You are here

Brant Howe Residential Home Good

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 5 January 2013
Date of Publication: 12 February 2013
Inspection Report published 12 February 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 5 January 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We saw that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at the care records for four people living at home and found them to be relevant, informative and up to date. The manager discussed the process of accepting a person into the home. This was carried out using a set of assessments to ensure that the home could meet their needs and that the person was suitably placed. Visits were undertaken to a person's own home or to the hospital and wherever possible this included visits to the home and involved the person's family. This ensured that, as far as possible, people living in the home were compatible and this led to a high success rate of people settling well into the home.

The care plans were working documents that gave all the necessary information to care staff in order that care and treatment was planned and delivered in a way that ensured people’s safety and well-being. Staff told us that they had a staff handover at each change of staff shift to highlight any changes in people’s needs that they needed to be aware of. This was in addition to using a daily recording sheet for each person and a white board held in the office, again to flag up any particularly concerns. This ensured that the care people received was up to date, safe and met their changing needs, for example we saw how this was communicated after a GP and a district nurse had visited and left instructions about changes to people's healthcare needs.

The risks associated with all aspects of care had been assessed. These assessments provided written guidance to staff to help them look after people safely. We saw these risk assessments were well documented and covered areas such as minimising the risk of developing pressures sores and moving people in and out of wheelchairs safely.

When we spoke with people living in the home, and to their relatives they told us that the care they received was very good. They said, "There's always staff on hand to help out. The staff are very attentive with my mother. I have always been very impressed with the professional yet caring attitude of the staff." We looked at staffing levels and could see that the home had staffing levels that ensured that people's needs were met in a timely manner. This also allowed for one to one attention to take a person out on their own for a social visit or shopping or to accompany someone to hospital.

The home had a good working relationship with the local healthcare teams in order to ensure people had access to expert healthcare advice. Records showed that people had access to chiropody, dental and optical treatment. For example, nutritional assessments were completed and if special diets were required then advice from the district nurses, speech therapists and dietician was requested and put into action.

Staff had received training on the care of people at the end of their life. Staff also told us that they had recently cared for a person at the end of their life who wished to remain at home, and this was done with input from the district nurse team and the person's own GP. We had feedback from healthcare professionals that this was carried out to high standards and meant that the person had experienced a peaceful and dignified death.