Inspection on 16/01/06 for West Bank Care Home

This inspection was carried out on 16th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 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 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 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 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 Inspection 16th and 23rd January 2006 9:00 West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 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.V265961.R01.S.doc Version 5.0 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.V265961.R01.S.doc Version 5.0 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) 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.V265961.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2005 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 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 the all the residents. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on 11th May 2005. There has been one additional visit made to the home since the last inspection. This was an unannounced inspection carried out by one inspector who was at the home on the 16th and 23rd January for approximately 7 hours. The last two inspections for the home have been unannounced. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices and talking to residents and staff. Comment cards were left at the home to provide residents and visitors with the opportunity to comment on the service. The findings from these cards are included in the report. Feedback was given to the Mr Jomeen at the end of the first day in person and by telephone after the second visit. Requirements and recommendations made during this visit, and outstanding from previous inspection visits can be found at the end of the report. What the service does well: The majority of the home has been redecorated this included, lounge, kitchen, hallway, corridors and bedrooms. The home has introduced a no smoking policy to protect the residents and staff who do not smoke. Smoking areas have been provided in the porch area and outdoors. Residents also felt that they had a good relationship with the staff and the owners of the home. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 6 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 West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 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.V265961.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. Residents have sufficient information provided to make an informed choice about the home. The home must make sure that they provide every item under the terms and conditions of the contract they hold with the individual. EVIDENCE: Each resident has a copy of the service user guide and a full copy of the terms and conditions for the home. Residents confirm that they sign their terms and conditions and are made aware of the facilities available. Service users are also aware of the reports that are made following a visit to the home and can view them if they wish. Some concerns were expressed because Sky, television seemed to have ceased. The provision of this is included within the residents contracts. This was discussed with the Mr Jomeen who said he would organise with the local provider to connect the service The social worker or hospital provides an initial assessment of each individual before they are introduced to the home. The home then develops the individual care plan and reviews the information periodically. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 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 the following standard(s): 8 and 10. Residents are consulted and know that information about them is held safely and confidentiality. EVIDENCE: All residents participate in their own daily decision-making and their own reviews. The residents spoken to felt that generally staff asked them what they wanted to do. One resident enjoyed having some space to himself and spent time in his room watching his television and listening to his music. One resident helped with the domestic chores around the home other residents had been invited to help but had chosen not to. Staff spoken to confirm that in their induction training they covered confidentiality and were aware they must respect information they were given, Residents said that they felt staff were discreet and did not have a problem discussing concerns or problems with them. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 14 and 17. The staffing levels limit external leisure and therapeutic activities. The hot drinks are restricted and the menus not displayed for the residents to view. EVIDENCE: The staffing levels at the home run at the legal minimum and therefore health and care needs are met but there is not enough staffing available to provide additional support and planning for those residents who may benefit from participating more in local community activities. Two of the residents said they liked to go into town and also to the local shops and want to do this independently. In the home residents said that there were several activities such as board games, dominoes, snakes and ladders and draughts. They sometimes played them with each other and with staff. They also said that they all had televisions in their bedrooms and some also had CD players and radios. Three West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 12 residents spoken to said they did not get bored and were quite happy to plan and organise their own day. The residents had a meeting last year with the owners of the home in which it was decided that a trip would take place. This trip has not happened and the residents are naturally disappointed. The proprietor said that it had been the intention to have day trips but staffing problems had prevented this. The menus are planned weekly but not displayed for the residents to see. The inspector joined the residents for lunch, which were poached eggs sandwiches or toast and yoghurts. The main meal of the day is at teatime. The residents felt that the food was good with plenty of variety and they got enough to eat. Residents said they commented when something was not good on the menu. They also felt the food had improved recently as the present staff were better cooks. The residents did say at times that they got bored of the same food. It would be good practise to rotate the menus seasonally and involve the residents in planning the new menus. The inspector raised concerns about the notice on the kitchen door restricting the times in the day people may have a hot drink. Whilst soft and cold drinks were freely available residents were restricted when they could have a hot drink. Residents were told they were using too many tea bags and the drinks were set for specific times during the day. Mr Jomeen said they could have a hot drink whenever they wanted and it was agreed that the sign would be taken down. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19 and 20. The resident’s self-administration of medication was assessed to minimise the risk to the individual. The residents physical and health needs were met. EVIDENCE: One resident self-administers his diabetic medication under the supervision of staff. There is a risk assessment detailing this decision, which is reviewed in the care plan. The residents said they had regular access to the GP and their community services such as Chiropody and Optical care. The District Nursing team visit regularly to provide support for a resident who is insulin dependent. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 23. Staff are made aware of the recognition of abuse and are aware of the adult protection procedures. Residents valuables were not protected sufficiently whilst living at the home. EVIDENCE: The induction programme for staff includes adult protection training. Staff said that they had undertaken this program in the first few weeks working at the home. They were aware of other policies and procedures in the office and had signed to say they understood the policy. Residents raised concerns regarding the safety of their money at the home. Residents are given a key to their bedroom, but do not always use this. Money has gone missing in the past. The owners of the home must take any allegation of theft seriously and the police must be contacted. Whilst the home provides the facilities for holding valuables on a residents behalf it must also provide a lockable drawer or cupboard within the service users bedroom. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 24, 25 and 30. The redecoration of bathrooms, toilets and supply of soap dispensers and paper towels is required to make sure that residents live in a comfortable and safe environment. The heating to the home was generally comfortable but lack of control of the individual radiators limited personal choice. EVIDENCE: The bathroom and toilets throughout the home were in need of decoration. The floors were being replaced in the toilet areas. The bath also needed reglazing or replacing in the first floor bathroom. Concerns were raised regarding the control of infection and hygiene practices in the home. Communal wash areas i.e. bathrooms and toilets had communal bars of soap and is in some cases towels were not available. Discussions were held regarding soap dispensers and paper towels as a reasonable alternative to ensure that good hygiene practices are maintained. The walls must also be washed down in these areas as part of the daily cleaning routine. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 16 All bedrooms reviewed were individually decorated with residents own personal possessions. The residents spoken to felt that their rooms were comfortable and warm. The rooms provided all the necessary facilities with the exception of safe lockable storage within the bedrooms and the shared bedroom required an additional wardrobe to make sure each resident has their own individual hanging space in their room. The radiators in residents bedrooms do not appear to have independent thermostatic valves. These must be fitted to make sure that the residents can control the heat in their bedrooms individually. From the comment cards received concerns were raised about personal laundry going missing. It was discussed that with the agreement of residents, clothing should be marked with the residents name to avoid further losses. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 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 32, 34 and 35 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, 33, 34, 35 and 36. Residents are protected by safe recruitment practice. Whilst staffing levels ensure that the residents are safe at the home they do not realistically provide for residents to be involved in activities within the local community. EVIDENCE: All staff are issued with job descriptions staff confirmed that they had an understanding of their role i.e. senior care or care assistant. Staff are all issued with terms and conditions and contracts of employment. Staff records were well organised and maintained. The home has a safe and robust recruitment policy and procedure, which is followed by the owners of the home. Unfortunately two members of staff left the week prior to the inspection and staff are having to cover additional hours until new recruits are found. All new staff had induction training and additional training in mental health awareness and behavioural management. One member of staff has NVQ level 2 and is now commencing on to NVQ level 3 and a second member of staff at the home is undertaking NVQ level 2. Unfortunately the home does not meet the standard that requires that 50 of the homes care staff are trained to NVQ level 2. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 18 There are a minimum of two staff working on the rota throughout the day with two staff sleeping in the home on duty through the night. Whilst staffing levels ensure that the residents are safe at the home they do not realistically provide for residents to be involved in activities within the local community. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home does not have a registered manager. The home has a responsible approach to the health and safety of the residents. EVIDENCE: The home does not have a registered manager. 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 completed the manager award NVQ level 4. Whilst no formal quality assurance system is in place Health Professionals, 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. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 20 Staff said that they were able to talk to Mr and Mrs Jomeen and that they visited the home daily. They also confirmed that they had formal supervision at the home but do not hold staff meetings. Mr Jomeen ensures that all health and safety checks are undertaken including food and fridge temperature testing, fire systems tests and comply with environmental health requirements. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 21 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 3 x x 3 Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 x x x x 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 2 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 2 2 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West Bank Care Home Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x DS0000001145.V265961.R01.S.doc Version 5.0 Page 22 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. Standard Regulation Requirement Timescale for action 16/03/06 1. YA14 16 2 3 4 5 YA17 YA23 YA24 YA25 16 16 16 16 6 YA30 16 7 YA32 18 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 and 10/06/05 not met) Hot and cold drinks and snacks must be available at all times and offered regularly. All residents must have a safe lockable facility within their room. A wardrobe must be provided for each of service users in a shared room. The radiators must be fitted with thermostatic controls to make sure that residents can control the heating in their own rooms. Redecoration of bathrooms and toilet areas now needs urgent review. Soap dispensers and paper towels must be provided in the communal bathrooms and toilets. 50 of care staff must have NVQ level 2 or equivalent. DS0000001145.V265961.R01.S.doc 16/03/06 16/03/06 16/03/06 16/03/06 16/03/06 16/03/06 West Bank Care Home Version 5.0 Page 23 6 YA37 8 A registered manager must be appointed at the home (previous timescale 1.07.04 and 10/06/05 not met). 16/03/06 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 YA18 YA17 Good Practice Recommendations That all clothing is marked with the residents name. The menus should be displayed where the residents can read them. West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI West Bank Care Home DS0000001145.V265961.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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