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Brown Edge House Residential Home Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 9 March 2016

During a routine inspection

Brown Edge House is registered to provide accommodation for people who do not receive nursing care. The service is located in a residential area of St Helens, Merseyside. The service provides care and support for up to 20 people.

This was an unannounced inspection carried out by an Adult Social Care inspector. During the inspection we spoke with seven people who lived at the service, five members of staff, two visitors, the registered manager and the registered provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We observed care and support in communal areas, spoke with people in private and looked at care and management records.

We saw that medicines were not always managed safely or given in a manner that met people’s individual needs.

Some of the systems used to assess the quality of the service had not identified the issues that we found during the inspection. These were discussed with the registered manager and the registered provider who immediately put new systems into place.

People told us that they had been included in planning and agreeing to the care and support provided. We saw that people had an individual plan, which outlined some of the ways staff were to support individuals. Risks were not always addressed in order to fully maintain the safety of people.

People told us that they were treated with kindness, compassion and respect. Visiting professionals were complimentary about the support given by the service and the warm welcome they themselves received. We saw many positive interactions and people enjoyed talking to the staff in the service.

Staff we spoke with recognised the importance of knowing people’s routines, so that, people received personalised support.

Staff took the time to get to know people and supported them in undertaking activities according to their hobbies and interests.

People told us they were able to see their friends and families as they wanted. We saw that there were arrangements in place to support people living in the service to access the community and maintain relationships with their families.

The staff told us they were aware of their responsibility to protect people from harm or abuse. They knew the action to take if they were concerned about the safety or welfare of an individual. They told us they would be confident in reporting any concerns to management.

Inspection carried out on 24 April 2014

During an inspection to make sure that the improvements required had been made

We considered our inspection findings to answer questions we always ask;

• Is the service safe?

• Is the service effective?

• Is the service caring?

• Is the service responsive?

• Is the service well-led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who used the service, the staff supporting them and from looking at records.

Is the service safe?

We carried out a tour of the premises and saw that it was safe. We observed that up to date fire extinguishers and portable appliance checks had been carried out and were found to be suitable and safe to use. We saw people being treated with dignity and respect by the staff.

We saw members of staff positively interacting with people who lived in the home. Two people, who lived in the home, told us they felt safe living at Brown Edge House. In discussion and in observation, we saw that people were relaxed and at ease, with people telling us they were happy.

We found satisfactory safeguarding procedures in place, with staff having had up to date safeguarding training.

Staff recruitment records contained all the information required by the Health and Social Care Act 2008. This meant the provider could demonstrate that the staff employed to work for the service were suitable and had the skills and experience needed to support people living in Brown Edge House.

Is the service effective?

The people we spoke with in the home were complimentary about the service that had been provided. Some of the comments were, “The staff are really good” and “The girls will do anything for me, they are marvellous”. We spoke with four members of staff and they demonstrated that they had a clear understanding of people’s needs and how to meet them.

We saw that staff training and staff supervision was consistent and up to date. This helped to demonstrate that the staff employed to work for the service had received the correct training and support to meet people’s needs.

We found that people’s health and care needs had been assessed by the service before they went to live at Brown Edge House. We found that people receiving a service and/or their relatives had been involved in drawing up care plans.

Is the service caring?

During our inspection we observed that staff were attentive, caring and enthusiastic about meeting the needs of people who received a service. People positively responded to members of staff, which showed that a good rapport existed between them. We saw people were treated with dignity and respect by the staff.

One of the comments from a person living in the home was, “I am treated with respect by the girls (Care staff)” and a relative said, “The family feel that all of the staff genuinely care for the residents”.

Is the service responsive?

Brown Edge House had quality assurance monitoring processes in place. We saw that the provider sought the opinions and views of people living in the home and also sought the views of their relatives. There was written evidence that highlighted, when any issues had been identified, the service had responded and addressed them.

We saw documented evidence that ‘service user’ and relatives meetings had taken place, with actions from meetings being implemented. Staff team meetings had also been taking place. Members of staff informed us they felt supported and included in the service provision.

Is the service well-led?

Brown Edge House had a manager who was registered with the Care Quality Commission (CQC) to carry out their role. The service always informed us when there were significant incidents. We were informed and observed that the provider was involved with the home on a daily basis.

In discussion with some members of staff, they said the management were very supportive and understanding. One staff member said, “The manager is both encouraging and supportive”.

Inspection carried out on 20, 23 September 2013

During an inspection in response to concerns

We inspected Brown Edge House in response to concerns we had received. These concerns related to a failure to take appropriate action in response to an incident that had occurred within the service. Prior to the inspection, we had passed this information to the local authority who had investigated the concerns and found them to be substantiated. In addition, the local authority identified a number of additional incidents that should have been referred to the local authority’s safeguarding team, but had not been.

We found as a result of learning from this the provider had made a number of improvements within the home. The recording system used for incidents had been revised and we could see that incidents were now being correctly recorded and acted upon. Staff understood how to identify whether an incident constituted a safeguarding concern and we noted that an incident from the previous week had been appropriately referred.

During our inspection, we spoke with one person who was using the service and their friend who was visiting them. They told us they were satisfied with the care and support provided to them. We were able to spend time sitting with people in the lounge area and to observe the care and support people received. The atmosphere was cheerful and we saw a number of positive interactions between people using the service and staff members.