Bramerton

Updated 16 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 24th February 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 16 March 2022

About the service:

Bramerton is a residential care home. It provides accommodation and personal care

for up to 11 adults living with learning disabilities or autistic spectrum disorder. At the time of the inspection there were 11 people living at the service.

People's experience of using this service:

The service effectively applied the principles and values of Registering the Right Support and other best practice guidance. These ensured that people who used the service lived as full a life as possible and achieved the best possible outcomes, that include control, choice and independence.

People and relatives consistently praised the exceptional and distinctive way the home was managed. People, relatives and staff overwhelmingly told us they felt their opinions and ideas mattered, which made them feel valued and part of something ‘special’. The management team and deputy manager consistently motivated and inspired their staff, which had resulted in exceptional staff morale and very high levels of staff satisfaction. Professionals consistently described the home managers as excellent role models, who led by example and continually strove for excellence.

Governance and quality assurance were exceptionally well-embedded within the service. Quality assurance surveys were overwhelmingly positive.

The service had a track record of being an excellent role model for other services within the provider’s care group. Professionals consistently praised the registered manager for the “meticulous attention to detail” within people’s care records.

The service provided exceptionally responsive, person-centred support to people.

Excellent consistency and continuity of care provided by a stable staff team had a positve impact on people’s quality of life.

People consistently experienced exceptional person-centred care, which has significantly reduced the level of behaviours that may challenge others, the incidence of self-injurious behaviour and the level of prescribed medicines to control people’s behaviour.

Visiting professionals consistently told us that the service was focused on providing person-centred care and support, which achieved exceptional outcomes for people.

Staff were particularly skilled at helping people and their families to explore and record their wishes about care at the end of their life, which made them feel empowered, valued and listened to.

People were supported by a stable core staff group who were kind, caring and inspired by their manager to deliver high quality, personalised care.

People were protected from discrimination, neglect, avoidable harm, and abuse by staff.

Staff ensured the human rights of people who lacked a voice, were upheld and respected.

Risks to people's safety had been identified and assessed. Staff followed people’s risk management plans to keep them safe.

Staff felt valued and respected by the management team, and consistently demonstrated high levels of morale.

Staff had the required skills to meet people’s needs effectively, which led to successful outcomes for people’s care and support and promoted their quality of life.

People’s care plans were comprehensive, providing staff with the required information about people's needs and how to meet them.

Rating at last inspection:

At the last inspection the service was rated Good (13 October 2016).

Why we inspected:

This was a planned inspection to review whether the service remained good.

Follow up:

We did not identify any concerns at this inspection. We will therefore aim to re-inspect this service within the published time scale for services rated good. We will continue to monitor the service through the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk