We carried out a review of the data available to us about Bannatyne Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bannatyne Lodge, you can give feedback on this service.
Bannatyne Lodge is a care home providing personal and nursing care to up to a maximum of 50 people. The service provides support to older people including people who may live with a dementia type illness. At the time of our inspection there were 32 people using the service.
People’s experience of using this service and what we found
Records provided guidance to ensure people received safe, person-centred care and support from all staff members. A relative told us, “[Name] is being well-looked after, much better than I could. They are happy at Bannatyne Lodge.’
There were sufficient staff to support people safely. Staff had received safeguarding training and were clear on how and when to raise their concerns. Where appropriate, actions were taken to keep people safe.
Staff followed effective processes to assess and provide the support people needed to take their medicines safely.
Staff contacted health professionals when people’s health needs changed. Staff followed good infection control practices and the home was clean and well maintained.
People and relatives were very positive about the caring nature of staff and had good relationships with them. They trusted the staff who supported them. Relative’s comments included, “I would say that they treat [Name] very much as a person rather than just somebody to look after. I think they certainly seem to have quite a caring nature” and “The staff are patient and friendly. They are very polite and treat [Name] as though they are friends of theirs, which is what [Name] likes about it.”
There was a welcoming, cheerful and friendly atmosphere at the service. A relative told us, “Staff are really friendly, approachable and caring. They always seem to be about to ask about things. They make the environment there a nice place to visit.’
Staff spoke positively about working at the home and the people they cared for. They said communication was effective to ensure they were kept up-to-date about any changes in people’s care and support needs.
Staff respected people's diversity as unique individuals with their own needs. The staff team knew people well and provided support discreetly and with compassion.
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.
The home had a registered manager and management team who had good knowledge of people’s needs and clear oversight of processes in the home. There were systems to assess the quality of the service, which were closely monitored. People, relatives and staff gave us positive feedback and told us they had opportunity to comment on the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (9 December 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 16 September 2020. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bannatyne Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Bannatyne Lodge is a residential care home providing personal and nursing care to 29 people at the time of inspection, some of whom were living with a dementia. The service can support up to 50 people in one large adapted building.
People’s experience of using this service and what we found
The quality and assurance systems in place were not effectively identifying issues and were not always completed. Care records were not always completed fully and did not include all the information staff needed to safely support people. The management team were reviewing the systems in place to make sure they were suitable to monitor the quality and safety of care provided.
Risk assessments were in place for people, but these were not always accurate or reviewed. We did find risks relating to choking or dietary needs missing from people’s care records.
People told us they felt safe living at the home. Staff knew people well and we saw positive interactions between people and staff. Relatives praised care staff for the support they provided to people. Relatives told us they felt people were safe with the care staff.
People told us there was enough staff available to support them, but we observed that staff deployment needed to be reviewed. The management team took action with this and ensured that staff were suitably deployed to meet people’s needs.
Medicines were managed safely. We did find that some information was missing from people’s medicine records, but the management team updated these during the inspection.
Staff had access to regular training and supervisions. Not all training modules had been completed by staff due to training availability during the pandemic, but the management team were in the process of sourcing additional online training.
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 had created links with the local community and used these to engage people positively. The local church and Deputy Mayor provided positive feedback about the engagement of staff, management and the support provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 20 February 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found some improvements had been made and the provider was still in breach of the regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 21 January 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, governance and providing staff with adequate training and support.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe, Effective, Responsive and Well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bannatyne Lodge on our website at www.cqc.org.uk.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified a continued breach in relation to the governance framework and management oversight in place at this inspection.
Please see the action we have told the provider to take at the end of this report.
Since the last inspection we recognised that the provider had failed to notify the CQC of incidents. This was a breach of regulation. Full information about CQC’s regulatory response to this is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Bannatyne Lodge is a residential care home providing personal and nursing care to 38 people aged 55 and over at the time of the inspection. The service can support up to 50 people.
The service accommodates people in one purpose built building. There are two floors and people can access the first floor by use of a lift or stairs.
People’s experience of using this service and what we found
The recording and administration of medicines was not managed appropriately in the service. People did not always receive their medicines as prescribed by their GP.
The assessment and monitoring of risk for people was ineffective. Risk assessments had not been reviewed following accidents and falls. The quality of the record keeping varied and some care records we looked at did not have the right information in them to manage people’s care safely. Fire safety evacuation training was not up to date.
Notifications of serious injury had not always been sent to the Care Quality Commission (CQC) as required by regulation.
Systems and processes to assess and monitor quality were in place and had picked up some of the issues we found during the inspection. However, the monitoring and oversight of improvement actions had not been taken in some cases. This meant aspects of quality and safety within the service were ineffective.
People were put at risk as the provider and registered manager did not have formal supervision or performance management plans in place for monitoring the practice of staff where they had identified this was necessary.
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 did not always support this practice. We have made a recommendation in the report about this.
People felt able to raise complaints with the service and the registered manager did look into these. However, there was no evidence that the provider had information available for people, in formats they could understand, in line with the Accessible Information Standard.
The standards of hygiene within the service were usually good. However, odours were apparent in some areas of the service.
People told us they felt safe and well supported. The provider followed robust recruitment checks, and sufficient staff were employed to ensure people’s needs were met. Staff received induction and training to ensure they could carry out their roles effectively, and they received support through supervision and appraisals.
People ate nutritious, well cooked food, and said they enjoyed their meals. Their health needs were identified, and staff worked with other professionals, to ensure these needs were met.
People participated in a wide range of activities within the service and in the community, they also enjoyed the company of others in the service.
People were able to see their families as they wanted. There were no restrictions on when people could visit the service. People were involved in all aspects of their care and were always asked for their consent before staff undertook support tasks.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The rating for this service in June 2018 was requires improvement (published 9 August 2018) and there were two breaches of regulation. There was also an inspection on 7 August 2019 however, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.
The provider completed an action plan after the inspection in 2018, to show what they would do and by when to improve. At this inspection, enough improvement had not been made and the provider was still in breach of regulations. The service remains rated requires improvement.
Why we inspected
This is a planned re-inspection because of the issue highlighted above.
Enforcement
We have identified breaches in relation to medicines, staffing, risk management, record keeping and quality assurance.
Please see the action we have told the provider to take at the end of this report.
Since the inspection in August 2019 we recognised that the provider had failed to notify the Commission about serious injuries. This is a breach of regulation. Full information about CQC’s regulatory response to this is added to reports after any representations and appeals have been concluded.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Bannatyne Lodge 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.
Bannatyne Lodge accommodates up to 50 older people with residential and nursing care needs. On the day of our inspection there were 41 people using the service.
The home had a registered manager in place. A registered manager is a person who has registered with CQC 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.
The provider did not have effective procedures in place for managing the maintenance of the premises and records were not always up to date. Appropriate health and safety checks were not always carried out.
The provider had audits in place to measure the quality of the service however some of the audits had failed to successfully identify the deficits we found in the service.
The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff however the recruitment procedures for volunteers needed to be more robust.
Care records showed people’s needs were assessed before they started using the service. Most care plans were written in a person-centred way and risk assessments were in place but were not always evaluated regularly. Person-centred is about ensuring the person is at the centre of any care or support and their individual wishes, needs and choices are taken into account. Care plans were in place that recorded people’s plans and wishes for their end of life care.
People who used the service and their relatives were complimentary about the standard of care at Bannatyne Lodge. Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.
The home was clean, spacious and suitable for the people who used the service. Accidents and incidents were appropriately recorded.
There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. Staff were supported to provide care to people who used the service through a range of mandatory and specialised training, supervision and appraisal. Staff said they felt supported by the registered manager.
The registered manager understood their responsibilities with regard to safeguarding and staff had been trained in safeguarding vulnerable adults. Appropriate arrangements were in place for the safe management and administration of medicines.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. People had access to healthcare services and received ongoing healthcare support.
Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs, in the home and within the local community.
The provider had an effective complaints procedure in place and people who used the service and their relatives were aware of how to make a complaint.
People who used the service, relatives and staff were regularly consulted about the quality of the service through meetings and surveys.
During our inspection we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the registered provider to take at the back of the full version of the report.