Random inspection report
Care homes for older people
Name: Address: Bradeney House Care Home Worfield Bridgnorth Shropshire WV15 5NT 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: Michael Moloney Date: 2 0 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Bradeney House Care Home Worfield Bridgnorth Shropshire WV15 5NT 01746716686 01746716686 Telephone number: Fax number: Email address: Provider web address: None Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Holy Cross Care Homes Limited care home 50 Number of places (if applicable): Under 65 Over 65 10 50 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users to be accommodated is 50. 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: Old age not falling within any other category (OP) 50 Dementia (DE) 10 Date of last inspection Brief description of the care home Located in a rural setting on the outskirts of the village of Worfield, approximately six miles west of Bridgnorth, Bradeney House is a spacious, detached residence, which has been extended through the incorporation of an adjacent bungalow. The home benefits from having generous, attractive grounds, and there is car-parking provision to the front of the property.
Care Homes for Older People Page 2 of 8 Brief description of the care home The Home is Registered to provide residential accommodation for up to 37 people, of whom 17 may require nursing care. Up to ten of the total number may need care for dementia related conditions. There are two wings - `Residential? and `Nursing which between them offer a range of accommodation including single bedrooms (some en-suite), and shared (double) bedrooms. The range of fees, although not available in published information for prospective Residents, is provided by letter when the Home confirms it is able to provide care to meet that persons assessed needs. Care Homes for Older People Page 3 of 8 What we found:
The records of a number of the people who were living in the nursing care unit of this home at the time of the inspection were looked at. These were seen to contain a number of documents that showed the processes adopted by the home to monitor tissue viability. Each person was seen to have a skin care assessment that had been carried out recently as part of a recent review of the care plans. A Waterlow assessment was seen to have been carried out on a monthly basis and the nurse on duty and the manager both said that this would be more frequent if necessary. A document known as a Handover sheet was seen. This was used by the nurses to pass information from one shift to another. On a number of these sheets areas of concern in relation to skin care were seen to have been identified. Entries were seen to have been made in the daily notes of the person affected which included a body chart to show where the area of concern was, a description of the problem and an account of what treatment had been given as well as what equipment was to be used (or not) to promote the recovery of the area. A carers book had also been recently brought into use so that should anyone see marks on a persons skin they could note it in that book as a formal record for the nursing staff to consult making the reporting procedure a permanent and transparent record. The home was seen to have a variety of equipment available to be used for skin care. Each person was also seen to have a manual handling risk assessment in place which showed how each person should be moved or assisted to move and with what equipment. Staff explained that a sling for use by a person who had specific issues with being hoisted had been obtained by the home. Talking with the staff showed and talking with the manager confirmed that not all staff had received up to date moving and handling training and she and the proprietor stated that this situation would be remedied in the near future along with any other shortfalls in the mandatory training that staff should receive. This home uses bed rails and looking at the records showed that they had assessed the need for these for each person. The manager explained that she was in the process of arranging for the training of a member of staff who will be responsible for ensuring that the bed rails are fitted correctly. At the time of the inspection those bed rails seen had been fitted appropriately. During this inspection one of the local General Practitioners visited and he was complimentary about about the care that people who live in this home receive. Talking with and watching the staff who were serving lunch in the nursing unit it was established that there was an established system were all of the staff would be involved in the distribution of meals. The staff explained that should there be an interruption so that, for instance, someone should require personal care, there were enough staff available to ensure that the meal should not be unduly disturbed. Care Homes for Older People Page 4 of 8 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 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. 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 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!
