About the service: Brownhills Nursing Home is service that provides accommodation, nursing and personal care for up to 50 people. At the time of our inspection, 45 older people were living in the home, some of whom may have a physical disability and/or dementia.Brownhills Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is in one adapted building over two floors.
Rating at last inspection: At the last inspection the service was rated Requires Improvement. The report was published 18 March 2018.
Why we inspected: This was a scheduled inspection based on the previous rating.
People’s experience of using this service:
¿ People continued to tell us they felt safe and well supported.
¿ Staff had a good understanding in how they protected people from harm, and recognised different types of abuse and how to report it.
¿ Incident reports were not reviewed in a timely way and action taken to address this was inconsistent.
Potential risks to people had been identified and people had involved with decisions in how to reduce the risk of harm.
¿ There were enough staff on duty to keep people safe and meet their needs.
¿ People’s medicines were managed in a safe way. However people's prescribed creams were not stored securely.
¿ Safe practice required improvement to reduce the risk of infection.
¿ People’s care continued to be assessed and reviewed with the person involved throughout.
¿ People were supported to have a healthy balanced diet and were given food they enjoyed.
¿ 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 support this practice.
¿ Staff worked with external healthcare professionals and followed their guidance and advice about how to support people following best practice.
¿ Staff treated people as individuals and respected the choices they made.
¿ People’s care was delivered in a timely way, with any changes in care being communicated clearly to the staff team.
¿ People were not always supported to maintain their hobbies and interests. The upstairs communal area did not always meet people's social needs.
¿ People had access to information about how to raise a complaint, where complaints had been received the provider had managed these in line with their policy.
¿ The registered manager was visible within the service, they spent their time listening to people, relatives and staff.
¿ The registered manager had failed to consistently notify CQC of all notifiable incidents that happened within the service.
¿ The registered manager did not always clearly evidence action they had taken to address shortfalls reported within the service.
¿ The checks the registered manager made to ensure the service was meeting people’s needs focused upon people’s views and experiences.
Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.
Enforcement: Action we told provider to take (refer to end of full report)
For more details, please see the full report which is on the CQC website at www.cqc.org.uk