Random inspection report
Care homes for older people
Name: Address: Brindley Court Nursing and Residential Home Station Street Longport Stoke-on-trent Staffordshire ST6 4ND two star good service 06/10/2008 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: Yvonne Allen Date: 2 2 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Brindley Court Nursing and Residential Home Station Street Longport Stoke-on-trent Staffordshire ST6 4ND 01782828428 01782828429 brindley.court@ashbourne.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Modelfuture Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 52 Number of places (if applicable): Under 65 Over 65 52 0 old age, not falling within any other category physical disability Conditions of registration: 0 52 The maximum number of service users who can be accommodated is: 52 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) 52 Physical disability (PD) 52 Date of last inspection 0 6 1 0 2 0 0 8 Care Homes for Older People Page 2 of 10 Brief description of the care home Brindley Court Care Centre provides personal and nursing care for up to fifty-two male and female persons. The home provides accommodation for mainly older people but can accommodate up to thirteen people, aged between 35 and 60 years on admission who have a physical disability. The home is a two-storey purpose built brick building. It has fifty-two single bedrooms and each of them has an en-suite comprising of a toilet and wash hand basin. The home has lounges and dining facilities on each floor. A passenger lift that is accessible to people allows easy access around the home. There are appropriately adapted bathing facilities to each floor. There is a central kitchen and laundry. Externally, the home has pleasant secure gardens for service users to enjoy and there is ample parking space. The home is situated close to the A500 and is within easy access of local shops, bus service, a train station and road networks. The fees charged by the home at the time of the inspection visit ranged from 360.00 to 540.00 pounds. Care Homes for Older People Page 3 of 10 What we found:
We carried out this unannounced Random Inspection of the service as a result of a Safeguarding referral being received. The issues of the Safeguarding are that a person who lives at the home was admitted to hospital following a fall at the home. This fall had occurred fifteen minutes after a previous fall. There are also concerns about the state of cleanliness in which the person was sent into hospital and that the person was alleged to be dehydrated. The person was also found to have a chest infection. There is also concern that some of the documentation within this persons care plan is excessively detailed in a negative way and that one nurse is responsible for writing these comments. We met with the manager of the service, the deputy manager and other staff members. We also spoke with some of the people who live in the home and a visiting relative. We looked at this persons care plan records and details of her daily care. When we looked at these records we identified that a plan of care had been developed from an initial assessment of the persons needs. The person had been assessed by Social Services and by the home as requiring residential care in March 2009. However, by May 2009 there is clear documentation to suggest that the person may have some mental health needs or at least requires an assessment of these needs. Up to the time of the inspection visit this assessment had not taken place. The daily care report from May 2009 to current date contains comments from several nurses who have been caring for this person. The documentation from one nurse in particular is very detailed and factual. However, the information relates to factual events and behavior of the person and does not appear contrived and/or inaccurate. Other nurses have also made similar observations of this persons behavior and included their comments in the daily report. We did, however, notice, on one entry this nurse had referred to the person as moaning and groaning. The use of this type of language is both unprofessional and unacceptable and the service will need to address this with the nurse. It is clear that the person was, at times, very uncooperative with taking diet, fluids, medication and receiving help with personal hygiene. It is also clear that the persons behavior was unpredictable and that she would often put herself onto the floor and at times become verbally and sometimes physically aggressive toward the staff and other people who live in the home. The nurses raised their concerns about this with the doctors who visit the home on more than one occasion. The doctor carried out a review of medication. Due to the persons non compliance with taking diet the doctor prescribed meal supplements which the staff encouraged. There was documentation of personal care being delivered in the form of help with washing, dressing and showering. However, at times this was proving difficult for staff to
Care Homes for Older People Page 4 of 10 manage to due the person being uncooperative. Risk assessments had been developed including one for mobility (including risk of falls) and one for nutritional needs. Care plans had been developed to reduce and manage these risks. These had been updated regularly. The person had also been referred to the district nurse for treatment as she had a superficial ulcer on her leg. Discussions with the staff identified that there was a general agreement that this persons needs were not being met on this unit and that she required an urgent review of her needs. We discussed this with the manager of the service and asked why an assessment of this persons needs had not been carried out. The manager told us that she had requested an assessment in November 2009 but that this had not yet been done. We looked at how the service provides for staff on the units and it was identified that, on the first floor unit, the meal time assistant had left and had not been replaced. We had previously made a requirement of the service for more assistance over mealtimes and this had been agreed with them. It is therefore a requirement that the arrangement for a mealtime assistant is resumed without delay in order to ensure that there are enough staff to meet the needs of the people living on the unit. We spoke with a visitor and two of the people who live on the ground floor unit and they all told us that their main concerns are a shortage of staff. They told us that they/their relative sometimes has to wait for a long time for assistance and for their meal to be served. The visitor told us that the staff are very caring but that there is just not enough of them. We also noted that there were four people sat waiting in wheelchairs in the lounge on the ground floor after their lunch. These people were waiting for at least an hour to be moved into an easy chair and there did not appear to be many staff around the unit. When we asked how many staff are provided on this unit we were told that this is one nurse and three or four care assistants. This arrangement requires review and improvement in order to ensure that peoples needs are being met. We also asked about staff supervision of the communal areas, particularly as the person referred to in the Safeguarding referral had fallen twice within fifteen minutes. The manager told us that the first fall had been another episode of the person sliding herself onto the floor. However, staff had left the lounge unsupervised and the person sustained another more serious fall. During discussions with staff, a visitor and a person who lives in the home, it was identified that a new cook had been employed by the service and that the quality of the meals served had deteriorated. One person told us that she is diabetic and needs a proper supper and that there was hardly anything on the supper trolley when this Cook is on duty. A visitor told us that some of the meals are not what she would want for her relative and that she has had to complain on occasions. Staff members were also concerned about the quality of the meals served when this Cook is on duty.
Care Homes for Older People Page 5 of 10 We discussed the above with the manager of the service and she told us that the person is a qualified Cook but that she had not yet completed her induction. She told us that she would not be working alone again until she had completed this induction with the head Cook. We recommend that a review of the quality of the meals is carried out with a view to improving these. This should include obtaining the views of the people who live at the home. 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 6 of 10 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 7 of 10 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 1 4 14 14(2) The registered person 05/02/2010 shall ensure that the assessment of the persons needs is (a) kept under review and (b) revised at any time when it is necessary to do so having regard to any change of circumstances The service must ensure that they are able to meet the needs of the people accommodated in the home and , if a review is required then this must be sought without delay 2 27 18 18(1) The registered person shall, having regard to the size of the home, the statement of purpose and the number and needs of people (a) ensure that at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of people The service must employ a 05/02/2010 Care Homes for Older People Page 8 of 10 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 mealtime assistant as agreed with us previously to help over mealtimes on the second floor. The service must also review and improve the staff numbers provided on the ground floor unit. This is to help ensure that peoples needs are met and that people are supervised and kept safe 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 15 The service should review the provision of meals at the home and obtain the views of the people who live there. This is with a view to ensuring consistency of meals provided. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
