• Care Home
  • Care home

Archived: Brambles Rest Home

Overall: Requires improvement read more about inspection ratings

69-69a Vicarage Road, Amblecote, Stourbridge, Dudley, West Midlands, DY8 4JA (01384) 379034

Provided and run by:
Mr Boota Singh Khangure

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Background to this inspection

Updated 8 August 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. In this case as a family carer for an older person.

Service and service type

Brambles Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

What we did:

Prior to the inspection we reviewed information we held about the service since their last inspection. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We also contacted the local authority who commissioned services from this provider.

We used information that the provider sent us in the Provider Information Return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection we spoke with 10 people, 6 relatives and 3 health care professionals. We spoke with 9 care staff, the activities co-ordinator, chef, deputy manager and the registered manager. We looked at records relating to people’s medicines, 9 people’s care records and 3 staff files. We looked at records for how people were administered medicines as well as a range of records relating to the running of the service. This included incident and accident monitoring, auditing systems and complaints. We also spent time observing day to day life and the support people were offered.

Overall inspection

Requires improvement

Updated 8 August 2019

About the service:

Brambles Rest Home provides personal care and accommodation for up to 35 people. At the time of our inspection there were 31 people using the service. People who used the service had a range of support needs related to old age and dementia.

People’s experience of using this service:

People did not always receive safe care and support. Medicine management was not consistently safe and required improvement. In addition, some incidents which should have been reported to safeguarding authorities had not been. Staff were knowledgeable about safeguarding and people told us they felt safe. Risk assessments were in place however they did not give clear information of people’s needs and lacked guidance for staff to follow.

Staff had the skills and knowledge to support people and meet their needs. The appropriate requests to the Local Authority had been made where people lacked capacity and staff were aware of which people had a Deprivation of Liberty Safeguard in place. However, some improvements were required in record keeping to ensure best interest decisions were recorded appropriately. People told us they enjoyed their meals and had enough to eat and drink. Staff supported people to access health care when needed.

People told us that the staff were kind and caring. However, there was a lack of systems in place to ensure the service was consistently caring. People told us they could not recall being involved in reviews of their care.

We received mixed feedback in response to complaints. People had the opportunity to be involved in stimulating and meaningful activities. The service was good at discussing and recording end of life plans and had devised a leaflet to support people and their relatives.

The registered manager had carried out regular audits however they were not effective in highlighting issues for improvement. There was a lack of robust oversight of accidents, incidents and safeguarding’s. People knew who the manager was and said they were approachable. Staff told us the management team were supportive.

Rating at last inspection:

The last rating for this service was good (published 06 October 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

Enforcement:

We found the provider was not meeting all of the requirements of the law. We found multiple breaches in regulations. You can see what action we told the provider to take at the back of the full version of the report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up:

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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