Random inspection report
Care homes for older people
Name: Address: Brincliffe Towers Brincliffe Edge Road Sheffield South Yorkshire S11 9BZ one star adequate service 29/09/2009 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: Steve Baker Date: 2 0 0 1 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 2 9 0 9 2 0 0 9 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 reason for carrying out this inspection visit was to assess the progress made against the medication requirements issued at the last full inspection of the home on 6th January 2010 and against the medication related contents of the subsequent immediate requirements letter issued that same date. A pharmacist inspector spent a total of 6.5 hours in the home on two separate dates looking at the medication ordering, storage, and disposal arrangements, examining medication administration record charts (MARs) and speaking to the manager and senior care staff. The outcome is as follows. We found no significant administration gaps on the MARs and on the second visit, all items checked in the medication trolleys were found to be correct. Together this indicates that people living in the home can expect to receive their prescribed medicines correctly as directed. Further improvements could be made by assessing, recording and regularly reviewing how and when people prefer to receive their medicines. This will help to reduce the number of times medicines are omitted or refused. Hand written MAR entries were clear, accurate and had been checked by a second person. This helps to make sure that any changes to peoples medicines are correctly understood and consistently followed by all staff. Additional information on the use of medicines prescribed to be given when required should be kept with the MARs. This will help to make sure that these medicines are given correctly by all staff as and when needed. Records of the use of prescribed skin care products e.g. emollients for dry skin, should show exactly how and when the products have been used. We found that all medicines are now stored securely and appropriate changes have been made to restrict access to medicines only to trained and authorised care staff. The medication storage area is clean, tidy and well-organised so that staff can work efficiently and effectively. The medication fridge temperature is checked regularly and the store room temperature is also monitored daily. All medicines must be stored securely at temperatures recommended by the manufacturer so that staff know they are safe to use when needed. Since the last inspection, the acting manager has put in place a comprehensive range of medication checking systems to ensure sufficient medicines are always available. The checking of monthly prescriptions for completeness and for any changes has now been arranged with the supplying pharmacy and local doctors. This good practice helps to make sure that medicines are given correctly and that no-one should ever be without a supply of their medicines. We were told that the local NHS medicines management team had reviewed the homes medicines management systems and had provided medication safety update training to staff and that the safety of staff work practices are being regularly assessed. Having well trained up to date staff handling and giving medicines helps to reduce the risk of any error occurring in the home. The medication related requirements issued on 6th January have now been met. The management team must ensure that the benefits from all the recent hard work in making medicines safety improvements are consistently maintained by all staff in the future.
Care Homes for Older People Page 4 of 9 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 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 1 9 The homes medication policy and procedure documents should be updated in line with professional best practice guidance. Additional information on the use of medicines prescribed to be given when required should be made available. Peoples own choices about when and how they prefer to receive their medicines should be recorded and reviewed regularly. 2 3 9 9 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!
