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Bricklehampton Hall Requires improvement

All reports

Inspection report

Date of Inspection: 6, 9 December 2013
Date of Publication: 11 January 2014
Inspection Report published 11 January 2014 PDF | 82.19 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 6 December 2013 and 9 December 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People experience care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

During our inspection we were able to speak with some people about their experiences of the care and support provided. Where people were not able to share their experiences describe the care provided we observed their care in one lounge and a dining room.

The registered manager informed that the majority of people who used the service required two carers to ensure they were cared for safely. On the day of our visit we saw that eight carers and two nurses were on duty. During our inspection we saw peoples were cared for and had their immediate care needs met. We saw that staff were kind, supportive and encouraged people. For example, during lunch we saw people were assisted with their meal in an unhurried way. This meant that staff met people’s individual care needs appropriately.

Throughout our inspection we saw that people responded positively to interactions from the staff on duty.

People we spoke with were complimentary of the care and support they received. Comments included: “It’s very pleasant here” and “Staff are nice to us. I have never felt uncomfortable here.” and: “Can’t get a better place than this”. People also told us that they were happy with the medical care they had received. Comments included: “Nurses are very good to me” and: “They look after you well if you are ill. They get a doctor in”.

One relative we spoke told us that their relative was: “Monitored the entire time. Feed well and kept warm”. The registered manager was described as: “Extremely approachable”.

We looked at the daily records that staff completed about the care and support they had provided to people. The provider may wish to note that the records we saw these contained gaps. We were assured by staff we spoke with and the registered manager that people received regular drinks or were repositioned in bed as needed. It was acknowledged that the care records associated with these tasks were incomplete and did not reflect the care that staff described.

We spoke with the registered manager about how staff provided social stimulation for people who used the service. We were told that the activities coordinator worked occasional weekends and evenings. We were informed that a nominated member of staff was also involved in activities each afternoon. People we spoke with confirmed that social activities took place. We saw evidence of quizzes and craft making that had happened.