Brain Injury Rehabilitation Trust - Bristol Road

Updated 22 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 01 December 2020 and was announced.

Updated 22 December 2020

About the service

The Brain Injury Rehabilitation Trust – Bristol Road is a rehabilitation service for up to eight people who have acquired brain injury. At the time of inspection, the service was providing accommodation and personal care to eight people living at the service. The home is a large specifically adapted building with seven ensuite rooms on the ground floor and one self-contained flat on the first floor. Since the last inspection the service has added supported living accommodation which provides care to six people across two locations. The two locations are large town houses accommodating three people in each house with an office in each and an allocated staff team.

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

The registered manager and the staff team presented as extremely caring, ensuring they put people at the centre of their care, they considered the service peoples home and not their work place. The staff team made every effort to know and understand each of the people living in the service. The staff and registered manager considered the service users equality, dignity and respected people. People’s views were actively sought by which were listened to and actioned.

Risks were identified and mitigated through comprehensive risk assessments. The staff team were experienced with a varying skill mix benefiting the complex needs of people. Medicines were stored and administered safely. Infection control procedures were in place and all staff were aware of these. When incidents occurred, the staff learned lessons through investigation procedures and made amendments where necessary.

The staff team were trained and skilled in relation to the needs of the people living there. People’s needs were detailed and care planned for. Their care plans identified involvement from people in the design of their care. People were asked for their consent when being supported by staff and consent was recorded. Care was personalised with a focus on the individual needs and goals of the service users. While no-one was receiving end of life care there were end of life care plans in place. The complaints and compliments procedure was displayed and discussed with people, all complaints had been responded to and actioned appropriately.

There were clear objectives which were achieved through robust audits and spot checks. There were quality assurance systems and processes in place to ensure the service was meeting its purpose. The registered manager lead from within the team, setting out the person-centred nature of the service. The staff worked effectively with healthcare professionals in meeting the needs of people living in the service.

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 are involved in the development of the menu, meals were nutritious as well as varied.

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

Rating at last inspection

The last rating for this service was Good (published 17 May 2017).

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.