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Bryony House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 March 2020

About the service

Bryony House is a residential care home providing personal and accommodation for up to 35 people aged 65 and over. At the time of the inspection 30 people were living at the home.

People’s experience of using this service and what we found

The day to day monitoring of the home was not effective. Incident and accidents weren’t analysed for themes and trends. Systems were not effective for monitoring medicines. The wrong applications had been submitted to deprive people of their liberty, this had not been identified. Records relating to people’s day to day needs were not always completed. The storage and retrieval of documents was not effective.

The registered manager had left in 2017 and CQC had not been notified of this.

Prescribed cream and patched were not always managed in line with best practice (NICE) guidelines. Staff did not always record people had received their medicines as prescribed. Lessons were not always learnt following incidents and accidents.

Moving and handling was carried out safely. People felt safe. There were safe staffing levels. Staff knew how to protect people from abuse.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were treated with kindness and compassion. People felt well supported. People were encouraged to be independent.

People’s and their relatives were involved in the review process. People’s personal preferences were identified in their care plans. People were involved in decisions about their care.

People received person centred care. People, relatives and staff expressed confidence in the manager. People, relatives and staff were given the opportunity to provide feedback.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 20 February 2019) and there was a breach in relation to the governance of the service. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had not been made and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 14 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 14 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 March 2020

The service was not always well-led.

Details are in our well-Led findings below.