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Archived: The Brambles Good

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 30 January 2016

This inspection took place on 12 January 2016 and was an unannounced inspection.

The Brambles is a single storey building situated close to Taunton town centre. The home can accommodate up to seven people and it specialises in providing care to adults who have a learning disability. The home has a range of aids and adaptations in place to assist people who have mobility difficulties. All bedrooms are for single occupancy. The home is staffed 24 hours a day.

At the time of our inspection there were seven people living at the home. The people we met with had complex physical and learning disabilities and were not able to tell us about their experiences of life at the home. We therefore used our observations of care and our discussions with staff to help form our judgements.

There was a registered manager in post. 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.

The registered manager was not available for this inspection; however information sent to us prior to the inspection told us the registered manager had a clear vision for the service. This was also confirmed by the staff we spoke with.

People were supported by a caring staff team who knew them well. Staff morale was good and there was a happy and relaxed atmosphere in the home.

Routines in the home were flexible and were based around the needs and preferences of the people who lived there. People were able to plan their day with staff and they were supported to access social and leisure activities in the home and local community.

The home was a safe place for people. Staffing levels were good and staff understood people’s needs and provided the care and support they needed.

Staff knew how to recognise and report abuse. They had received training in safeguarding adults from abuse and they knew the procedures to follow if they had concerns.

People’s health care needs were monitored and met. People received good support from health and social care professionals. Staff were skilled at communicating with people, especially if

people were unable to communicate verbally.

People were unable to look after their own medicines. Staff made sure medicines were stored securely and there were sufficient supplies of medicines. People received their medicines when they needed them.

People were always asked for their consent before staff assisted them with any tasks and staff knew the procedures to follow to make sure people’s legal and human rights were protected.

There were effective systems in place to monitor and improve the quality of the service provided.

Inspection areas



Updated 30 January 2016

The service was safe.

There were adequate numbers of staff to maintain people�s safety.

There were systems to make sure people were protected from abuse and avoidable harm. Staff had a good understanding of how to recognise abuse and report any concerns.

People received their medicines when they needed them from staff who were competent to do so.



Updated 30 January 2016

The service was effective.

People could see appropriate health and social care professionals to meet their specific needs.

People made decisions about their day to day lives and were cared for in line with their preferences and choices.

Staff received on-going training to make sure they had the skills and knowledge to provide effective care to people.



Updated 30 January 2016

The service was caring.

Staff were kind, patient and professional and treated people with dignity and respect.

People were supported to maintain contact with the important people in their lives.

Staff understood the need to respect people�s confidentiality and to develop trusting relationships.



Updated 30 January 2016

The service was responsive.

People received care and support in accordance with their needs and preferences.

Care plans had been regularly reviewed to ensure they reflected people�s current needs.

People were supported to follow their interests and take part in social activities.



Updated 30 January 2016

The service was well-led.

The manager had a clear vision for the service and this had been adopted by staff.

The staffing structure gave clear lines of accountability and responsibility and staff received good support.

There was a quality assurance programme in place which monitored the quality and safety of the service provided to people.