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Old Rectory (Bramshall) Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 January 2020

About the service

Old Rectory (Bramshall) provides accommodation and nursing or personal care for up to 30 people. On the day of our inspection, 20 people were living there, some of whom were living with dementia.

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

People did not always receive safe care and support as staff members did not always follow the guidelines in place to safely support people with their mobility.

The physical environment was not always maintained to a standard which was safe for people to live in.

Despite staff members following infection prevention and control procedures the maintenance of some areas prevented this from being effective.

The provider could not demonstrate people received their prescribed topical creams as directed. This was because the recording charts were not completed as expected.

The provider’s quality checks were not always effective in identifying improvements which were needed to drive good and safe care.

The provider was not meeting the requirements of their registration as they did not have a registered manager in post. Although a manager had been appointed they had yet to complete the registration process.

Staff members had been provided with the training they needed to support people.

People’s care and support plans gave staff the necessary information to effectively respond to their needs and preferences.

People were protected from the risks of harm and abuse as the staff team had been trained to recognise potential signs and understood what to do to safely support people.

Staff members were aware of the necessary actions they should take in the event of an emergency.

Staff members had access to, and used, appropriate personal protection equipment.

The provider supported staff members through structured one-on-one supervision sessions.

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 at the Old Rectory (Bramshall) supported this practice.

People had access to additional healthcare services when required.

People were supported to maintain a healthy diet by a staff team which knew their individual preferences.

People received help and support from a kind and compassionate staff team with whom they had developed positive relationships.

People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability.

The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.

The provider, and management team, had good links with the local communities within which people lived.

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 23 June 2017).

Enforcement

We have identified one breach or regulations in relation to people not being safely supported.

Please see the action we have told the provider to take at the end of this report.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will 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 16 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 January 2020

The service was not always well-led.

Details are in our well-Led findings below.