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Hunters Moor Neurorehabilitation Centre for the West Midlands - The Janet Barnes Unit Good

Reports


Inspection carried out on 7 and 8 March 2016

During a routine inspection

  • We rated Janet Barnes unit as Good because
  • Treatment was effectively organised to help maximise patient recovery and potential.
  • Patients had access to good physical and psychological healthcare.
  • There was effective team working to integrate physical, cognitive, and psychological recovery.
  • There were sufficient staff to ensure patient safety.
  • The service learned from past incidents and complaints to improve.
  • Overall, staff were positive and encouraged patient recovery and well-being.
  • Patients and relatives were involved in and informed of treatment and progress.
  • Patients and relatives were able to raise any concerns or complaints and have them addressed.
  • There was good medicine management.
  • Patients’ rights were safeguarded whilst on the unit.
  • The unit was clean and well-maintained.
  • Patients, relatives and staff were positive about the new manager, who they saw as approachable, involved and responsible for improvements in the running of the service. It was clear that, under the new manager, the service had made major improvements since the previous inspections.

However,

  • Not all staff received regular supervision to help support them in carrying out their duties effectively.

Inspection carried out on 5, 6, 13 March 2014

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

Prior to our visit we were aware that the provider’s services including this location had been acquired by a new parent company. There has been a change of registered manager since our visit.

Some people who used the service were unable to tell us their experiences because of their complex needs. We spoke to four of the people who use the service, the manager, deputy manager, seven members of staff and the relatives of three people who used the service. We observed care and looked at people’s care records.

Care was planned and designed to meet people’s individual health and welfare needs. A relative of a person who used the service told us, “The new management has changed things”.

We found that the provider had commenced working with the local health authority and other health care providers to protect the health, safety and welfare of the people who used the service. However, existing arrangements meant that people were still at risk of not having their on-going individual care and welfare needs met.

We found that appropriate arrangements were not being undertaken in order to manage the risks associated with the unsafe use and management of medicines.

The provider monitored the quality of the service however they did not always take action against known risks.

Some care records were not completed or kept up to date in order to support staff to meet the care needs of the people who used the service. Some records were not stored securely.

Inspection carried out on 3, 7 June 2013

During a routine inspection

Some people who used the service were unable to tell us their experiences because of their complex needs. We spoke to four of the people who use the service, the manager and six staff. We also spoke to two relatives. We looked at care records and other documents relating to the management of the service provided.

Care was planned and designed to meet the individual health and welfare needs of the people who used the service. A visitor of a person who used the service told us, “They know [my relative] really well. I am happy to leave him in their care when I go home”.

The provider had worked to improve cooperation with other providers to protect the health, safety and welfare of the people who used the service but people were still at risk of not having their on-going individual care and welfare needs met.

People were protected against the risks associated with medicines because the provider had the appropriate arrangements for managing medicines safely.

We found that care workers were skilled, qualified and competent to provide people with the care they required to meet their individual needs.

The provider did not have an effective system in place to assess and monitor the quality of the service provided and to make changes as necessary to protect people against the risk of unsafe care and treatment.

Care records were up to date and fit for purpose but the provider had no process for ensuring records were kept for an appropriate length of time.

Inspection carried out on 26 November 2012

During a routine inspection

Some people who used the service were unable to tell us their experiences because of their complex needs. We spoke to three people who use the service, two nurses, one care assistant and three relatives. We also looked at records relating to treatment and other aspects of the service provided

We saw that all of the staff at the home treated people with warmth and kindness. A relative told us, “Staff get as excited as much as we do when people show improvement”.

The people who use the service were involved in influencing the care and welfare they received.

Care was planned and designed to meet the individual health and welfare needs of the people who used the service.

The people who use the service were at risk of not having their ongoing individual care and welfare needs met because all health care was not coordinated between providers.

People were not protected against the risks associated with medicines because the provider did not store or record their use properly.

We found that care workers were skilled, qualified and competent to provide people with the care they required to meet their individual needs.

The provider did not have an effective system in place to assess and monitor the quality of the service provided to protect people against the risk of unsafe care and treatment.

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.

Inspection carried out on 27 October 2011

During a routine inspection

People we spoke with were happy with the care and support they were receiving. One person said, "I am out of here soon, yes it has done its job." Some people we met were unable to verbally share their experiences with us. We saw people looking calm and happy and some kind interactions between staff and the people using the service.

People were offered a lot of therapy sessions, but people told us there was not much opportunity to relax or do hobbies. One person said," There are some things to do, but it is a bit boring."