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Bramley House Residential Home Good

All reports

Inspection report

Date of Inspection: 13 September 2013
Date of Publication: 8 November 2013
Inspection Report published 08 November 2013 PDF

Overview

Inspection carried out on 13 September 2013

During a routine inspection

People who use the service and their representatives were asked for their views about their care and treatment and they were acted on.

People told us the staff were nice and treated them with respect. They said they were offered choices, the food was good and they could have an alternative if they didn�t like the menu. One person told us they had seen that some people get special diets and that everyone was catered for here.

People also told us their room was not too hot or cold and they liked their rooms and the home.

Two people that we were speaking to in a group said they felt listened to, had no complaints and agreed they couldn�t fault the home.

We saw that care and treatment was planned and delivered in a way that ensured people�s safety and welfare.

We concluded that people who use the service, staff and visitors were not protected against the risks of unsafe or unsuitable premises. This was because the provider had not maintained water supplies for washing and bathing to safe working temperatures; not managed identified asbestoses safely; had left, chemical and sharps hazards accessible to people; had not fitted sufficiently robust window restrictors and had not ensured windows were secure or safe. They also had not ensured all doors had expanding smoke strips to slow the spread of smoke during a fire; had not protected staff from passive smoking; and had left unsupervised areas that contained tripping hazards, steep short stairs and hazardous chemicals, unsecured and accessible to people.

Although we found concerns there were areas of good practice with the environment. It has been kept an open environment so that people are not affected by people misplaced or whose needs require more security and restrictions for their safety due to their lack of capacity. We saw that people were offered a choice of a bath being fitted in shower rooms. We also saw that the environment was homely, hygienic and clean, even before the manager arrived early in the morning when we visited unannounced.

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