Archived: Laurel Court (Bristol)

10 Brockway, Nailsea, Bristol, BS48 1BZ (01275) 859556

Provided and run by:
Southern Cross Healthcare (Kent) Limited

Important: The provider of this service changed. See new profile

All Inspections

4 October 2011

During an inspection looking at part of the service

People told us 'I am getting the help I need and the staff are using the correct equipment now to help me move from my chair'. Other comments we received include the following 'I have not settled in here yet but I am getting the help I need', 'the carers listen to me and do as I ask', 'they are all looking after me as well as they can. I am old and sometimes I can be a bit grumpy. They don't seem to mind' and' the staff are nice and they look after me well'.

One relative we spoke with was concerned that sometimes communication between the staff and the family is not as good as it should be. They gave us some examples to support their comments and these were referred to the home manager to address.

Staff we spoke with during our visit demonstrated good awareness of each person's needs.

We looked at some of the charts that the care staff and nurses are keeping to record the care they have given. These are not consistently kept accurately and we have asked the provider to tell us what improvements they will make.

2 September 2011

During a routine inspection

Some people we spoke with during our visit were unable to tell us how much they were involved in making choices about their care because of their mental or physical frailty. Others told us 'I am asked what I would like to have for my meals and the food is better now', 'I spend a lot of time waiting for the staff to be available to assist me', 'there have been no residents meetings and I have only seen the new manager for two minutes. He has been here several weeks now', and 'I would like to be able to do something during the day. It can get very boring here'.

During the course of our visit we observed the interactions between care staff and people they were looking after. We found that staff were treating people politely and speaking to them in a way that was kind and sensitive to their needs.

Some people told us that they were happy with the care they were provided with and that their individual care needs were met. 'I have lived here for a while and I am well looked after',

Some people we spoke with were not happy with the care and support they received. 'I have to wait for two staff to become available when I need help', 'some staff can be awkward' and 'everyone does their best, but I do get very bored at times. There is nothing to do all day'.

People we spoke with during our visit told us 'the staff are kind to me', 'they look after me' and 'there is one staff member who can be awkward with me but all the others are very kind'.

We found that people may not receive the care and support that they need because assessments and care plans are not updated promptly to take account of individuals changing needs, choices or preferences.

We found that some of the staff team need moving and handling training and need to ensure that the correct equipment is always used to move and transfer people from one place to another. We also found that staff training and staff supervision needs to be implemented and consistently carried out.

5 April and 19 May 2011

During an inspection in response to concerns

We spoke with one person during our visit to the home who told us 'The care is generally good' and 'I have had to wait for up to one hour for assistance to use the toilet, therefore I now make sure I ask for help before night staff come on duty' Overall, we did not have concerns about the care, treatment and support people living in Laurel Court receive, however we found four areas where improvements are needed. Information has been provided by the service and they have told us that they have action plans in place to improve the care planning arrangements.

People may not have their end of life wishes considered because these have not been recorded.

We found shortfalls in the procedures followed if people raise concerns or make allegations about abuse. There was a delay in the service reporting an allegation made and this could have meant people living in the home were not safeguarded effectively The service must ensure that any accidents, incidents or other events are reported appropriately and the necessary follow up action is taken.

We also found that there had been some slippage in staff being trained in safe moving and handling procedures. A 'near miss' incident had not been reported correctly or any action taken to find out what happened. People may have been placed at risk because staff were not following safe moving and handling procedures. The service has already begun addressing this issue and 76% of staff have now received refresher moving and handling training.