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Inspection Summary


Overall summary & rating

Good

Updated 28 March 2017

St Brannocks is a small residential care home for up to six people with a learning disability. The service supports people to access the community and to develop their independent living skills as much as possible. At the last inspection on 13 August 2014, the service was rated Good. At this inspection we found the service remained Good.

People were safe at the service. Staff knew about abuse and to report any concerns that they had. Risks to people were well-managed and staffing levels were sufficient to ensure people received the care they needed. People's medicines were administered by the service and there were systems in place to ensure that this was done safely.

Staff had the training and support they needed for their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Nutritional needs were being met and people were supported to attend appointments with healthcare professionals.

There were positive relationships between people and members of staff. Staff adapted their communication and involved people and their families in decisions about their care. People's privacy and dignity was maintained by members of staff.

Care was person-centred. People had individual care plans in place which provided staff with information about specific goals, preferences, needs and abilities. Activities were provided in the service and local community and the feedback of people and their family members, including complaints, was welcomed.

There was a positive culture at the service and staff members were motivated by their roles. The registered manager had a visible presence and was known to people, relatives and staff. There were quality assurance processes in place to monitor and review the care being provided.

The leadership of the service had changed since the last inspection; we found that staff morale had improved and staff felt opportunities to express their views had improved. Staff told us they felt valued and listened to.

Inspection areas

Safe

Good

Updated 28 March 2017

The service remains good.

People received their medicines when they needed them and in a way that was safe. They were stored safely.

People were protected from the risks of avoidable harm and abuse by staff who knew how to recognise and respond to abuse.

There was sufficient staff to meet peoples’ needs. The provider carried out appropriate checks when employing new staff.

Effective

Good

Updated 28 March 2017

The service remains good.

Staff understood the importance of gaining consent and giving people choice.

New staff received an induction and all staff received support and training.

People’s health was monitored and staff ensured people had access to external healthcare professionals when they needed it.

Caring

Good

Updated 28 March 2017

The service remains good.

Staff spoke with people in a caring, dignified and compassionate way.

People were treated with kindness, respect and dignity.

Staff supported people to maintain contact with their family.

People’s records were stored securely to protect their confidentiality.

Responsive

Good

Updated 28 March 2017

The service remains good.

People’s care and support was planned in line with their individual care and support needs.

People were supported to take part in activities that were individualised and meaningful to them.

There was a complaints system and people knew how to complain.

Views from people and their relatives were taken into account and acted on.

Well-led

Good

Updated 28 March 2017

The service was Good

Staff morale had improved since the last inspection. There was an open, positive culture where staff felt supported and listened to.

Quality assurance surveys, regular audits and checks were undertaken at the service to make sure it was safe and running effectively.

Records were accurate, up to date and were stored securely.