Archived: Bramblegate

We also examined records, spoke with the manager and two support workers, and briefly observed staff supporting people in communal areas. We saw that staff treated people respectfully. We noted that people appeared comfortable with staff, readily approaching them and starting conversations.

The provider had addressed the compliance action from our inspection in September 2013. This related to protecting people from the risks of unsafe or inappropriate care by keeping accurate records that reflected incidents and events. Risk assessments and care plans were reviewed and, where necessary, updated after each incident, such as a display of agitation. Staff recorded their contact with people's families and professionals.

We spoke with one person who lived at the home and two relatives. They told us the home was good and the staff were supportive and helped people to live full and independent lives. We saw evidence that people were engaged in many activities of their choosing. This meant that people were enabled to make decisions relating to their care and support.

Relatives told us the staff were 'excellent' and very knowledgeable. They said this was because they were well trained and had good support from the manager. We were told that they had confidence in the manager and staff to ensure their relative lived a full and happy life. We saw from the records the staff had undergone a considerable amount of training and their supervision and appraisals were regular and up to date. In consequence, the provider had ensured staff received sufficient training and support to deliver care and support to an appropriate standard.

We looked at four people's records and found they were up to date and provided guidance to staff about the most appropriate ways to provide care and support. The records contained risk assessments which included clear guidance for staff regarding the steps they could take to ensure people's safety. However, some records relating to specific risk events were kept in different locations and this information was not always transferred to people's records. This meant the provider could not be sure that risks were managed in an appropriate way.

One person we spoke with told us 'I really like living here, I like my room it's really good'.

We found that care plans were detailed, person centred, accurately reflected people's needs and had been drawn up with their involvement.

People were supported by staff that were supported to deliver care and treatment safely and to an appropriate standard.

We observed that care workers and people living in the home were relaxed with each other, laughing and chatting and enjoying each others company. We saw care workers knew the people who lived in the home well and could anticipate their needs as required.

One care worker we spoke with told us 'I really enjoy working here, we are a good team and work well together'.

Records were kept securely and could be located promptly when needed.