Bramshott Grange

Updated 26 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 team consisted of four inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type: This service is a residential care home. It provides personal care to older people, with varying needs.

The service did not have manager registered with the Care Quality Commission. A registered manager is legally responsible for how the service is run and for the quality and safety of the care provided. A manager was in post who told us they would be applying to become the registered manager.

Notice of inspection:

This inspection was unannounced.

What we did:

Before the inspection we reviewed any notifications we had received from the service. A notification is information about important events which the service is required to tell us about by law. We also reviewed any information about the service that we had received from external agencies. 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.

This inspection included speaking with eight people, four relatives, seven members of staff, the manager and a director. We reviewed records related to the care of six people. We reviewed recruitment files for six staff. We looked at records relating to the management of the service including;

• Policies and procedures

• Audits and quality assurance reports

• Records of accidents, incidents, compliments and complaints

We asked for further information following the inspection including accessible information policy and

an example of how people are supported with their religious beliefs.

Updated 26 April 2019

About the service:

Bramshott Grange is a residential care home that was providing personal care to 29 people who had physical care needs or were living with dementia at the time of the inspection.

People’s experience of using this service:

People told us they were happy and felt safe living at Bramshott Grange. We saw people were encouraged to be independent. Staff understood people’s individual communication needs and worked in proactive ways to provide person-centred support.

The provider supported staff in providing effective care for people through person-centred care planning, training and supervision. The provider ensured the provision of best practice guidance and support which met people's individual needs.

People participated in a range of activities that met their individual choices and preferences. Staff

understood the importance of this for people and provided the structured support people required. This enabled people to achieve positive outcomes and promoted a good quality of life.

The provider had a consistent staff team who understood the needs of people well. We saw staff upheld and promoted people's rights relating to equality and diversity.

People, their relatives and staff told us they thought the home was well led and spoke positively about the manager. The provider and manager carried out numerous audits to ensure the service was effective. Staff supported people to integrate into their local community and the culture of the service promoted the values of supporting people to be as independent as possible.

Rating at last inspection:

The service was first registered with the Care Quality Commission on 7 March 2018. This was their first inspection since registration.

Why we inspected:

This was a planned comprehensive inspection. Newly registered services are inspected within a year of their first registration.

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.

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