Care Home: Bryden House Nursing Home

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What the care home does well We looked at two care records and case tracked the care of two people who use the service. We saw there had been improvements in the quality of the care records since the last inspection. The format of the care records meant it was very easy to ascertain quite quickly the care these people needed to ensure staff understand what care is required.Overall the care records were well written and informative and had been reviewed in discussion with the person using the service and/or their representative. We spoke to both of the people whose care we tracked and we saw they had both been helped to look their best. We spoke to a relative of one of the people and they told us the staff `are very kind to X (person`s name)`. We saw both of these people had put on weight recently. We spoke to care staff who had a good and consistent knowledge and understanding of the peoples` care needs which was supported by the information in the care plan. This ensures the people receive a consistent standard of care. We saw that the controlled drug cabinet had been moved and refixed to ensure these drugs are being stored in accordance with the requirements of the Misuse of Drugs Act 1971, and the Misuse of Drugs (Safe Custody) regulations 1973. We looked at the social care records for these two people. We saw the home were building up life histories about these people. We saw they were recording activities they have attended in the home and the community. The manager told us they are employing a second activity person to enable the home to offer activities seven days a week. What the care home could do better: The service need to ensure they are able to meet people`s care needs prior to admission to ensure they are not placed at risk of harm through neglect of care. The service need to ensure high protein diets are provided where risk assessments indicate they are required to ensure people receive a healthy diet appropriate to their individual care needs to prevent weight loss and to promote wound healing. Information about the type of continence products in use for each person should be written in the care records to ensure staff know what to use to ensure a consistent standard of care is given. Random inspection report Care homes for older people Name: Address: Bryden House Nursing Home Marlpool Lane Franche Kidderminster Worcestershire DY11 5DA one star adequate service 21/01/2010 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: Sandra Bromige Date: 0 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Bryden House Nursing Home Marlpool Lane Franche Kidderminster Worcestershire DY11 5DA 01562755888 01562755887 Telephone number: Fax number: Email address: Provider web address: www.southerncrosshealthcare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Rosemary Jean Watkins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashbourne (Eton) Limited care home 30 Number of places (if applicable): Under 65 Over 65 30 30 old age, not falling within any other category physical disability Conditions of registration: 0 0 The home may accommodate a maximum of 6 people aged 55-65 years in either of the above categories. Date of last inspection Brief description of the care home Bryden House Nursing Home is located on the outskirts of Kidderminster town centre. The home offers nursing and residential care for up to thirty people who may also have dementia care needs. There are communal lounges, dining rooms, toilets and specialist bathrooms within the home. All bedrooms offer single accommodation. Off road Care Homes for Older People Page 2 of 8 2 1 0 1 2 0 1 0 Brief description of the care home parking is provided for visitors and there is ramped access to the front of the home. There is equipment available to assist people to move around the home. Up-to-date information about fees charged by the home are available upon request from the manager of the service. Care Homes for Older People Page 3 of 8 What we found: This was an unannounced inspection, which was carried out by one Inspector. The reason for the visit was to see if the service had complied with the three requirements from the key inspection in January 2010 relating to care plans and the storage of controlled medicines. We found that the home had complied with all three requirements from the key inspection. We found a poor outcome of care for one person whose care we tracked. The home carried out a pre-admission assessment for this person to identify their individual care needs, although they failed to ensure this person had a high risk pressure relieving mattress on their bed before they moved into the home to prevent their skin from deteriorating. We saw in the care plan that this person had developed a pressure sore a week after being admitted to the home. They were also admitted to the home with an existing pressure sore. The care plan for Risk of developing pressure sores stated as a preventative measure that X (persons name) is on an appropriate mattress. We went to look at the mattress with the deputy manager and saw the person was not on any type of pressure relieving mattress. We were told they were waiting for an air mattress to be delivered for this person. We advised that they needed to provide an appropriate mattress for this person before they go to bed today. Shortly afterwards the manager told us they had found an airwave mattress under the stairs in the home and it had been available at the time this person moved into the home. We saw photographs for one of the pressure sores but it was unclear when they were taken. There were no photographs of the second pressure sore. There were no wound assessment records in the care plan and there was no evidence to show the pressure sores had been reviewed at the designated frequency as stated in the care plan. This is evidence of poor management of people with frail skin who are at high risk of developing pressure sores. The care plan for one person said they required food supplements and high protein puddings and snacks. There was no evidence on the medication records of any food supplements being prescribed by the medical practitioner. The catering staff told us they were not providing any high protein diets at the moment. Staff told us this person was not having a high protein diet. Due to these findings we have referred this person to Worcestershire County Council who are the lead agency for co-ordinating safeguarding concerns. What the care home does well: We looked at two care records and case tracked the care of two people who use the service. We saw there had been improvements in the quality of the care records since the last inspection. The format of the care records meant it was very easy to ascertain quite quickly the care these people needed to ensure staff understand what care is required. Care Homes for Older People Page 4 of 8 Overall the care records were well written and informative and had been reviewed in discussion with the person using the service and/or their representative. We spoke to both of the people whose care we tracked and we saw they had both been helped to look their best. We spoke to a relative of one of the people and they told us the staff are very kind to X (persons name). We saw both of these people had put on weight recently. We spoke to care staff who had a good and consistent knowledge and understanding of the peoples care needs which was supported by the information in the care plan. This ensures the people receive a consistent standard of care. We saw that the controlled drug cabinet had been moved and refixed to ensure these drugs are being stored in accordance with the requirements of the Misuse of Drugs Act 1971, and the Misuse of Drugs (Safe Custody) regulations 1973. We looked at the social care records for these two people. We saw the home were building up life histories about these people. We saw they were recording activities they have attended in the home and the community. The manager told us they are employing a second activity person to enable the home to offer activities seven days a week. 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 8 12 12(1) 31/05/2010 The health care needs of the people who use the service must be promoted and provided. To ensure they are not placed at risk of harm through neglect of care. 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. 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