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Inspection Summary


Overall summary & rating

Good

Updated 16 October 2018

This comprehensive inspection took place on 14 August 2018 and was unannounced. Brant Howe 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.

Brant Howe provides personal care and accommodation for up to 29 people. Accommodation is provided over three floors with a stair lift to access the second floor. There is a separate building in the grounds with two living spaces for people who prefer to have more independence. The home is situated in the market town of Kirkby Lonsdale.

There was a registered manager in post. 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. At Brant Howe the registered manager is also the registered provider.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good and we found some characteristics of 'outstanding' evident. This was echoed by the consistent and very positive comments in the feedback we received from people who used the service, their relatives and the staff. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

We found several examples that demonstrated the staff and management were passionate about providing an excellent service. A relative told us, “This is an excellent care home. The staff are brilliant and treat residents like they are one of their own family.”

There were sufficient numbers of suitably trained staff to meet people’s needs. Staff training was ongoing and staff had received a variety of training that enabled them to safely support and care for people. We observed a strong, family orientated service where staff were not afraid to display their affection. We were told by a relative, “There’s always plenty of staff around and it’s so touching observing them with residents. They [staff] pick up if a resident is feeling down or upset and comfort them accordingly.”

Staff were also supported and rewarded by the registered manager and deputy manager through regular staff meetings, supervision, appraisals and regular team outings.

We saw that the service worked with a variety of external agencies and health professionals to provide appropriate care and support to meet people’s physical and emotional health needs.

Where safeguarding concerns or incidents had occurred these had been reported by the registered manager to the appropriate authorities and we could see records of the actions that had been taken by the service to protect people.

When employing fit and proper persons the recruitment process had included all of the required checks of suitability.

People’s rights were protected. The registered and deputy managers were knowledgeable about their responsibilities under the Mental Capacity Act 2005. People were only deprived of their liberty if this had been authorised by the appropriate body or where applications had been made to do so.

Hazards to people’s safety had been identified and managed. People were supported to access a wide variety of activities that were made available to them and pastimes of their choice.

People were treated with respect and their dignity and privacy were actively promoted by the staff supporting them.

Auditing and quality monitoring systems were in place that allowed the service to demonstrate effectively the safety and quality of the provision.

The registered provider had made some improvements to the environment for the people who lived there and this was ongoing. The building was being well maintained and was a clean and

Inspection areas

Safe

Good

Updated 16 October 2018

The service remains good

Effective

Good

Updated 16 October 2018

The service remains good.

Caring

Good

Updated 16 October 2018

The service remains good.

Responsive

Good

Updated 16 October 2018

The service remains good.

Well-led

Good

Updated 16 October 2018

The service remains good.