Operated by Bramble Homecare Limited

Bramble Home Care Limited

Requires improvementRated 14/09/2023Home care · Cheltenham

CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Good

Services are tailored to people's needs.

Well-led

Requires improvement

Leadership and culture support quality care.

What inspectors found

30 findings

Note16 Dec 2023
People and relatives described the registered manager as approachable, professional, and responsive to concerns.
Note16 Dec 2023
Open and transparent culture with clear systems for reporting accidents, incidents, and near misses.
Note16 Dec 2023
Strong relationships with health professionals, local authority, and community organisations to support people's wider needs.
Note16 Dec 2023
Quality assurance systems introduced post-previous inspection including care record audits, medicines audits, and regular staff spot checks.
Note16 Dec 2023
Robust infection prevention measures in place including adequate PPE supplies and staff training during the COVID-19 pandemic.
Note16 Dec 2023
Sufficient staffing levels with a call monitoring system ensuring care calls were delivered as agreed.
Note16 Dec 2023
Medicines were administered and disposed of safely with accurate MAR records and annual competency assessments for staff.
Note28 Sept 2023
A service improvement plan was in place with some actions already implemented.
Note28 Sept 2023
Environmental risk assessments of people's homes had been completed.
Note28 Sept 2023
The registered manager and senior management demonstrated openness about areas needing improvement and steps being taken.

Note16 Dec 2023
Learning lessons when things go wrong
Note16 Dec 2023
Preventing and controlling infection
Note16 Dec 2023
Staffing and recruitment
Note16 Dec 2023
Assessing risk, safety monitoring and management
Note16 Dec 2023
Systems and processes to safeguard people from the risk of abuse
Note16 Dec 2023
Using medicines safely
Note

Note16 Dec 2023
Working in partnership with others
Note16 Dec 2023
Continuous learning and improving care
Note16 Dec 2023
How the provider understands and acts on the duty of candour
Note16 Dec 2023
Promoting a positive culture that is person-centred, open, inclusive and empowering
Note16 Dec 2023
Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
Note28 Sept 2023
Engaging and involving people using the service, the public and staff