Background to this inspection
Updated
13 April 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 22 February and was unannounced.
It was carried out by two inspectors.
The inspection was prompted by concerns raised by the Clinical Commissioning Group quality monitoring team following their visit. Their concerns were that there was only one hoist to share between 22 people who were using the service. The service did not have a suction machine. When people were using bed rails they were not protected by bumpers. Staff had not been trained in the use of syringe drivers or End of Life care.
During our inspection we checked the number of hoists in use, checked eight bedrooms of people who used bed rails to see if they had protective bumpers in place and saw a new suction machine.
We spoke with the manager, the care manager, the regional manager, a unit manager, a senior care assistant, a registered nurse and two care assistants.
We reviewed six people’s bed rail risk assessment records, staff training records for end of life care, a number of emails sourcing training and equipment purchases.
Updated
13 April 2017
Bletchley House Residential Care and Nursing home provides accommodation for up to 44 people who are elderly and frail, some of whom maybe living with dementia. The home is owned and managed by Gold Care Homes Ltd. At the time of our inspection 22 people were using the service.
This inspection took place on 22 February 2017 and was unannounced.
The inspection was carried out by two inspectors.
Prior to this inspection we had received concerns that there was only one hoist to share between 22 people who were using the service. The service did not have a suction machine. When people were using bed rails they were not protected by bumpers. Staff had not been trained in the use of syringe drivers and end of life care.
This report only covers our findings in relation to these concerns, therefore the rating from the previous inspection remains unchanged. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ACS Care Services Ltd on our website at www.cqc.org.uk.
There was a manager in post who was in the process of registering with the Care Quality Commission (CQC).
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 access to a body hoist and a standing hoist to assist people.
A suction machine had been purchased and in place.
People were protected with bumpers when using bed rails.
People who needed a syringe driver were not being admitted as staff had not been trained in the use a new type.
Staff had received training in End of Life Care.