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CQC report explained · a residential care home, run by Mercer Care

Bramhall

1 Butt Lane, Tattershall, Lincoln, LN4 4NL

Goodpublished 20 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, clear risk plans, safe medicines management and good infection control.
Effective?
Good
This question was not inspected during this focused visit. Its previous rating was carried forward to calculate the overall rating.
Caring?
Good
This question was not inspected during this focused visit. Its previous rating was carried forward to calculate the overall rating.
Responsive?
Good
This question was not inspected during this focused visit. Its previous rating was carried forward to calculate the overall rating.
Well-led?
Good
The home had an open culture and systems for checking the quality and safety of care. People and staff were able to share their views, and lessons from incidents and complaints were shared with staff.
The latest report, explained

What inspectors found, December 2023

Bramhall was rated Good; inspectors found safe care and strong management, but this visit did not reassess all areas of care.

This was an unannounced, focused inspection on 22 November 2023. Inspectors spoke with people living at the home, relatives, visitors and staff. They observed care and checked care, medicine, staff and management records.

The home was rated Good for Safe and Well-led. Inspectors found enough staff, suitable risk plans, safe medicines, good cleanliness and appropriate infection control. They also found that incidents were reviewed and that the manager used checks and people's views to improve care.

The overall rating stayed Good, the same as at the previous inspection on 15 March 2018. This visit looked only at Safe and Well-led. The ratings for Effective, Caring and Responsive were carried forward from the earlier inspection.

What inspectors praised

  • Enough staff

    Inspectors found enough staff to meet people's needs promptly. People said call bells were answered within a minute and staff were available at night.

    “People told us there were enough staff to meet their needs and call bells were answered within a minute.” from the report

  • Safe medicines

    Medicines were ordered in good time, stored safely and given as prescribed. Staff had received medicine administration training.

    “Systems were in place to ensure medicines were ordered in a timely fashion and stored safely so they were available when people needed.” from the report

  • Good safety checks

    Risks were identified in care plans, with detailed instructions for staff. Incidents such as falls and pressure areas were reviewed for patterns and improvements.

    “Incidents were then reviewed monthly to see if there were any trends which indicated areas for improvement.” from the report

  • Open management

    People could raise concerns with the manager, and surveys were used to identify possible improvements. The manager was open with people and relatives when incidents happened.

    “People were happy they could voice their thoughts on the care they received and were listened to.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What were the previous ratings for Effective, Caring and Responsive, and when will these areas next be inspected?
  2. 02How will you assess and update my relative's risks, including their equipment and emergency evacuation needs?
  3. 03How do you check that medicines are ordered on time, stored safely and given in line with prescriptions?
  4. 04What action has been taken after recent falls, pressure areas or other incidents involving residents?
  5. 05How will my relative and our family be able to raise concerns and see what action has been taken?

This was an unannounced focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 20 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Bramhall

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bramhall →

  2. March 2018Goodstayed Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2014

    Registered with the Care Quality Commission on 26 September 2014.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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