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Archived: Brambles Care Home

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Inspection report

Date of Inspection: 20 August 2014
Date of Publication: 20 September 2014
Inspection Report published 20 September 2014 PDF

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

Meeting 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 20 August 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, received feedback from people using comment cards and reviewed information given to us by the provider.

Our judgement

People experienced 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 talked with people living in the home, some of these in their own bedrooms and some in the lounges. People said that they liked living in the home and were happy there. The staff showed that they knew people’s individual preferences and routines. For example, they told us that most people had breakfast on their trays in their bedrooms, but one person preferred to go to a dining area and sit at a dining-table. Other examples were that staff knew that some people liked to spend time in their own rooms except for main meals; and others preferred to have a bath during the afternoons, and not the mornings or evenings.

We looked at three people’s care plans and saw that these reflected people’s individual choices and care needs. The care plans included all aspects of care, such as communication, continence, daily life, emotional support, medical needs, mobility, nutrition and personal care. Each care plan included a care needs summary at the front. This enabled staff and visiting health professionals to have a quick overview of a person’s care and support. A précis of this was placed inside each person’s wardrobe with their permission. This meant that the person, their keyworker, or other care staff, could quickly check any details of their care needs.

The care plans provided a comprehensive plan for each part of the person’s care. We saw that these were very detailed, specifically when they related to people’s medical needs such as use of oxygen, or pressure relief to prevent pressure sores. The care plans were written from the person’s own viewpoint, so that they could relate to them well. For example, “I can mobilise with the aid of a wheeled Zimmer frame; I can be unsteady at times, and may ask a carer to walk with me if I feel unsteady.”

Assessments were carried out when people were admitted, and were carried out monthly to check for any changes. Some of these were held as paper records, and some on the computer system. They included a nutritional assessment, moving and handling assessment, falls risk assessment and 'Waterlow' (skin integrity) assessment. We saw that people’s weights were monitored and recorded each month. People with sore areas or wounds were referred to the Community Nurses, who maintained their own records for wound care. We saw that two people were sitting with their feet elevated, and they told us that the nurses had instructed the care staff that this should be done to reduce swelling of their legs and feet.

The senior care staff wrote daily records of care for people, for each shift. We saw that these contained sufficient information about the person’s health and wellbeing, their mood and any activities. The records were signed and dated, but the time when the entries had been written was not recorded.

The home provided a wide variety of activities. These included items such as board games and jigsaws; flower arranging; hand massage; taking part in gardening in raised beds; quizzes; a Saturday afternoon film with refreshments; chair exercises to music; sewing group; poetry group, and cooking. Visiting entertainers came in, and a mobile clothing shop. The manager said they were in the process of setting up a small trolley shop, so that people could buy popular items within the home on set days. The home had a hairdressing salon, and some people used the hairdresser booked by the home, and others had their own hairdressers to come in and do their hair.

The home had good links with the local community. A church service was held in the home every month for people who wished to take part in this. Local schools and choirs visited the home, especially at Christmas; and the home held a Summer fete each year in the gardens.

People said they were happy living in the home. Comments included, “It’s lovely here. It is very, very good. The staff are all very friendly and caring”; “The staf