This inspection was carried out on 1st March 2010.
CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Brockshill Woodlands Briar Walk Oadby Leicestershire LE2 5UF zero star poor service 29/12/2009 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: Debbie Williams Date: 0 3 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Brockshill Woodlands Briar Walk Oadby Leicestershire LE2 5UF 01162716014 01162716014 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Michelle Lesley Cramp Type of registration: Number of places registered: Conditions of registration: Category(ies) : Prime Life Ltd care home 30 Number of places (if applicable): Under 65 Over 65 27 5 30 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 Brockshill Woodlands care home is registered to provide personal care to male and female service users who fall within the following categories: Old age, not falling within any other category (OP) 30. No one falling within category MD(E) should be accommodated at Brockshill Woodlands when there are already five persons of the category MD(E) accommodated in the home. No one falling within the category of DE(E) should be accommodated in Brockshill Woodlands when there are already 27 persons accommodated under the category of
Care Homes for Older People Page 2 of 11 DE(E). No persons should be accommodated in the double-bedded bungalow situated in the grounds of Brockshill Woodlands unless they are an established co-habiting couple, or have an established friendship/relationship, prior to being accommodated in the bungalow. Only persons falling within the category OP should be accommodated in the two single bedroom bungalows situated in the grounds of Brockshill Woodlands. Persons should only be accommodated in the double-bedded bungalow situated in the grounds of Brockshill Woodlands under categories OP, and DE(E). A maximum of one person falling within the category DE(E) should be accommodated at any one time. The maximum number of persons to be accommodated at Brockshill Woodlands is 30. Date of last inspection Brief description of the care home Brockshill Woodlands is a care home providing personal care and accommodation for up to thirty older persons who may have additional needs, which may include Mental Disorder or Dementia. Accommodation comprises of the main care home and three self-contained bungalows; bedrooms are both single and shared. Parking for visitors can be found to the front of the home. Brockshill Woodlands is located in a residential area of Oadby. Communal areas consist of a dining room and three lounges, and are located on the ground floor, with access to the garden from the lounge to the rear of the home. Bedroom and bathing facilities are located on the ground and first floor. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and Service User Guide. Copies of the Care Quality Commissions Inspections Inspection Reports are available by request at Brockshill Woodlands. Information regarding the weekly fees at Brockshill Woodlands can be obtained from the registered provider. Care Homes for Older People Page 3 of 11 What we found:
This random inspection took place over two days on the 1st and 3rd of March, there were two inspectors on the first day. Since the last key inspection concerns have been raised regarding some care and some management practices at the home and these matters are being investigated by the Care Quality Commission, social services and the police. The providers have removed the registered manager from the home and have assigned two senior managers to manage the service while the concerns are being investigated. The purpose of this inspection was to check compliance with Care Home Regulations and that people living at Brockshill Woodlands were having their needs met and were protected from harm while interim management arrangements were in place. The main method of inspection used was case tracking which meant selecting seven residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. What the care home does well: What they could do better:
Some people living at Brockshill Woodlands have advanced cognitive impairment and can display challenging behaviour such as verbal or physical aggression. Some staff had not received sufficient training on how to manage challenging behaviour or how to keep people safe. Care plans did not provide enough detail about the actions staff should take and did not consider possible reasons for this behaviour or how the well being of the individual could be increased in order to reduce this type of behaviour. This has resulted in frequent episodes of verbal and physical behaviour towards staff and sometimes towards other residents. One resident told us they feared other residents. Staff did not always follow safeguarding procedures and had not referred such behaviour to the appropriate agency for investigation. Two people we case tracked were at risk of falling and had a history of frequent falls, this was not sufficiently addressed within care plans and therefore risk was not minimized, however on the day of this inspection a referral was made to a community nurse who specializes in the management of falls risk. Not all staff had received training regarding the mental capacity act or deprivation of liberty safeguards. This training is required by staff who care for people who may lack the mental capacity to make some decisions and where staff may need to take action to deprive liberty in order to protect people from harm.
Care Homes for Older People Page 4 of 11 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 11 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 4 18 All care staff should receive 12/01/2009 training in caring for people with dementia and mental health needs. This is to ensure that all staff have the skills to meet the needs of people living in the home. (Original Time Scale 30/11/08) 2 7 14 Care plans must be in place for all assessed needs. care plans and risk assessments must be updated on at least a monthly basis. This is to ensure that people have their needs met and are protected from harm. 12/02/2010 3 8 13 People living at the home must have their risk of malnutrition assessed and their weight recorded and monitored. This is to ensure that people at risk of malnutrition are identified and referred to the appropriate healthcare professional to receive the appropriate treatment. People living at Brockshill Woodlands must be given 15/02/2009 4 12 12 26/02/2010 Care Homes for Older People Page 6 of 11 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 opportunities to participate in recreational and social activities that are meaningful to them. In particular, people with more advanced cognitive impairment must be given these opportunities. This is to ensure that people experience a fulfilled lifestyle that matches their expectations. 5 15 12 Staff must ensure that appropriate assistance is given when required during mealtimes. advice should be sought from appropriate health care professionals such as dietitians or occupational therapists. This is to ensure that people receive a nutritional diet that meets their preferences and are assisted in an appropriate and sensitive manner. 6 18 13 People living at Brockshill 10/02/2010 Woodlands must be protected from abuse. Robust procedures for responding to suspicion or evidence of abuse or neglect must be in place and followed by all staff members. This is to protect people from harm. 7 30 18 All staff must receive the the 26/03/2010 training they require to meet
Page 7 of 11 08/02/2010 Care Homes for Older People 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 needs of people living at the home. This must include training for caring for people with dementia and mental health needs. All mandatory health and safety training must be updated on an annual basis. This is to ensure that people living at Brockshill Woodlands have their needs met and are protected from harm. Care Homes for Older People Page 8 of 11 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 15 12 Care plans must provide 30/04/2010 details of the actions staff should take to meet peoples individual needs and to keep them safe. In particular the management of challenging behaviour,the risk of malnutrition and the risk of falling must be addressed within individual care plans were these needs are identified. This is to ensure that people have their needs met and are protected from harm. 2 18 12 Staff must receive training in 07/04/2010 safegurding adults policies and procedures and must adhere to national policies and procedures by refering all incidents of abuse or suspected abuse to social servcies and other appropriate agencies. This is to ensure that people are protected from harm. 3 18 12 All care staff must receive 30/04/2010
Page 9 of 11 Care Homes for Older People 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 training in the management of challenging behaviour. This is to ensure that people are protected from harm. 4 18 12 Staff must follow national 10/04/2010 safeguarding adults policies and procedures and must refer all incidents of abuse or suspected abuse to the appropriate agency to investigate. This is to ensure that people living at Brockshill Woodlands are protected from harm. 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 10 of 11 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 11 of 11 - 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!
