- Care home
Bybrook House Nursing Home
Assessment report published 22 May 2026
Contents
Ratings
Our view of the service
Date of assessment: 22 April 2026. Bybrook House Nursing Home provides accommodation with nursing care to up to 30 people. It provides care to adults of all ages, people with physical disabilities and sensory impairment. At the time of this assessment 21 people were using this service.
Governance systems were not effective in assessing and mitigating risks in relation to the health and safety of people at the service. We found some window restrictors were not being used safely and 1 window did not have any restrictors fitted. The provider took action following our site visit to make sure window restrictors were safe, however, quality checks had not identified this shortfall. We found 1 box of people’s medicines that had expired. Monthly medicines audits had not identified this shortfall. Other medicines seen were in date.
Some areas of the environment were in need of repair. Whilst these actions had been added to the service improvement plan, the areas were not able to be cleaned thoroughly. This had not been identified in the most recent infection prevention and control audit. People’s rooms and communal areas were clean.
Checks on systems such as fire and legionella were being completed regularly by staff. External contractors visited to complete servicing on areas such as lifts, hoist equipment and fire systems.
Risks to people’s safety were recorded and care plans provided staff with guidance on how to mitigate these risks. If people needed additional care monitoring such as food and fluid or re-positioning this had been completed and staff recorded their actions.
Staff had been recruited safely and provided with training and support. Minutes of staff meetings recorded discussions and included reflections on incidents or accidents. Management used a dependency tool to calculate staff numbers, and we observed there were enough staff to safely meet people’s needs.
Staff liaised with healthcare professionals and knew who to contact for advice and support. The local GP visited at least weekly which helped make sure people’s health needs were met. Whilst this service was a nursing home, staff also contacted specialist nurses for additional expert guidance. For example, staff regularly liaised with a specialist tissue viability nurse if people developed pressure damage.
The provider was in breach of the legal regulation in relation to governance of the service. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People told us they were happy living at this service and appreciated the care provided by staff. One person said, “I can’t speak highly enough about the place.” People said there were enough staff for them and if needed they knew how to use their call bells to get assistance. People described staff as being “wonderful” and all said staff were very caring.
People knew how to make a complaint if needed and said they knew who the manager was.
There was a range of activities available for people which people said they enjoyed. People were provided with a fortnightly plan of activities and events, so they knew in advance what was happening and when.
People said they really enjoyed the food and had choice in meals and drinks. People’s independence was promoted by staff and help was provided to maintain important relationships. People had visits from friends and family without restrictions.