We carried out a review of the data available to us about Kings Bromley Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kings Bromley Care Home, you can give feedback on this service.
Kings Bromley Nursing Home is a care home providing regulated activities to up to 46 people. The service provides support to younger and older people, some of whom who may have a mental health diagnosis, a physical disability, or a diagnosis of dementia. At the time of our inspection there were 42 people using the service.
People’s experience of using this service and what we found
People were supported to feel safe and were protected from the risk of harm by a staff team who were well trained. Staffing numbers were sufficient to meet people’s needs. Medicines were managed safely. Infection prevention control measures were in place and people were protected from the risk of the spread of infection. Lessons were learned when things went wrong.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People had personalised care plans in place and many activities were completed in line with people’s interests and preferences. There was a complaints policy in place which was followed as required and people received good end of life care.
There was a staff structure in place where the registered manager led by example to promote a positive and inclusive service. Staff understood their roles and responsibilities. There were governance systems in place which allowed the management team to continually monitor and improve the safety and quality of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 December 2017).
Why we inspected
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The inspection was prompted in part due to concerns received about the overall quality of the service. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, responsive, and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has not changed based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kings Bromley Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
Visitors were screened for symptoms of Covid-19 to ensure their visit could take place safely in line with current guidance.
People were supported to maintain contact with loved ones via telephone calls, video calls and window visits.
The service had measures in to place to enable people to receive visits in line with government guidance via a visiting pod. ‘Guidance for visits’ had been circulated to loved ones and a new dynamic risk assessment for people had been undertaken following the relaxation of visiting restrictions.
The environment was clean. The domestic team cleaned touch points frequently throughout the day. A deep clean was undertaken in people’s rooms at least once per month.
There was a designated room where staff could undergo testing and record their results. All visitors would be tested in line with government guidance.
Staff were supported by the registered manager and received training and competency checks. This included a deep cleaning supervision, infection prevention and control training, competency test for pulse oximeter use and donning and doffing video training.
We inspected this home on 13 November 2017. At our last inspection in February 2016, we found the previous provider was meeting the regulations and we rated the home as good. However, our key question ‘is the service safe’ was rated as ‘requires improvement.’ We asked the provider to take action to make improvements in relation to reporting safeguarding’s and staffing levels, and this action has been completed. However we found improvements were needed in relation to the deployment of staffing and how the staff team worked together to ensure they were always responsive to people’s needs.
Kings Bromley is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The care home is registered to accommodate 47 people in one adapted building; on the day of our inspection, 36 people were using the service. The home is situated at the end of a private lane and has open views. All the outdoor spaces were secure and access was available. The property had an open reception which was also the location for the manager’s office and a visitor toilet. The home was then accessed key pad entry. The home had of a large ground floor which flowed in a circle, so that people could walk around the home. Upstairs there were six bedrooms which had been refurbished. There were two lounge areas and an open dining area.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.
There were sufficient staff to support people’s needs, however they did not always worked together to ensure people’s needs had been met. The care plans provided details on the care to be provided, however in respect of people’s end of life care this was not always completed in a timely way.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Any staff who had been employed had received a range of checks to ensure they were suitable to work in the home. We found staff had established positive relationships with people and they showed respect for people’s choices.
People were able to choose the meals they wish to eat and alternatives were provided. People’s weights had been monitored and advice sought to maintain people’s nutritional needs. We saw that medicines were managed safely and administered in line with people’s prescriptions. Referrals had been made to health care professionals and any guidance provided had been followed. Relationships that were important to people had been supported and when groups of family and friends visited they were provided with the opportunity to have a private space.
Care plans covered aspects of peoples care needs, including their history and previous pastimes.
People were encouraged and supported with activities they wished to engage in and further work was being developed to support people who did not wish to engage in group activities. Any complaints had been addressed and resolved in a timely manner.
Staff felt supported by the registered manager and there was a clear process in place to cascade information about the service and the needs of people. Staff had received training and the provider was looking to invest in further training to expand the staff knowledge.
The registered manager and provider had established a range of audits to support the improvements within the home. People had the opportunity to feedback on the care and support they received and any concerns raised had been addressed.
We saw that the previous rating was displayed in the reception of the home and on the provider’s website as required. The registered manager understood their responsibility of registration with us and notified us of important events that occurred at the service; this meant we could check appropriate action had been taken.