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Sursum Limited Bramley House Good

Inspection Summary


Overall summary & rating

Good

Updated 24 August 2019

About the service

Bramley House is a residential care home providing accommodation and personal care for up to 42 older people, some of whom may have dementia. At the time of the inspection, 32 people were living at Bramley House.

People’s experience of using this service and what we found

At the last inspection we found a breach of the regulations. The process of gaining consent for people who lacked capacity was not followed. At this inspection, we found the necessary changes had been made. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Incidents and accidents were investigated and actions taken to prevent a reoccurrence.

At the last inspection we made a recommendation about the storage of some medicines. At this inspection, we found the necessary changes had been made. Medicines were administered, managed and stored safely.

At the last inspection we made a recommendation for the provider to seek guidance on care planning for people whose needs were changing. At this inspection, we found the staff and management were responsive to people’s changing needs and the necessary improvements had been made. Care plans were detailed and person centred with full life histories. This meant people were treated as individuals and staff had a good awareness of people’s likes and dislikes. Health and social care professionals were contacted appropriately, in a timely manner and the home worked in partnership with them well.

At the last inspection we found risk assessments had not been reviewed regularly. At this inspection the necessary improvements had been made. Various risk assessments were in place and had been reviewed. At the last inspection we found there were sometimes not enough staff. At this inspection, we found there were sufficient numbers of staff on duty at each shift to meet people’s needs.

At the last inspection we found staff required up to date training to equip them with skills to support people with particular needs. We also found staff required regular one to one supervision. At this inspection, we found staff training had improved and staff were receiving regular supervision.

People were cared for by staff who were compassionate and caring. One person told us they felt very well looked after and relatives said the staff were kind. The home was friendly, warm and homely and people appeared settled and calm. Infection control processes were effective.

The service had improved under the new registered manager. We received good feedback from staff about their support and the new management structure. There were systems in place to audit and check the quality of care and these were carried out at regular intervals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (report published 23 July 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating. We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 24 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 24 August 2019

The service was well-led.

Details are in our well-led findings below.