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Bricklehampton Hall Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 November 2019

About the service

Bricklehampton Hall is a nursing home providing personal and nursing care to 54 people at the time of the inspection. The service can support up to 55 people in an adapted building with a purpose-built extension.

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

The registered provider had not always informed the Care Quality Commission of changes within the management arrangements and of notifiable events which had taken place.

During our inspection we brought to the attention of the registered manager areas of concern regarding the environment whereby people’s safety was compromised. The registered manager took immediate action in respect of these areas where possible.

Concerns were identified in the administration and management of people’s medicines. People did not consistently receive their medicines at the right times as prescribed. There were inconsistencies in the recording of people’s medicines. The recording of wound care needed to be improved to ensure the treatment required took place to meet people’s needs.

People raised concerns about staffing levels and the time taken to respond to the call bell system. Improvement was needed in relation to safe recruitment procedures.

People were supported to have maximum choice and control of their lives. However, staff did not always support them in the least restrictive way possible. This was because best interests decisions were not in place to support this practice.

Some staff were identified as requiring to undertake refresher training. Improvement was needed in one area of the home at lunch-time to ensure people received a similar choice as others. Improvement was also needed in relation to areas around recognising people’s right to privacy and dignity.

Most people believed their care and support to be safe and were satisfied with the care they received finding staff to be kind and caring. Staff were aware of their responsibility in relation to the reporting of any abuse. Newly appointed staff received induction training and worked alongside experienced members of staff.

People were able to access healthcare professionals. People were able to engage in fun and interesting activities and were able to personalise their bedroom.

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

Rating at last inspection

The last rating for this service was Good (published 11 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

We have identified breaches in relation to safe care, safety within the environment, medicine management, consent and best interests and areas around the management of the service.

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 work alongside the provider and 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 15 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 15 November 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 15 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 November 2019

The service was not always well-led.

Details are in our well-Led findings below.