Latest Inspection
This is the latest available inspection report for this service, carried out on 28th April 2010. CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Brentry.
What the care home does well We made two requirements at our last inspection. Firstly relating to the dealing of complaints. This has improved and there was good recording of complaints and responses in writing made to complainants. Staff have also undertaken training so that they are fully aware of the procedure and policy in relation to complaints. Secondly we made a requirement about our being informed of any event affecting the health and welfare of individuals in the home and records showed this had been met. We made a number of recommendation relating to the care practice in the home and these had been addressed resulting in improved practice around supervision of staff, records of care provided in the home and improving of the environment. What the care home could do better: This inspection did not identify any areas which led us to make requirements however we are concerned about the continued use of agency staff because of the Home Future Program. This can impact on the continuity and consistency of care and as noted abovewas commented on by an individual we spoke with and a staff member. It is noted that this was an area which received comments in the homes quality assurance questionaire: individual commented "some agency staff don`t know what they are doing (two similar comments)" "could have more permanent staff" (relative) "too much reliance on agency staff at weekends/bank holidays-residents prefer to see friendly faces" (relative) "use of agency staff hinders continuity and prevents stable relationships" (professional) We have therefore made a recommendation that the use of agency staff be reviewed and to look at the recruiting of permanent staff members. Random inspection report
Care homes for older people
Name: Address: Brentry Knole Lane Brentry Bristol BS10 6QH one star adequate 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: John Clarke Date: 2 8 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Brentry Knole Lane Brentry Bristol BS10 6QH 01179038934 01179038936 brentry.eph@bristol.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Bristol City Council Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 40. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Brentry House is a care home registered with the Care Quality Commission in the Older Persons category. Bristol City Council Adult Community Care runs the home and it can house 40 people. The home is arranged over two floors with a lift. All rooms are single but none have en-suite facilities. It has large patio areas to the front and rear of the
Care Homes for Older People Page 2 of 8 Brief description of the care home home. The home is largely accessible for disabled older people and their relatives, and work to improve access further has been carried out. Recent additional funding from the Department of Health has been given to build a conservatory at the side of the dining room and work has recently started on this. The current fees payable from April 2009 are GBP488.16 per week. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to Care Services procedures. Local Authority fees payable are assessed by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk httpwww.oft.gov.uk Care Homes for Older People Page 3 of 8 What we found:
This was an unannounced visit to the home as part of our inspection of the service. The focus was to look at the requirements and recommendations made at our last inspection in April 2009. We looked at the complaints log and examined the accident and incident record, pre-admission assessments and care plans for two individuals who had been admitted to the home in the last 6 months. We spoke with individuals living in the home and as part of this attended a residents meeting which was being held. We also spoke with a number of staff about the quality of the care provided in the home. Individuals we spoke with were very positive about the care provided in the home. One individual who had recently moved to the home told us its very nice, dont think you could better it, staff are very kind and I get the help I need. They told us that they enjoyed the entertainers that visit the home though they thought that there could be more activities. The pre-admission assessment for this individual was comprehensive and through giving good details about the care needs of the individual and associated task. Another individual told us that they enjoyed living in the home staff all very good though there are alot of agency staff. They told us that at times this is difficult because the agency staff do not know the residents and a staff member also told us the same though they said the home tries to get the same agency staff whenever possible. This was confirmed by the manager who told us that out of 339 care hours a week 70 was provided by agency staff and this was not ideal. We looked at the complaints log which had recorded eleven complaints since May 09. All had been responded to in writing and actions taken where this was required including training of staff around equality and diversity, change of agency staff member. Staff had attended training about complaints. We attended a residents meeting and topics discussed included summer activities and outings, use of new raised beds in the garden, menus. Individuals told us that staff are very good we get all the help we need staff there when we need them I enjoy living here. The environment of the home was satisfactory and improvement have been made including re-decoration of corridors, new carpet in entrance hall. Individuals we spoke with said the home was always clean. What the care home does well: What they could do better:
This inspection did not identify any areas which led us to make requirements however we are concerned about the continued use of agency staff because of the Home Future Program. This can impact on the continuity and consistency of care and as noted above
Care Homes for Older People Page 4 of 8 was commented on by an individual we spoke with and a staff member. It is noted that this was an area which received comments in the homes quality assurance questionaire: individual commented some agency staff dont know what they are doing (two similar comments) could have more permanent staff (relative) too much reliance on agency staff at weekends/bank holidays-residents prefer to see friendly faces (relative) use of agency staff hinders continuity and prevents stable relationships (professional) We have therefore made a recommendation that the use of agency staff be reviewed and to look at the recruiting of permanent staff members. 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 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 27 To review use of agency staff and look at the recruitment of permanent staff members. 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. © 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 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!
