This inspection was carried out on 11th January 2010.
CQC found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Millview Nursing Home Bridgeman Street Bolton Lancashire BL3 6SA three star excellent service 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: Rukhsana Yates Date: 1 1 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Millview Nursing Home Bridgeman Street Bolton Lancashire BL3 6SA 01204391211 01204363246 bebbingn@bupa.com www.bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFHCare) Ltd care home 180 Number of places (if applicable): Under 65 Over 65 0 180 0 dementia old age, not falling within any other category physical disability Conditions of registration: 180 0 180 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 - Code OP, Dementia - Code DE, Physical disability Code PD. The maximum number of service users who can be accommodated is: 180. Date of last inspection Brief description of the care home Millview is a Care Home providing nursing and personal care for mainly older people. It is situated in Great Lever about half a mile from Bolton town centre. It is close to main bus routes, the local railway station and the motorway network. The home is purposebuilt, single storey and comprises of six separate houses, each with 30 single
Care Homes for Older People Page 2 of 8 Brief description of the care home bedrooms. There is plenty of car parking to the front of the home and there are garden areas around each unit for residents to sit out in. All the houses allow level access for wheelchair users and people who have problems climbing steps. Each house has a large lounge, a designated smoking area and a dining room. The toilets and bathrooms have aids to assist any resident with a disability or mobility problem. The home is registered to provide care for up to 180 residents with a variety of nursing and residential needs. These include general nursing and physical disabilities, palliative care and dementia care. The fees at the time of this inspection ranged from £355.39 to £609.00. For further details please contact the home manager. Care Homes for Older People Page 3 of 8 What we found:
This visit was carried out to look at the arrangements for managing falls, and maintaining bed safety. The visit involved looking at accident records, particularly in relation to falls at night, and looking at a sample of care plans and support arrangements in one of the houses where care is provided for people with dementia. A discussion took place with the Clinical Service Manager, and the senior person in charge of the house visited. At the end of the visit, feedback was given to the person in charge. Overall we found that care planning and recording designed to assess, monitor and address falls was not clear, frequently inconsistent, and therefore was not able to be used effectively to promote safe and appropriate care. We looked at the collated accident records from July to December 2009 to identify those most at risk for the purpose of case tracking. The management accident audits are carried out monthly. They show the name of the resident, whether a skintear or bruise was sustained, and the number of falls. Timeframes show when the accidents happened, but the data does not indicate location, and the total number of falls includes skin tears and bruises. A discussion took place with the person in charge pertaining to improvements that could be made to extract more meaningful information from the monthly audit. In the house visited, the nurse in charge confirmed that bedrails are not in use. In the rooms seen residents had an additional mattress that was placed on the floor by the bed at night in case of falls. One of the mattresses was stained and torn. Arrangements were made for its removal during the visit. Two care files were examined, with clarification sought from the senior nurse throughout. In one file, the rationale for placing the mattress beside the bed was not recorded. A care worker stated that the mattress was put in place the previous week, although the accident audit showed an average of 2 possible falls out of bed each month since August09. The staff member also confirmed that a hoist was not needed for any resident at present following a fall. The care plan stated that a hoist was needed for this person when raising from the floor, but one of the detailed reports says found lying on back on bedroom floor. lifted to safety. with no indication as to how. The second care file also stated that the person needed 2 staff members and a hoist to be used when raising from the floor, but this was not happening in practice. For this person, the care plan was poorly completed in terms of person centred assessment information and particularly language and cultural needs and insight. Information relating to mobility and falls was fragmented and inconsistent. Examples were shared with the nurse in charge. The maintenance log for the house showed that problems are reported and addressed quickly. There were no additional health and safety hazards noted during the visit with regard to beds and equipment. All staff have had up to date moving and handling training. During the visit, we observed that rooms and the general environment were in need of redecoration. There were several empty memory boxes, chairs were placed around the
Care Homes for Older People Page 4 of 8 edges of the room and under the television on the wall. There were no activities taking place or being initiated. The sister in charge described changes she was intending to make in recognition that there were shortfalls with regard to meeting the needs of people with dementia living in that house. Progress in relation to these areas will be examined in detail at the next inspection. 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 8 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 6 of 8 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 Each persons plan and reviews must accurately reflect needs and risks, and action to be taken to minimise risks. This will provide clear and consistent information for staff to follow to promote safe care. 05/02/2010 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 7 of 8 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 8 of 8 - 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!
