Archived: Brendoncare Ronald Gibson House

Updated 28 April 2018

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 was an unannounced inspection and took place on 6, 7 and 9 March 2018.

This inspection was carried out by one inspector over three days.

There were 52 people living at the home. We spoke with seven people, ten relatives and visitors, ten staff, and the registered manager and the organisation’s Head of Care Services.

Before the inspection, 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 also considered notifications made to us by the provider, safeguarding alerts raised regarding people living at the home and information we held on our database about the service and provider.

During our visit we observed care and support provided, was shown around the home and checked records, policies and procedures. These included staff training, supervision and appraisal systems and the home’s maintenance and quality assurance systems.

We looked at the personal care and support plans for six people and five staff files.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 28 April 2018

This was an unannounced inspection that took place on 6, 7 and 9 March 2018.

Brendoncare Ronald Gibson House 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 care home with nursing is registered for up to 56 people. There are three units at the home. Windsor unit is an intermediate care unit, providing short term rehabilitation services for people to support them to return home, after injury or illness. Wessex unit provides care for people living with dementia. Warwick unit provides care for frail or older people, some of whom were receiving palliative care.

The home 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 and associated Regulations about how the service is run.

At the last comprehensive inspection of this service in January 2016, it was rated good overall with a rating of requires improvement in effective. This was because people's rights were not being protected in accordance with the Mental Capacity Act 2005. We conducted a focussed inspection in September 2016 and found the service was now meeting this requirement, however, we could not improve the rating for effective from requires improvement as to do so requires consistent good practice over time. At this inspection, in March 2018, all key questions are rated good and the service is rated good overall.

People and their relatives were very satisfied by the care and support that the home provided particularly regarding the pleasant, friendly and relaxed atmosphere that staff created. There were suitable numbers of staff who met people’s needs in a kind, thoughtful and person centred way.

The home had thorough recording, auditing and quality assurance systems that were comprehensive and up to date. The systems consistently monitored and assessed the quality of the service provided and information was regularly reviewed and recorded in a clear and easy to understand way.

People’s health needs were discussed with them and they had access to community based health professionals as well as nursing and care staff. People had balanced diets that also met their likes, dislikes and preferences and protected them from nutrition and hydration associated risks.

People and their relatives said the meals provided were of good quality and there was a variety of choice. Staff supported people to eat their meals and drink as required whilst enabling them to eat at their own pace and enjoy the experience.

The home was clean, well-furnished and maintained and provided a safe environment for people to live and staff to work in.

Staff were familiar with the people they supported and were appropriately skilled and trained to meet people’s needs well. They were also aware of their responsibility to treat people equally and respect their diversity and human rights. They treated everyone equally and fairly whilst recognizing and respecting people’s differences.

Staff thought the registered manager and organisation provided excellent support and there were opportunities for career advancement.

People and their relatives said they found the registered manager and staff were approachable, responsive and encouraged feedback from them.