Archived: The Borrins Care Home

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.

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.

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.

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.