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Archived: The Borrins Care Home Requires improvement

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 March 2019

About the service: The Borrins Care Home is a 25 bedded residential care home for older people and people with physical disabilities. At the time of our inspection there were 19 people using the service.

People’s experience of using this service:

At our last inspection in August 2017 the service was ‘good’ in all of the key questions and ‘good’ overall. Since then the service had been taken over by a new provider HC-One Oval Limited who were trying to sell the home.

At this inspection we found the service had deteriorated to ‘requires improvement’ in four of the key questions and ‘requires improvement’ overall.

There were not enough staff to keep to people safe and meet their care needs. Staff were not always available to provide the necessary supervision to people who were at risk, for example, of choking or falling. The lack of staff also impacted on the activities programme as the activities co-ordinator was frequently providing personal care.

Staff training was not up to date and staff did not feel supported and told us staff morale was poor. Staff supervisions and appraisals were not up to date.

Staff were recruited safely. People using the service and relatives spoke well of the care staff and told us there was a nice friendly atmosphere in the home.

Some improvements need to be made to ensure medicines were managed safely and available to people as prescribed.

People who used the service were very complimentary about the meals. The chef was very aware of people’s individual preferances and catered for these.

Care plans for people using the service were in the process of being up dated. Some information did not reflect people’s current needs and the support they required from staff. Risk assessments were in place but action had not always been taken to reduce or eliminate identified risks.

Appropriate referrals were being made to the safeguarding team when this had been necessary.

There was a complaints procedure available which enabled people to raise any concerns or complaints about the care or support they received.

Audits and checks were carried out, however, these were not always effective in identyfing areas which needed to be improved.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

More information is in the full report.

Rating at last inspection:

Good (report published 25 August 2017).

Why we inspected:

This inspection was brought forward due to information of concern. We had received eleven notifications since the last inspection regarding people developing pressure ulcers. We had also received concerns there were not enough staff on duty to make sure people’s needs were met.

Enforcement:

We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around staff training and support and governance. Details of action we have asked the provider to take can be found at the end of this report.

Follow up:

As the service has been rated ‘requires improvement, we will request an action plan from the registered provider about how they plan to improve the rating to Good. In addition, we will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 27 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 27 March 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 27 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 27 March 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 March 2019

The service was not always well-led

Details are in our Well-Led findings below.