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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

People who used the service, their representatives and staff were asked for their views about their care and treatment and these were acted on appropriately.

The manager and assistant manager had an open door policy and we saw this in practice as they were available to people during our visit. Staff said that the manager was approachable and accessible.

The home had good links with the local community in the village. This included a Summer Fete held each year; and events at other key times such as Christmas, when local school children and church choirs visited. People’s families and friends were invited to these events, so that the home was well known locally. This was important to people living in the home, as most of them had been admitted from the local area. Most people had previously attended the local GP surgery, and were pleased that they had been able to retain the same group of doctors for their medical care.

People’s views were obtained through direct conversation each day, as the manager, assistant manager, or care supervisor spoke briefly with each person each day. This provided people with the opportunity to share any everyday concerns, and these were then dealt with immediately.

Residents and relatives meeting were held several times per year, so that people could discuss aspects of the home together. We saw that these meetings included topics such as outings and activities, menus and special events.

People were also enabled to share their views using annual questionnaires. We saw that these had been recently completed, and the results were being collated so that any required action could be taken as appropriate. The questionnaires included questions about the environment, the food, laundry care, care planning, activities, and if people felt their privacy and dignity were respected. We saw that the overall responses were very positive. For example, 100% of people who had so far responded stated they were happy with the environment; with the cleanliness of their own rooms; and with how the care staff assisted them. They said that staff were “Always polite and respectful"; and agreed that their likes and dislikes were known and adhered to. People were able to make additional comments, and these included, “I am very happy with the care staff, you could not choose better”; and “I think you run a very happy care home.”

We found that the manager carried out weekly management meetings. General staff meetings were held two or three times per year to update the staff with any changes. A recent change had been to enable senior care staff to attend training in how to run teams, so that they would be confident in their team leadership.

We viewed some of the home’s policies and procedures, and saw that these were kept up to date, and were amended in line with changing regulations. Auditing systems were in place, and included checks for items such as medicines management, care plan reviews, and checking people’s personal monies.

The home had a complaints procedure which was easily available to people. We viewed the complaints log and saw that there had been no formal complaints during the previous year. We saw evidence to show that people’s concerns and complaints were taken seriously, were properly investigated, and action was taken to resolve any complaints as quickly as possible.