Background to this inspection
Updated
15 June 2017
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.
This comprehensive inspection was undertaken by one inspector on 28 April 2017 and was unannounced. We also visited the service on 23 May 2017 by appointment to view some additional records.
Before the inspection, we looked at information that we had received about the service. This included information we received from the local authority and any notifications from the provider. Statutory notifications include information about important events which the provider is required to send us by law.
During the inspection process, we spoke with two people using the service. We also spoke with the registered manager and two staff working in the service. We looked at two people’s care and medicines records. We looked at recruitment records relating to two staff and training records for all staff. We also looked at the provider’s arrangements for supporting staff, managing complaints and monitoring and assessing the quality of the services provided at the service.
Updated
15 June 2017
Bramble Close Supported Housing is registered to provide personal care for people in their own home. People who use the service have tenancies with the owner of the premises and the registered service provides care and support to enable people to live independently in their own home. The service supports up to four people who have physical, learning or sensory disabilities and needs. There were four people receiving a service at the time of our inspection visits.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection this service was rated Good. At this inspection we found the service remained Good.
The service was safe. Staff were knowledgeable about identifying abuse and how to report it to safeguard people. Recruitment procedures were satisfactory. Detailed risk assessments were in place for people using the service to support their safety. There were also processes in place to manage any risks in relation to the running of the service. Staff deployment was suitable for people’s needs and people’s medicines were safely managed.
The service was effective. People were supported by experienced staff to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and the practices and systems in the service supported this approach. People were supported to maintain good health and nutrition and they had access to healthcare services.
The service was caring. We saw friendly, caring and supportive interactions between staff and people and staff knew the needs and preferences of the people using the service. People’s dignity, privacy and independence was respected.
The service was responsive. People’s needs had been assessed with them and they told us they received the flexible support they needed from the service. Care plans were person centred and reflected what was important to the person. The service had a complaints policy in place and people felt able to complain if they needed to.
The service was well-led. The service had a positive open culture. The registered manager had systems in place to check on the quality and safety of the service provided and to put actions plans in place where needed.
Further information is in the detailed findings below.