Archived: Kings Bromley

Updated 23 March 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 18 February 2016 and was unannounced. The inspection was undertaken by two inspectors with the support of an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and the information we held about the service including statutory notifications the provider sent us when we planned the inspection. A statutory notification is information about important events in the home which the provider is required to send us by law.

We spoke with 14 people who used the service, seven relatives and visitors, 9 members of the care staff, the activities coordinator, the deputy and registered managers and the area manager for the provider. We spent time observing care in the communal areas of the home to see how staff interacted and supported people who used the service.

We looked at the care records for four people to see if they accurately reflected the care people received. We also looked at three recruitment files and records relating to the management of the home including quality checks, training records and staff rotas.

Updated 23 March 2016

This inspection took place on 18 February 2016. At out last inspection on 2 May 2013 the provider was meeting the standards we inspected. Kings Bromley Nursing Home provides accommodation and nursing care for up to 55 elderly people. There were 44 people using the service at the time of our inspection.

The service had a registered manager. 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.

Staff had not recognised that some incidents which occurred in the home should have been reported as safeguarding concerns. People were supported by suitably recruited staff however, at times, there were insufficient staff available to meet people’s needs in a timely manner. Risks associated with people’s care, such as the safest way to support their movement, were assessed. People received their prescribed medicines to keep them well as there were processes in place to ensure medicines were administered, recorded and stored correctly.

Staff received training and support to gain the skills and knowledge to provide care for people. The provider understood the principles of the Mental Capacity Act 2005 and supported people to make decisions which were in their best interest.

People were provided with food and drinks in the most appropriate way to meet their needs. People’s health and wellbeing was monitored and the support of healthcare professionals was sought whenever specialist advice was required. Staff spoke to people politely and provided kind and compassionate care. People’s privacy and dignity was maintained. Relatives and visitors were welcomed by staff and could visit whenever they wished.

People were asked about likes, dislikes and important information about themselves so that staff could provide care in the way they preferred. People were offered opportunities to socialise and had support to take part in activities which interested them. People and their relatives felt empowered to raise any complaints or concerns directly with the registered manager.

People, their relatives and staff thought the home was well-led and the registered manager was approachable. There were opportunities for people to share their views and we saw the provider took action to make improvements when necessary. There was an audit programme in place to monitor the quality of the service.