What the CQC found at St Brannocks

Staff treated people kindly, built positive relationships and adapted how they communicated. Inspectors saw that people's privacy and dignity were respected.

“Staff continued to support people in a kind and caring manner.” from the report

People were supported to make their own meals, manage their own medicines where appropriate and go out independently.

“Staff supported people to remain as independent as possible.” from the report

Inspectors found staff competent and knowledgeable. Training covered areas such as mental capacity, safeguarding and supporting people with challenging behaviour.

“Staff continued to be competent, knowledgeable and skilled in their roles.” from the report

Staff supported people to see healthcare professionals and communicated with social workers and other professionals when needed.

“Staff supported people to access healthcare when needed.” from the report

Some areas were dusty, bathrooms had limescale and not all bins had bags. Opened food was not always sealed in the fridge and some food was out of date.

“Improvements were required to food hygiene practice and the cleanliness of the kitchen.” from the report

Staff were not fully following the legionella checks. There were no individual evacuation plans and no risk assessments for potentially hazardous substances kept by people.

“There were not specific evacuation plans for individual people's needs.” from the report

One person did not always receive the supervision needed for their oral healthcare. The care plan was not detailed enough and did not always ensure their oral health was maintained.

“The person did not always receive supervision, and the care plan in this area was not detailed enough.” from the report

The provider had visited only once in the previous year and did not identify some problems. Audits and recorded checks were missing in several important areas.

“There were not robust governance systems such as audits in place for infection control, health and safety, medicines administration and competency checking.” from the report

Some care plans had not been reviewed regularly, so staff might not have had the most up-to-date information about people's needs.

“They had not all been regularly reviewed, which is important for the service to ensure up to date information is given to staff.” from the report