Brandon Trust Support Living - Bristol and North Somerset was rated Good across all five key questions at its November 2022 inspection, demonstrating safe, person-centred care with strong leadership and a positive, empowering culture. Minor gaps were identified in documentation around crushed medicines, mental capacity assessments and daily record quality, all of which the provider was already actively addressing.
Concerns (4)
minor
Medication management
: “For one person, we read that on occasion medicines were crushed...There was no documented confirmation of the pharmacist discussion.”
minorStaffing levels: “Registered managers told us that staffing and recruitment had been a challenge, as was the case generally across the social care sector.”
minorRecord keeping: “One senior support worker told us how they had identified improvements were required in daily notes and were working hard to address this.”
minorConsent / capacity: “The provider had recently identified a need for improvement in mental capacity assessments. The quality team had carried out training for staff in this area.”
Strengths
· People felt safe and staff demonstrated strong safeguarding knowledge and practice.
· Staffing levels were flexible and creatively managed to meet people's individual needs despite sector-wide recruitment challenges.
· Staff supported people to live independent, fulfilling lives with choice and control over their own support.
· Effective multi-agency working ensured people's health and social care needs were met.
· Strong person-centred culture embedded throughout, with people involved in recruitment, training materials and conferences.