Random inspection report
Care homes for older people
Name: Address: Brincliffe Towers Brincliffe Edge Road Sheffield South Yorkshire S11 9BZ zero star poor service 06/01/2010 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: Valerie Hoyle Date: 0 2 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Brincliffe Towers Brincliffe Edge Road Sheffield South Yorkshire S11 9BZ 01142552821 01142552821 jeanwalker2009@live.co.uk None Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ash House (Yorkshire) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 35 Number of places (if applicable): Under 65 Over 65 24 24 11 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 All 24 DE(E) beds are registered `or MD(E)` and are sited in a separate wing. Service users may also be aged 60-65 years. Date of last inspection Brief description of the care home Brincliffe Towers is a care home providing personal care and accommodation for 35 older people, including care for twenty-four people with dementia. The home is privately owned, and is located in a residential area of Sheffield with nearby access to
Care Homes for Older People Page 2 of 9 0 6 0 1 2 0 1 0 Brief description of the care home public transport. The home is a large old detached house with a modern annexe attached and has very pleasant well established gardens, which overlook Chelsea Park. There is a small car park to the front of the house. All of the bedrooms are single although two are registered, as doubles should there be a request to share. Seven rooms have an ensuite facility. There is a passenger lift. A copy of the previous inspection report is available on request from the manager. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. Care Homes for Older People Page 3 of 9 What we found:
The star rating (O star Poor) for this service was made at the previous key inspection dated 6th January 2010. This cannot be changed during a random inspection, however the service will be monitored to ensure they meet the requirements made. The inspection lasted for 5.5 hours starting at 10:00am finishing at 15:30. The manager and Anil Patel (management consultant) was available throughout the inspection and assisted with the inspection process. We received information from Anil Patel that the home would close for refurbishment on 3rd March 2010 when the remaining people move into alternative accommodation. The service will be a dormant service from that date and any outstanding requirements will be looked at when the home reopens. The reason for this inspection was to follow up requirements made at the previous inspections, we also checked compliance regarding immediate requirements in relation to staffing levels, Storage of hazardous substances, and two relating to fire safety. These were issued at the last inspection. A random inspection was undertaken by Pharmacist Inspector Steve Baker on 20th January 2010. The immediate requirements had been met and we are satisfied that people receive their medication safely and as prescribed. We looked at three care plans and found there had been a new format introduced to ensure they reflected the care needs of people. The home had developed risk assessments and the daily notes were sufficient. We toured parts of the building to check how hazardous substances were stored and the cleanliness of the home. The environment smelt clean and fresh and improvments had been made since the last inspection in January. Domestic staff were evident and cleaning products were in use and correclty stored. The stair lift had been inspected since the last visit but it ws unclear whether it was safe to use as the overall outcome had not been obtained. Aspects were unsafe but no sign was in place to prevent people using this mobility aid. We spoke to 3 staff during the visit, to check on their understanding regarding safeguarding adults and the action they would taken if abuse was suspected. Not all staff had attended recent safeguarding training and whilst staff were clear they would ensure the safety of the service user they were not aware of the different types of abuse and what the involvement of soical services, the police of CQC would be. This was a previous requirement. More robust training is needed to ensure the safety of people. Four staff files were examined, improvements had been made to the files with information easily accessible. Evidence of written references and CRB checks were in place. Not all files had a photograph of the individual but these were available on the computer system. Staff were observed during the day respecting peoples privacy and dignity and treating people in a respectful and professional manner. Care Homes for Older People Page 4 of 9 No Regulation 26 visits have been carried out as required at the last inspection. Some staff had received fire insturction but this was inadequate and had not been provided from a person trained and knowledgable in this area. A fire risk assessment was not accessible, no fire drills had taken place since August 2009 and staff spoken with had different views regarding the action to take in the event of a fire, and the manager was unclear what would happen regarding certain fire doors where key pads had been fitted. The fire alarm was set off as a test and staff were able to locate the different zones in the home but staff were unable to switch the fire alarm off quickly and it took time to reset the system which had been showing a fault. This would people people at risk of harm and as a result an immediate requirement was issued. 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 18 13 Staff must be alert to the 08/02/2010 signs of abuse and must be familiar with the procedures to follow if they suspect any incidents of abuse has taken place This will help to protect people who use the service from abuse 2 22 23 The stair lift on the first floor 15/01/2010 must be repaired. to ensure people can access all areas of the building safely 3 38 23 Suitable arrangements must 07/01/2010 be in place to ensure staff receive fire safety instruction To ensure staff have the knowledge and competencies to take appropriate action in the event of a fire 4 38 23 Suitable arrangements must be in place to ensure drills and practices, and checks take place a suitable intervals To ensure staff have the knowledge and competencies to take appropriate action in 07/01/2010 Care Homes for Older People Page 6 of 9 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 the event of a fire. Care Homes for Older People Page 7 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 23 Suitable arrangements must 04/03/2010 be in place to ensure staff receive fire safety instruction To ensure staff have the knowledge and competencies to take appropriate action in the event of a fire 2 38 23 Suitable arrangements must be in place to ensure drills and practices, and checks take place a suitable intervals To ensure staff have the knowledge and competencies to take appropriate action in the event of a fire. 04/03/2010 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 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. © 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 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!
