CQC report explained · a residential care home
What the CQC found at Bramshaw House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found systems to protect people from abuse, enough staff, safe recruitment and effective risk management. Medicines, infection control, equipment, fire safety and cleanliness were also found to be managed safely.
- Effective?
- Good
- People's needs were assessed and staff had induction, training, supervision and appraisals. People received support with healthcare, eating and drinking, consent and decision-making.
- Caring?
- Good
- Staff were described as kind, patient and respectful. People were supported to communicate in ways that suited them, make choices and remain as independent as possible.
- Responsive?
- Good
- Care plans reflected people's preferences, history, relationships and goals. Care was reviewed regularly, and people were supported with activities, holidays, education and relationships.
- Well-led?
- Good
- Inspectors found an open, inclusive culture and approachable managers. Quality checks, staff meetings and feedback from people and relatives were used to monitor and improve the service.
What inspectors found, November 2018
Rated Good; inspectors found safe, kind and personalised care, with end-of-life planning still being reviewed.
This was an unannounced, comprehensive inspection on 27 September 2018. Inspectors spoke with people living in the home, staff and managers. They observed care and checked care records, medicines, staff records, complaints, accidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe, listened to and supported to make choices. Staff knew people well and helped them stay independent, follow their interests and maintain relationships.
Inspectors found enough staff, safe recruitment, safe medicines systems, clean premises and effective support with health, food and drink. They also found open management, regular staff support and systems to monitor quality and safety.
This was the first inspection since the home was registered with the CQC in June 2017. A Good rating means inspectors found the service met the relevant standards at the time of this inspection.
People felt safe
People said they felt safe, and staff knew how to recognise and report abuse. Risks were assessed with people's involvement, while trying to protect their independence and choices.
“People told us they felt safe. One person said "I don't worry here at all. They look after me and my things".” from the report
Choice and independence
Staff supported people to make their own decisions and take part in ordinary activities. This included education, community events and adventurous activities where risks could be managed.
“Staff said, "We need to make sure it is safe but it didn't even come into our heads they shouldn't be able to do this".” from the report
Personalised support
Care plans included people's preferences, life history, relationships and goals. Staff used accessible formats and communication tools to help people stay involved.
“People said staff knew them well and their care plans reflected who they were as individuals.” from the report
Kind and respectful staff
Inspectors found that staff listened, protected privacy and dignity, and gave people time to communicate and make choices.
“Staff established eye contact, used appropriate language and gave them time to respond during conversations.” from the report
Open management
Managers were approachable and available, with 24-hour on-call support. Staff were encouraged to raise concerns and contribute ideas.
“Staff said managers were capable and did what they said they would if they needed support, "There is always someone on the end of a phone or on-shift, they are brilliant like that.” from the report
End-of-life planning
needs fixingThe home was not actively supporting anyone with end-of-life care at the inspection. Managers were reviewing plans, including medical, emotional, religious and spiritual support.
“The service was not currently actively supporting people with end of life care.” from the report
- 01How far has the review of end-of-life plans progressed, and how would you record and follow a person's wishes?
- 02How would you support religious or spiritual wishes and provide emotional reassurance at the end of life?
- 03How do you involve the person, their family and relevant health professionals when risks or care needs change?
- 04How do you make sure accessible communication methods and care plans remain up to date?
- 05How do people continue to choose activities, relationships and community opportunities when their support needs increase?
This was an unannounced comprehensive inspection covering the care, accommodation and all five CQC questions; it was the first inspection since registration in June 2017. This explanation was written from the published report of 27 November 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Bramshaw House
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2018Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017
Registered with the Care Quality Commission on 1 June 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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28 live-in carers within about an hour of West Sussex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.