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Bromley Park Dementia Nursing Home, Beckenham.

Bromley Park Dementia Nursing Home in Beckenham is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia and treatment of disease, disorder or injury. The last inspection date here was 5th January 2019

Bromley Park Dementia Nursing Home is managed by Nellsar Limited who are also responsible for 12 other locations

Contact Details:

    Address:
      Bromley Park Dementia Nursing Home
      75 Bromley Road
      Beckenham
      BR3 5PA
      United Kingdom
    Telephone:
      02086505504
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-01-05
    Last Published 2019-01-05

Local Authority:

    Bromley

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

6th November 2018 - During a routine inspection pdf icon

This inspection took place on the 6 and 9 November 2018 and was unannounced. Bromley Park Dementia Nursing Home is a care home that specialises in care and support for people living with dementia. The home can accommodate up to 38 people in single rooms. 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. At the time of our inspection there were 35 people living at the home.

The service had an experienced registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager was aware of their legal requirement to display their current CQC rating which we saw was on display within the home and on the provider’s website.

At our last inspection of the service on 24 and 25 October 2017 we rated the service overall as 'Requires Improvement'. This was because although there had been considerable improvements to the service following our inspection in April 2017 where we found concerns and took enforcement actions, further improvements were required to ensure changes made were consistently embedded at the home over time. We also found a breach of regulation 12 as some changes in risks for some people had not always been identified, monitored or guidance provided to staff.

At this inspection we found continued improvements had been made across all key questions and the breach of Regulation 12 had been met.

Risks to people were identified, assessed and managed by staff to help keep people safe and well. Medicines were managed, administered and stored safely. People were protected from the risk of abuse, because staff were aware of the types of abuse and the action to take to ensure people’s safety and well-being. There were systems in place to ensure people were protected from the risk of infection and the home environment was clean and well maintained. Accidents and incidents were recorded, monitored and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff to meet people’s needs in a timely manner.

People’s needs and preferences were met by suitably skilled staff with the right knowledge and experience. There were systems in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s physical, mental and social needs were assessed before they moved into the home. The home environment was suitably maintained and adapted to meet people’s needs. People were supported to eat a well-balanced diet. People were supported to maintain their health and well-being.

People were supported to maintain relationships that were important to them. There were established and affectionate relationships between staff, people and their relatives. People were able to express their views, were involved in decisions about their day to day care and were provided with information about the service. People's privacy and dignity was respected and maintained.

People’s diverse needs were met and staff were committed to supporting people to meet their needs with regard to their disability, race, religion, sexual orientation and gender. People were involved in making decisi

24th October 2017 - During a routine inspection pdf icon

This unannounced inspection took place on 24 and 25 October 2017. At out last inspection on 6, 7 and 10 April 2017 we had found considerable concerns about the systems used to assess and monitor risk which had impacted negatively on people’s care. Quality assurance checks were not effective at identifying the concerns we found. We found serious breaches of regulations around the governance of the home. We also identified five other breaches of regulations in relation to safeguarding people from neglect, medicines management, staffing, staff training and involving people or their relatives in decisions about their care. The home was rated Inadequate overall and placed in special measures.

Some incidents were brought to the attention of the local authority and clinical commissioning group (CCG), by the home and CQC during this inspection and a provider concerns process was put in place. The provider had placed a voluntary restriction on new admissions during this period

We had served a warning notice in respect of the more serious breaches found in relation to the governance of the home. We had carried out a focused inspection on 25 and 26 July 2017 to check that improvements to these more serious concerns had been addressed. We found some improvements had been made.

We carried out this inspection in line with our special measures guidance and to check that sufficient progress had been made to reduce risks and meet all the fundamental standards.

Bromley Park Dementia Nursing Home is a care home that specialises in care and support for people living with dementia. 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 can accommodate up to 50 people in one adapted building. At the time of the inspection there were 27 people living at the home.

There was a registered manager in post and a new manager had just come to work at the home. 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.

There had been a considerable amount of change required. At this inspection on 24 and 25 October 2017 we found considerable improvements had been made across all key questions.

However, there remained some room for improvement to ensure the changes were consistently embedded at the home over time. We found that most risks to people were identified assessed and monitored well. However, we found a breach of regulation as some changes in risk for some people had not always been identified or monitored or guidance provided to staff. For example the need for a call bell had not been identified for one person or the need for a wound care plan for another person. You can see the action we have asked the provider to take at the back of the full version of this report.

Records related to risk had improved and the registered manager was working to monitor and ensure improvements became embedded. Care plans needed some improvement to ensure accuracy and that people’s needs were reflected consistently in the care plan.

Leadership at the home had improved significantly and we found this had improved outcomes for people. Most people could not express a view about their care but feedback we received from relatives, visitors and professionals confirmed that they had noticed considerable improvements to the quality of care provided. We observed the culture of the home had changed and care was now more directed by the needs of people and the aim to provide personalised care. There was a range of meetings to ensure effective communication between staff at the home and people’s views were sought

25th July 2017 - During an inspection to make sure that the improvements required had been made pdf icon

This unannounced focused inspection took place on 25 and 26 July 2017. The inspection was planned to focus on the more significant breaches of regulation and areas of significant risk we had found at our last comprehensive inspection on 7, 10 and 12 April 2017.

At the comprehensive inspection in April 2017 we had found serious breaches of regulations around the governance of the home. This had impacted on the safe running of the home and the systems used to assess and monitor risk which had negatively affected people's care and safety. The provider’s quality assurance checks had not been effective at identifying the concerns we found. We took enforcement action and served a Warning Notice which told the provider to meet legal requirements in respect of the regulation breached by 5 June 2017. The home was rated Inadequate overall and was placed in special measures. We had discussed our concerns with the provider and manager at the time; the provider had voluntarily agreed to impose their own embargo on new admissions during the inspection and this remained in place at this inspection.

Following our inspection we had raised concerns about our findings with the local authority and Clinical Commissioning Group. A number of safeguarding alerts were raised in relation to people’s care; these were under investigation by the local authority at the time of this inspection. The local authority had also imposed an embargo on new admissions to the home on 5 May 2017; this also remained in place.

This report only covers our findings in relation to the more serious breaches identified at our last inspection and in our warning notice. You can read the report from our last comprehensive inspection, by selecting the link for Bromley Park on our website at www.cqc.org.uk. Other breaches of regulations were found at the comprehensive inspection in April 2017 in relation to medicines management, following safeguarding processes, person centred care, staff training and staffing levels. We served requirement actions and the provider sent us an action plan in respect of these breaches. This will be followed up at the next comprehensive inspection which, because the home is in special measures will take place within six months of the publication date of the report from the comprehensive inspection in April 2017.

Bromley Park Dementia Nursing Home is registered to provide accommodation and nursing care for up to 50 people living with dementia. On the day of the inspection there were 33 people using the service.

There was no registered manager in post at this inspection. There had been a number of managers at the home since the departure of the previous registered manager in October 2016. At the time of the last comprehensive inspection in April 2017 a new manager had recently started at the home; however, they left the home at the end of May 2017. The provider’s practice development manager had become the manager of Bromley Park at the beginning of June 2017. They were in the process of submitting an application to register as manager with the 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.’

At this inspection we looked at the action taken to address the more significant breaches of regulation we had identified in the Warning Notice served on the provider following the last inspection. Relatives told us they felt there had been changes for the better. We found improvements had been made to the systems of identifying, assessing and monitoring risk and there were improvements in the governance at the home. There was a range of protocols in place to guide nurses about the actions to take in response to sudden deterioration in people’s conditions. Audits we

7th April 2017 - During a routine inspection pdf icon

This inspection took place on 07, 10 and 12 April 2017 and was unannounced. At the last comprehensive inspection on 07 and 08 October 2014 the home was rated good.

Bromley Park Dementia Nursing Home is registered to provide accommodation and nursing care for up to 50 people with dementia. On the day of the inspection there were 37 people using the service. Since the last inspection there had been some changes in the management team at the home. At the time of this inspection there was no registered manager or deputy manager in place. The previous registered manager had left the home in October 2016. A new manager had been appointed and had left in January 2017. Another new manager had been appointed and had just started work at the home in March 2017. 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.

At this inspection we found considerable concerns about the systems used to assess and monitor risk which had impacted negatively on people’s care. Quality assurance checks were not effective at identifying the concerns we found. We identified problems that had arisen prior to the new manager’s arrival which impacted on the current safe running of the home. We found a serious breaches of regulations around the governance of the home. Following our inspection we raised concerns about our findings with the local authority and CCG.

The provider’s systems had not always alerted them to the concerns we found. However, during the inspection the manager and operations manager took prompt action to address the more serious risks we found. The provider and manager were open about the concerns and issues found, and demonstrated a commitment to address them promptly and effectively. The manager had identified some issues since starting work at the service, in particular about medicines management and staff competency. We saw that they had already taken some action to address the concerns; however we were unsure that these had been embedded into staff practice. Following the inspection the provider sent us an action plan which included a system of support for the manager to ensure they could start to embed good practice across the home.

We also found further breaches of regulations as people were not always protected from neglect, some areas of medicines management, such as medicines that may need to be administered covertly, were not safely managed. Other areas of risk to people were not always assessed or action taken to reduce risk. There were not always enough staff to meet people’s needs and staff did not always have sufficient training to be able to meet people’s need safely. Care plans had been recently reviewed; however, they were not always reflective of people’s needs and staff were not always aware of what people’s current needs were. People or their relatives told us they were not always involved in the planning of their care. You can see the action we have asked the provider to take in respect of these breaches at the back of the full version of this report. Full information about CQC’s regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.

There were areas for improvement as we observed that people were not always treated with sufficient dignity and respect.

The overall rating for this service is ‘Inadequate’ and the service is therefore ‘special measures’. Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months. The expectation is that providers found to have been providing inadequate care should have made

4th March 2013 - During an inspection in response to concerns pdf icon

People we spoke with told us that they were happy at the home and that the staff were kind. However, we found that there were not always enough staff working at night to support people to go to bed at their preferred times and that people were not always adequately supported whilst others were being assisted to bed.

20th August 2012 - During an inspection to make sure that the improvements required had been made pdf icon

People we spoke with said they were supported in the way they wanted and staff were caring and helpful. They said they could express their choices and were happy with the care they received. They said the staff were respectful and friendly.

A relative we spoke with said that they were satisfied with the care provided at the home which had improved in the recent months.

28th February 2012 - During an inspection to make sure that the improvements required had been made pdf icon

People experienced care in an environment where their individual needs were met by staff and other professionals.

31st August 2011 - During a routine inspection pdf icon

People told us that they were happy with the care at the home. They said that they were well cared for and that the staff were friendly and supportive.

However, in our review of the service which included discussions with the local authority, we found concerns with the care and welfare of people who use services, and in supporting workers. For these areas we have asked for immediate improvement.

1st January 1970 - During a routine inspection pdf icon

This inspection took place on 07 and 08 October 2014 and was unannounced. At a previous inspection on 04 March 2013 the provider was not meeting the legal requirements in relation to staffing.  We found there were not enough staff to meet people’s needs. We asked the provider to take action to remedy this. At our inspection of 07 and 08 October we found improvements had been made and the regulations had been met. People and their relatives told us there were enough staff. The manager had increased staff numbers across all aspects of the service. We observed that people’s needs were attended to promptly.

Bromley Park Dementia Nursing Home provides accommodation and nursing care for up to 38 people with dementia. On the day of the inspection there were 37 people using the service.

There was a registered manager in place who had been at the service since February 2014. 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.

People told us they felt safe and well cared for. The atmosphere was calm and relaxed when we visited. We saw risks to people were identified and plans put in place to address these. Staff attended to people’s needs promptly and showed patience and care. Staff were evident in all parts of the premises to provide support. Relatives were happy with the care provided.

People’s needs were assessed and their preferences identified as much as possible across all aspects of their care. Risks were identified and plans in place to monitor and reduce risks. People had access to relevant health professionals when they needed.  Specialist support was sought for staff to help improve their understanding and management of aspects of people’s dementia.

There were a number of changes to the premises since our last inspection. The communal areas of the service and some bedrooms had been refurbished. Plans were in place to continue this work on a gradual basis. There was now a dedicated activities room, hairdresser’s room and visitor’s space. A range of suitable activities were organised that catered for people’s varied needs.

Staff told us the manager had made considerable improvements at the service. We found they had identified gaps in training records which they were addressing. Care plans had been reviewed and audited and work was in progress to make these a clear detailed guide for staff with the involvement of people, or their relatives if appropriate. There was a clear system of audits to monitor the quality of the service and actions identified were addressed.

 

 

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