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Bramley House Residential Home Good

All reports

Inspection report

Date of Inspection: 25 April 2014
Date of Publication: 29 August 2014
Inspection Report published 29 August 2014 PDF

Overview

Inspection carried out on 25 April 2014

During a routine inspection

The last inspection found shortfalls with regards to the safety of the environment and set a compliance action.

At this inspection, in addition to inspecting in other areas, we also reviewed the actions the provider had taken in response to the compliance action. We found that the provider had met the previous compliance action.

During our inspection we set out to answer our five questions; Is the service safe?, Is the service effective?, Is the service caring?, Is the service responsive?, Is the service well led?

Below is a summary of what we found. The summary is based on our observations during our visit, discussions with people who used the service, their relatives, the staff supporting them and looking at records.

Is the service safe?

We found the service provided safe and appropriate care and had identified risks to people who used the service. As a result people�s safety was ensured as plans were put in place to manage the risks identified. Staff were aware of the safeguarding procedures and had received training to ensure they had the most up to date guidance in relation to this. People who used the service told us they had no complaints and felt safe at the home.

We found that that the concerns identified in the previous inspection in relation to the environment had been addressed.

Is the service effective?

All the people who used the service told us the home was a �Lovely place� and they �Liked� being there. People�s health and care needs were assessed with them, and people who used the service told us that they were involved in their care plans. We observed that people could move around the home and grounds freely and independently or with support if they needed this. We saw that staff promoted people�s independence and gave people the level of support they wanted, with knowledge and practices that reflected the care plan.

Is the service caring?

We saw that people�s preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people�s care plan.

We observed staff took time to make sure that people were not hurried or rushed. We saw that people were relaxed and that interactions with staff were positive.

Is the service responsive?

We found that the service responded appropriately to any risks to peoples safety. For example one person moved furniture on their own and the service responded to this by making sure that they monitored that this person did not put themselves at harm or risk of harm.

We saw that if people�s needs could no longer be met by the service then this was identified promptly so that the appropriate care could be provided. The service responded to comments and complaints and had regular meetings to make sure that they met people�s needs.

Is the service well-led?

People who used the service told us they had no complaints about the service. The service had made the necessary improvements to ensure that people were safe and responded in a timely manner.

We saw that the provider attended the service on a regular basis to keep updated and in touch with how the home was running. We spoke with the manager who demonstrated knowledge of the maintenance needs of the home identified in the last report and an awareness of risks so they could be managed to keep people as safe as possible. For example some windows had been replaced due to their poor condition.