Archived: Brookthorpe Hall Care Centre

Updated 30 November 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of one inspector.

Service and service type

Brookthorpe Hall Care Centre 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The registered manager and provider were not asked to complete a provider information return prior to our inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with nine people who used the service about their experience of the care provided. We spoke with five members of staff including three care staff, the deputy manager and the registered manager. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records; this included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection:

We also spoke with and reviewed feedback received from local authority commissioners, safeguarding team and the care home support team.

Updated 30 November 2019

About the service

Brookthorpe Hall Care Centre is a residential home which provides personal care for up to 32 older people and people living with dementia. The home has a range of communal areas, including lounges, dining room and reception area. At the time of our inspection 19 people were living in Brookthorpe Hall Care Centre

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

The registered manager did not always ensure people’s care plans were current or reflective of their needs. Three people did not have a care plan in place at the start of the inspection, however the registered manager took action during our inspection to start addressing this shortfall. Where the service had received the views of people or their relatives, concerns or complaints, there was not always a documented record of the action the registered manager had taken to respond to these concerns.

People’s risks were known by care staff. Care staff were fully aware of their responsibilities to raise concerns and the registered manager ensured lessons were learnt from any incidents or accidents. There were enough staff deployed to ensure people received the support they required. People received their medicines as prescribed.

People told us care staff were kind, caring and compassionate. Staff were attentive to people’s needs and knew how to promote their wellbeing. When people were anxious, care staff took time to reassure them and promote their wellbeing. People were treated with dignity and respect.

Staff were appropriately trained and had the skills to meet people’s needs. Staff had access to training, support and continued professional development they needed and requested. People received effective care and treatment. The service worked alongside a range of healthcare professionals to ensure people’s health and wellbeing were maintained.

People received care which was personalised to their needs. Where people’s needs changed, or their health deteriorated, care staff took appropriate and effective action to ensure their health and wellbeing were maintained. People enjoyed talking with staff, other people and activities, including games they had played throughout their life.

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.

The registered manager supported staff and ensured they had the information they required to meet people’s needs. Staff were involved in discussing changes in the home. The registered manager had plans to develop the home and provide a high-quality dementia care home. The registered manager sought and acted on the advice of local authority commissioners and healthcare professionals.

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 22 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the registered manager and provider to discuss their good governance systems. 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.