4 December 2019
During a routine inspection
The Bromford is registered to provide personal care as part of a supported living setting. At the time of this inspection 14 people were receiving personal care. The Bromford was purpose built and comprises of individual flats over two floors with communal areas on each floor.
Some aspects of the service have been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Improvements had been made since the last inspection where The Bromford was rated as inadequate. Systems had been put in place to improve people’s safety and the management of the service. However, we need assurances the improvements made so far, will be sustained and will remain embedded.
There were enough staff to support people safely. The provider completed employment checks to ensure staff were suitable to deliver care and support before they started work. They need to strengthen the process further and ensure a full employment history was completed for all staff. People we spoke with told us they felt safe with the care staff who supported them. Where people were supported with medicines this had been provided safely. Care plans we sampled had improved and demonstrated that people who lived at the home had risk assessments in place in relation to their specific conditions and to keep them safe. Some further improvement was needed to one person’s risk assessments.
People’s care and support reflected their individual assessed needs. Staff had the appropriate skills and knowledge to meet people’s needs and received training and ongoing support. People had been supported to maintain their health and wellbeing and had access to healthcare services when required.
People received help and support from a kind and compassionate staff team with whom they had positive relationships with. Staff showed respect for people's rights, privacy, dignity and independence. Staff providing care to people were limited to a small number to aid consistency of care and ensure positive relationships were maintained with people.
People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People received personalised care that was responsive to their needs. The provider had a complaints process and people felt confident to raise any concerns.
Action had been taken to improve the systems used to check and audit the quality of the care provided at the service. However, further improvement was needed. People told us that the manager was approachable and responsive and staff felt supported.
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 inadequate (published 2 July 2019) and there were multiple breaches of regulation. We imposed conditions on the provider's registration. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 2 July 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.