• Care Home
  • Care home

Braywood Gardens

Overall: Requires improvement read more about inspection ratings

Millbrook Drive, Carlton, Nottingham, Nottinghamshire, NG4 3SR (0115) 938 1300

Provided and run by:
Runwood Homes Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

On this page

Background to this inspection

Updated 14 December 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors.

Service and service type

Braywood Gardens is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Braywood Gardens is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

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 a registered manager in post.

Notice of inspection

This inspection was unannounced on 30 October 2023 and unannounced on 9 November 2023.

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. 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 used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 3 relatives of people who used the service and 7 staff members, these included 1 care team leader, 2 care assistants, 1 domestic assistant, the registered manager, deputy manager and administrator. We looked at a range of information. This included 16 people’s care records, medicines administration records (MARs) and associated documents. We also checked 3 staff files for recruitment, training records and information about the operation and management of the service.

Overall inspection

Requires improvement

Updated 14 December 2023

About the service

Braywood Gardens is a purpose-built residential care home providing accommodation and personal care to up to 99 people. Braywood Gardens accommodates people across 7 units over 2 floors, although at the time of the inspection not all units were occupied.

The service provides support to older people and people who are living with physical disabilities and dementia. At the time of our inspection there were 80 people using the service.

People’s experience of using this service and what we found

Potentially harmful products were not always stored securely. Unsecured windows also increased risks related to people falling from heights, as risk assessments had not been completed. Care plans were not always updated following incidents and accidents when the provider identified equipment to promote people's safety. Areas of the home were not always clean, and safe food storage practice was not always followed, which increased the risk of infection spreading. We observed that people were not always given support promptly when they needed help.

The provider had not consistently operated its systems and processes effectively to ensure action plans relating to environmental safety were completed and people's care plans were reviewed and contained current information.

However, relatives felt people were safe. Staff had received training and understood their responsibilities to ensure people were safeguarded from abuse and received their medicines safely. Staff told us the registered manager was approachable. There was evidence of the provider seeking and acting on feedback from people, their relatives and external professionals.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 25 April 2023).

Why we inspected

We received concerns in relation to the management of accidents and incidents. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. 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 good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Braywood Gardens on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.