This is the latest available inspection report for this service, carried out on 12th March 2010.
CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
Random inspection report
Care homes for older people
Name: Address: The Hall Nursing Home 100 Old Station Road Bromsgrove Worcestershire B60 2AS two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sandra Bromige Date: 1 2 0 3 2 0 1 0 Information about the care home
Name of care home: Address: The Hall Nursing Home 100 Old Station Road Bromsgrove Worcestershire B60 2AS 01527831375 01527873746 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern CC Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 43 Number of places (if applicable): Under 65 Over 65 0 43 dementia old age, not falling within any other category Conditions of registration: Age: Dementia (DE) age 55 and above. 12 0 The maximum number of service users who can be accommodated is: 43 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 12, Old age, not falling within any other category (OP) 43 Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Operated by Southern CC Limited, The Hall is a 43-bedded care home offering nursing care including for a number of residents with dementia related care needs. Situated close to the centre of Bromsgrove the home is a timber-framed building with brickbuilt additions. Set in attractive grounds, with car parking to the front, accommodation comprises 39 single and 2 double bedrooms with most having the benefit of en-suite facilities. The Home comprise four discrete sub-units - namely Poppy and Roses providing care for residents with general nursing needs, Sunflower for residents with dementia related needs. Each unit has a lounge and dining room. There is passenger lift access to the first floor. Although the Registration Certificate states the home can accommodate six people with a terminal illness the terminal illness category no longer exists for any care home with nursing and will be removed from the Homes registration categories. It is, of course, expected the home will be able to provide end of life care to residents. Fees charged are determined following pre-admission assessment and, therefore, are not stated in published information, such as the Homes brochure or Service User Guide. Physiotherapy and occupational therapy are provided as part of the basic fee, with additional charges made for chiropody, hairdressing and newspapers. Care Homes for Older People Page 3 of 8 What we found:
This was a random unannounced inspection carried out by one inspector, which took place on 12th March 2010 between 12:45 - 14:15hrs. We carried out this inspection because we received concerns about the home, with regard to staffing levels, management and care of the people who use the service. This service does not have a registered manager. The deputy manager told us the manager (designate) is currently off sick for one week and is expected back at work next week. We did not find any poor outcomes of care for the people who use the service. What the care home does well:
We looked at the staffing rotas and saw the home had sufficient staff on duty at the time of the inspection. We saw these same staffing levels had been provided for the last week. There are two nurses and six care staff in the morning, one nurse and five care staff in the afternoon and one nurse and two care staff at night. The deputy manager told us the number of care staff on each morning will increase from tomorrow as they were expecting a new admission later that day. From tomorrow there will be seven care staff on each morning. We spoke to a care assistant who told us they work days and nights. She told us they have recently had three care staff on at night, but this was reduced to two care staff as the numbers of people using the service had reduced. The deputy manager told us when they reach 35 people using the service they have three care staff on night duty. The deputy manager told us nine people are assisted to bed by the night staff and six people are assisted to wash and dress by the night staff each morning. We looked at two care records and we saw there was information in one care record about the preferred times of going to bed and rising for one person. There was no information in the second care plan about the preferred times of rising and going to bed for the identified person. We spoke to two people who use the service and they told us the times they liked to go to bed and get up. We looked at the care charts for these two people and the times recorded by the care staff were in accordance with the preferences of these two people. We looked at the staff rotas for the catering staff and saw there are two chefs on duty five days each week. When there is not a second chef on duty a kitchen assistant works alongside the chef. We spoke to the chef and she confirmed these are the normal staffing levels for the kitchen. We looked at the amount of fresh, frozen and dried food in stock and there was plenty of food available for the people who use the service. We saw the chef had prepared homemade cake for afternoon tea. We saw bowls of fruit in the sitting rooms in the home. The chef told us there has been no changes to the catering budget and she orders what they need to order for the home. A person who uses the service told us they have plenty to eat. Care Homes for Older People Page 4 of 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
