Care Home: Bankfield Residential Home

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What the care home does well People have confidence in the manager, she is approachable and welcomes comments on the service provided. There is a genuine commitment from all staff to continually improve the service provided. The staff team are highly regarded by people who live there and their relatives. Meaningful activities are available for people to join in; people are always consulted about what they want to do. People are very pleased with the domestic team and the way they carry out their work. They said the standard of cleanliness was always good and the home always smelt fresh. The standard of accommodation is good. The home is well maintained and provides a safe place for people to live. A quality assurance system is in place; people are regularly consulted about the service and they are provided with a summary of the comments people make. What has improved since the last inspection? The company responded swiftly and positively to the concerns raised in the last inspection report. All of the requirements made in that report have been addressed. Everyone who moves into the home receives a contract which tells them about their rights and responsibilities. Since the last key inspection, developments at the home have been very positive. Everyone has worked hard to bring about improvements in record keeping and care practice at the home. The care plans have improved, they cover health, personal and social care needs. They give clear instructions to the staff about what they must do to support people. People are being consulted regularly about the care and support that they need. The medication system has improved. Storage and administration is much better and all staff have received training to ensure that medication is given out safely. Moving and handling procedures have improved; this means that people are being moved safely. An activities coordinator has been appointed and people can now take part in a range of activities if they want to. The home is adequately staffed and people are satisfied with the level of care that is provided. Staff training opportunities and training records have improved. This means that staff can keep their practice skills up to date. CARE HOMES FOR OLDER PEOPLE Bankfield Residential Home Hollins Lane Sowerby Bridge West Yorkshire HX6 2RS Lead Inspector Lynda Jones Key Unannounced Inspection 17th December 2007 10:30 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 Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bankfield Residential Home Address Hollins Lane Sowerby Bridge West Yorkshire HX6 2RS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01422 831333 01422 836331 newco.bankfield@virgin.net Philip Bennet (Bankfield New Co) Ltd Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2007 Brief Description of the Service: Bankfield provides personal care and support for up to 37 older people. The house is a detached Victorian property located approximately a quarter of a mile outside the centre of Sowerby Bridge. There is a steep drive up to the house. At the front of the house there is a garden with panoramic views of the surrounding countryside. Bedrooms are at ground, first and second floor level. All parts of the house can be accessed by a passenger lift. Most bedrooms are single, only two are double. Twenty-three rooms have en suite facilities; the remainder have a hand washbasin with toilets and bathrooms nearby. The weekly fee is between £347.50 and £367.50. Extra charges are made for hairdressing, chiropody and for newspapers and magazines of their choice. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last key inspection took place on 14 & 15 June 2007. As a result of that visit, we were concerned about the quality of care that was being provided at the home. Following the inspection, we asked the homeowner to provide us with an improvement plan showing us how the requirements made in the report would be addressed. We visited the home again on 28 August 2007 to carry out a random inspection to see what progress had been made since the last visit. We found significant improvements in record keeping and care practice at the home. There was evidence to show that the care people were receiving was better monitored and people were safe and secure. This inspection took place over one day from 10.30 am to 4 pm. During the visit I spoke to people living in the home and to visitors who called in during the day. I also talked to staff and management and looked at various records relating to care, staff and maintenance. What the service does well: People have confidence in the manager, she is approachable and welcomes comments on the service provided. There is a genuine commitment from all staff to continually improve the service provided. The staff team are highly regarded by people who live there and their relatives. Meaningful activities are available for people to join in; people are always consulted about what they want to do. People are very pleased with the domestic team and the way they carry out their work. They said the standard of cleanliness was always good and the home always smelt fresh. The standard of accommodation is good. The home is well maintained and provides a safe place for people to live. A quality assurance system is in place; people are regularly consulted about the service and they are provided with a summary of the comments people make. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Written references must be obtained for all new staff. This is to make sure that staff are suitable to work with older people. Please contact the provider for advice of actions taken in response to this Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 7 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. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 8 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 Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 & 5 (standard 6 does not apply) 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 the service. People receive information about the home before they move in and they can visit to see if they think the service can meet their needs. People are assessed before they move in. This is to make sure that all their needs can be met at the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide, which provide information about the facilities at the home. It tells people what they can expect from the service the home provides. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 10 Everyone is invited to visit the home first to look at the accommodation and to meet people. Relatives sometimes do this if their family member is unable to visit themselves. Everyone is assessed before any decision is made about moving in. This is done to make sure that all of their needs can be met at the home and that it is the right place for them. Admissions to the home only take place if the service can meet people’s assessed needs. Copies of contracts and terms and conditions of residency have been given to everyone living there and their relatives. This means that people are aware of their rights and responsibilities. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10. 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 the service. The care plans are detailed; they give staff the information they require to meet people’s needs. Personal support is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: I looked at a sample of care plans to see what progress has been made since the last key inspection in June 2007. There have been some positive developments in this area. Everyone has a care plan which includes information about people’s health, personal and social care needs. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 12 Each person’s needs are clearly identified on the plans and they include stepby-step instructions outlining what staff must do to support people. The plans are evaluated every month to make sure that they are up to date. People who are able to contribute to their own care plan are asked for their views, what they have to say is important to staff. Evidence in the plans shows that people are being consulted about their care; they are asked if it suits them or could be improved upon. The staff treat people with respect and personal care is delivered discreetly. I asked a small group of people if they are satisfied with the support they receive and they made the following comments: “the staff are really helpful and kind”; “they are always asking us if we are alright and if we want anything”; “there is always someone on hand if you need them”. All the plans have been reviewed recently and, where possible, relatives have been present at the review meetings. Visitors were able to confirm that they are involved and consulted about the care their relative receives. One visitor said “it’s more like a partnership now, I’m pleased to be involved”. Another said, “If I am worried about anything, I can talk to the manager and I feel confident that things will be sorted out”. Moving and handling procedures have improved; these plans have also been reviewed recently to make sure that people are being moved safely. Throughout the day, the staff used moving and handling equipment in accordance with the plans. There has also been a significant improvement in the way medication is managed. Since the last inspection, all the staff responsible for handling medication have received additional training from the pharmacist and PCT (Primary Care Trust). Storage of medication and the ordering of prescriptions has improved and the recording of the administration of medication onto the Medication Administration Record (MAR) chart has also improved. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. 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 the service. People who use the service are able to make choices about their lifestyle. A choice of stimulating activities is on offer, which are organised to meet a wide range of individual needs. EVIDENCE: Routines at the home are flexible and people are encouraged to make choices about their lives and how they want to spend their time. People confirmed that they get up when they wish, breakfast is prepared when people are ready to eat. Meals at lunchtime and teatime are served at set times, although they can be served at more convenient times if people go out with friends or relatives. The lounges are organised so that people have a choice of sitting somewhere quiet, watching TV or sitting in an area where there is music playing. Some people prefer to spend time in their room during the day; the staff respect Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 14 these choices, they call on people regularly and provide drinks throughout the day. Visitors can call at any time. The visitors I talked to said they are always warmly welcomed when they call. They said they always find the staff pleasant and friendly. There has been a significant improvement in the amount of contact that staff have with people. Staff routines are better organised, they are less focused on tasks and can spend more time with individuals. The atmosphere is calm and relaxed. Visitors to the home commented positively on the day-to-day organisation within the home. Throughout the day the staff were polite and friendly, they made time to sit and talk to people. A member of staff sat reading aloud to one person from a magazine, other people were reading or watching TV in the other lounges. In one room music was playing and people were singing along to songs they were familiar with. Another major improvement is in the provision of meaningful daytime activities. An activities organiser has recently been recruited, she has talked to people about the sorts of things they would like to do, and she has also talked to relatives about people’s interests and hobbies. The activities organiser is imaginative and enthusiastic and she engages people successfully. People who spend time in their rooms are not left out; with their consent she calls on each person and conducts 1:1 sessions. In the morning, people were offered a choice of activities; a word search was selected, a large print version was pinned up and several people joined in. Other activities include things such as pictionary, memory games, baking, exercises etc. People told me about a tasting session that had recently taken place that they really enjoyed. Several people had not had the opportunity to try the exotic fruits that are now on sale in the supermarkets. Arrangements were made to buy some of the fruits and hold a “tasting”. People have been consulted about the dishes on the menu in an attempt to cater for a wide range of tastes. The menu for the day is on display in the dining room. The two dining rooms are spacious and tables are attractively laid. People are asked what they would like and meals are served from a heated trolley in the dining room. Some people need assistance with their meals, this is carried out with care and at a pace that suits each person. The staff offering assistance sat next to people, they were encouraging in their approach and they talked about the food they were serving. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 15 Comments about the food were mixed. Some people said the meals are satisfactory. A small group of people sitting together said there was a lot of mince and sausages and corned beef on the menu. One person thought the desserts were limited, with jelly and ice cream appearing too often on the menu. Two people said their meals were sometimes cold by the time they were served. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18. 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 the service. People feel comfortable about talking to someone if they are unhappy with any aspect of their care. Staff have received adult protection training which means that they are aware of their responsibility to make sure that people are protected and safe from harm. EVIDENCE: We have not received any complaints and none have been made directly to the home. There is a complaints record in the office where details can be recorded of any issues raised. It is the policy of the company to monitor any complaints and audit them to see if there are any areas of practice that can be improved. Since the last inspection, all staff have received training about adult protection procedures. This means that they are aware of what they must do if they think someone may be at risk of abuse, and they can take steps to make sure they are properly protected. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 &26 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 the service. People live in a home that is clean and comfortable, well furnished and well maintained. EVIDENCE: The home is well maintained and comfortable. The environment is appropriate to meet the needs of the people who live there. Bedrooms and communal areas are pleasantly decorated and furnished and provide a safe place for people to live. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 18 The home has an excellent domestic team who take a pride in their work. They make sure the home is always clean and tidy throughout. People living there, and visitors who called in, were full of praise for their efforts. All bedrooms are fully furnished although people are informed that they can bring items of their own furniture with them when they move into the home if they wish. Everyone is encouraged to personalise their rooms and organise them to suit themselves. Most bedrooms are single, only two are double. The majority have en suite facilities; those without en suites have a hand washbasin with toilets and bathrooms nearby. Bathrooms are fitted with appropriate aids and adaptations so that they meet the needs of the people who live there, and can be used safely. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 &30. 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 the service. The home is adequately staffed to meet the needs of people who live there. People are satisfied with the level of care that is provided. Staff training opportunities are good; this means that staff can keep their care practices up to date. EVIDENCE: The home is staffed efficiently; staff rotas show there are sufficient staff on duty to meet the health and welfare needs of the people who live there. The staffing situation has improved in recent months. Staff on duty said they feel settled and they feel they all work well together as a team. People who use the service have confidence in the manager and staff. They said the staff are always available when needed. There is evidence that staff have an understanding of the particular needs of individuals and the care and support they provide is personalised. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 20 The staff recruitment has improved; there is a clear process to follow. Staff files are better organised, making it much easier to see that all the required checks have been carried out before new staff start work. This means that people who use the service are properly protected and new staff are suitable to work with older people. Two staff files that were looked at had written references missing. Satisfactory references had been received by telephone taken but written references were not on file. This was discussed with the manager during the visit and she confirmed that this would be followed up immediately. The company ensures that training opportunities are available to all staff so that they have the skills and knowledge to provide people with the care that they require. Staff training records have improved in recent months. A training matrix now shows what every member of the team has undertaken and when training needs to be updated. Since June 2007 staff have received training on medication administration, protection of vulnerable adults, fire safety and the control of substances hazardous to health. This will equip people to carry out their work safely. Moving and handling training has also been provided recently which means that the correct equipment is in use and people are given assistance safely. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38. 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 the service. The home is well managed. The manager is in the process of applying to be registered with CSCI. People are consulted regularly about the way the home is run, and their views are taken on board. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager, who has been at the home since June 2007, is highly regarded by people who live and work at the home. She is in the process of applying to CSCI to be the registered manager. In August 2007, the home sent surveys to relatives as part of their quality assurance system. This is done so that they can monitor the service they provide and look at ways of improving. The results of the surveys indicate that people are very pleased with the way the home is managed. People said the atmosphere in the home has improved greatly and it is pleasant and calm. They said they have confidence in the manager, who “has made her mark” and commented that “the care team are fantastic”. There was general consensus that the home is well organised and efficiently managed. Everyone was sent a summary of the results of the survey after the results had been analysed. There is more consultation with people who use the service, both formally and informally. People are much more involved in their own care; if they are able to participate, they are involved in care plan reviews. They are consulted about activities and the meals provided on a regular basis. The manager spends time working alongside staff, she observes care practice and talks to people about the care they receive. The home does not hold any money on behalf of people who live there. Since the last inspection, we have been provided with documentation showing that equipment in the home is regularly serviced. This shows that the health and safety of people who live at the home and the staff is being protected. Additional health and safety documentation was available at the home for inspection during the visit. Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes 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 OP29 Regulation 19(4) Requirement Two written references must be obtained before new staff start work in the home. This is to make sure that they are suitable to work with older people Timescale for action 18/01/08 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 Bankfield Residential Home DS0000057396.V357229.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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