Bowgreave Rise Home for Older People received an overall Good rating across all five key questions at its January 2019 inspection, maintaining its previous Good rating. Minor issues were noted around occasional staffing pressures, gaps in the training matrix, and an undocumented verbal reference, but no regulatory breaches were identified.
Concerns (3)
minor
Staffing levels
: “Two staff we spoke with said they felt there were times when they were busy and one of the staff members commented they had felt on occasion they had to prioritise who they responded to.”
minorStaff training: “We viewed a training matrix and saw this contained some gaps as not all staff had attended the required training.”
minorRecord keeping: “In one file we noted two references had been obtained, but there was no reference from the staff members previous employer... the verbal reference had not been documented within the staff file.”
Strengths
· People told us they felt safe and staff demonstrated good knowledge of safeguarding procedures.
· Medicines were managed safely with secure storage and regular staff training in administration.
· Warm, compassionate interactions between staff and residents observed throughout the inspection.
· People and relatives were involved in care planning and reviews, with care adjusted to meet changing needs.
· Robust audit programme covering accidents, incidents, environment, care records, medicines and infection control.
Bowgreave Rise Home for Older People received an overall rating of Good across all five key questions at the unannounced inspection on 12 May 2016. Recommendations were made to review the staffing dependency tool and to ensure the registered manager has full oversight of all quality audits, including those conducted by external agencies.
Concerns (3)
moderateStaffing levels: “Staff told us: "Staffing isn't needs led": "The workload is very high and staffing hasn't changed". And: "There isn't always enough staff on especially in the morning"”
minorGovernance: “The domestic audits were completed by an outside agency and had not picked up on some of the issues we found during the inspection.”
minorPerson-centred care: “"The agency staff just put my meals in front of me and don't tell me what it is but I'm blind and can't see what I'm eating."”
Strengths
· Robust safeguarding procedures in place with confident and knowledgeable staff
· Medicines managed safely with no omissions found in MARs; staff competency checked regularly
· Strong staff culture with positive teamwork and accessible, approachable management
· Good understanding of MCA and DoLS embedded in practice across management and staff
· Person-centred care plans with regular key worker meetings and family involvement in reviews
Quality-Statement breakdown (16)
safe: Staffing levels and dependency tool adequacyGood
safe: Medicines managementGood
safe: Safeguarding and abuse reportingGood
safe: Recruitment processesGood
safe: Risk assessments and accident recordingGood
effective: Staff training and inductionGood
effective: MCA and DoLS understanding and applicationGood
effective: Nutrition, hydration and healthcare accessGood
caring: Dignity, respect and person-centred interactionsGood
caring: Involvement of people and relatives in care planningGood
responsive: Pre-admission assessment and care planningGood
responsive: Complaints handlingGood
responsive: Activities and engagementGood
well-led: Quality auditing and governance oversightGood
well-led: Staff culture and management supportGood
well-led: Feedback systems and continuous improvementGood