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Brandon House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 August 2020

About the service

Brandon House provides nursing and personal care for a maximum of 42 older people, some of whom are living with dementia. At the time of our inspection there were 15 people living at the service. The home provides single room accommodation with most rooms having en-suite facilities.

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

Improvements had been made following the previous inspection in July 2019. People and their relatives told us they or their family members felt safe and well supported at the service. People were protected from abuse and avoidable harm and were treated with respect and dignity.

Overall, the provider maintained safe staffing levels to meet people’s needs. We have made a recommendation that the provider continues to monitor sufficiency of staffing. Risks to people’s health and safety were managed well, although some improvements on the completion of records to monitor people’s fluid intake were needed. Improvements had been made to medicines management with clear records showing people received their medicines and topical creams as prescribed.

The registered manager and staff promoted and encouraged person centred care to ensure people were treated as individuals. They knew how people preferred to receive their care and support. This included activities, which had been tailored to try and meet people’s needs in the current circumstances of the Covid-19 pandemic.

There was positive leadership in the service. People, their relatives and staff spoke highly of the registered manager. They were described as approachable. Improvements had been made to governance systems. Audits and monitoring procedures were used effectively to monitor the service and to make improvements. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again.

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

Rating at last inspection and update

The last rating for this service was inadequate (published 27 August 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 27 August 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out a comprehensive inspection of this service on 15 and 18 July 2019. Breaches of legal requirements were found.

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 refer to 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 inadequate to requires improvement. 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 Brandon 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 re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 11 August 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 August 2020

Caring

Requires improvement

Updated 11 August 2020

Responsive

Requires improvement

Updated 11 August 2020

Well-led

Requires improvement

Updated 11 August 2020

The service was not always well-led.

Details are in our well-Led findings below.