Care Home: Brendoncare Ronald Gibson House

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Henry Nihill House
• Birchwood
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• The Infirmary

What the care home does well Staff spoke positively about their work, and demonstrated a good knowledge of the needs of the people they support. People who use the service told us that they like living at the home, and like the activities provided. The environment is welcoming and modern for the people who live there. The support manager spoke about changes that are taking place at the service regarding staff management, and changes to the management of the staff work rota. What the care home could do better: The service must ensure that the staffing levels meet the assessed needs of the service users. Staff who are providing one-to-one support need to be supernumerary to the staff numbers for the shift on the unit. All staff need to be provided with moving and handling training to ensure that risks to people who use the service are minimised. The service needs to improve its record-keeping practices, particularly around the management of the staff rotas, to ensure that they reflect what staff actually work at the service. We have made requirements for the service to address these areas to ensure improved outcomes for the people who use the service. Random inspection report Care homes for older people Name: Address: Brendoncare Ronald Gibson House 236 Burntwood Lane Tooting London SW17 0AN two star good 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: Louise Phillips Date: 1 4 0 6 2 0 1 0 Information about the care home Name of care home: Address: Brendoncare Ronald Gibson House 236 Burntwood Lane Tooting London SW17 0AN 02088779998 02088773860 hmoriarty@brendoncare.org.uk www.brendoncare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Helen Jean Moriarty Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Brendoncare Foundation care home 56 Number of places (if applicable): Under 65 Over 65 16 0 56 dementia learning disability old age, not falling within any other category Conditions of registration: 4 2 0 0ne Service user aged 53-65, with Dementia, can be accommodated within the home Ancillary staff for all units There will be adequate and sufficient staff and/ or contract arrangements in place at all times to ensure a good quality catering, domestic, cleaning, laundry, maintenance, and administrative service for all users. Care Staff and Dementia Unit Care staff must be provided in sufficient numbers, and with the necessary qualifications and experience, to meet the assessed needs and dependency levels of all low, medium, high, and continuing care band service users accommodated in the Home at any one time. As a minimum care staff shall be provided as follows : 8am to 2pm : 2 Registered Nurses 8 Care Assistants 2pm to Care Homes for Older People Page 2 of 9 8pm : 2 Registered Nurses 7 Care Assistants 8pm to 8am : 2 Registered Nurses 3 Care Assistants The specified registered nurse numbers are additional to the supernumerary management hours set out above. the low, medium and high bands refer to assessments for Registered Nursing Care Contributions (RNCCs). The continuing care band applies to service users whose needs are predominantly for health care, and who are therefore wholly funded by the NHS Management of the home There will be a total of 56 management hours per week available within the Home. The Manager of the Home will remain supernumerary and work full-time. The balance of the 56 hours will be provided by designated staff. One male service user aged 48-55 requiring general nursing care Respite Care Respire Care agreed for one specified female service user who is under 55 years of age. Two Service users aged 53-65, with Learning disabilities, can be accommodated within the home Date of last inspection Brief description of the care home Ronald Gibson House provides nursing care and accommodation for 56 residents, 16 of whom may have dementia. The home is operated by the Brendoncare Foundation and is situated near Springfield Hospital in Tooting. The home is organised on two floors with one unit providing dementia care being located on the ground floor. There is sufficient parking on site for visitors and the home has access to local bus routes. Care Homes for Older People Page 3 of 9 What we found: This was a Random Inspection visit to follow up information we had received about staffing at the service. This inspection took place over one day and included a visit to the home by a Regulation Inspector. During the inspection we spoke to the support manager, who was managing the service whilst the Registered Manager is on a short period of leave. We spoke to a number of people who use the service and staff who work at the home. We also looked at records and relevant documentation held at the service. Following the inspection we asked for further information from the service, which was provided to us. At the time of inspection there were nine service user vacancies. The support manager informed us that there are some trained nurse vacancies, and that these are the subject of a current recruitment campaign. We have observed that these vacancies have recently been advertised in a national nurse publication. The staff rota shows that where the home is unable to cover a shift with a trained nurse or carer who works at the home, or staff from the in-house care bank, then agency staff are used. Staff we spoke to said that the use of agency staff can put extra work upon them, particularly where there are different agency staff on each shift, and they have to spend a lot of time showing them what to do. In looking at staffing, we observed at the staff rota for one unit in the home. The rotas we saw were dated from 18th January 2010 until 31st May 2010 and we looked at a sample of eight dates throughout this period. We found that there was not always the full number of staff on duty, to meet the staffing levels set by Brendoncare. The support manager said that sometimes where the shifts have been covered by the nurse on the unit, these are not always recorded on the rota. However, there was no accurate record available to reflect who had actually worked the shifts. We looked at the rota for people who are receiving one-to-one funded care through the primary care trust, of which there are two people on the unit. We saw that there were not always staff recorded on the rota to provide one-to-one support. When we visited the unit we saw that two staff were providing one-to-one support to the people who require this. We spoke to one of the staff who told us that they provide the support throughout their shift, ensuring that another carer continues the one-to-one support when they take a break. However, the rota for the unit demonstrates that where staff were recorded to provide the one-to-one support, in most cases they were also counted in the staff numbers for the shift. Care Homes for Older People Page 4 of 9 The support manager said that the staff who provide one-to-one support are supernumerary. However, there was no record available to reflect this. We looked at the training records for a number of staff and see that most have undertaken training in moving and handling and safeguarding. We were informed that safeguarding training is planned to take place in June 2010 for those who have not completed this. However, the service must also ensure that all staff have up-to-date moving and handling training. 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 9 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 9 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 27 18 The service must ensure that 30/06/2010 the staffing levels meet the assessed needs of the service users. So that people receive the right level of support. 2 30 13 All staff must be trained in up-to-date moving and handling techniques To minimise risks to people who use the service 31/08/2010 3 37 17 The service must keep full and accurate records of the staff rota To ensure that they reflect what staff actually work at the service. 30/06/2010 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 9 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!