Bramble Down

There was a good ethos within the service of treating people with dignity and respect. People were at the forefront of the service delivery and the provider was committed to and passionate about providing a good quality service. We received positive feedback from the majority of people and relatives. Any issues were already known by the service and were being addressed. The feedback reflected staff were kind, caring and committed. People complimented the continuity of care provided by regular staff, especially during the pandemic, which contributed to the building of meaningful relationships. Staff, supported by the activity team, recognised what was important to people and ensured an individually tailored approach that met people's personal needs, wishes and preferences were delivered.

Care and support plans were reviewed and changed as people's needs changed. The service worked closely with healthcare professionals. People were supported to maintain good health and to meet their nutritional needs.

Staff told us they were supported by the management team with empathy and understanding. The registered manager, provider and management team provided supportive leadership and had developed a dedicated staff team who were committed to the vision and values of the service.

The provider had effective quality assurance systems, led by a quality assurance manager, in place which were used to drive improvement.

People living at Bramble Down told us they received safe care from skilled and knowledgeable staff. Staff knew how to identify and report any concerns. The provider had safe recruitment and selection processes in place. Risks to people's safety and well-being were managed through a risk management process.

There were sufficient staff deployed to meet people's needs, including over-recruitment during the pandemic.

Medicines were managed safely, and people received their medicines as prescribed.

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.