• Care Home
  • Care home

Archived: Brookwood EMI Home

Overall: Requires improvement read more about inspection ratings

12-14 Greenfield Lane, Balby, Doncaster, South Yorkshire, DN4 0PT (01302) 310295

Provided and run by:
Atheray Organisation Limited

All Inspections

9 September 2015

During a routine inspection

We inspected Brookwood EMI Home on 9 September 2015. The inspection was unannounced.

Brookwood EMI Home provides accommodation and personal care and is registered for up to 28 people. On the day of the inspection 19 people were receiving care services from the provider. The home had a registered manager who had been in post for several years. 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.

At this inspection we found that people who used this service were not always safe. People’s medication was not always appropriately recorded or given with the frequency determined by the prescription.

Staff knew how to identify if a person may be at risk of harm and the action to take if they had concerns about a person’s safety.

The care staff knew the people they were supporting and the choices they had made about their care and their lives. People who used the service, and those who were important to them, were included in planning and agreeing to the care provided.

The decisions people made were respected. People were supported to maintain their independence and control over their lives. People received care from a team of staff who they knew and who knew them.

People were treated with kindness and respect. One person who used the service told us, “I like it here, there is nothing to complain about.”

The registered manager used safe recruitment systems to ensure that new staff were only employed if they were suitable to work in people’s homes. The staff employed by the service were aware of their responsibility to protect people from harm or abuse. They told us they would be confident reporting any concerns to a senior person in the service or to the local authority or the Care Quality Commission.

There were sufficient staff, with appropriate experience, training and skills to meet people’s needs. The service was well managed and took appropriate action if expected standards were not met. This ensured people received a safe service that promoted their rights and independence.

Staff were well supported through a system of induction, training, supervision, appraisal and professional development. There was a positive culture within the service which was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to maintain their independence.

The service was well-led. There was a formal quality assurance process in place. This meant that aspects of the service could be formally monitored to ensure good care was provided and planned improvements were implemented in a timely manner. We found that the audits carried out did not always identify discrepancies and areas for improvement in relation to records.

There were good systems in place for care staff or others to raise any concerns with the registered manager.

18 February 2014

During an inspection looking at part of the service

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. One person who used the service told us: "I'm happy enough here." Another person said: "The staff are lovely.'

People were not protected from the risk of infection because appropriate guidance had not been followed. People were not cared for in a clean, hygienic environment.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

People were cared for, or supported by, suitably qualified, skilled and experienced staff.

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. One staff member told us: "We have a good staff team and work hard together."

People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

15 May 2014

During a routine inspection

Our inspection looked at our five questions; is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, speaking with the staff supporting them and looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

People were treated with respect and dignity by the staff, and staff were given support and guidance to ensure that they cared for people safely. People benefited from a varied choice of nutritional foods and regular fluids. People were protected from the risk of abuse because staff had appropriate training and guidance had been followed. People were cared for in a clean, hygienic environment. Systems were in place for managers to monitor the quality of the service and make sure it was run safely. Aspects of the physical environment were not regularly checked and recommended urgent improvements had not been addressed.

Is the service effective?

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care plans contained assessments of people's care and support needs. These assessments described the steps staff should take to ensure each person's needs were met. Audits and reviews took place to ensure that care was delivered in a way that met people's needs.

Is the service caring?

We observed that staff were caring and respectful towards people. Most care tasks we observed took place in a patient and kind manner. People spoke positively about their experience of receiving care at the home.

Is the service responsive?

Staff acted on people's needs and in accordance with their wishes. Where people needed specific support or care, we saw evidence that this was delivered in accordance with people's needs.

Is the service well-led?

There was a quality assurance system in place, where staff carried out a quality monitoring programme. This was detailed, frequent and thorough. Staff we spoke with believed they were well led and had confidence in the management team.

23 November 2013

During a routine inspection

People's privacy, dignity and independence were respected. One person who lived at Brookwood told us: 'I decide what I want to do and when, the staff help me make it happen.'

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. The people we spoke with told us their care and treatment at Brookwood EMI was good. One person told us: 'The staff are great, they can't do enough for you.' Other comments we received from people living at the home included: 'There is always a good choice of food.' and: 'We get lovely food here.'

People were not protected from the risk of infection because appropriate guidance had not been followed. People were not cared for in a clean, hygienic environment.

There were enough qualified, skilled and experienced staff to meet people's needs. The people we spoke with who lived at the home said they thought there were enough staff to provide care for them.

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.

31 December 2012

During a routine inspection

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. One person using the service told us "my opinions and wishes are always listened to by staff".

People experienced care, treatment and support that met their needs and protected their rights. One person told us "it's very nice here, like a home from home" another person said "everything is taken care of."

People were protected from unsafe or unsuitable equipment. We saw the lift, fixed bathroom hoists and mobile hoists were regularly inspected and certified by external engineers.

People were cared for, or supported by, suitably qualified, skilled and experienced staff. Each staff member had been subject to reference checks from previous employers and identity checks prior to appointment. Criminal Records Bureau (CRB) checks had been carried out for each staff member.

There was an effective complaints system available. Comments and complaints people made were responded to appropriately. The complaints procedure was available throughout the home on notice boards and in the reception area.

13 September 2011

During an inspection looking at part of the service

People told us that staff respected their privacy and dignity and involved them in decisions regarding their care. We spoke with visitors in the service. They told us that communication with the staff was good. They had input to discussions about their relative's care and treatment and where necessary acted on their relative's behalf regarding decision making.

People who spoke with us said their rooms were clean and tidy and they were satisfied with the cleanliness of the service.