Background to this inspection
Updated
19 November 2022
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 Care Act 2014.
Inspection team
The inspection team consisted of one inspector, and an Expert 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
Bramcote Hills is a 'care 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.
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 not a registered manager in post. However, two managers had been in post for 12 months and were in the process of submitting their applications.
Notice of inspection
This inspection was unannounced.
We visited the home on 06 and 12 October 2022. The second day was announced as we needed to be sure the manager would be free to meet with us.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority's commissioning and safeguarding teams. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. 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 17 people who used the service and three visiting relatives about their experience of the care provided. We spoke with ten members of staff including one senior manager, two managers, a nurse, two senior care workers, two care workers, staff from the catering and housekeeping team.
We reviewed a range of records. This included eight people's care records and a random sample of medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
19 November 2022
Bramcote Hills is a Care Home providing a regulated activity for personal and nursing care to up to 63 people. The service provides support to older people and those with dementia or who require nursing care. At the time of our inspection there were 39 people using the service. The home was purpose built, split over five floors.
People’s experience of using this service and what we found
Risks were assessed and managed, improvements had been seen since our last inspection, and records were more concise. Staffing levels were sufficient with the use of agency and bank staff to cover shortfalls. Medicines were administered in a safe way by competent staff. The service was following infection control guidance to ensure control measures were in place. People told us they felt safe living at the service and with staff who care for them.
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 had enough to eat and drink to ensure they had good nutrition and were well hydrated. Staff received training that reflected their role and recruitment safety checks were completed to make sure staff were safe to work with vulnerable people.
People received consistent effective care. They had access to other healthcare professionals when needed.
Care plans contained detailed information to ensure staff could meet people’s needs. People had received positive outcomes that improved their wellbeing. Communication needs were considered to help people communicate effectively. People were supported to maintain relationships with family, friends and others at the service.
Regular audits had been completed to improve the quality of the service. We received positive feedback in regard to the managers and how the service had improved. The service planned and promoted person-centred care. They fulfilled their legal obligations to report incidents of concern and worked well with other professionals.
Rating at last inspection and update
The last rating for this service was requires improvement (published 06 December 2019) and there were breaches of regulation.
Why we inspected
We carried out an unannounced focused inspection of this service on 24 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Regulation 12 Safe care and treatment and Regulation 17 Good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Responsive and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bramcote Hills Care home on our website at www.cqc.org.uk.