Archived: Bankfield

Updated 18 July 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by two inspectors and an assistant inspector.

Service and service type

Bankfield is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager who had applied to be registered with the Care Quality Commission. Registered managers and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced which took place on the 18 June 2019.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We also asked Healthwatch Bury for their views on the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and four visitors about their experience of the care provided. We spoke with 10 members of staff including the manager, care workers and the cook. During the inspection we also spoke with a visiting health care professional. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 18 July 2019

About the service

Bankfield is a residential care home providing accommodation and personal care to 36 people aged 65 and over at the time of the inspection. The service can support up to 47 people.

People’s experience of using this service and what we found

At this inspection we found the evidence supported the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

Safe systems of recruitment were in place. There were sufficient staff to meet people’s needs and staff received the training and support they needed to carry out their roles.

Medicines were managed safely, and people’s health needs were being met. Staff had received training in safeguarding people from abuse. Staff and people who used the service knew how to raise any concerns and were confident any concerns they raised would be dealt with appropriately. Risks to people were identified and well managed. Care records were person centred, reviewed regularly and updated when people’s needs changed.

People were involved in decisions about their care and the provider was working within the principles of the MCA.

People were positive about the staff and living at the home. The home was well maintained and furnishings were in good condition.

Staff and the manager knew people well. We saw staff were friendly and treated people who live at the home with kindness.

There was a limited range of activities and social events on offer to help promote people’s social interaction. Improvements were being made to the activities in offer. We have made a recommendation that the provider explores further, current good practice guidance on suitable activities particularly for people living with dementia.

The home had a new manager. People were very positive about the new manager and the changes they had made and the way the home was being run. The new manager had introduced a good system of quality assurance checks and audits.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection -The last rating for this service was Good (published December 2016).

Why we inspected

This was a planned inspection based on the previous rating. The inspection was also prompted in part by notification of a safeguarding. This is subject to an investigation. As a result, this inspection did not examine the circumstances of the incident.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bankfield on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.