Bank House Residential Care Home

Updated 8 April 2020

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

This inspection was completed by one inspector.

Service and service type

Bank House Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 is not required to have a manager registered with the Care Quality Commission. The provider is the owner and manager of the home. This means the provider is 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with 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.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with seven people who used the service and one visitor about their experience of the care provided. We spoke with 10 members of staff including the provider, care staff, cook and deputy manager. 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 two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 8 April 2020

About the service

Bank House Residential Care Home residential care home providing personal care to 17 people aged 65 and over. The service can support up to 20 people.

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

The provider had processes in place to help keep people safe. Risk was identified, assessed and minimised where able to be. People were supported by enough staff, who had been recruited safely. People’s medicines were managed safely and they got them when they needed them. The home was clean and staff practice helped to reduce the risk of cross infection. Incidents were monitored to help reduce the likelihood of them happening again.

People continued to receive care which met their needs. Care was delivered by staff who had received the training they needed. People had enough to eat and drink to maintain their wellbeing and they had access to the healthcare support they needed. The environment met people’s needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff ensured people’s privacy, dignity and independence were promoted and respected. Staff had formed positive relationships with people and involved them in making decisions about their care. People felt listened to and treated with kindness by staff and the provider.

People received care which was personalised to meet their needs. They had access to activities which they enjoyed. People were supported to maintain relationships and interests which were important to them. Complaints were responded to and investigated in a timely way. People were encouraged to discuss their wishes for their end of life care.

The provider had oversight of the home and the quality of care provided by staff. People were happy living at the home and enjoyed the positive culture which had been created. The provider was a familiar face around the home and people knew them. They understood their regulatory responsibilities and ensured there was good partnership working with external professionals to meet people's needs.

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 25 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.