• 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

All Inspections

1 May 2019

During a routine inspection

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

18 May 2016

During a routine inspection

This inspection took place on 18 and 19 May 2016 and was unannounced. The home had previously been inspected under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 on the 16 September 2014 and was found to be compliant in all key areas.

Brambles Rest Home provides accommodation for up to 35 people who require personal care. On the day of our inspection there were 31 people living at the home.

There was a registered manager in post and they were present during our inspection. 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.

People felt safe and were protected from the risk of abuse. People were supported by staff that were kind, respectful and knew them well.

People were supported by sufficient numbers of staff that felt valued and motivated. People were supported by staff that had received the training and support they needed so that they could carry out their role effectively and meet the individual needs of people using the service.

People were supported to receive their medication as prescribed, because the provider had effective systems in place.

People were supported to pursue their interests and hobbies and lead interesting lives.

People were treated with dignity and respect and were encouraged to develop their independent living skills. People were able to make choices and decisions about how they wanted their care delivered and what they wanted to do.

People knew what to do if they were unhappy with the care they received, but people told us that they were happy with the care they received.

People were provided with a good choice of food in sufficient quantities and were supported to eat meals which met their nutritional needs and suited their preferences.

The provider had effective management systems in place to assess and monitor the quality of the service provided to people. The provider used feedback from people to improve the service they provided.

People benefited from a service that was led by a capable registered manager who demonstrated good leadership skills.

16 September 2014

During a routine inspection

At the time of this inspection, Brambles Rest Home was providing a service to 30 people. An adult social care inspector carried out this inspection. As part of this inspection we spoke with the provider's acting manager and two members of care staff. We also reviewed records relating to the care given to people, which included seven care plans. We spoke with two people who used the service. We also spoke with the relatives of three people who used the service.

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at.

Is the service safe?

There were effective recruitment and selection procedures in place at the service. Staff records showed that all staff were trained in the needs of people who used the service. Accidents and incidents were investigated and reported appropriately. We saw written consent to care was in all of the plans of care we looked at. We found that the service was fully complying with the Mental Capacity Act 2005 in relation to obtaining

the agreement to people's plan of care and support where people lacked the capacity to make decisions for themselves. We saw no evidence that people were being unlawfully deprived of their liberty.

Is the service effective?

Care plans were regularly reviewed. We saw that care plans were based on each person's needs. They were comprehensive and well written. The care plans contained evidence of effective working with specialist health professionals. Specific medical conditions and their potential emergencies were planned for by these professionals.

Is the service caring?

People were supported by caring staff. All plans of care were written to reflect each person's needs. We spoke with two people who used the service and they said they were happy with the service given. One person said, "It's good here. The food is good." Another person said, "Everyone here is very caring." One relative said, "(Relative) is very happy here. I have no complaints." Another relative said, "They are very caring, they let me eat a meal with (my relative) or share a cup of tea." Another relative said, "The staff are very caring. I would stay here myself."

Is the service responsive?

People's needs had been assessed before care started. Complaints were dealt with well and people knew how to make complaints. The provider also audited many aspects of the service and used these audits to improve care.

Is the service well-led?

There was a system for recording formal and informal complaints. The staff had regular training in skills needed to care for people. There were effective and safe recruitment procedures in place.

21 January 2014

During a routine inspection

There were 30 people living at the home on the day of the inspection. We spoke with seven people, six visitors, seven staff, and the acting manager who had been in post for two weeks on the date of our visit.

People that were able to speak to us confirmed that their consent was obtained before any support was provided. One person we spoke with said, 'Before they do anything for me they tell me what they want to do and how they are going to do it which is fine by me.'

We found that people's needs were assessed, and care plans were in place. All of the people and the relatives we spoke with told us they were happy with the care and support provided. One person said, 'It's a brilliant place to live in I don't want to live anywhere else. The staff are kind and gentle and look after me very well.' Another person told us, 'Staff are really nice to me making sure that I'm well cared for and safe.'

We found that improvements were required to ensure people received their medication as prescribed.

We found that improvements were required to ensure all of the required recruitment checks were in place to ensure that only suitable staff were employed to work at the home.

People and the relatives we spoke with confirmed they knew how to make a complaint if they needed to. This meant people or their relatives were able to raise any concerns they may have.

12 February 2013

During a routine inspection

There were 33 people living at the home at the time of our inspection. We spoke with seven people, three staff, seven relatives, and the manager.

People told us they were happy with the care and support provided. One person said, 'It is very good here I am well looked after, the staff are caring, polite and respectful.' Another person told us, 'I am happy here, I couldn't be anywhere better, we have a laugh with the staff and they are very good.'

People told us that staff respected their privacy and dignity and they confirmed they were given choices about their care, how they spent their day and about what food they wanted to eat.

We found that people's needs were assessed, and care plans were developed in consultation with people or their representatives. Staff spoken with were able to tell us about people's needs. This ensures they receive support in a way they prefer.

We found that arrangements were in place to ensure that people were safeguarded from harm.

Staff spoken with told us they felt supported by the management team. They confirmed they have regular training opportunities. This ensures staff are able to deliver care to an appropriate standard.

We found that systems were in place for assessing and monitoring the quality of service provided.

12 December 2011

During a routine inspection

Brambles Rest Home provides good quality care in a warm and friendly atmosphere for older adults. People were very complimentary about the home and its staff stating,"The best home I have been in" and," all staff are kind and helpful". The home organises a range of activities including arts and crafts, flower arranging, bingo, singers and dancers and trips out to enhance people's quality of life.