Random inspection report
Care homes for older people
Name: Address: Brunswick House Nursing and Residential Home 81 Bacton Road North Walsham Norfolk NR28 0DN zero star poor service 11/02/2009 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: Lella Hudson Date: 1 0 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Brunswick House Nursing and Residential Home 81 Bacton Road North Walsham Norfolk NR28 0DN 01692405818 01692404423 brunswick_house@hotmail.com www.brunswick-house.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Brunswick House Care Home Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 75 Number of places (if applicable): Under 65 Over 65 0 75 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 10 0 1 1 0 2 2 0 0 9 Brunswick House is a care home providing personal care and nursing care for up to seventy-five people. Brunswick House Care Home Ltd is the registered provider. The services offered within the home are described in the Statement of Purpose and Service User Guide. The Home was built in the 1980s and is located in the town of North Walsham and is close to all local amenities. Brunswick House is a large detached property on two levels and stands in its own grounds with an extensive parking area. It is divided into three
Care Homes for Older People Page 2 of 11 Brief description of the care home units: Grant Hadley, the first floor of Brunswick and the ground floor of Brunswick. Each unit provides nursing and residential care. The home also has a day centre in the grounds and some people living at the home attend the centre. The owners have changed the use of some rooms and they intend to accommodate only 70 people and use 6 double rooms and 63 single rooms, most of which have some en suite arrangements but not all have full en-suite toilets and showers or baths. There are three lifts within the home. The weekly fees are currently between £555 to £730 and are agreed dependent on individual residents needs. Please contact the Manager for up to date information about fees. Care Homes for Older People Page 3 of 11 What we found:
This visit was carried out between 9.10 - 11.25am on 10th November 2009. The purpose of the visit was to look at the situation regarding staffing as at the Random Inspection (18th September 2009) and the Key Inspection (30th September 2009) it was found that the staffing was not adequate to meet the needs of the residents. An Immediate Requirement to increase the staffing had been left at the time of the last Random Inspection. During this visit we found that the staffing situation is still not adequate to meet the needs of the residents. The Commission are currently considering enforcement action with regard to this. At the time of our visit there were 64 residents living at the Home, including 16 nursing patients. The Operations Manager was present throughout our visit and the Manager was present for the majority of the visit. In October 2009 the Home went into administration and is now being managed by administrators who have appointed a Care Management company to carry out the overall management of the Home on their behalf. During our visit to the Home we spoke to residents and staff as well as to the Manager and to the Operations Manager. We looked at records and spent some time in the communal areas of the Home. This report does not contain the requirements and recommendations that were made at the time of the Key Inspection (30th Sept 09) as that report is not yet finalised. What the care home does well: What they could do better:
There remains confusion about the minimum staffing levels for the Home. The Operations Manager is not aware of what they should be. The Manager has carried out her own assessment of what the staffing levels should be based on the residents currently living in the Home and has started to discuss these with the Director of the Care Manager company. However, through looking at the rotas and through discussions with staff, it is clear that
Care Homes for Older People Page 4 of 11 the requirement for adequate staffing to be provided has not been met. Although the manager has tried to increase staffing levels throughout the day these are not maintained consistently if staff are on holiday or off sick. Agency staff are not currently being used to address staffing shortfalls. 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 7 15 The records within the care plans need to be kept up to date To ensure that accurate records are kept of the care provided to the residents 30/10/2009 2 8 12 It is required that the care home is conducted so as to poromote and make proper provision for the health and welfare of residents To ensure that the residents personal and healthcare needs are met 30/10/2009 3 8 12 23/09/2009 That the residents personal care needs are met in a way which promotes their privacy and dignity To ensure residents needs are met 4 8 12 That the residents personal 23/09/2009 care needs are met in a way which promotes their privacy and dignity THIS REQUIREMENT WAS MADE DURING THE RANDOM INSPECTION ON 18TH SEPT 2009 To ensure residents needs 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 are met 5 9 13 It is required that clear guidance is available for the administration of PRN medication To ensure that residents receive medication at appropriate times 6 12 16 That meaningful activities are available for the residents to take part in if they wish to THIS REQUIREMENT WAS MADE DURING THE RANDOM INSPECTION ON 18TH SEPT 2009 To ensure that residents have a choice to take part in meaningful activities 7 12 16 That meaningful activities are available for the residents to take part in if they wish to To ensure that residents have a choice to take part in meaningful activities 8 15 16 That residents are offered 16/10/2009 meals which are wholesome, nutritious and properly prepared. To ensure that residents are offered a choice of meals which are nutritious and which they enjoy 9 18 13 That all staff receive Safeguarding vulnerable 31/12/2009 30/10/2009 30/10/2009 30/10/2009 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 adults training To provide increased protection to residents from abuse 10 22 23 That the necessary 30/09/2009 equipment is provided for the residents and that this is well maintained THIS REQUIREMENT WAS MADE DURING THE RANDOM INSPECTION ON 18TH SEPT 2009 To ensure that the residents needs are met 11 22 23 30/09/2009 That the necessary equipment is provided for the residents and that this is well maintained To ensure that the residents needs are met 12 26 23 That all areas of the Home are kept clean and that infection control procedures are in place To ensure that the residents live in a Home which is clean and risks of infection are reduced 13 27 18 To increase the staffing to 20/10/2009 ensure that the needs of the residents are met PLEASE NOTE THAT THIS IMMEDIATE REQUIREMENT WAS ISSUED ON 18TH SEPTEMBER 2009 DURING THE RANDOM INSPECTION AND HAD A
Page 8 of 11 30/10/2009 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 TIMESCALE OF 48 HOURS IN WHICH TO BE MET. THE DATE FOR THIS HAS NOT BEEN EXTENDED. To ensure that the needs of the residents are met 14 27 18 To increase the staffing to ensure that the needs of the residents are met To ensure that the needs of the residents are met 15 30 18 that the staff receive training 31/01/2010 which is relevant to their role To ensure that the staff have appropriate skills to carry out their roles effectively 16 38 13 09/10/2009 That action is taken to address the outstanding health and safety issues THIS REQUIREMENT WAS MADE DURING THE RANDOM INSPECTION ON 18TH SEPT 2009 To ensure that the residents are safe 17 38 13 That action is taken to address the outstanding health and safety issues To ensure that the residents are safe 09/10/2009 22/09/2009 Care Homes for Older People Page 9 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 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. 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!
