Braemar lodge is a home providing care and nursing for up to 55 people. The home is part of the Colten Care Group. At the time of our visit, 52 people were living in the home. The inspection took place on 13 and 14 June 2016. This was an unannounced inspection and the home’s first rated inspection.A registered manager was in post when we inspected the service. 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. The registered manager was present and approachable throughout our inspection. Staff, relatives and people who used the service told us the registered manager was always available if they needed to speak with her and had confidence in her abilities to manage the service.
The registered manager and staff we spoke with were passionate about providing a service that placed people and their families at the very heart of the service. This was confirmed with us by four health care professionals we spoke with and through speaking with relatives and visitors.
A wide range of activities were available which people’s family and friends were invited to. Staff spent quality time with people to give them emotional support and comfort. Staff were seen reminiscing with people about their life, singing, or discussing the events of the day. We saw people regularly choosing how to spend their time and the home enabled and encouraged this sense of freedom. People had taken on roles within the home such as in the salon, or on reception and were able to actively participate in the daily running of the home.
People were encouraged and supported to develop and maintain relationships with people that mattered to them and with the community. The home actively sought ways to encourage people to feel part of the homely environment and prevent social isolation.
There was good open communication between staff which allowed knowledge to be shared and people's care needs to be met effectively. Staff were seen actively thinking of solutions and ideas to enable people to retain their independence and provide individually tailored care.
The management culture of the home was open, and dedicated to providing good care to people. Standards were high, and staff responded to this well. Comments from relatives and staff included “The whole place is extremely well run”, “It’s the management that’s good about this home, she’s so clued up about everything, it’s dealt with, nothing is ever left” and “It’s like one big family, they care about everything”.
People told us they felt safe when receiving care and were involved in developing and reviewing their care plans. Systems were in place to protect people from abuse and harm and staff knew how to use them.
Sufficient levels of staff were in place, however people told us call bells could take a while to be answered. Audits showed there were large number of calls that took 11 minutes and over to be answered. This had been picked up by the registered manager and the call bell system was being investigated. During our inspection we did not hear prolonged ringing of call bells.
People’s medicine records were left on view during medicine administration rounds allowing the potential for access to people’s private information during these times. All other medicine management was appropriately maintained.
Staff were appropriately trained and skilled. They received a thorough induction when they started working for the service. They demonstrated a good understanding of their roles and responsibilities, as well as the values and philosophy of the service.
The provider regularly assessed and monitored the quality of care provided at Braemar Lodge. The service encouraged feedback from people and their relatives, which they used to make improvements.