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Bramley House Residential Home Good

All reports

Inspection report

Date of Inspection: 5 March 2013
Date of Publication: 16 April 2013
Inspection Report published 16 April 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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 5 March 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We sent a questionnaire to people who use the service, talked with people who use the service and talked with staff.

Our judgement

People did not always experience care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at four people’s care plans. They included information about their personal, health history, emotional, safety, communication, nutritional, social and cultural and religious needs.

Care plans provided guidance and instructions for staff to follow which ensured that they would be able to meet people's needs. We saw that the care plans were up to date. Daily records of people's care were recorded. People we spoke with said that they were happy with the care that they received.

Care and treatment was not always planned and delivered in a way that ensured people’s safety and welfare. We saw that moving and handling risk assessments were completed. Information included details about any equipment that people required to mobilise safely and the number of staff required to ensure that their safety welfare was promoted.

There was evidence of other individual risk assessments. Examples seen included bathing, community access, use of the stair lift and administration of medicines. The risk assessments identified what action should be taken by staff so that risks to people safety could be minimised. However one person's care plan identified that they had a history of wandering. The care plan identified that this person required supervision in the garden but a detailed risk assessment had not been completed. This meant that the service was not always able to demonstrate how they were protecting people against the risks of unsafe or inappropriate care.

One person’s care plan identified that that they had a past history of weight loss before admission. We saw that food intake monitoring records were maintained and regular weight checks were made. We also found that this person was prescribed a food supplement. Staff told us that where any concerns were identified in relation to people’s nutrition a referral was made to the General Practitioner. We found that nutrition screening assessments had not been completed by the home which did not ensure people were protected from the risks of inadequate nutrition or dehydration.

People were supported to access a range of health care professionals including, General Practitioner, district nurses and chiropody. We spoke with a visiting health care professional who said that the staff always followed their instructions.