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Branwell Manor Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 December 2018

This unannounced inspection took place on 20 November 2018.

Branwell Manor is a care home for up to eight people. At the time of this inspection there were eight people living at the home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Branwell Manor consists of one building with two floors tailored to support adults with complex needs including autism spectrum conditions, physical and learning disabilities.

This location was last inspected on 14 March 2016 and at that time was rated good in all domains. At this inspection we found some areas required improvement and we identified two breaches in regulation in relation to consent and good governance.

On the day of our inspection a registered manager was in place. 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.

The provider was not fully compliant with the Mental Capacity Act 2015 because decision specific mental capacity assessments and best interest decisions were not routinely completed. There was no evidence people were being restricted or receiving care that was not in their best interests.

Systems were in place to assess, monitor and improve the quality of the service however areas for improvement that had been identified in the provider’s own internal audit had not be solved and were found again during this inspection.

People told us they felt safe using the service and relatives corroborated this. Safeguarding procedures were in place and staff knew what to do if safeguarding concerns were identified.

People’s medicines were managed safely.

There were assessments in place that identified relevant risks to people and management plans to reduce these risks were in place to ensure people's safety. There were sufficient staffing levels to meet people’s needs and provide a flexible service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People were provided with personalised care and support. People’s needs in relation to the protected characteristics under the Equalities Act 2010, were taken into account in the planning of their care. People's communication needs were assessed and staff adapted their communication to better meet people’s needs.

People were supported to eat a balanced diet that met their individual dietary needs. They were supported to access healthcare services in order to maintain their health.

People and their relatives told us staff were kind and caring and their privacy and dignity were respected by staff.

Staff told us they felt supported by the management team and the team communicated regularly and effectively. People, relatives and staff had confidence in the leadership of the service.

People lived in a service which had been adapted to meet their needs and was focussed on providing high quality care that improved the wellbeing and independence of people living in the home. The service worked in partnership with other agencies to support care provision.

Inspection areas

Safe

Good

Updated 22 December 2018

The service was safe.

Medicines were managed safely.

Staffing levels were sufficient to meet people’s needs. Staff recruitment processes were robust.

There were safeguarding systems to protect people from abuse. Risks to people’s health and safety were assessed and mitigated.

Effective

Requires improvement

Updated 22 December 2018

The service was not always effective.

The provider was not fully compliant with the Mental Capacity Act 2015 because decision specific mental capacity assessments and best interest decisions were not routinely completed.

Staff had received the training they required for their job role and to meet people’s needs.

People received support to ensure their healthcare and nutritional needs were met.

Caring

Good

Updated 22 December 2018

The service was caring.

People and relatives told us staff were kind and caring.

People were treated with respect and their dignity was maintained by staff.

The provider was involving people and their relatives in reviewing care.

Responsive

Good

Updated 22 December 2018

The service was responsive.

People received person centred care and were involved in meaningful activities of their choosing.

A complaints procedure was in place and people and relatives were confident if they had concerns these would be dealt with appropriately.

Well-led

Requires improvement

Updated 22 December 2018

The service was not always well-led.

Systems were in place to assess, monitor and improve the quality of the service however areas for improvement that had been identified in the provider’s internal audit had not been solved and were found again during this inspection.

Staff were supported by an effective management team that was approachable, offered support and leadership.