Bramley Court Care Home

Updated 7 July 2022

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

This inspection was completed by an inspector, a nurse specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bramley Court 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. Bramley Court is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke to five people who use the service and nine relatives regarding their experiences using the service. We spoke to 14 staff members including the registered manager, nurses, care workers, the cook, activity coordinators and administrative staff. We reviewed a range of records including four people’s care records and multiple people’s medicines records. We looked at two staff files in relation to recruitment and supervision. We looked at a variety of records relating to the management of the service including policies and procedures.

Updated 7 July 2022

About the service

Bramley Court is a care home providing personal and nursing care to up to 76 people. It specialises in supporting older people and people with dementia. At the time of our inspection there were 61 people living at the home. The home is divided into four separate smaller units within the building. Each unit has its own lounge and dining areas and access to a garden area.

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

The provider had ensured all staff received appropriate training regarding the use of restraint. People’s medicines were safely managed. People were protected by the prevention and control of infection. Clear care plans and risk assessments were in place for all people to guide staff. Staff were recruited safely. The provider had a robust system in place to manage incidents affecting people’s safety.

Assessment of people’s needs were carried out. People’s assessed needs and preferences were reflected in their care plans. People were cared for by a staff team who had received regular and appropriate training specific to their needs. Staff prepared foods in line with people’s preferences. Care records demonstrated staff worked with healthcare professionals involved in people’s care. Where people had specific treatment needs, they were referred to the relevant healthcare professionals in good time. There was a lack of support for people with dementia to help them find their bedrooms. The registered manager had ensured people’s capacity was regularly assessed. We observed staff seeking consent from people when providing care.

The registered manager had ensured staff were completing lateral flow device (LFD) tests for COVID-19. The registered manager had ensured people’s individual risk from COVID-19 was considered. The registered manager had ensured all staff had a COVID-19 risk assessment in place. People and their relatives told us they felt listened to and the registered manager was approachable. Staff told us the home was a collaborative and supportive environment. People and their families were engaged in the running of the home. Regular meetings were held with people living in the home, giving people the opportunity to share their views.

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 and update

The last rating for this service was requires improvement (published 25 January 2022). At our last inspection we recommended the provider facilitated additional staff training and make improvements to their record keeping. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding issues. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.