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Inspection Summary


Overall summary & rating

Good

Updated 17 March 2020

About the service

Northbrooke House is a care home providing personal and nursing care for people living with a variety of needs, including those with physical and nursing needs and people living with dementia. Northbrooke House accommodates 67 people across two separate wings, each of which has separate adapted facilities. One of the wings specialises in providing care to people who need nursing care and the other for people living with dementia. At the time of the inspection there were 63 people living at the home.

People’s experience of using this service and what we found

People and their relatives told us the care provided, was safe and staff were kind and caring. The environment was clean and had been adapted to meet the individual needs of people living there.

Medicines were managed safely by trained and competent staff. Medication administration records (MARs) were fully completed and regularly audited to identify any areas for development and improvement. Staff had access to medicines policies and procedures as well as best practice guidelines. Staff had received training in infection control and followed good infection control processes.

Staff understood their safeguarding responsibilities and knew how to keep people safe from harm. Safe recruitment procedures were in place to help ensure only suitable staff were employed.

Individual and environmental risks were managed appropriately. People had access to appropriate equipment where needed, which meant risks were minimised.

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.

Staff were motivated and enjoyed working in the home. Continuous learning was embedded in the home's culture. Staff had received appropriate training and support to enable them to carry out their role safely. They received regular supervision to help develop their skills and support them in their role.

People were supported by staff who showed kindness and compassion. They were treated with dignity, and their privacy was respected. People's care plans contained detailed information about their individual needs, wants and wishes, to help staff deliver personalised care. The management team reviewed the care and support provided to people to make sure it continued to meet their needs.

Staff used positive communication techniques with people, so they felt listened to and valued according to their individual needs.

There were meaningful activities available to people that were person centred. Dedicated staff were employed to provide activities, which took into account people’s choices and interests and promoted health and well-being.

The provider had systems and processes to effectively monitor the quality of the service provided within the home. The registered managers understood their regulatory responsibilities and shared information when required.

People, their relatives, staff and external professionals all told us that the provider and registered managers ensured the home was well led.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 29 January 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 17 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 17 March 2020

The service was well-led.

Details are in our well-Led findings below.