Archived: The Borrins Care Home

Updated 18 October 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 10 August 2016 and the inspection was unannounced. The inspection was carried out by two inspectors and 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. In this case their area of experience was services for older people and people living with dementia.

We used a number of different methods to help us understand the experiences of people who used the service. We spent time observing care and support being delivered. We looked at five people’s care records, medicines administration records (MAR) and other records which related to the management of the service such as training records, staff recruitment records and policies and procedures.

We spoke with ten people who were living at the home and four relatives. We also spoke with the registered manager, six care staff, the chef, the activities co-ordinator and the maintenance person.

Following the inspection we spoke with the Local Authority Commissioning team and Safeguarding Unit.

Before the inspection we reviewed the information we held about the home. This included looking at information we had received about the service and statutory notifications we had received from the home. We also asked the provider to complete 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. The registered provider returned the PIR and we took this into account when we made judgements in this report.

Updated 18 October 2016

The inspection took place on 10 August 2016 and was unannounced.

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.