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Braeside home for the Elderly Ltd Good

Inspection Summary


Overall summary & rating

Good

Updated 26 January 2018

This inspection took place on 8 and 9 January 2018. The first day of the inspection was unannounced. The service was last inspected in October 2016 when it was rated Requires improvement. This was because six breaches of regulations were identified. These were in relation to the management of medicines, safeguarding people from harm, staffing, records, good governance and notifications.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective, responsive and well-led to at least good. This inspection was carried out to check the required improvements had been made.

Braeside Home for the Elderly (HFE) is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home is a detached property and accommodates up to 24 older people on two floors. At the time of the inspection there were 13 people accommodated in the home.

The home had a registered manager in place. 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 registered manager had been in post since January 2017.

We found that since the last inspection, the new registered manager had made significant improvements to the way the home was run; this meant all the regulations we reviewed were now met.

People told us they felt safe in Braeside HFE and that staff treated them well. Our observations showed they were cared for by staff that were kind, caring and respectful of their dignity and privacy.

Staff had completed training in safeguarding adults and knew the correct action to take if they witnessed or suspected abuse. Staff told us they would be confident to use the whistleblowing policy that was in place should they witness poor practice in the service.

People told us there were enough staff on duty to meet their needs in a timely manner. During the first day of the inspection we noted staff did not regularly check on people who were sitting in one of the lounges. However, this improved on the second day of the inspection.

Records we reviewed showed all staff had been safely recruited. Improvements had been made to the training, supervision and support provided to staff by the registered manager. Staff spoken with highlighted training as one of the areas which had been vastly improved by the new registered manager.

We found there were appropriate policies and procedures in place for the safe management of people’s medicines and that people received their medicines as prescribed by health care professionals. Improvements had been made to the way medicines were stored to help ensure they were not accessible to people other than trained staff.

Care records we reviewed were personalised and provided a good level of detail for staff to follow. The initial assessment, completed before people were admitted to Braeside HFE, was used to formulate care plans and risk assessments; these records had been regularly reviewed and updated when people’s needs changed. We noted that people who lived in the home and, where appropriate their relatives, had been involved in these care plan reviews.

People’s communication needs were clearly documented within care plans as well as how staff should support them to express their views and wishes. Staff spoken with demonstrated a good understanding of people’s diverse needs and preferences.

Although all areas of the home were clean, we noted some improvements needed to be made so that people were properly protected from the risk of cross infection. A down

Inspection areas

Safe

Requires improvement

Updated 26 January 2018

The service was not consistently safe.

Since the last inspection, improvements had been made to the way medicines were handled in the service.

People told us they felt safe in the home and there were enough staff to provide them with the support they needed.

Some improvements needed to be made to ensure people were always protected from the risk of cross infection. A business continuity plan also needed to be developed to provide staff with information about the action to take in the event of an emergency at Braeside HFE.

Effective

Good

Updated 26 January 2018

The service was effective.

Staff told us improvements in staff training had been one of the main changes implemented by the new registered manager.

Staff had developed their understanding of the Mental Capacity Act 2005 and its relevance to their role. Appropriate action had been taken to ensure people�s rights were protected when they were unable to consent to their care in Braeside HFE.

Staff worked in partnership with healthcare professionals and people had access to a range of services to help ensure their health needs were met.

Caring

Good

Updated 26 January 2018

The service was caring.

People were very complimentary about staff. People who lived in the home told us staff always respected their dignity and privacy when providing care.

Care records were personalised and provided a good level of detail for staff to follow. Staff demonstrated a good understanding of people�s diverse needs, wishes and preferences.

People who used the service and, where appropriate their relatives, were involved in developing and reviewing plans of care.

Responsive

Good

Updated 26 January 2018

The service was responsive.

Each person�s records contained individualised plans of care to ensure staff knew how to meet their needs, wishes and preferences.

A range of activities were provided. In addition, a system had recently been introduced to help ensure staff spent meaningful time with people on an individual basis

Systems were in place to respond to and investigate any complaints people raised about the care in Braeside HFE.

Well-led

Good

Updated 26 January 2018

The service was well-led.

A new registered manager had been appointed since the last inspection. Our findings showed they had made significant improvements to the way the service was run.

Staff enjoyed working at Braeside HFE and found the registered manager to be supportive and approachable.

Effective systems were in place to monitor the quality and safety of the service.