Background to this inspection
Updated
22 December 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 2 inspectors and 2 experts by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Brampton View Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Brampton View Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was asked to complete a Provider Information Return (PIR) in December 2022. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 9 people who used the service and 16 relatives to ask about their experience of the care provided. We also observed the support people received within the communal areas of the home, including the support people received to take their medicine.
We spoke with 20 members of staff including representatives of the provider such as area managers, properties managers, dementia lead, the registered manager, nurses, care staff, activities staff, chef, maintenance and housekeeper.
We reviewed a range of records. This included 9 peoples care records, multiple medicine records, audits, accident and incident records and 10 staff recruitment files.
Updated
22 December 2023
About the service
Brampton View Care Home provides accommodation, nursing and personal care for to up to 88 older people. The service comprises of 4 units within a purpose built building. At the time of our inspection there were 58 people using the service.
People’s experience of using this service and what we found
The provider had invested time and resources into creating a new management and staff team that would meet people’s needs. They continued to implement systems to assess, monitor and improve the safety and the quality of the service. These systems were new and needed to be embedded into practice.
The provider used information from safeguarding incidents, complaints and accidents to learn and prevent reoccurrences. The registered manager provided support for staff to learn and develop from incidents through supervision and retraining.
People received food and drink that met their needs and preferences. People received their prescribed medicines.
People’s risks were assessed, and staff had the information they required to mitigate theses known risks.
The provider followed safe recruitment practices to ensure staff were of good character. Staff received induction, training and supervision to carry out their roles and meet people’s needs. The recruitment of nursing and care staff was on-going.
Staff followed the provider’s infection prevention and control policies and procedures to manage and help prevent infection outbreaks. The provider had systems to monitor the cleanliness of the service and make the required improvements.
People were protected from harm and abuse as staff received training in safeguarding. The provider reported and investigated concerns.
Staff identified when people were unwell and referred them to healthcare professionals promptly. People were supported to access healthcare appointments when they needed them.
People were cared for by kind staff who knew their needs and preferences. People’s privacy and dignity was respected, and people were supported to be independent. People and their relatives were involved in their care planning and reviews.
People were encouraged to make and maintain those relationships important to them. People’s relatives and friends were made to feel welcome and take part in the home’s activities.
People and relatives knew how to make a formal complaint. The provider’s complaints policy had been followed and complaints had been resolved.
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.
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 inspection was rated Inadequate, published 8 September 2023.
The rating has been changed at this inspection to requires improvement as we have found evidence that the provider had made improvements but needed to continue to implement and embed improvements. Please see the safe and well led sections of this full report.
We have made one recommendation relating to the calculation of staffing levels.
This service has been in Special Measures since 26 May 2023. 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
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.