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Archived: Branston Court Care Home Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 11 February 2016

We inspected this service on 6 January 2016. The inspection was unannounced. At our previous inspection in November 2013, the service was meeting the regulations that we checked. The service provides accommodation and nursing care for up to 45 older people living with dementia. There were 43 people living at the home on the day of our inspection.

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.

Although the provider determined the staffing levels on an assessment of people’s needs, they had not taken into consideration the additional level of support people needed at specific times of the day. For example at meal times. This led to insufficient staff being available to meet people’s individual needs. The environment did not offer sufficient orientation and memory objects to support people’s memories and reduce confusion .Staff were knowledgeable about people’s care and support and understood what constituted abuse or poor practice and processes were in place to protect people from the risk of harm. Systems were in place and followed so that medicines were managed safely and people were given their medicine as and when needed. The provider had undertaken thorough recruitment checks to ensure the staff employed were suitable to support people.

Staff received training to meet the needs of people. Staff received supervision, to support and develop their skills. The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Where people lacked capacity in certain areas, capacity assessments had been completed to show how people were supported to make those decisions. Applications had been made for DoLS in line with legislation. People received food and drink that met their nutritional needs and were referred to healthcare professionals to maintain their health and wellbeing.

Staff were caring in their approach and had a good understanding of people’s likes, dislikes and preferences. Staff supported people to maintain their dignity. People were supported to maintain and develop their social interests. People felt confident that they could raise any concerns with the registered manager. There were processes in place for people and their relatives to express their views and opinions about the service provided. There were systems in place to monitor the quality of the service to enable the registered manager and provider to drive improvement.

Inspection areas

Safe

Requires improvement

Updated 11 February 2016

The service was not always safe.

The staffing levels in place did not ensure people�s individual needs were always met. The environment did not support people with dementia to maintain their independence and reduce their levels of confusion. People felt safe and staff understood their responsibilities to keep people safe and protect them from harm. Risks to people�s health and welfare were assessed and actions to minimise risks were recorded and implemented in people�s care plans. People were supported to take their medicines as prescribed. Recruitment procedures were thorough to ensure the staff employed were suitable to support people. The home was maintained to a good standard.

Effective

Good

Updated 11 February 2016

The service was effective.

People�s needs were met by staff that were suitably skilled. Staff felt confident and equipped to fulfil their role because they received the right training and support. Staff understood the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS) so that people�s best interests could be met. People�s nutritional needs were monitored. People were supported to maintain good health and to access healthcare services when they needed them.

Caring

Good

Updated 11 February 2016

The service was caring.

Staff were kind and caring and treated people respectfully. Staff supported people to maintain their dignity and privacy. People liked the staff. Staff knew people well and understood their likes, dislikes and preferences so they could be supported in their preferred way. People were supported to maintain relationships with their relatives and friends.

Responsive

Good

Updated 11 February 2016

The service was responsive

People were supported to maintain their interests and their relatives were involved in discussions about how they were cared for and supported. Complaints were responded to appropriately. The provider�s complaints policy and procedure was accessible to people who lived at the home and their relatives.

Well-led

Good

Updated 11 February 2016

The service was well led.

People were encouraged to share their opinion about the quality of the service to enable the registered manager to identify where improvements were needed. Staff understood their roles and responsibilities and were given guidance and support by the management team. Systems were in place to monitor the quality of the service provided and make improvements.