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Inspection Summary


Overall summary & rating

Good

Updated 16 September 2016

We carried out an inspection of Brookhaven on 22 and 23 August 2016. The first day was unannounced.

Brookhaven provides accommodation and nursing care for up to 22 people with mental health needs. The aim of the service is to provide people with care and support through a recovery and rehabilitation programme. The service is based in a residential setting within walking distance of local amenities. Accommodation is provided on two floors in single bedrooms. At the time of our inspection there were 14 people living in the home.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection on 22 and 23 June 2015, we asked the provider to ensure the environment was clean, ensure appropriate risk assessments were carried out, ensure people received safe care and treatment and ensure people were treated with dignity and respect. Following the inspection the provider sent us an action plan which set out what action they intended to take to improve the service. During this inspection, we found the necessary improvements had been made in order to meet the regulations.

People living in the home said they felt safe and staff treated them well. There were enough staff on duty and deployed in the home to meet people's care and support needs. Safeguarding adults’ procedures were robust and staff understood how to safeguard the people they supported from abuse. There was a whistle-blowing procedure available and staff said they would use it if they needed to. People's medicines were managed appropriately and people received their medicines as prescribed by health care professionals.

Staff had completed an induction when they started work and they were up to date with the provider's mandatory training. The registered manager and staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and acted according to this legislation. There were appropriate arrangements in place to support people to have a healthy diet. People had access to a GP and other health care professionals when they needed them.

Staff treated people in a respectful and dignified manner and people's privacy was respected. People living in the home had been consulted about their care and support needs and had been involved in the support planning process. Support plans and risk assessments provided guidance for staff on how to meet people’s needs. People were given the opportunity to participate in group and individual therapy sessions to help them with their rehabilitation and recovery. People were able to express their views and were confident any complaints would be fully investigated and action taken if necessary.

All people and staff told us the home was well managed and operated smoothly. The registered manager took into account the views of people about the quality of care provided through consultation, meetings and surveys. The registered manager used the feedback to make on-going improvements to the service.

Inspection areas

Safe

Good

Updated 16 September 2016

The service was safe.

People said they felt safe and staff were knowledgeable in recognising the signs of potential abuse and the action they needed to take.

There were sufficient numbers of skilled staff on duty to meet people's needs.

Recruitment procedures were in place and appropriate checks were undertaken before staff started work.

There were safe systems in place for the management and administration of people's medicines.

Effective

Good

Updated 16 September 2016

The service was effective.

Staff were appropriately supported to carry out their roles effectively through induction and relevant training.

The registered manager and staff understood the main provisions of the Mental Capacity Act 2005 and how it applied to people in their care.

People were provided with a varied and nutritious diet in line with their personal preferences. People's health and wellbeing was monitored and they were supported to access healthcare services when necessary.

Caring

Good

Updated 16 September 2016

The service was caring.

People were involved in decisions about their care and given support in line with their preferences.

Staff knew people well and displayed kindness and respect when providing support.

Staff respected people’s rights to privacy, dignity and independence.

Responsive

Good

Updated 16 September 2016

The service was responsive.

People's needs were assessed and care was planned and delivered in line with their individual support plan.

People had the opportunity to participate in a range of appropriate activities, as well as group and individual therapy sessions.

People had access to information about how to complain and were confident that any complaints would be listened to and acted upon.

Well-led

Good

Updated 16 September 2016

The service was well led.

The registered manager had developed positive working relationships with the staff team and people living in the home.

There were systems in place to monitor the quality of the service, which included regular audits and feedback from people living in the home. Appropriate action plans had been devised to address any shortfalls and areas of development.