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Brookfield Residential Care Home Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 5 March 2019

About the service:

Brookfield is a residential care home that provides accommodation for up to 14 people with mental health needs who require support with personal care. There were 14 people living at Brookfield at the time of the inspection.

People’s experience of using this service:

The environment remained well maintained and a calm and relaxed atmosphere was still prominent. A visiting professional told us, “I was amazed at the standards of accommodation for people with high profile needs; other people don’t get the standard of accommodation as here.”

The staff provided effective care for people because detailed person-centred care plans were in place. People were involved in regular reviews of their care plans. One person said, “They always involve me in care planning and I discuss this with staff”.

Staff showed a genuine motivation to deliver care in a person-centred way based on people's preferences and likes. People were observed to have good relationships with the staff team.

We saw complaints and concerns were minimal. The service had one complaint logged by a person using the service and the registered manager had acted on this. The service demonstrated they had investigated and responded to this in line with their policy. However, we recommend that the service records the action taken and any lessons learnt more robustly. The registered manager agreed to address this feedback immediately following our inspection.

Accidents and incidents were minimal and continued to be appropriately managed and recorded. Trends were spotted by reviewing each accident or incident. We recommend that an analysis process is used to identify trends, if the number of events increased.

People were involved in their day to day lives through being empowered to make their own choices about what they do with their time. People participated in activities that met their individual choices and preferences. People’s independence was promoted. One person said, “Staff promote my independence and I can do what I want. I can choose when I get up and go to bed; I like to get up early and I choose my own food.”

The service kept people informed and tried to reach out to people’s families and friends. We recommend that the service uses tools such as newsletters to keep people, families and friends informed. The provider confirmed they had implemented newsletters the day after the site inspection.

People's health and well- being were well managed as staff maintained positive links with health professionals. Upon arrival on the first day of the site inspection, the registered manager had taken people to attend their health appointments. This showed the registered manager continued to play an active role in supporting people to manage their health and meet their needs.

Medication administration records (MAR) were provided to support people’s hospital admissions. We recommend that the service uses tools such as health passports (a piece of documentation that details people’s health needs and contains other useful information) to support people when accessing other services. The provider issued evidence of the tools they intended to use the day after the site visit.

Equality and diversity was promoted. We observed people eating different foods in line with their cultural and religious needs. We also saw people dressed in specific items of clothing to meet their religious requirements.

Staff worked in partnership with the community, other services and organisations. We saw multi-disciplinary team meetings were scheduled to discuss people’s needs and wishes. People had links with other organisations to access services, such as adult learning courses. People were also supported to take upon voluntary work. One person said, “I complete voluntary work in an environment that is important to me.”

The service continued to meet the characteristics of Good in all areas; more information is in the full report.

Rating at last inspection:

Good (rep

Inspection areas

Safe

Good

Updated 5 March 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 5 March 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 5 March 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 5 March 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 5 March 2019

The service was well-led.

Details are in our Well-Led findings below.