Brampton Lodge

Updated 30 August 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector. Inspection activity started on 10 July 2019 and ended on 11 July 2019.

Notice of inspection:

The inspection was unannounced on 10 July 2019 and announced on 11 July 2019.

Service and service type:

Brampton Lodge is a care home. People in a care home receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Brampton Lodge staff do not provide nursing care.

The service did not have a manager registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The deputy manager was in charge of the service when we inspected.

What we did:

Before visiting the service, we looked at previous inspection reports and information sent to the Care Quality Commission (CQC) through notifications. Notifications are information we receive when a significant event happens, like a death or a serious injury. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection, we reviewed information from five peoples care plans. We spoke with six people and a relative. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We viewed quality audit records. We also spoke with the deputy manager and six members of staff.

Updated 30 August 2019

About the service: About the service: Brampton Lodge provides accommodation with personal care to older people. There were 20 people using the service during our inspection. Most people were independent with their personal care needs. The service continued offering short spells of respite care as well as permanent placements.

People’s experience of using this service:

We continued to receive positive feedback about Brampton Lodge. One person said, “Its very good care, I have a very comfortable room.” Another person said, “The staff are very kind. They are very good at respecting our privacy, we know the deputy manager well, they are very good to us.” A relative said, “We are very impressed with the home, Mum is being well looked after.”

People told us that staff met their needs with care and were friendly towards them. We continued to observe staff with kind and positive attitudes to delivering person centred care. During the inspection, we often heard staff saying kind things to people and observed that staff were friendly and attentive to people’s needs.

Equality, diversity and human rights policies were in place and the care assessments included sections about people’s backgrounds and lifestyles. Staff worked in partnership with people, respecting people’s rights and always offering people choices about their care.

Risks assessments and the ongoing maintenance of the premises and equipment minimised the risk of people being exposed to harm. The premises were adapted to people’s mobility needs to make all areas of the premises and garden accessible to people with mobility problems.

People’s needs were fully assessed and people’s right to retain independence in their day to day lives was respected. Staff understood how to safeguard people at risk and how to report any concerns they may have. The staff learnt from incidents and accidents to reduce the risk of them reoccurring.

Care plans had been developed to assist staff to meet people’s needs. The care plans were consistently reviewed and updated.

People, their relatives and health care professionals had the opportunity to share their views about the service. Complaints made by people or their relatives were taken seriously and thoroughly investigated.

Safe recruitment practices had been followed before staff started working at the service. Staff had supervision and personal development opportunities to learn skills in social care. Staff training was ongoing. There were systems in place for ensuring the staffing levels and staff skills balance were maintained to meet people’s needs.

There were policies and procedures in place for the safe administration of medicines. Staff had been trained to administer medicines safely.

People were offered a range of food choices and encouraged by staff to eat healthily. People had access to GPs and their health and wellbeing was supported by prompt referrals and access to medical care if they became unwell.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff followed good hygiene practice to minimise the risks from the spread of infection.

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

Rating at last inspection:

The last rating for this service was Outstanding (published 11 January 2017).

Why we inspected:

This was a comprehensive inspection scheduled based on the previous rating.

Follow up:

We will continue to monitor the service.