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Branksome House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 October 2020

About the service

Branksome House is a residential care home providing personal care for up to nine adults with learning disabilities and/or autistic spectrum disorder needs. At the time of the inspection seven people were living there and receiving care.

The service was developed and designed before Registering the Right Support came into existence. Despite this, the service was managed 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

The provider’s quality assurance processes had improved and were effective in driving in improvements across the service. This was evident in the premises, fire safety and review of incidents and accidents, to ensure people received a safe service. People received their medicines as prescribed. Some improvement to people’s records was still needed and the provider had started making these improvements during the inspection.

The registered manager provided good support for staff to be able to do their job effectively. Staff knew people well and the support they required. People, relatives and staff were positive about the provider and the support people received from staff.

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.

Following our previous inspection the outcomes for people using the service had improved and 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 and staying in contact with loved ones. The service was a hub of activity with friendly staff providing care and support in a way people liked and enjoyed. Positive interactions took place between people, staff and each other throughout our visit.

There were effective infection prevention and control systems in place to ensure the risk of infection was managed. Staff followed appropriate infection control procedures, during the COVID-19 pandemic.

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

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (published 7 February 2020) and there were four breaches of regulation in Regulation 9 (Person centred care), Regulation 15 (Premises and Equipment), regulation 12 (Safe care and Treatment) and Regulation 17 (Good Governance).

Following our last inspection, we served two Warning Notices on the provider. We required them to be compliant with Regulation 12 (Safe care and treatment) and Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 by 25 March 2020. We issued requirement notices for Regulation 9 (Person Centred Care) and Regulation 15 (Premises and Equipment).

The provider completed an action plan after the last inspection to show what they would do to improve and by when.

At this inspection we found significant improvements had been made and the provider was no longer in breach of the regulations we found at the previous inspection.

We did however find a new breach of Regulation 17 (2) (c) (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to people’s records.

The service remains rated Requires Improvement.

Why we

Inspection areas

Safe

Good

Updated 23 October 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 23 October 2020

Caring

Requires improvement

Updated 23 October 2020

Responsive

Good

Updated 23 October 2020

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 23 October 2020

The service was not always well-led.

Details are in our safe findings below.