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What the CQC found at Little Bramingham Farm Residential Care Home

Outstandingpublished 31 March 2020, 6 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home used safe infection prevention measures, including PPE, testing, hygiene and arrangements for preventing and managing outbreaks. The provider also said it had measures to reduce the effects of COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Outstanding
Are people treated with kindness and dignity?
Responsive?
Outstanding
Is care built around the person? Care plans, activities, complaints.
Well-led?
Outstanding
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2022

Little Bramingham Farm Residential Care Home was inspected but not rated; inspectors found strong infection control and safe visiting arrangements.

This was an announced, targeted inspection on 21 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected people.

The home had checks for visitors, including screening questions, testing and vaccination checks for visiting professionals. Inspectors were assured that PPE, testing, social distancing, hygiene and outbreak arrangements were being used safely.

People had named essential care givers and could keep in touch with relatives through visits, phones and social media. The inspection was not given a rating, so it does not provide an overall judgement on the quality of care.

What inspectors praised
  • Infection control

    Inspectors were assured that the home was using PPE, testing, hygiene and social distancing measures safely. Its infection prevention and control policy was up to date.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Safe visiting

    The home checked visitors and recorded the results. People could meet relatives in bedrooms or in a visitors' cabin, and could also use phones and social media to stay connected.

    “The provider had safe systems in place for ensuring different types of visits could take place.” from the report
  • Support from essential care givers

    Each person had a named essential care giver. These people took part in weekly testing and continued to support residents during outbreaks.

    “Each person had a named essential care giver.” from the report
  • Personalised decision-making

    People who could not consent to testing, vaccination or visiting restrictions had mental capacity assessments and were supported with their decisions.

    “Each person had individual risk assessments about COVID-19.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention, testing and PPE arrangements are in place now?
  2. 02How can relatives visit, and are visits still available in bedrooms or a separate visitors' area?
  3. 03How are people supported to keep in touch with relatives when face-to-face visits are not possible?
  4. 04How are current staffing pressures affecting the people living in the home?
  5. 05How are decisions about testing, vaccination and visiting restrictions made for people who cannot consent?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 3 March 2022 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.

An earlier report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors found good infection control practices, with some resources suggested to develop the home's approach.

This was an announced inspection on 29 October 2020. It was part of a CQC thematic review of infection prevention and control in care homes during the coronavirus pandemic.

Inspectors found the home was clean and had safe processes for people entering. Staff used personal protective equipment and recorded their temperatures. The home also responded quickly when people became unwell.

The inspectors were assured about several infection control arrangements, including visiting, social distancing, admissions, PPE, testing, and hygiene. The service was inspected but not rated, so this report does not give a full overall quality rating.

What inspectors praised
  • Clean environment

    Inspectors found the home was clean and had safe arrangements for people entering, including staff, professionals and relatives.

    “The home was clean and there were safe processes to manage the entry of staff, visiting professionals and relatives when they came to the home.” from the report
  • Use of PPE

    Inspectors were assured that PPE was being used effectively and safely.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Testing arrangements

    Inspectors were assured that the home was accessing testing for people living there and for staff.

    “We were assured that the provider was accessing testing for people using the service and staff.” from the report
  • Quick response to illness

    The home acted quickly when people became unwell.

    “Swift action was taken when people presented as unwell.” from the report
What inspectors were concerned about
  • Further development suggested

    minor

    Inspectors signposted the provider to resources to develop its approach. The report does not say exactly what needed development.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to your infection prevention and control approach since the inspection?
  2. 02How do you currently manage visits from relatives and other professionals?
  3. 03How are staff and residents tested when testing is needed?
  4. 04How do you make sure staff use PPE effectively and safely?
  5. 05What resources or improvements did inspectors suggest, and have these been completed?

This was a thematic review of infection prevention and control during the coronavirus pandemic; Safe was inspected but not rated, and the other key questions were not assessed in this report. This explanation was written from the published report of 1 December 2020 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.

The story over the years

Every inspection of Little Bramingham Farm Residential Care Home

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Little Bramingham Farm Residential Care Home →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Little Bramingham Farm Residential Care Home →

  3. March 2020Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read this report on cqc.org.uk

  4. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 7 January 2011.

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.

Next steps

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