Updated 25 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 team consisted of one inspector, an assistant inspector 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. Our expert by experience had experience of caring for someone who was living with dementia.
Service and service type:
Bramley Grove is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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:
The inspection took place on 5 March 2019 and was unannounced.
What we did:
Before the inspection we reviewed information available to us about this service. The provider had completed a Provider Information Return (PIR). This is a document which asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the information provided in the PIR and used this to help inform our inspection. We also reviewed previous inspection reports and the details of safeguarding events and statutory notifications sent by the provider. A notification is information about important events which the provider is required to tell us by law, like a death or serious injury.
During our inspection we spoke with and spent time with five people who used the service, and six relatives. We observed how people and staff interacted throughout the day. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help use understand the experience of people who could not talk with us.
We spoke with the registered manager, the operations manager, the deputy manager, a senior care worker, three care staff, two kitchen staff, and an activities co-ordinator. We looked at four people’s care records, two staff employment records and reviewed information relating to the management of medicines. We also looked at policies and records in relation to staff training, maintenance of the premises, complaints and how the provider monitored the quality of the service people received.