Bramley House Residential Home

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. However, we found the principles of the Mental Capacity Act 2005 were not fully embedded into practice. We have made a recommendation in relation to this. There was no evidence this was impacting on people's lives.

People's care was personalised and people told us they felt at home. Staff knew people's needs, life histories and preferences well. Whilst people received the care they required, care plans were not always updated promptly and audits had not been completed to monitor this. The registered manager and provider told us they were aware of this and were implementing changes to the systems used to address this.

People told us they felt safe in their home and staff were aware of their responsibilities to report safeguarding concerns. Risks to people's safety and well-being were assessed and monitored to ensure they received the support they needed. Infection control procedures were in place and training had been completed by staff. Safe medicines practices were followed and people received their medicines in line with their prescriptions. The environment was designed to meet people's needs and regular health and safety checks were completed.

There were sufficient staff available to support people safely. People told us they felt staff were competent in their roles and they did not have to wait for their care. They described Bramley House as being a home from home and said they were treated respectfully. Staff had a kind and caring approach and knew people well. We observed easy conversations and people appeared relaxed in the company of staff. Activities were developed in line with people's interests and people were supported to go out should they wish to do so. Visitors were welcomed to Bramley House and people were supported to maintain links with friends and family.

The majority of people told us they enjoyed their food and people's individual preferences were catered for. Where people required support to eat this was provided in a safe and dignified way. People had access to healthcare professionals when required and healthcare needs were monitored.

There was a positive culture within the home with a commitment to providing a homely and personalised service to people. The management team were highly visible and people and staff felt they were approachable and supportive. The registered manager and provider continued to look at ways to develop the service and to provide new opportunities for people.