We carried out a review of the data available to us about Braeburn Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Braeburn Lodge, you can give feedback on this service.
We found the following examples of good practice:
Monthly audits of the infection prevention and control were completed. There was an associated action plan, which clearly listed steps that needed to be completed.
There were sufficient supplies of personal protective equipment.
The premises and equipment were extremely clean.
Hand hygiene points were available throughout the building. We observed staff perform hand hygiene between caring for different people.
The service ensured that visitors had their COVID-19 vaccination status and lateral flow test checked before entry to the main building. This ensured people’s protection from the risk of infection.
The service worked closely with the local authority and clinical commissioning group to keep people safe.
Records regarding staff vaccinations showed only those eligible to work at the service were employed.
Relatives and friends were promoted to be part of people’s everyday lives. Appropriate risk assessments and testing were in place.
Braeburn Lodge is a residential care home providing personal care to 12 people aged 65 and over, at the time of the inspection. The service can support up to 14 people.
Braeburn Lodge is a purpose-built service that provides accommodation over two floors. Each of the 12 bedrooms offer shower rooms as part of the en suites. Communal areas include, the dining room, lounge, orangery and large garden to the rear. People are able to assist themselves to drinks and fruits that are made available within the kitchenette adjoining the dining room.
People’s experience of using this service and what we found
People received safe care and treatment. Risks were effectively managed and understood. Risk assessments were completed for people that highlighted when the risk was most likely to occur, and what action to take to prevent the risk from occurring. Details were also written on what action to take should the risk occur. These were reviewed on a regular basis. Staff received training and had a comprehensive understanding of their duty of care to keep people safe from risk of harm and abuse. Staff were able to identify what action they would take and reported no issues to whistle-blow if concerns were not appropriately managed by the provider. We found that medicines were administered safely, with electronic records demonstrating people received their medicines in line with their prescription. Staff medication training and competencies were up to date. Required learning was identified from accidents and near misses, with a trigger analysis being completed every month.
People’s health and social needs were assessed regularly, reviewed and updated. Formal reviews took place which allowed discussions to be completed on any changing health needs. People, relatives and professionals consistently told us the staff delivered care in accordance with their assessed needs. Staff had the necessary training and skills to complete their tasks effectively. Staff received supportive supervisions and attended meetings that enabled them to carry out their duties in line with legislation.
People shared positive relationships with staff who clearly treated them with kindness, compassion and dignity. Staff consistently treated people with respect and maintained their privacy. People’s differences and diversities were celebrated, and welcomed, enabling an all-encompassing diverse service.
People reported that care was entirely person-centred and in line with their requirements. Care plans were personalised and contained comprehensive detail on people’s interests and preferences. People had access to activities and the necessary support to follow their interests, and to prevent isolation.
The registered manager and staff consistently placed people at the heart of the service and clearly demonstrated the caring values and ethos of the service. The registered manager drove to make the service people’s home, and not a residential care home. This was evident during the inspection and feedback by people and relatives. The quality of the service was monitored through robust governance processes, that allowed all aspects of the service to be monitored. The service had built up working relationships with external professionals that were seen as integral part in delivering care.
The service was reportedly very well-led with the registered manager’s approach and presence being a large part of the drive towards success. Staff reported looking forward to coming to work and felt the staff morale was high. Staff felt confident they were able to do their job to the best of their ability and would be supported by the management team (registered manager, deputy manager and all senior staff) to further learn and acquire knowledge that could help natural progression.
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.
Rating at last inspection
This service was registered with us on 03 August 2018 and this is the first inspection.
Why we inspected
This was a planned inspection. All new services are inspected within 12 months of registration.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk