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Inspection summaries and ratings from previous provider


Overall summary & rating

Good

Updated 26 April 2019

This inspection took place on 6, 11 and 13 March 2019 and was unannounced.

Branksome House is a care home for up to nine people with a learning disability, autistic spectrum disorder or mental health problems. 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. There were seven people living in the home at the time of our inspection.

Branksome House also provides staff to support people with their personal care who live in shared accommodation or in their own homes. This includes five ‘supported living’ settings, so that they can live in their own home as independently as possible. These include shared toilet and bathroom facilities, lounges and staff offices/sleeping rooms. The service was supporting ten people with the regulated activity in shared accommodation at the time of our inspection. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Not everyone using Branksome House receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

Following the last inspection, we met with the provider to confirm what they would do and by when to improve the key questions of Safe and Well-Led to at least good.

At this inspection we found improvements to how risks to people’s safety were managed such as choking and environmental risks. Improvements had been made to quality monitoring systems. These were now effective in identifying areas for improvement action such as maintenance issues. Staff recruitment procedures had also improved.

The outcomes for people using the service reflected the principles and values of Registering the Right Support. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Branksome House had four registered managers 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.

People received support from caring staff who respected their privacy, dignity and the importance of independence. 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. People received personalised care and had opportunities to take part in activities both in their accommodation and in the wider community. People were supported to maintain contact with their relatives.

People were protected from harm and abuse through the knowledge of staff and management. Sufficient staffing levels were maintained and staff were supported through training and meetings to maintain their skills and knowledge to support people. There were arrangements in place for people and their representatives to raise concerns about the service.

Inspection areas

Safe

Good

Updated 26 April 2019

The safety of the service had improved and the service was safe.

Improvements had been made to how risks to people’s safety was managed.

Staff recruitment procedures had improved.

People were safeguarded from the risk of abuse because staff understood how to protect them.

People's medicines were managed safely.

Effective

Good

Updated 26 April 2019

The service was effective.

People were supported by staff who had the knowledge and skills to carry out their roles.

People's health care needs were met through on-going support and liaison with healthcare professionals.

People were consulted about their meal preferences.

People's rights were protected in accordance with the principles of the Mental Capacity Act (2005).

Caring

Good

Updated 26 April 2019

The service was caring.

People were treated with respect and kindness.

People's privacy and dignity was upheld and they were

supported to maintain their independence.

Responsive

Good

Updated 26 April 2019

The service was responsive.

People received individualised care and support.

People were supported to take part in a variety of activities.

There were arrangements in place to respond to concerns or complaints from people using the service and their representatives.

Well-led

Good

Updated 26 April 2019

The leadership of the service had improved and the service was well-led.

Improvements had been made to quality monitoring systems.

The management team were accessible to people using the

service and staff.