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Inspection Summary


Overall summary & rating

Good

Updated 29 January 2019

We inspected this service on 8 January 2019 to complete a comprehensive inspection.

Brandon House is operated by HC-One Limited; a large provider of care homes. Brandon House provides nursing care and accommodation for up to 35 people. The majority of people who live at the home are older people living with physical frailty due to complex health conditions and / or dementia. The home offers end of life care to people. At the time of our visit there were 30 people living in the home.

People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 our last inspection in February 2018 we rated the service as Requires Improvement. This was because in two out of the five key areas we checked, we found improvements were required. At this inspection, we found improvements had been made and further improvements were planned for. The area of Safe continues to be rated Requires Improvement, however, the overall rating has changed to Good.

Overall, medicines were handled safely. However, during our inspection visit a staff member did not consistently follow the provider’s policy for safe administration of medicines.

Staff understood their responsibilities to protect people from the risks of abuse and told us they would share any concerns they had following the provider’s safeguarding policies. The registered manager understood and followed their legal responsibilities when safeguarding concerns were identified to them by staff or through checks made. The provider checked staff’s suitability to deliver care and support during the recruitment process.

People were protected from the risks of cross infection and the home was clean and tidy. Individual risk management plans were in place for staff to follow and staff knew what action to take in the event of an emergency.

People were supported by trained staff, who overall, followed the provider’s policies and training given to them. People felt staff had the appropriate levels of skill, experience and support to meet their care and support needs.

People were supported to eat a balanced diet and encouraged to eat and drink enough to maintain their wellbeing. Staff supported people to access support from external healthcare professionals to maintain and promote their health.

Staff had received training in the Mental Capacity Act 2005 and worked within the principles of the Act. Managers understood their responsibilities under the Act and when ‘best interests’ meetings should take place.

Staff supported people with kindness and in a caring way to meet their physical care and support needs. People’s privacy and dignity was respected.

People had individual plans of care which provided staff with the information they needed. There were numerous activities offered to people, however, these took place largely on the ground floor of the home. There was ‘work in progress’ by the provider to look at how communal space could be increased on the first-floor.

Staff were happy in their job role and felt supported by the registered manager through meetings.

People and their relatives had no current complaints about the service. Concerns and complaints raised were investigated by the provider.

The provider, the area director and registered manager checked the quality of the service to make sure people’s needs were met. There was recognition that some improvements, such as timely record keeping, needed to be embedded into the service. Audits had identified

Inspection areas

Safe

Requires improvement

Updated 29 January 2019

The service was mostly safe.

Staff did not consistently follow the provider's policy in relation to the safe management of medicines. Some improvements had been made to timely and accurate record keeping about important information, however, improvements still needed be to embedded into staff practices and this being monitored by the registered manager. Staff understood their responsibilities to keep people safe and protected from the risks of abuse. The home was clean and tidy.

Effective

Good

Updated 29 January 2019

The service remains effective.

Caring

Good

Updated 29 January 2019

The service remains caring.

Responsive

Good

Updated 29 January 2019

The service remains responsive.

Well-led

Good

Updated 29 January 2019

The service is well led.

Improvements had been made to ensure systems and processes to audit the quality of the service identified where improvements were required and actions were taken to implement those improvements. The registered manager recognised some improvements were 'work in progress' and undertook daily checks so issues could be addressed.