This was an unannounced inspection, carried out over two days on 5 and 6 November 2014.
EABF (also known as Brinsworth House) provides accommodation and nursing care for up to 36 older people, some of whom may be living with dementia. The home is a Victorian listed building with extensions at the rear of the property. Accommodation is arranged over two floors and there is a passenger lift to assist people to get to the upper floor. There were 28 people living at the home at the time of our inspection.
We last inspected EABF in August 2013. At that inspection we found the service was meeting all the essential standards that we assessed.
The service had a registered manager. 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 and associated Regulations about how the service is run.
People using the service told us they liked living at EABF and felt safe there. They said that there were enough staff on duty who were caring, respectful and upheld their individual privacy and dignity.
Improvements had been made around activity and occupation since our previous inspection with a full time co-ordinator now in post. We saw that a structured programme of activities had been introduced and work was on-going to personalise this to each person living at EABF.
Care staff provided appropriate support to help people eat and drink. People receiving assistance were given information about what they were eating and staff checked with individuals if they had enough to eat. Feedback was however mixed about the quality of food provided. The registered manager was already aware of the issues raised and had taken action to start making improvements.
New staff completed induction training when they first came to work at EABF. Further training was then made available to them to make sure their skills and knowledge were kept up to date. Staff we spoke with were aware of their responsibility to protect people from harm or abuse. They knew the action to take if they were concerned about the safety or welfare of a person using the service and were confident in being able to report these to senior staff.
Medicines were stored securely and safely however safe practice was not being followed consistently when giving them to people and keeping up to date accurate administration records. You can see what action we told the provider to take at the back of the full version of this report .
We found that further work was required to ensure that the provider consistently acted in accordance with the requirements of the Mental Capacity Act 2005. The assessments of capacity seen showed a lack of understanding and application of the Act in protecting people who may not be able to make decisions for themselves. You can see what action we told the provider to take at the back of the full version of this report.
There were processes in place to gather the views of people using the service, staff and visiting professionals about the quality of service provided. A review carried out in mid-2014 had resulted in changes to staff contracts, shift rotas and senior management structures. We saw that this had impacted on everyone in the home with new systems and staff roles being introduced at EABF.