Background to this inspection
Updated
14 December 2019
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector
Service and service type
36 Bramley Road 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be available to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We gave the provider opportunity to discuss this during the inspection.
During the inspection
We spoke with the relatives of two people about their experience of the care provided. We spoke with three members of staff and the registered manager. We reviewed a range of records. This included two people's care and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
14 December 2019
About the service
Bramley Road is a residential care home providing personal care to two people. The provider is registered to provide care and support to people with learning disabilities and autism, people who have a sensory impairment and younger adults. At the time of the inspection two people were receiving support from the service, both people had 24-hour care from staff. The service can support up to two people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People’s experience of living at 36 Bramley Road was positive. People's relatives told us their family members were safe and protected from harm. Staff had good knowledge of safeguarding adults' procedures and how to protect people from abuse. Risks associated with people's care and support were managed safely and action was taken to learn from accidents and incidents. Staff were recruited safely.
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. Staff were knowledgeable and were provided with a comprehensive training package. People had enough to eat and drink and could choose what they wanted. People had access to healthcare when they needed it, and advice was sought from specialist health professionals.
People’s relatives told us staff were kind and caring, staff knew people well and people were involved in making decisions about their care. People were treated with dignity and respect and their right to privacy was upheld.
Person - centred support plans were comprehensively detailed and reflected people’s needs and wishes. The service was flexible to meet people's needs and people chose how they spent their time. There were systems in place to respond to complaints and concerns.
There was a positive culture which was person centred. There were effective systems to ensure the safety and quality of the service. There was consistent leadership at the service and relatives told us they were confident in the registered manager. Staff told us they felt supported and valued.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 8 October 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.