- SERVICE PROVIDER
Mrs N Matthews
This is an organisation that runs the health and social care services we inspect
Registration details
The provider ID for Mrs N Matthews is 1-101704502. These are the registration details of the provider Mrs N Matthews. They set out what services Mrs N Matthews can legally provide, where they can provide them and who is responsible for them.
Accommodation for persons who require nursing or personal care
Condition of this registration relating to carrying out this regulated activity
The Registered Provider must ensure that the regulated activity accommodation for persons who require nursing or personal care is managed by an individual who is registered as a manager in respect of that activity at or from all locations.
The Registered Provider must within seven days of this condition taking effect, and for each first Monday of every month thereafter, ensure that all staff are suitably competent and trained to assess, plan, and manage risks including the administration/management of medicines and behaviours that are associated with dementia for the role they are to undertake. The Registered Provider must provide a report to the Care Quality Commission following such review on every first Monday of every month.
The Registered Provider must within seven days of this condition taking effect ensure that all service users’ care needs are reviewed and assessed, and a copy of this review be sent to the Care Quality Commission each first Monday of every month, identifying any shortfalls and the actions taken in response. The review must:
i. Identify risks associated with service users’ care needs including falls risks, choking risks, support with manual handling;
ii. Update care plans and risk assessments to include personalised care needs. These need to include, but not be limited to, risks in relation to living with dementia, diabetes, and falls.
iii. Ensure escalation to appropriate medical professionals takes place as necessary which should include utilising specialist advice from a multidisciplinary professional team to assess and mitigate the risks relating to behaviours that are associated with people living with dementia and other health conditions.
iv. Identify where care plans, risk assessments and health monitoring assessments are missing for medical conditions and put these in place immediately.
v. Ensure service users have personalised care plans and risk assessments in place detailing what support staff need to provide to meet their individualised needs and risks, including dietary needs.
vi. Include a full review of all service users’ medicines.
The Registered Provider must within seven days of this condition taking effect,and for each first Monday of every month thereafter, ensure sufficient levels of staff are always deployed to meet the needs of service users in a safe and personalised manner. The Registered Provider must ensure staffing levels have been reviewed, met, and amended to meet service users’ dependency and care needs as required. The Registered Provider must supply the Care Quality Commission with details of any actions taken in response to identified shortfalls. The Registered Provider must supply the Care Quality Commission with staff rotas to demonstrate that each shift has been staffed as assessed. The Registered Provider must provide a report to the Care Quality Commission following such review on every first Monday of every month.
The Registered Provider must within 28 days of this condition taking effect, undertake a full review and evaluation of their quality assurance systems to ensure effective systems are in place at Brockenhurst. As part of the review and evaluation consideration must be made to the following:
i. The quality assurance process is fit for purpose and includes governance and oversight of incidents and accidents.
ii. Assessment, evaluation and evidence of risk assessments to meet the needs of the service users.
The Registered Provider must provide a written report to the Care Quality Commission within 28 days of this condition taking effect and on each first Monday of every month thereafter. The report must include a summary of reviews/ audits that have taken place at Brockenhurst to include when and by whom these reviews/ audits were undertaken. These reviews/ audits must include a summary of the findings of each review/ audit undertaken, a summary of what action you have taken because of any review/ audit, including the actions that have been taken if any errors or omissions are found and how risks are to be mitigated as much as possible.
Terms of this registration relating to carrying out this regulated activity
We have imposed the following conditions for the regulated activity stated above:
1. The provider must not admit any new service users for care or treatment to Brockenhurst, 44-46 Arundel Road, Littlehampton, BN17 7DD, without the prior written agreement of the Care Quality Commission. This includes repeat admissions, respite and emergency admissions.
2. Prior to admitting any new service users, the registered provider must provide CQC with an assessment of the new service user’s care and treatment requirements, and how they will meet them, to ensure the safe care and treatment of people who use the service.
3. The provider must maintain the ongoing services of a consultant who specialises in supporting the management of care homes for people with dementia. The consultant should support the management of the service, including, but not limited to, the assessment, monitoring, review and mitigation of risks relating to the health, safety and welfare of service users. This support to remain in place until such time as a manager is registered with the Care Quality Commission.