Random inspection report
Care homes for older people
Name: Address: Bearwood Nursing Home 86 Bearwood Road Smethwick West Midlands B66 4HN one star adequate service 02/06/2009 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: Karen Thompson Date: 1 2 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Bearwood Nursing Home 86 Bearwood Road Smethwick West Midlands B66 4HN 01215588509 01215555182 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bearwood Nursing Home Ltd care home 74 Number of places (if applicable): Under 65 Over 65 0 74 dementia old age, not falling within any other category Conditions of registration: 74 0 The maximum number of service users who can be accommodated is: 74 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) 74, Old age, not falling within any other category (OP) 74 Date of last inspection Brief description of the care home Bearwood Nursing Home provides nursing care for up to 74 elderly people. The home is a two-storey building with the second floor accessed by a passenger shaft lift. Bedrooms are on both floors with a mixture of double and single bedrooms some of which have ensuite facilities. There is a large lounge and dining room on the ground
Care Homes for Older People Page 2 of 9 2 9 0 9 2 0 0 9 Brief description of the care home floor and two lounges/ dining rooms on the first floor. There is a car park at the front of the home and patio/gardens to the rear. The home is close to local shops and amenities and is on a local bus route. The fees at the home range from between £475 and £575 per week and are dependent on the needs of the residents and the room that they occupy. Hairdressing, toiletries, newspapers, Non National Health Service chiropody and physiotherapy are not included in the fee but are available at the home for an additional charge. Top up fees apply to Social Service funded EMI nursing residents. For up to date fee information the public are advised to contact the home. Care Homes for Older People Page 3 of 9 What we found:
We visited the home to assess its compliance with five requirement outstanding from the key inspection June 2009 and October 2009 random visit. The requirments were in relation to bedrail safety and the home drawing up an improvement plan to meet these requirements. We had received an improvement plan from the manager October 2009 . One inspector visited the home. There were 61 people living at the home at the time of the visit, of which 35 had bed rails fitted to their bed. When we visited the home in Septembr 2009 we found that 57 people had bed rails fitted, therefore the home has, following a reassessment reduced the number of bedrails being used in the home. We visited the bedrooms of people who had bed rails fitted to their bed to check that they were fitted properly. We also looked at the risk assessments carried out by the home for the fitting of these bed rails. The home is now using the risk assessment designed by the health and safety excutive. The home has sought advice from the health and safety executive on training for staff on the use and safe fitting of bedrails and used their training package. Records demonstrated that safety checks were being carried out on a regular basis by the homes own maintainance operative. We found issues with four beds in the home. There were excessive gaps between the side of the mattress and side of the bedrail in two instances, an immediate requirement was left for the owners representative to rectify this situation. Post-inspection we have been told that bed wedges have been obtained. Two beds were found to have a step down effect, which is where a pressure relieving mattress lies on top of that bed mattress and a step is created because the mattresses are not the same size. This has the potential for someone to roll off the mattresses and become trapped due to the bedrail and sustain injury. An immediate requirement was left to this also. The providers representative post inspection has informed us they are looking at ways to eliminate this risk. What the care home does well: 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 4 of 9 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 5 of 9 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 1 38 12 The home must look at 15/02/2010 systems or alternatives for reducing the stepdown effect created by overlaying pressure mattress resting on the beds mattress and possibly of leding to entrapement due to the use of bedrails. To ensure the safety and well being of people living in the home. 2 38 12 Excessive gaps between side 15/02/2010 of mattress and bedrails must be reduced to prevent possibility of entrapement. To ensure the safety and well being of people living in the home. 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 Care Homes for Older People Page 6 of 9 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 1 7 Catheter care practice must be reviewed in the home to ensure it meets best practice and does not place people at risk of harm.(Recommendation first made June 2009 not checked at this visit) Care plans should be based on a thorough assessment of needs, this should contain detailed information of how to meet peoples needs in an individual manner(Recommendation first made June 2009 not checked at this visit) All trained staff working at the home should re-familarise themselves with NMC Record Keeping document to promote and protect the well being of people living in the home. (Recommendation first made June 2009 not checked at this visit) Mouth Care practice needs to be reviewed, to ensure equipment is readily available and the home can demonstrate people have received mouth care. (Recommendation first made June 2009 not checked at this visit) The hours allocated for activities should be reviewed to enable the service to broaden the range of activity provision and opportunities for people living at the home. (Recommendation first made June 2009 not checked at this visit) The English meals menu need to be reviewed to ensure they meet cultural expectations and tastes. (Recommendation first made June 2009 not checked at this visit) The management team need to review their complaints log and ensure that information is easily retrievable and available for auditing. (Recommendation first made June 2009 not checked at this visit) It is recommended that the hom obtains a copy of the Department of Health guidance Mental Capacity Act 2005 core training set published July 2007 and staff are provided with training so they are aware of their responsibilities and peoples rights are protected. (Recommendation first made June 2009 not checked at this visit) 2 7 3 7 4 7 5 12 6 15 7 16 8 18 Care Homes for Older People Page 7 of 9 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 9 28 The home should ensure that numbers of care staff with NVQ2 or above is 50 percent or more, to ensure and demonstrate a basic level of care knowledge has been acheived and can be delivered to people living in the home. (Recommendation first made June 2009 not checked at this visit) The management team should carry out exit interviews for staff who are leaving to see if there are any patterns or trends that could account for the high staff turnover. From this they may be able to put systems inplace to reduce the number of staff leaving the home. (Recommendation first made June 2009 not checked at this visit) A review of training provided in specialist areas needs to be carried out to ensure their are sufficient staff with the knowledge and skills to meet individual requirements. (Recommendation first made June 2009 not checked at this visit) The quality assurance system in place should be reviewed to ensure that it is robust enough to pick up any issues or concerns so these can be put right quickly. (Recommendation first made June 2009 not checked at this visit) 10 29 11 30 12 33 Care Homes for Older People Page 8 of 9 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
