Bramcote Hills Care Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Inadequate

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Date of assessment 3 July 2024 to 15 July 2024. Bramcote Hills Care Home is a ‘care home’ providing nursing and personal care to older people and people living with dementia. At the time of the assessment, the service was supporting 49 people with their personal care needs. Bramcote Hills was last rated Good (published 21 November 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and rating characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We assessed 24 quality statements from the safe, effective, caring, responsive and well-led key questions. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. The assessment of these quality statements indicated areas of concern since the last inspection, therefore our overall rating changes to inadequate. We found six breaches of the legal regulations in relation to person centred care, dignity and respect, need for consent, safe care and treatment, staffing and governance. We found evidence the service did not provide adequate staffing levels to ensure care was carried out in a safe and effective way. People were not always protected from neglect and harm or provided with person centred care. The provider did not have clear processes and systems in place to have robust oversight of the service to identify risks or concerns meaning necessary improvements could not be made to the care people received. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

People told us there was not sufficient staff to provide safe care and that support provided did not meet the expected standards. People’s needs had not always been assessed and reviewed. Care records did not accurately reflect their needs and there was no opportunity provided for people and their relatives to be involved in their assessment and management of risks, the development of care plans or in reviews of their care. People were not provided with an opportunity to be asked about the quality of care or if there were areas for improvement such as people knowing about their care plan and being involved. People had mixed views about staffing, with some people commenting they did not feel they were a priority to staff. We observed there to be insufficient staff to protect people from the risk of harm and unable to meet people’s day to day needs. People told us they did always have choice and control on how they could spend their time. People told us care staff were respectful, kind, and compassionate in their approach.