30 October 2023
During an inspection looking at part of the service
Braywood Gardens is a purpose-built residential care home providing accommodation and personal care to up to 99 people. Braywood Gardens accommodates people across 7 units over 2 floors, although at the time of the inspection not all units were occupied.
The service provides support to older people and people who are living with physical disabilities and dementia. At the time of our inspection there were 80 people using the service.
People’s experience of using this service and what we found
Potentially harmful products were not always stored securely. Unsecured windows also increased risks related to people falling from heights, as risk assessments had not been completed. Care plans were not always updated following incidents and accidents when the provider identified equipment to promote people's safety. Areas of the home were not always clean, and safe food storage practice was not always followed, which increased the risk of infection spreading. We observed that people were not always given support promptly when they needed help.
The provider had not consistently operated its systems and processes effectively to ensure action plans relating to environmental safety were completed and people's care plans were reviewed and contained current information.
However, relatives felt people were safe. Staff had received training and understood their responsibilities to ensure people were safeguarded from abuse and received their medicines safely. Staff told us the registered manager was approachable. There was evidence of the provider seeking and acting on feedback from people, their relatives and external professionals.
People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 25 April 2023).
Why we inspected
We received concerns in relation to the management of accidents and incidents. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Braywood Gardens on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.