Archived: The Bank House

Updated 7 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 6 September 2017 and was completed by one inspector. We reviewed the information we held about the home and looked at the notifications they had sent us. A notification is information about important events which the provider is required to send us by law.

During the inspection, we spoke with three people who lived at the home and spoke with two relatives on the telephone following the inspection visit. We also used observation to help us understand the experience of people who could not talk with us.

We also spoke with two staff, the registered manager, the area manager and the Chief Executive Officer. We reviewed one plan of care and their medicine records. We also looked at audits for environment and maintenance checks, Deprivation of Liberty authorisation, compliments, incident and accident audits and two staff meeting minutes.

Updated 7 November 2017

The Bank House provides accommodation with personal care for up to five younger adults. There were three people living at the home at the time of the inspection. At the last inspection, the service was rated Good. At this inspection the service remained Good.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us the support from the staff helped to keep them safe in their home and manage their risk to health and safety. All staff understood the potential for risk of abuse and told us about how they kept people safe and how they had reported any concerns. During our inspection people were supported by staff that were available, offered guidance or care. People told us they received their medicines from staff or looked after their own medicines. People were able to request additional medicines for pain relief or other medicines as needed. The staff team were able to asses and know when a person may need these if they had not been able to communicate themselves.

People told us they staff knew them and the care they needed. All staff told us the training was in their role and helped them understand the needs of the people they looked after at the home. The staff team were supported with regular supervision with the registered manger to assist them in their role and responsibilities.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People told us there was always a choice of meals and drinks which they enjoyed and kept them healthy. People had access to other healthcare professionals that provided treatment, advice and guidance to support their needs.

People were comfortable with the staff that supported them and enjoyed their company. All staff knew people’s individual care needs and respected people’s dignity and independence. People’s privacy was maintained and staff were considerate not to impose on people who spent time in their room. People received support to have their choices and decisions respected with their day to day care.

People’s care needs were reviewed and assessed regularly and care planned and delivered to meet those needs. People and where requested families had been involved in the planning of their care. Family member told us they were asked for their opinions and input. People were supported with planned activities and the freedom to decide daily on how they spent their day.

People had the opportunity to raise comments or concerns and these were addressed. There were processes in place for handling and resolving complaints and guidance was available in an accessible format for people in the home.

People and staff told us management team were approachable and visible within the home which people and relatives liked. The registered manager and provider had completed regular checks to monitor the quality of the care that people received. Any improvements or changes had been recorded and actioned by the registered manager.

Further information is in the detailed findings below.