Background to this inspection
Updated
2 March 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: One inspector carried out this inspection.
Service and service type:
The service is a ‘care home’. People in care homes 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: This inspection was unannounced.
What we did:
Before the inspection we reviewed information available to us about this service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we spoke with the registered manager, the deputy manager and two staff members. We also spoke with three people and spent time observing the environment and the dining experience.
We looked at two people’s care records including medication administration records (MARs). We looked at three staff members records. We looked at records relating to the management of the service. These included accident and incident records, meeting minutes and quality assurance records.
Updated
2 March 2019
About the service: Bracken Villa is a care home that provides accommodation with support for up to eight people with a learning disability or autistic spectrum disorder. On the day of our visit there were six people using the service.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People’s experience of using this service: People we spoke with told us they were happy living at Bracken Villa and we saw lots of encouraging interaction with the staff team in a fun and positive environment.
Staff took steps to safeguard vulnerable adults and promoted their human rights. Incidents were dealt with appropriately, which helped to keep people safe. People’s health needs were identified and external professionals involved if necessary.
People told us care staff were caring and kind. We observed staff members supporting people in a dignified and confidential manner. When one person began discussing their financial affairs, a staff member gently asked them if they should discuss this somewhere more private to which they happily agreed.
Support plans were detailed and showed people were involved in planning their own activities with staff support. We found that one plan required review to ensure that guidelines from a healthcare professional regarding their nutritional safety were clearly detailed and risk assessed.
Staff told us they felt well trained and supported and spoke of the relatively new management team in a positive light stating that people who lived at the service were now taking the lead of planning their own lives with support from the staff team.
The service was well run. The senior managers carried out lots of checks to make sure that the service was effective.
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Rating at the last inspection: The service was rated as good and the report was published in July 2016.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.