Browns Short Break Respite Limited, St Helens.Browns Short Break Respite Limited in St Helens is a Homecare agencies and Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for people whose rights are restricted under the mental health act, dementia, eating disorders, learning disabilities, mental health conditions, personal care, physical disabilities and sensory impairments. The last inspection date here was 4th February 2020 Contact Details:
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Link to this page: 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.
27th March 2017 - During a routine inspection
This was an announced inspection, carried out on 27 and 30 March 2017. ‘24 hours’ notice of the inspection was given because the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be available in the office. Brown's Short Break Respite Limited provides personal care and support to people living in their own homes. Since the last inspection the registered provider had registered with the CQC to offer a residential respite service for up to four people. There were two people staying at the residential respite service at the time of our inspection. There were 60 people being supported within their own homes. Both services are based at the same location in the Parr area of St. Helens. The inspection process included the experiences of people living in their own homes and those using the residential respite service. The last inspection of Brown's Short Break Respite Limited was carried out in August 2015 and we found that the service was meeting all the requirements of the Health and Social Care Act 2008 and associated Regulations. The service had a registered manager who had been in post since January 2012. 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered provider followed robust recruitment procedures which helped to ensure that only staff suitable to work with vulnerable people were employed to work at the service. All staff undertook an induction process and completed mandatory training essential to their roles. There were enough staff in place to meet the needs of the people supported. Prior to people using the service their needs were assessed and risk assessments were put in place. People's care plans included their social and medical histories, likes, dislikes and preferences. Care plans were regularly reviewed and updated as required following any changes. People told us they felt safe and stated they had no concerns about the way they were treated by staff. The registered provider had safeguarding policies and procedures in place for staff to follow. Staff demonstrated a good understanding of abuse and the action they would be required to take should someone be at risk of harm. People told us that they had regular staff supporting, them who were kind, caring and well-trained for their role. They told us staff treated them with dignity and respect. Staff told us they felt supported and always had access to a member of the management team whenever they were working. Staff were confident about dealing with emergency situations and they had details of people and services they may need to contact for advice, guidance or support any time of the day or night. People had personal emergency evacuation plans (PEEPS) in place. The Care Quality Commission is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 and to report on what we find. We saw the policies and guidance were available to staff in relation to the MCA. Staff had a basic understanding of the principles of the Act. Care planning documents included consideration of the MCA which meant that people's rights were protected. People's views about the service were sought by annually through questionnaires and also through care review meetings. The registered provider used this information to further develop the service. The registered provider had systems in place for the monitoring and auditing of the service. This information was used to improve and develop the service.
27th December 2013 - During a routine inspection
At our inspection in August 2013 we found that the service was not meeting some of the essential standards. A warning notice was issued for assessing and monitoring the quality of service provision; instructing that the service made improvements. At this visit we found action had been taken to address some of the issues identified at our previous visits and improvements had been made. Care plans had been reviewed in order to provide staff with instructions as to how to meet people’s needs. Changes to people’s needs included care and medicines, these were not always communicated to the main office in order for them to update the care records correctly. As result we saw that some changes to people’s needs had not been actioned. The service had given staff instructions on how to report and document changes however staff were not all following those instructions. We saw that senior staff were checking records such as daily records and medication records. The records checked by senior staff contained issues such as medications concerns, safety concerns and inappropriate care. These documented concerns had not been recognised by the senior staff checking the records as a result people were placed at risk. We saw that the service had increased its checks on the quality of the service and policies and procedures had been updated. The managers had recruited external professionals to assist them increasing the quality of the service and this had assisted them to make the improvements that have been put into place.
6th March 2013 - During a routine inspection
We spoke with three people and their families about how they were involved in the services provided. They told us that they maintain regular contact with the staff in the office. One person told us “I had one carer whose attitude was terrible. I complained and it was dealt with right away”. We also received a number of positive comments, “The carers are not so bad”, “The staff are alright, they treat me fine and with respect,” “I have no problems with the staff at all”, “I couldn’t be better treated if they were my own family”, “I have no complaints, whatsoever”, “They (staff) treat me very well. They are always courteous, can’t speak too highly of them” and “They (staff) have been marvellous, can’t fault them at all”. Staff told us that they were kept informed of changes in people’s condition and had received relevant training. We received information from social services regarding some areas within the service that needed to be improved and actions that the service had already taken to increase the quality of the service provided. We have asked or pharmacist inspectors to review medication management in the next few months
1st January 1970 - During a routine inspection
This was an announced inspection, carried out on 21 and 26 August 2015.
The service provides care and support to people living in their own homes. The office is based in the Parr area of St Helens.
The service has had a manager registered with CQC since January 2012. 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 last inspection of Browns Short Break Respite Limited was carried out in August and September 2014 and we found that the service was not meeting all the regulations that were assessed. The registered provider sent us an action plan outlining how and when they intended to meet the regulations. During this inspection we found that the required improvements had been made within the timescale set by the registered provider.
Improvements had been made to ensure people could access their care plans and be fully involved in the reviewing of them. Pictures and symbols were used so that people who had difficulty reading could access their care records.
People told us they liked the staff and that they felt safe during the time they received a service. Family members had no concerns about their relative’s safety and the way their relative was treated. Staff knew what their responsibilities were for responding to any concerns they had about a person’s safety, including allegations of abuse. Training provided to staff and information made available to them helped to ensure people were safeguarded from abuse and avoidable harm.
An assessment of people’s needs was carried out and appropriate care plans were developed to meet people’s needs. Care plans were person centred and detailed people’s preferences with regards to how they wished their care and support to be provided. Care plans were regularly reviewed with the involvement of the person the care plans were for and other significant people such as family members and relevant health and social care professionals.
Processes for recruiting staff were safe and thorough to ensure staff were suitable for their role. People’s needs were understood and met by the right amount of skilled and experienced staff.
Staff ensured that people received the care and support they needed and were confident about what to do in an emergency situation. Medication was managed safely and people received their medication at the right times.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS) and to report on what we find. Policies and procedures were in place to guide staff in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager understood what their responsibilities were for ensuring decisions were made in people’s best interests.
Staff received an appropriate level of support and training relevant to the work they carried out and meeting the needs of people who used the service. People told us they liked the staff and family members told us they were confident that their relative had received the right care and support. People built positive and trusting relationships with staff and people said staff were caring, kind, respectful and polite.
The culture of the service was positive and open. People who used the service and their family members described the registered manager as being approachable and supportive. The quality of the service was regularly checked and people’s views about the service was obtained and acted upon.
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