1 May 2019
During a routine inspection
Brambles Rest Home provides personal care and accommodation for up to 35 people. At the time of our inspection there were 31 people using the service. People who used the service had a range of support needs related to old age and dementia.
People’s experience of using this service:
People did not always receive safe care and support. Medicine management was not consistently safe and required improvement. In addition, some incidents which should have been reported to safeguarding authorities had not been. Staff were knowledgeable about safeguarding and people told us they felt safe. Risk assessments were in place however they did not give clear information of people’s needs and lacked guidance for staff to follow.
Staff had the skills and knowledge to support people and meet their needs. The appropriate requests to the Local Authority had been made where people lacked capacity and staff were aware of which people had a Deprivation of Liberty Safeguard in place. However, some improvements were required in record keeping to ensure best interest decisions were recorded appropriately. People told us they enjoyed their meals and had enough to eat and drink. Staff supported people to access health care when needed.
People told us that the staff were kind and caring. However, there was a lack of systems in place to ensure the service was consistently caring. People told us they could not recall being involved in reviews of their care.
We received mixed feedback in response to complaints. People had the opportunity to be involved in stimulating and meaningful activities. The service was good at discussing and recording end of life plans and had devised a leaflet to support people and their relatives.
The registered manager had carried out regular audits however they were not effective in highlighting issues for improvement. There was a lack of robust oversight of accidents, incidents and safeguarding’s. People knew who the manager was and said they were approachable. Staff told us the management team were supportive.
Rating at last inspection:
The last rating for this service was good (published 06 October 2016).
Why we inspected:
This was a planned inspection based on the previous rating.
Enforcement:
We found the provider was not meeting all of the requirements of the law. We found multiple breaches in regulations. You can see what action we told the provider to take at the back of the full version of the report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up:
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk