Background to this inspection
Updated
8 September 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 17 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
8 September 2020
About the service: Branston Court provides residential and nursing care and is registered to accommodate up to 45 people. At the time of this inspection the service was providing personal and nursing care to 25 people.
People’s experience of using this service:
At our last inspection in March 2018, the manager had not registered with the Commission. After the inspection they submitted an application and registered with us.
At this inspection the provider did not have a registered manager in post but appropriate arrangements were in place to ensure the service provided to people was not affected.
At our previous inspection people had raised concerns about insufficient staffing levels. At this inspection people were supported by sufficient numbers of staff who had been recruited safely.
People who made decisions on behalf of their relative did not always have power of attorney. People were supported by staff to make their own decisions. People were assessed to ensure they received a service specific to their needs.
People were cared for by staff who were skilled and supported in their role by the manager. People were provided with a choice of meals and were supported by staff to eat and drink sufficient amounts to promote their health. Access to relevant healthcare services ensured people received the appropriate treatment when needed. The environment was suitable to meet people’s needs.
People could be confident that staff would know how to safeguard them from the risk of potential abuse. Risk assessments were in place to mitigate the potential risk of harm to people.
People were assisted by skilled staff to take their medicines as directed by the prescriber. Medicines were stored and recorded appropriately to ensure the safe management of medicines. Appropriate systems and practices promoted good hygiene standards to reduce the risk of people contracting avoidable infections. Lessons were learned when accidents occurred and corrective measures were taken to reduce the risk of a reoccurrence.
People were supported by staff who were kind, compassionate and attentive to their needs. Where possible people were encouraged by staff to be involved in planning their care. People’s right to privacy and dignity was respected by staff.
The assessment of people’s needs ensured they received the appropriate care and support. People were supported by staff to engage in social activities of their choice. People could be confident that their complaints would be taken seriously and acted on. At the time of our inspection no one was receiving end of life care.
The provider had systems in place to review and monitor the quality of service provided. The provider worked with other agencies to ensure people received a seamless service.
Rating at last inspection: The service was rated Requires Improvement at the last inspection in March 2018.
Why we inspected: This was a scheduled inspection based on the previous rating.
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. More information is in Detailed Findings below.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk