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Inspection Summary


Overall summary & rating

Good

Updated 24 March 2020

About the service

Bramble House is a care home without nursing that provides a service to up to 29 older people, some of whom may be living with dementia or a physical disability. At the time of our inspection, there were 27 people living at the service.

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

Improvements had been made in all areas since the last inspection. Systems were now in place to allow the registered manager and provider to continuously monitor the quality and safety of the service provided.

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's needs were assessed, and care plans were regularly reviewed to ensure information remained up to date and person-centred. Risks to people's health and safety were managed well. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again.

Feedback we received from people’s relatives and from two healthcare professionals confirmed that the registered manager and provider were vigilant and responded quickly and appropriately when people’s health needs changed.

The environment was clean, well-decorated and maintained to a good standard with personalised bedrooms. There were enough staff to support people and staff were always visible. People's relatives told us that staff at Bramble House were very caring and knew the people that lived there well.

People living at Bramble House, their relatives and staff all considered the service was well-led. The service operated in a way that demonstrated there was an open and transparent culture, led by the provider and the registered manager. Staff told us they received the leadership and direction they required and felt part of a team.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 13 November 2019) and there were two breaches of regulation. The provider completed a monthly action plan after the last inspection to show what they would do and by when to improve the service. At this inspection, we found improvements had been made and sustained and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bramble House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information, we may inspect sooner.

Inspection areas

Safe

Good

Updated 24 March 2020

The service was safe.

Please see our safe findings below.

Effective

Good

Updated 24 March 2020

Caring

Good

Updated 24 March 2020

Responsive

Good

Updated 24 March 2020

Well-led

Good

Updated 24 March 2020

The service was well-led.

Please see our well-led findings below.