Little Bramingham Farm Residential Care Home

Updated 3 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 21 February 2022 and was announced. We gave the service three days’ notice of the inspection.

Updated 3 March 2022

About the service

Little Bramingham Farm Residential Care Home provides care and support for up to 25 people living with various care needs. Some of the people were living with dementia. The service consists of two floors, providing single bedrooms and communal areas. There were 22 people living at the service at the time of the inspection.

People's experience of using this service and what we found

People and relatives' feedback was extremely positive and complimentary about the care people received. They all said staff provided very good care to meet people’s needs. Everyone said staff were exceptionally caring, kind and friendly. They provided person-centred and responsive care to people. People experienced very good care outcomes and relative’s comments about the service supported this. It was clear that the provider and the registered manager had further developed the service to enhance people's experiences of care. One relative said, “You can use this as an example of how a home should be run. We would recommend this to anyone.”

Everyone said the staff were very passionate about creating a homely, inclusive and happy atmosphere for people. Relatives said the service was exceptional at promoting a caring environment for everyone, including staff. One relative said, “It’s genuinely a lovely place.” It was evident staff were highly motivated to create an atmosphere that promoted mutual compassion and care. Staff had developed caring and respectful relationships with people and relatives. Staff always promoted people's dignity and privacy, and they supported them to remain as independent as possible.

There were robust systems to ensure people were safe. People were protected from harm by staff who were trained to identify and report concerns. People were safe because potential risks to their health and wellbeing had been managed well. There were enough staff to support people safely. Some staff had worked at the service for many years and they had got to know people and their relatives quite well. People were supported well to take their medicines. Lessons were learnt from incidents to prevent recurrence. Staff followed effective processes to prevent the spread of infections.

Staff worked hard to ensure people received effective care to meet their needs. People were supported by very skilled and knowledgeable staff. The provider ensured staff practice was supported by good practice guidance so that people achieved good care outcomes.

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.

People received exceptionally personalised care and support which met their needs, reflected their preferences and promoted their wellbeing. People felt they mattered, and staff valued relatives’ contributions to discussions about people’s care. Staff had worked extremely hard to make sure people took part in a variety of activities they enjoyed. Community involvement was something the service did exceptionally well, with a range of events planned which relatives and members of the public attended. The provider listened to suggestions, concerns and complaints. They used this information to continually improve the service. There were records about how people wanted to be supported at the end of their lives.

There was strong leadership at the service. The registered manager promoted a positive, open and inclusive culture, and they were driven to continually improve people’s experiences. They said, “Since the last inspection, we have grown and grown. I am passionate about Little Bramingham Farm Residential Care Home, and community involvement is one of the things we do quite well.” Staff roles and responsibilities were clear, and staff were supported and encouraged to use creative ways to support people to achieve their personal goals. The provider’s values were reflected in the way staff interacted with everyone and how they supported people. The provider’s quality monitoring processes were robust, and they evidenced what they did to continually improve the service.

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 24 August 2017).

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.