Latest Inspection
This is the latest available inspection report for this service, carried out on 15th April 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Bramley Gardens.
What the care home does well People who live at Bramley Gardens are well cared for and good systems are in place to make sure people`s care needs are recognised and met. The service works well with other professionals to make sure people receive the right care and get the right support. Staff are well trained which equips them with the right skills and knowledge to meet people`s needs. Staff work well together as a team. The organisation are clear about future plans for the service and have worked hard tomake sure their plans match what people want. They have also worked hard to find out what support, time and resources will be required to achieve the improvements they want to make. What the care home could do better: Staffing levels should be kept under review to make sure that there are enough staff to properly meet the needs of the people living at the home during the transition period. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Bramley Gardens Skelton Lane Leeds West Yorkshire LS14 1AE three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Carol Haj-Najafi Date: 1 5 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Bramley Gardens Skelton Lane Leeds West Yorkshire LS14 1AE 01132733771 01132323872 tricia.wells@hft.org.uk(administrator) www.hft.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Sarah Kirsty Powell Type of registration: Number of places registered: Conditions of registration: Category(ies) : HF Trust Ltd care home 34 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 30 4 The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD; Physical disability - Code PD Date of last inspection Brief description of the care home Bramley Gardens is made up of a collection of two storey houses, some divided into flats, and clustered together on the same site on the edge of the Whinmoor area of Leeds. The houses are built around a spacious landscaped central courtyard garden.
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home Each property has its own garden and the whole area is surrounded by green fields. The nearest shops and pub are about five minutes walk away and a half hourly bus service into the city centre and Wetherby passes the entrance. The home is currently a little isolated from the local facilities. Each house is equipped, staffed and occupied according to the assessed needs of the service users. The home has an overall service manager, responsible for all the organisations services in the Leeds area,and an assistant manager who is the registered manager. Unit managers are responsible for specific groups of houses and a team of care workers who have different levels of experience. A day centre, on the same site, but separated from the houses, provides day services. The home has a main administration office and vehicles to assist with transport. The last inspection report, service user guide and statement of purpose are available at the home. The fees to live at Bramley Gardens can be obtained from the service manager. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
We looked at all the information that we have received, or asked for, since the last key inspection. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints or safeguarding incidents. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection which was carried out on 18 April 2007 and annual service reviews. - Relevant information from other organisations and what other people have told us about the service. Surveys were sent out to people who use the service and staff. Seven surveys were returned, one from a person who lives at the home and six from staff. One inspector carried out an unannounced visit to the home on 16th April 2010. We spent three and a half hours at the home and spoke to five people who live at the home, seven staff and the service manager. The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It gave us very good examples of what they do well, how they have improved and how they plan to improve. In the AQAA the registered manager told us about big changes they are making at Bramley Gardens. They said, As a result of the consultation we undertook, we have redesigned the whole service and we are moving into supported living accommodation within the local communities. The first four individuals we support moved into their new accommodation on 1st Feb 2010, this being a new built 6 bedroomed house in Garforth, we are continuing to look for further properties for the rest of the individuals we support. When we visited the service on 16th April, four more people had moved out and many people who are still living at Bramley Gardens had moved to different accommodation on site. In the AQAA the manager explained they were doing this to replicate the groups for the people we support with the staffing groups assigned at Bramley Gardens to ensure that the transition to supported living is as smooth as possible. In the AQAA they provided us with good information about how they are making sure the transition is well planned. They said, Each individual has a move on file in which any visits, outings etc with the other individuals they are going to be living with are recorded. All individuals have PCPs in place with Goals- this is a way in which we can gather information with regard how a person wants their life to be and the support, time and resources that will
Care Homes for Adults (18-65 years) Page 4 of 10 be required to achieve it. Bramley Gardens actively involves other professionals where necessary to assist in supporting the changing needs of service users. We hold bi monthly meetings with the CLDT (Community Learning Disability team) which enables us to discuss individuals needs regardless of if they have been referred to the CLDT. This means that we start to get support and advice for individuals whilst waiting for any referrals to be processed. When asked about further changes, they said, We will continue to look for properties within the community for the individuals we support with the plan being to be completely moved from Bramley Gardens site by Summer/Autumn 2010. These properties will then be covered by our Domiciliary Care Agency side of the service. We spoke to four people who live at the home during our visit. They did not raise any concerns about the service they receive at Bramley Gardens. Two people said they are looking forward to moving to new accommodation which is planned for June 2010. They said they have visited the property and staff have discussed the move with them. One person said, I like it here but I am very, very excited about moving. People who live at the home said they make decisions about what they do each day. For example choosing activities and deciding when to go to bed and when to get up on a morning. They also said they enjoy going shopping with staff and doing different activities. One person said, I have a look in the cupboard and choose what to eat and get lots of chances to go shopping. Another person said, The staff like doing the things I like doing. Staff surveys and discussions with staff during our site visit provided us with a mixed response about the service that is being provided at Bramley Gardens. Some staff were apprehensive and concerned about the changes whilst others were excited. One staff said, Its a time of change. There are anxieties but its a time for looking and moving forward. Another staff said, We have less staff because of the changes so people are doing less. Another staff said, The reorganisation has been a bit chaotic and morale is quite low. We received staff surveys a few weeks before we did our site visit. Some surveys raised concerns about communication and the overall management of the service, others provided positive information. For example, one survey said, Staff are supported well by managers. Another survey said, the home would be better if there was, More communication with staff from management and management should listen to staff when we identify service users needs. Another survey said, On paper the site runs fine and gives people the support they need. Unfortunately this isnt always the case. A lot of core staff have zero support and relief staff are either thrown in at the deep end or do not cooperate. Its all a bit all over the place. Its demoralising to work here at present. Three staff surveys said management regularly gives enough support and meets to discuss working and three said management sometimes gives support. At the site visit we spoke to staff and the scheme manager about the management of the service. Everyone agreed that as the service is going through the huge transition this has caused some anxieties amongst the staff team and some people are worried about the move. Additional management support has been brought into to support the existing management team and provide more support for people living and working at Bramley Gardens. Two additional unit managers started working at the service a few days before our visit. When we talked to staff, in the main, they said the management arrangements
Care Homes for Adults (18-65 years) Page 5 of 10 are satisfactory. One staff said, They realised we need more support and were back on track. Things have settled down. Another staff said, We get good support. Staff said they are confident that the management team would deal with any concerns appropriately. In the main, staff said people are well cared for although we got a mixed response when we asked if the home has enough staff. Some staff said the home has enough staff; others thought the home did not always have enough staff. Two staff surveys said they always have enough staff; one said they usually have enough; two said they sometimes have enough and one said never. The service manager said they are working with local authorities to make sure each person has the right package in place to meet their needs, which includes identifying the level of staff support. The service manager acknowledged there has been some difficulties but is confident that staffing levels are still satisfactory. Staff said they were familiar with peoples care plans and the care planning system works well. Staff said the home works well with other professionals and is very good at meeting peoples needs. One staff said, People receive good care. We work in small teams so know people we support really well. Another staff said, People have different packages and receive good variety. If people want to do things they can and if they dont want to they dont have to. Staff told us they are given up to date information about the needs of the people they support. Staff surveys gave us good examples of what the service does well. One survey said, Person centred approach with the staff and towards the people we support. Good with technology. Works well as a team. Another survey said, Updated on support plans or individuals we support. Have a wide range of equipment available for staff to support individuals. People who live at the home told us care staff and managers treat them well, and care staff and managers listen to what they say. One person said, The staff are nice and help me do things. Staff said they are given training that is relevant to their role, helps them understand and meets individual needs and keeps them up to date with new ways of working. Several staff said they think training is very good and the organisation makes sure training is up to date. One staff said they thought staff would benefit from more specialist training. People who live at the home told us they know who to speak to if they are unhappy. Six of the seven staff surveys said they know what to do if someone has concerns about the home. What the care home does well:
People who live at Bramley Gardens are well cared for and good systems are in place to make sure peoples care needs are recognised and met. The service works well with other professionals to make sure people receive the right care and get the right support. Staff are well trained which equips them with the right skills and knowledge to meet peoples needs. Staff work well together as a team. The organisation are clear about future plans for the service and have worked hard to
Care Homes for Adults (18-65 years) Page 6 of 10 make sure their plans match what people want. They have also worked hard to find out what support, time and resources will be required to achieve the improvements they want to make. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 33 Staffing levels should be kept under review to make sure that there are enough staff to properly meet the needs of the people living at the home during the transition period. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
