18 April 2023
During an inspection looking at part of the service
Brantley Manor is a residential care home providing accommodation for persons who require nursing or personal care to up to up to 33 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 26 people using the service. Brantley Manor provides accommodation in a single house across two floors.
People’s experience of using this service and what we found
The provider had quality assurance processes in place. However, there were shortfalls in medicines management, meaning systems and processes were not robust enough to identify issues in timely way.
We have made a recommendation about leadership and management oversight and accessible ways to feedback on quality and care delivery.
There was not always enough staff to meet the needs of people during the night. Staff had sufficient training to meet people’s needs. Safe recruitment systems were in place to ensure staff were suitable to work with people.
Infection control measures were in place and a housekeeping team completed daily cleaning tasks. However, due to poor environmental safety some areas of the home required repairs and refurbishment. This meant whilst cleaning was completed, the effectiveness of cleaning could not be maintained.
Care plans detailed how to support the person to ensure their assessed needs could be met. We found some care plans required further work to ensure they contained person centred information in regards of people’s medical conditions.
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 20 April 2020)
Why we inspected
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.
We received concerns in relation to leadership and management of the service and staffing. 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 Brantley Manor Care Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified a breach in relation to medicines management and risks associated with environmental safety 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.