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Archived: The Borrins Care Home Requires improvement

The provider of this service changed - see new profile

We are carrying out a review of quality at The Borrins Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Reports


Inspection carried out on 10 August 2016

During a routine inspection

The inspection took place on 10 August 2016 and was unannounced.

The Borrins Care Home has a total of 25 beds and is part of BUPA Care Homes (GL) Limited, it provides accommodation and personal care services for older people. The home is located in a residential area of Baildon close to the shops and other amenities.

The home had a registered manager in post at the time of the 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.

The home had a safeguarding policy in place which made staff aware of their roles and responsibilities. We found staff knew and understood how to protect people from abuse and harm and what might constitute abuse.

We found the service was meeting the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).This legislation is used to protect people who might not be able to make informed decisions on their own.

We saw staff were kind and caring toward the people they supported and people were able to participate in a range of social and leisure activities both within the home and the wider community.

We found staff received appropriate levels of training and supervision to carry out their roles effectively and in people’s best interest.

We saw arrangements were in place that made sure people's health needs were met. For example, people had access to the full range of NHS services. This included GPs, hospital consultants, community health nurses, opticians, chiropodists and dentists.

We found that although medication policies and procedures were in place and staff received appropriate training medicines were not always administered safely or as prescribed.

We found people’s needs were assessed and care plans had been put in place to meet their assessed needs although they did not always reflect the care and treatment people actually received.

We saw there was a complaints procedure available which enabled people to raise any concerns or complaints about the care, support or treatment they received.

We found although there was a quality assurance monitoring system in place it had not identified the shortfalls in the service highlighted above and in the body of this report.

We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Inspection carried out on 25 March 2014

During an inspection to make sure that the improvements required had been made

When we inspected in August 2013 we found that records were not being filled in correctly and were not audited. We issued a compliance action which required the provider to ensure they became compliant with this outcome. After our inspection the provider wrote to us to tell us how they would improve their management of records.

At this inspection we found the provider had made improvements and people were now protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

Inspection carried out on 2 August 2013

During a routine inspection

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

People who used the service told us they enjoyed living at the home and were very complementary about the care and support provided by the manager and staff. Comments included “The home is clean and comfortable, the food is excellent and all the staff are kind and caring” and “I am very happy living at The Borrins, all the staff are friendly and approachable and will do anything they can to help and assist you.”

The care staff we spoke with told us there were clear lines of communication and accountability within the home and they were supported by management to carry out their roles effectively through a planned programme of supervision, appraisals and training.

However, we found that the registered care provider did not have effective systems in place to ensure that accurate and up to date records and reports were completed and could be produced promptly when requested.

Inspection carried out on 24 October 2012

During a routine inspection

Five people living at The Borrins told us they were well informed about their care and treatment and staff explained their actions and asked for their agreement before they carried out personal care.

All said they were satisfied with their care and treatment, they made comments such as “excellent” and “living here is very nice”. They told us the staff were helpful and kind and responded quickly when they asked for help. All told us staff protected their dignity and treated them with respect whilst carrying out personal care.

We saw how staff treated people with kindness and courtesy and staff were responsive to subtle changes in people’s mood, which showed a good understanding of each person's needs.

Overall we found care and treatment was planned and delivered in a way that was intended to ensure people's welfare; however improvements needed to be made to ensure staff safely administered medication and staff received the training they needed to care for people safely.

Inspection carried out on 13 March 2012

During a routine inspection

The people we spoke with all told us that they felt comfortable living at the home and felt included and involved in their care. They felt staff cared for them well and staff were helpful in assisting them with their daily living needs.

People felt comfortable speaking to staff about their problems and would have no hesitation in approaching them if they had any concerns about their care or personal safety.

Reports under our old system of regulation (including those from before CQC was created)