Updated 7 December 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by three inspectors, two on site and one leading the inspection remotely, a medicines inspector, a specialist advisor and two Expert by Experiences, one on site and one making remote telephone calls to relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Brooklands Nursing and Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Brooklands Nursing and Residential Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. However, a manager was employed and had applied to CQC to register. We are currently assessing this application.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 17 November 2022 and ended on 24 November 2022. We visited the location’s service on 17 November 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and 10 relatives. Feedback was also received from one health professional who worked regularly with the service. We spoke with nine staff including the manager, compliance manager, maintenance person, housekeeping staff, care and nursing staff.
We reviewed the care records for seven people who used the service and the medicines administration records for 17 people. We observed the care and support provided and the administration of medicines; the environment was also assessed for safety and suitability. Multiple governance records were reviewed including staff recruitment records, policies, quality assurance audits, action plans and maintenance records.