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Inspection Summary


Overall summary & rating

Outstanding

Updated 11 July 2017

This inspection took place on 8 May 2017 and was unannounced. The Briars is part of a charitable trust that provides care and accommodation for older people. The home provides accommodation for up to 38 people. The home provides specialist care to people living with varying degrees of cognitive impairment and some people had complex needs.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People received exceptionally personalised care from staff who knew people well. Every staff member demonstrated a shared commitment to putting people at the heart of the service and enhancing their quality of life in any way they could. People, families and professionals praised the person-centred approach taken by staff and described how it had improved the physical and emotional well-being of people living at The Briars.

People were supported by staff who were highly caring and compassionate. Staff knew people and their backgrounds well and used this knowledge to communicate effectively with people and reassure them when they became anxious. Staff worked tirelessly to meet people’s holistic needs, including supporting people in their own time with particular activities that were important to them.

People were treated with the utmost respect at all times. Staff protected their privacy, involved them in decisions about their care and promoted their independence. They also supported people to build and maintain relationships with one another and with those important to them.

There were enough staff deployed at all times. Recruitment procedures helped ensure only suitable staff were employed. Staff protected people from the risk of harm and supported them to receive their medicines safely. Care was provided in a safe and dementia friendly environment.

Staff were highly skilled. They received appropriate support and training to equip them in their roles. They supported people to make choices and decisions and followed legislation designed to protect people’s rights.

People praised the quality of the meals, which formed an important part of the day for people. Staff supported people to eat and drink enough and to access healthcare services when needed.

People and their families felt the home was well-led. There was a clear management structure in place. All staff understood their roles, were highly motivated and worked well as a team. There was a robust quality assurance process in place to continually improve the service, including effective oversight by the provider.

There was an open and transparent culture in the home. Relatives could visit at any time and were made welcome. Positive links had been developed with external organisations which benefitted people.

Inspection areas

Safe

Good

Updated 11 July 2017

The service was safe.

People felt the home was safe and staff knew how to protect people from the risk of abuse.

Risks to people were assessed and control measures put in place to mitigate the risks.

People received their medicines safely, at the right time and in the right way to meet their needs.

There were enough staff to meet people’s needs and recruiting practices helped ensure only suitable staff were employed.

Effective

Good

Updated 11 July 2017

The service was effective.

Staff sought verbal consent from people before providing care and followed legislation designed to protect people’s rights.

People received effective care from staff who were suitably trained and supported in their roles.

People were supported to have enough to eat and drink. They had access to health professionals and other specialists when needed.

Caring

Outstanding

Updated 11 July 2017

The service was very caring.

There was a strong person-centred culture based on a creative initiative. Every staff member demonstrated a commitment to treating people with exceptional kindness and compassion.

Staff went the extra mile by going out of their way to do things for people in their own time. They knew people well and used this knowledge to communicate effectively and build meaningful, caring relationships which people value.

Responsive

Outstanding

Updated 11 July 2017

The service was exceptionally responsive to the needs of people and their families.

Staff followed an innovative philosophy designed to enhance the quality of people’s lives through the provision of meaningful activities. These had been highly beneficial for people, had promoted their well-being and significantly enhanced their lives.

Staff consistently demonstrated a sound understanding of the needs of people living with dementia. They put people at the heart of the service and empowered them to make as many decisions and choices as possible using creative approaches.

Care plans contained comprehensive information and were reviewed regularly. Staff responded promptly when people’s needs changed.

Staff sought and acted on feedback from people to continually improve the service.

Well-led

Good

Updated 11 July 2017

The service was well-led.

People enjoyed living at the home and felt it was run well. They were cared for by staff who were motivated and committed to providing a safe, high quality service.

There was a clear management structure in place. Staff were happy in their work and felt supported by management.

Quality assurance processes were robust; they included effective oversight and support from the provider.

There was an open and transparent culture. Visitors were welcomed and staff enjoyed positive working relationships with other professionals. Links had been developed with external organisations to the benefit of people living at the home.