1 March 2023
During an inspection looking at part of the service
Breme Residential Care Home is a residential care home providing personal to up to 60 people. The service provides support to older and younger adults, people living with dementia or a physical or learning disability, sensory impairment or autistic people. At the time of our inspection there were 35 people living in the home.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support:
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. Medicines were managed safely. Staff were recruited in line with the providers policy and procedures. The provider had plans in place to update the environment where needed.
Right Care:
Staff knew people well and understood how to provide care in a person-centred way. Staff ensured their rights and dignity were promoted and protected. Infection, prevention and control was managed well. People said they felt safe and their relatives agreed with this. Staff received training in how to keep people safe.
Right Culture:
The provider had good oversight of the home. The new manager was experienced and committed to improving the culture of the home through speaking to people, relatives and staff about how they felt things needed to improve. Staff said they felt supported by the management team. Staff liaised with a range of professionals to ensure that people’s health and wellbeing needs were being met.
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 23 October 2019).
Why we inspected
The inspection was prompted in part due to concerns received about staffing and the culture in the home. A decision was made to complete 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.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.