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The Bramerton Care Home, Maidenhead

Updated: Nov 11, 2019

The Bramerton Care Home close to Maidenhead has been awarded outstanding by Care Quality Commission inspectors.

Bramerton offers a supportive environment for adults with moderate to severe learning disabilities.

The CQC awarded Bramerton outstanding in two out of five categories; responsive and well-led and good for safe, effective and caring following the inspection, 26 April 2019.

People consistently experienced exceptional person-centred care, which has significantly reduced the level of behaviours that may challenge others and incidence of self-injurious behaviour. This has enabled people to access the community and take part in stimulating activities, which has enriched their life.

Visiting professionals consistently told CQC that the service was focused on providing person-centred care and support, which achieved exceptional outcomes for people. Staff worked closely with the provider's Positive Behaviour Support Team (PBST), the NHS Intensive Support Team (IST) and Community Learning Disability Teams to support people whose behaviours posed a high risk to the staff and others. Staff supporting individuals had developed outstanding skills to support people's individual needs.

A resident who experienced extreme behaviours that challenged staff and endangered their life, required frequent visits to the hospital. The provider successfully worked with a speech and language therapist to develop effective communication systems to support the person, including assistive computer technology. This system was tailored to meet their unique needs and enabled the person to communicate more effectively with staff, to understand what was happening and to make their own decisions. Due to the close bonds developed with staff and their skills, this person now rarely experiences behaviour which may challenge, does not engage in self-harming behaviour, can access the community safely and take part in activities which enrich their life. Staff no longer need to wear protective equipment whilst supporting this person, who now interacts safely with other people at the home. The intensive interaction and support provided by staff, following the guidance of professionals, has led to a dramatic reduction in this person's prescribed anti-psychotic medicines. Antipsychotic medicines help to regulate the functioning of brain that controls thinking, mood, behaviour and perception.

The strong team spirit within the home, meant that staff were happy to volunteer when there were emergencies or unforeseen circumstances.

A resident was admitted to hospital requiring an urgent surgical procedure, while suffering with pneumonia. The person was supported in hospital throughout this time by staff, who provided constant reassurance in the unfamiliar environment. This significantly reducedanxieties and was a contributary factor in their improving health.

Staff supported this person to eat and drink, and with their personal care and medicines administration, whilst in hospital.

Staff also acted as the communication medium between hospital staff and ensured the person was consistently treated with dignity and respect.

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