Care Home: Bradley Resource Centre

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What the care home does well We spoke to a number of people living at the home and they told us what they thought the home did well. They told us that the staff " really keep an eye on me" are " Brilliant" ,"can`t do enough for you" and "Staff are lovely - have a laugh". One told us that staff do encourage independence as it is the aim of the home to rehabilitate people:-"staff don`t mess about, you have to drink, eat, walk". The homes meals came in for praise, people telling us that "Food excellent such a variety" and "meals beautiful no complaints". Other comments we heard included "nothing better, wouldn`t go anywhere else only here". "not what expected nice surprise" and "cleaner than hospitals". One person told us about their move into the home and how well this had progressed. What the care home could do better: There is a need to ensure than any medication errors are promptly referred as a safeguarding alert to the local authorities safeguarding team. The remedial works to improve fire safety should be completed. Random inspection report Care homes for older people Name: Address: Bradley Resource Centre Lord Street Bradley Wolverhampton West Midlands WV14 8SD 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: Jonathan Potts Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Bradley Resource Centre Lord Street Bradley Wolverhampton West Midlands WV14 8SD 01902-553543 01902553448 helen.heathcote@wolverhampton.gov.uk www.wolverhampton.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elizabeth Helen Heathcote Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wolverhampton City Council care home 23 Number of places (if applicable): Under 65 Over 65 0 23 0 mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 23 0 23 The maximum number of service users who can be accommodated is: 23 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 (MD) 23 Physical disability (PD) 23 Old age, not falling within any other category (OP) 23 Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Bradley Community Resource Centre provides a respite unit and a multi-disciplinary rehabilitation unit for older people, focussing specifically on people being discharged from hospital. The rehabilitation unit provides rehabilitation therapy and social care to 14 people in a care home setting-rooms are single with wash hand basins. Rehabilitation is usually provided for a six-week period by staff at the centre with specialist support provided by occupational therapists and physiotherapists who are based at the centre. The Respite Unit has nine single bedrooms with en-suite facilities and provides short-term care for older people. A Domicilliary care agency (Home support service) operates from the centre, providing support to people in their own homes. This forms part of a city wide service that is now managed at another location separate to Bradley Community Resource centre, and also inspected separately by CQC. A Day Care service, which is not inspected by CQC, is also based at the Centre and people staying at the Resource Centre are able to access this service. Bradley resource Centre is close to a bus route, the Metro and shops and a public house are nearby. Care Homes for Older People Page 3 of 8 What we found: We spoke to five people living at the home and one visitor and they told us that they are satisfied with the service they receive from the home. We also spoke to the senior on duty, the administrator, the registered manager from another home (who was overseeing the service in the absence of Bradleys registered manager) and some of the care staff. From those parts of the building that we saw we found it to be clean and odour free. We saw certificated confirmation that the home has received a bronze award from the Primary Care Trust in respect of the way they control infection, and a four star award for food hygiene from Environmental Services. The last Fire Prevention Officers report from February 2009 highlighted the need for some remedial work to improve fire precautions. From discussion with staff we have learnt that the money is available to complete these works, but saw no evidence that the works are complete. From discussion with the registered manager since our visit we are aware that some of the works have commenced and the fire prevention officer is kept up to date with progress. In information that the manager sent us prior to our visit to the home (in their annual quality assurance assessment) she told us that the barriers the home was working to minimise include staff vacancies. We heard that the manager is currently interviewing to fill these posts and in some instances has employed staff to fill some of the posts. We looked at the homes training matrix and this showed that staff training overall is responsive to the need to ensure staff are well trained. Gaps in training are identified and the manager is working toward addressing these. We looked at some records in respect of medication and saw that people living at the home are encouraged to self administer, this following robust risk assessment (a sample of these seen during our visit). We also saw that staff are observed and assessed in respect of their medication practice on a regular basis, this to ascertain their competence. We saw records of these assessments to be well documented. We asked to see copies of audits by the homes contracted pharmacist and found that these are not carried out. This is a matter the manager has confirmed (by phone) she is aware of and looking to address with a change of contracted pharmacist. We are aware that there was a medication error at the home earlier in the year that the manager promptly reported to us. She also told us what the home was doing to ensure the matter did not reoccur, these steps judged to be acceptable based on the information we received. We saw no evidence that this matter was reported as a safeguarding alert at the time of our visit to the home. We saw that there was positive interactive between the staff on duty and the people living at the home during the course of our visit. We also saw staff offering people choices, an example of this the meals they wanted with three choices available including vegetarian options. We also observed staff to wash their hands between tasks. The homes menus we saw to be on display in an appropriate format. What the care home does well: We spoke to a number of people living at the home and they told us what they thought the home did well. They told us that the staff really keep an eye on me are Brilliant , Care Homes for Older People Page 4 of 8 cant do enough for you and Staff are lovely - have a laugh. One told us that staff do encourage independence as it is the aim of the home to rehabilitate people:-staff dont mess about, you have to drink, eat, walk. The homes meals came in for praise, people telling us that Food excellent such a variety and meals beautiful no complaints. Other comments we heard included nothing better, wouldnt go anywhere else only here. not what expected nice surprise and cleaner than hospitals. One person told us about their move into the home and how well this had progressed. 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 23 13 The registered persons must 15/07/2010 ensure that suitable steps are taken to ensure any potential safeguarding incidents/alerts are reported to the appropriate social services department without delay. This is so the local authority is able to take any actions necessary to protect people living at the home without delay. 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 19 The remedial works to improve fire safety should be completed. 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. 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