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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 25 April 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff and reviewed information given to us by the provider.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

We saw that the health and safety of people was promoted, reviewed and audited.

We noted that the complaints system was monitored for appropriate action needed to identify any overall trends where changes may be required to improve quality for people.

We saw that the home was subject to external audits including for example, finances and the home’s business development plan. We also saw the manager did a range of audits including medication, records and care plans, and we noted that there were systems to monitor this. This allowed the provider to monitor the overall quality and approve any actions required.

We spoke with the manager who demonstrated knowledge of the maintenance needs of the service. They were able to identify any emergingrisks so they could be managed to keep people as safe as possible. For example, the windows with the highest risk due to condition were being replaced or repaired first.

This demonstrated to us that the monitoring of the environment had improved and the provider and manager were aware of and monitor progress better and ensure that work occurred in a timely manner.

The provider had an effective system to regularly assess and monitor the quality of service that people received. We saw that quality feedback surveys were distributed to people who used the service and their relatives, to gain their views and experiences in the way the service was provided and delivered. We found the outcome of these surveys had been analysed in order for the service to have an informed view of the standard of care that was being provided and to identify areas for improvement.

The manager gave us an example of where the organisation had analysed the outcome of surveys and house meetings for the people and their relatives, and monitored complaints for trends in order for the service to have an informed view of the standard of care that was being provided and to identify areas for improvement.