individual care and support plans were looked at. They show that people are involved in developing and reviewing their plans. The plans reflect the individual’s preferences and needs and clearly demonstrate the person’s involvement in making all the decisions that affect them. The plans reflect people’s individuality and contain sufficient detail to guide staff and help them understand each person. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 12 Everyone is supported and encouraged to make their own choices about how they lead their lives. The care plans reflect this and show that people are supported to achieve their goals. Those who commented confirmed that the service supports people to live the way they choose and agreed that the service meets their different needs. The plans are changed frequently, to make sure they always reflect people’s choices and wishes. Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting people’s right to independence and choice. These assessments are reviewed and kept up to date. All the evidence we saw clearly indicated that the home’s staff support people to maintain their independence and improve the quality of their lives. Observation, and conversations with the staff, confirmed that the staff know and understand the needs of each person who lives at West Bank. The staff do all they can to promote people’s independence and autonomy and everyone is treated as an individual. From talking to the people who live at the home, the staff and reading the notes it was clear that everyone’s personal choices are respected and supported. People are supported to meet their individual cultural and spiritual needs. People who have agreed to share a room have signed a document confirming this. All the written information is securely stored and confidential information about people is only shared with those who need to know. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Where needed, people are supported to follow the activities they choose, to make sure their needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. EVIDENCE: The care and support plans include information about each person’s choice of recreational and leisure pursuits and their goals. The activities people follow depend upon what they want to do. People have been offered the opportunity to attend further education classes or take up paid or voluntary employment, if they wish. Some people attend a day centre. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 14 There are regular residents’ meetings and people are involved in making decisions about the way their home is run. The manager and staff make sure people’s views are central to any decisions that are made. People said they are supported to lead their lives in the way they choose. The staff are aware of people’s preferences and the home is run in the best interests of the people who live there. Individual choices about spiritual and cultural matters are reflected in the plans and the staff all know and understand each person’s needs and preferences. Some people like to help with the household tasks and enjoy cooking, shopping, looking after their own rooms and some people like to get involved with the gardening. People also enjoy choosing the meals they would like and everyone makes their own drinks. The home has organised two trips to Blackpool during this autumn. People said they enjoyed the trips last year and were looking forward to this year’s visits. More outings are planned for the next twelve months. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs are met. People are protected by the home’s medication systems. Medications are stored safely and are generally administered accurately. To maintain their privacy and dignity, the staff treat people with respect, care and consideration at all times. EVIDENCE: People’s health and wellbeing is observed and monitored, and any concerns are followed up with relevant health or social care staff, and the family, and their advice is followed. The plans contain detail about the individual’s physical and emotional health. The plans, and conversations with staff, confirmed that people’s cultural and individual preferences are understood by everyone and are central to the care and support they are offered. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 16 Each plan is individual and reflects the person’s choices for all aspects of their life. The way people prefer their care and support to be provided is clearly detailed. The people we spoke with said that the home and the staff meet people’s needs. Detailed records are kept of the involvement of healthcare professionals in maintaining people’s health. People’s preferences are detailed in the plans, so that staff know exactly how each person likes their support to be provided and understand the routines they like to follow. The staff that administer medication have received suitable training. This makes sure that medicines are administered safely and that staff understand this area of their work. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine, although some signatures were missing. In order to keep an accurate record of the medicines that are supplied in their original packaging, a ‘brought forward’ system should be put in place. This would show the quantity of any medicines that are carried forward from one four-week MAR chart to the next, in addition to any new supply of the medicine. Observations during the inspection confirmed that the staff always respect people’s privacy and dignity. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home said they are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people staying at the home are safe. EVIDENCE: The staff training records showed that all but one of the staff have taken adult protection training. They have all had training in how to manage challenging behaviour. Conversations with the manager and staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. They are expected to sign to confirm that they have read the policies and procedures concerning adult protection. People we spoke with said they feel safe and know how to make a complaint or raise a concern if they need to. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, clean, comfortable and well-maintained environment. EVIDENCE: The home is clean and generally well maintained and there is an ongoing refurbishment programme. Everyone said the home is always kept fresh and clean. The rooms are comfortably furnished and feel warm and welcoming. Protective gloves and aprons are available for staff to use when necessary. The washing machines have a sluice wash programme, as part of the home’s infection control measures. The home’s owners have a programme of maintenance and re-decoration for the home. Since the last inspection visit one of the upstairs bathrooms has West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 19 been refurbished and handrails have been fitted in the bathrooms, to help people to manage independently. The kitchen/dining room is a clean, safe and comfortable place for staff to prepare meals and for people to sit and enjoy their meals. There are sufficient, accessible toilets and bathrooms on both floors of the house. The gardens are tidy and well maintained and there is a summerhouse and seating for people to use in the better weather. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 20 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are not fully protected by the recruitment procedures, which should ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require in order to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet the care, social and leisure needs of the people who live at the home. Since the last inspection an additional member of staff has been recruited. That person is due to start work in early November. All staff complete an application form and provide two written references. However the home is relying on Criminal Records Bureau (CRB) and Protection West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 21 of Vulnerable Adults (POVA) register checks that were obtained by the people’s previous employers. New staff must not begin work until up to date checks have been completed satisfactorily by the home. From a total of six care staff, the Deputy Manager has achieved the level 4 National Vocational Qualification (NVQ) in care. One member of staff has achieved the NVQ level 3 award and another has gained the level 2 qualification. Some of the care staff are qualified nurses in their home countries. The training records confirm that staff have taken training courses in the mandatory health and safety subjects, including fire safety training, as well as other courses such as falls awareness, dementia care, diet and nutrition and managing challenging behaviour. People who commented said they thought the staff were well trained and competent. We were told that the staff are supportive and help people do what they want to do. The records, and the staff, confirmed that all the staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 22 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and run in the best interests of the people who live there. EVIDENCE: There has not been a registered manager in post for some years, although the current arrangements have made sure the home is managed in the best interests of the people who live there. Suitable, permanent arrangements need to be made. The appointment and registration of a manager should be carried out without delay. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 23 To maintain confidentiality, people’s personal information is stored in an office that is locked when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. The policies and procedures are kept up to date to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner and staff have basic health and safety training. All these measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home asks people to complete quality assurance questionnaires, in order to find out what people think about the care and support the home offers. Examples of completed questionnaires were seen in people’s care plans. Regular residents’ meetings are now being held, in order to discuss what people would like to see happening in their home. The home’s management then make the agreed changes. West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 25 NO 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 YA34 Regulation 19 Requirement To make sure people who work in the home are safe to do so, a new Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register check must be obtained before people are allowed to begin work. Timescale for action 31/01/09 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 West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 West Bank Care Home DS0000001145.V372798.R01.S.doc Version 5.2 Page 27 - 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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