Random inspection report
Care homes for older people
Name: Address: Bronswick House 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP zero star poor service 28/04/2009 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: Jacqueline Riley Date: 0 4 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Bronswick House 16/18 Chesterfield Road Blackpool Lancashire FY1 2PP 01253295669 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Savitree Seedheeyan Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 14 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 2 12 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 14 Date of last inspection Brief description of the care home Bronswick House is registered to provide residential care for fourteen residents with a Mental health illness. The home is set on two floors with three residents rooms on the ground floor and ten on the first floor. There is one double room situated on the
Care Homes for Older People Page 2 of 11 2 8 0 4 2 0 0 9 Brief description of the care home ground floor. There are no en-suite facilities. The first floor is accessed by three sets of stairs. There is assisted access to the first floor of the home, however most residents living on the first floor have good mobility. The home is situated in a residential area, and is close to the public transport network. There is a good transport network into town, and also local shops. A Statement of Purpose and Service User Guide is available providing information about the home. The information can be used by relatives/representatives to help them make an informed choice whether to move into the home. At the time of the site visit the range of weekly fees were £280 £369. Care Homes for Older People Page 3 of 11 What we found:
A key inspection to the home on 28th April 2009 resulted in a poor quality rating. The owner was required to provide the Care Quality Commission with an improvement plan showing what action they would take to address the statutory requirements we had made, including timescales for them to be completed. The owner provided evidence of what action they would take and this was looked at during this random inspection. We spoke to the manager about this random inspection. We looked at how the home has improved following requirements made during an inspection on 28th April 2009. There were a number of areas of concern relating to fire safety, risk assessment, care planning, lack of activities, Poor environmental standards, lack of management systems and limited fitness checks for people working in the home. We saw that whilst here have been no admissions to the home since the previous inspection the manager has put in place their own records for assessment and spoken to Social Workers to request revised assessment plans for people living there so that the information is current and provides staff with specific information about the needs of people living in the home. Social Workers have agreed to update all information when completing annual reviews. We saw risk assessments have been reviewed and in all three plans we looked at were up to date. However, we saw in some instances where risks had been identified there was little evidence of how the risk would be managed and what action the home would take. This information is essential in managing and monitoring risk so that people are protected. We looked at three records and in all instances the care planning records have been reviewed and were up to date. The information was clear and told staff about the needs of the person. Staff spoken to said they were happy with the care planning records and could follow them. The way the home records information about people has been changed. We found in some instances a general communication book is used to record information about people on a daily basis. We discussed the need for privacy in communication and advised the manager of the need to ensure any personal information should be recorded on the persons personal care plan to ensure their privacy is upheld. The manager agreed to do this with immediate effect. We spent time with the manager looking around the homes environment. We saw all fire work has been completed so the home is safe. Fire safety officers have visited the home and agreed the work is complete and compliant with safety standards. There are decorators working in the home as part of a refurbishment programme so the environment is improved and comfortable for people living there. Work to improve the environment must continue so that carpets, curtains and furniture is replaced in all areas of the home. A person spoken to said they were looking forward to their room being decorated and new furniture being put in place. The broken shower attachment has now been replaced for the convenience of people using the facility. We saw the smoking room has now been moved to the connecting sun lounge at the rear of the home, as this provides better ventilation and less disruption for the rest of the
Care Homes for Older People Page 4 of 11 home. All those spoken to said they found this to be more suitable than the previous first floor room. After speaking to the manager we found they are working with some people to stop smoking in rooms as this is deemed a hazard. This must be included in individual risk assessments so that there is evidence of how this is being managed. We asked the manager about how activity planning has been improved and were informed there has been a full review of this area. The manager told us they have spoken to people living in the home individually about their social needs. The manager has arranged for an entertainer to visit the home and hopes this will be a regular occurrence. We were told of monthly parties being held at another home within the care group which some people like to attend. Individual people living there like to go out independently, and the manager is looking at improving staff resources so that this can be developed further. There have been no new staff employed since the previous inspection. The manager showed us all staff files have been reviewed and there are records in place to ensure the fitness of new staff can be checked prior to them commencing work at the home, so that people are protected. A manager has been employed at the home since 6th July 2009. They have nationally recognised care qualifications and are currently undertaking a management qualification so that they have the necessary skills to manage the home. It is the intention of the owner to register the manager with the Commission in the near future, as the owner is not in day to day control of the home. We saw the manager has developed how the home gains the views of people using the service, by holding resident and staff meetings. This has helped the manager gain the views of people and they are currently using this information to make changes to improve the service. We saw evidence the home is now receiving monthly unannounced visits from a manager to provide reports on how the home is operating and any changes which may be required to ensure the home is meeting its stated aims and objectives. The home has in place records to inform the Commission of any death, accident or incident affecting people living or working there. What the care home does well:
The service provides a flexible approach to care where people can come and go as they please according to the level of personal risk. The core staff team have worked together for a length of time and work well as a team, supporting one another. We observed staff talking to people living there and spending time with them. They showed they know the individual needs of people and worked well with them. We saw people living there have a range of choices in their daily lives in respect of getting up, going to bed, what they choose to do in the day and who they spend time with.
Care Homes for Older People Page 5 of 11 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 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 7 13(4)(b)(c) Whilst risk assessments have 31/05/2008 been improved they must show how an identified risk is going to be managed so that people are protected. The home must ensure furniture,fittings and decoration is kept in good order. so that it is a comfortable environment in which to live. This will ensure that it is a comfortable environment in which to live. 31/07/2009 2 19 23 3 19 23 People living at the home must have an environment which is well maintained for their comfort and which complies with local fire service requirements. This will ensure people live in a comfortable and well maintained environment which is safe. 30/06/2009 4 31 8 There must be a competent 01/06/2009 manager, registered with the Care Quality Commission who will effectively manage the home on a day to day basis. Care Homes for Older People Page 7 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 This will ensure the home is run on a day to day basis by a person who has the appropriate skills, experience and qualifications. 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 7 13 Whilst risk is identified it must show what action is being taken to manage it. This will limit any identified risk to people livng in the home. 30/10/2009 2 19 23 In instances where people 30/09/2009 are smoking in their rooms against the homes policy, specific fire risk assessments must be in place, and the situation monitored and managed on a regular basis. This is to ensure the safety of people living in the home. 3 19 23 The homes environment 29/01/2010 must be improved by way of decoration and replacement of furniture and fittings in peoples rooms. This will ensure the environment is comfortable for people to live in. 4 31 8 Whilst a manager has been 31/12/2009 employed by the owner, they
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 must be registered with the Care Quality Commission for their day to day responsibility at the home. This will ensure the home is being run by a competent manager registered with the commission 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 3 Assessment literature is now in place for admission to the home and these should be used in conjunction with placing authorities assessment records, so people needs are clearly identified. When recording personal information it should be on the persons care plan records to ensure privacy is upheld. The new recruitment procedures to ensure the fitness of the applicant should be used for all new employees, to ensure the safety of people using the service. 2 3 7 29 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. 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 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!
