Archived: Bramshaw House

Bramshaw House is registered to accommodate up to ten people with learning and physical disabilities. The home does not provide nursing care. Bramshaw House is situated in Worthing, West Sussex. At the time of our visit there were ten people living at the home.

The service had a registered manager 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.

People were protected from risks to their health and wellbeing. Plans were in place with safety measures to control potential risks. Risk assessments were reviewed regularly so information was updated for staff to follow.

People and their relatives said they felt safe at the service and knew who they would speak to if they had concerns. The service followed the West Sussex safeguarding procedure, which was available to staff. Staff knew what their responsibilities were in reporting any suspicion of abuse.

People were treated with respect and their privacy was promoted. Staff were caring and responsive to the needs of the people they supported. Staff sought people's consent before working with them and encouraged and supported their independence and involvement.

People were assisted to lead a fulfilling life; they were able to set personal goals and objectives. The atmosphere in the home was happy and lively. People were engaged in activities, hobbies, interests and were encouraged to participate in community based activities.

People's health and well-being was assessed and measures put in place to ensure people's needs were met in an individualised way. Medicines were managed well and administered safely. People were supported to eat and drink enough to maintain their health.

Staff received training to enable them to do their jobs safely and to a good standard. They felt the support received helped them to do their jobs well.

There were enough staff on duty to support people with their assessed needs. The registered manager followed safe recruitment procedures to ensure that staff working with people were suitable for their roles.

People benefited from receiving a service from staff who worked well together as a team. Staff were confident they could take any concerns to the management and these would be taken seriously. People were aware of how to raise a concern and told us they would speak to the registered manager and were confident appropriate action would be taken.

The premises and gardens were well maintained. All maintenance and servicing checks were carried out, keeping people safe.

We saw that people's consent was obtained where possible before care and treatment was undertaken. We observed that the care given was safe and appropriate and based on effective care planning and risk assessments. This meant that people's individual needs were met and preferences were taken into account.

People were protected from abuse and cared for in a safe and inclusive environment. We noted that there were adequate numbers of skilled and experienced staff to deliver safe and appropriate care. We also found that systems were in place for people and relatives to make a complaint about the service if necessary.

Staff reported that Bramshaw House was a "Warm, friendly home" and a "Good place to work." Staff said that they thought people experienced a good quality of life at the home. Staff were adequately supported and trained to deliver care appropriately.

Care records were well maintained and provided sufficient information to support people effectively. The home had good systems in place to ensure that documentation was accurate and kept up to date. We found that people had been involved in planning their care and as such met their individual needs and expectations.

Medication was managed well and the home had processes in place to monitor and check that medicines were handled, recorded and stored appropriately. This meant that people were protected by the systems in place to ensure that they received the right medication at the right time.