CQC report explained · a nursing home
What the CQC found at Bramshott Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2019
Rated Good; inspectors found safe, kind and personalised care, with a few records and management issues to check.
This was an unannounced, comprehensive inspection on 27 and 28 February 2019. Inspectors spoke with eight people, four relatives, seven staff members, the manager and a director. They reviewed care records, staff recruitment files, medicines and records about the running of the home.
All five areas were rated Good: safe, effective, caring, responsive and well-led. People said they felt safe and staff were seen supporting independence, dignity and personal choices. Inspectors also found good staffing levels, safe medicines practice, varied activities and strong links with health professionals.
There were some issues to put right. Three fire doors marked to be kept locked were unlocked at the start of the inspection, although they were locked after this was raised. Two care plans lacked relevant details, and the manager said the assessment process would be improved to cover gender-specific needs. This was the home's first inspection since registration.
Kind and respectful care
Inspectors saw staff supporting people patiently and compassionately. People were encouraged to make choices and keep the skills they could manage themselves.
“We observed people were treated with kindness and compassion.” from the report
Activities and choice
People could choose from a wide range of activities and outings. These reflected people's interests and helped support their quality of life.
“People had access to a range of activities including a cinema, gym, social events, arts and crafts, baking, puzzles and a library to name a few.” from the report
Quality monitoring
The provider and manager used audits, care-plan reviews and incident reviews to identify improvements. Staff said they were listened to and supported.
“Quality assurance systems were in place to enable the manager to monitor and identify any shortfalls in the quality of the service people received.” from the report
Fire doors were initially unlocked
seriousThree doors marked to be kept locked were found unlocked at the start of the inspection. They were locked after inspectors raised the issue and remained locked during the rest of the visit.
“We observed three doors marked 'fire door, keep locked' which were unlocked.” from the report
Two care plans lacked details
needs fixingMost care plans were detailed, but two did not contain relevant information. The manager was told about this and later sent updated support plans to CQC.
“Most care plans were very detailed however, two care plans did not contain relevant details.” from the report
Gender-specific needs were not covered in assessments
minorThe assessment information did not give people the opportunity to discuss gender-specific needs. The manager said this would be added, although inspectors found people's diverse needs were being met in practice.
“However, we saw that this information did not include the opportunity for people to discuss their gender specific needs.” from the report
No registered manager at the time
needs fixingThere was a manager in post, but they were not registered with CQC when inspectors visited. The manager said they would apply to become the registered manager.
“The service did not have manager registered with the Care Quality Commission.” from the report
- 01Have the three fire doors been included in regular safety checks, and how do you make sure they remain locked when required?
- 02What changes were made after CQC found that two care plans lacked relevant details?
- 03How do you now record and review a person's gender-specific needs?
- 04Has the manager since applied to become the registered manager with CQC?
- 05How do you make sure activities and outings continue to reflect each person's interests and preferences?
This was an unannounced comprehensive inspection covering all five CQC questions; it was the home's first inspection since registration. This explanation was written from the published report of 26 April 2019 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 Bramshott Grange
Each visit the CQC has published, newest first, back to the day the home was registered.
- April 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018
Registered with the Care Quality Commission on 7 March 2018.
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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26 live-in carers within about an hour of Hampshire
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 £1,260 a week. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.