Brooklyn House Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed using a range of assessment tools, these were reviewed regularly to identify if people’s needs had changed. Staff knew people well, they communicated any updates in people’s needs to the nurse in charge and this was communicated to staff daily at shift handovers and at an afternoon huddle meeting.

Relatives told us that staff members knew their loved ones well and would seek medical support if they required it. A relative told us, “A doctor visits every week and they have sorted out [person’s] hearing aid.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The service sought professional healthcare support and guidance for people, including speech and language therapy (SALT). Staff demonstrated a good understanding in relation to people’s specific needs and how risks were reduced. For example, people who had modified diets and or who were at risk of choking.

Staff completed a range of training, including staff currently working to gain diplomas in dementia at level 3 and a staff member who was completing a nursing associate degree. A staff member told us, “My course helps me enhance my understanding of the people I support.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. We saw evidence that people were supported to access a variety of healthcare services to meet their needs. Staff shared information through handovers, daily meetings and digital records. Staff told us there was good teamwork and effective communication between themselves and the registered manager. A staff member told us, “It is a good place, we always work as a team.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Healthcare professionals’ advice was sought and incorporated into people’s care plans including speech and language therapy (SALT), dietitian and GP. People were supported to attend external healthcare appointments when needed.

A relative told us, “Doctor, dentist. [Person] sees a chiropodist, they sort all of that for [person].”

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. For example, people requiring repositioning at set time intervals throughout the day did not always have this need met. We could not therefore be assured the service always effectively reviewed and monitored people’s repositioning needs.

However, relatives told us that they were aware of the monitoring their loved ones received at Brooklyn House nursing home. A relative told us, “They monitor what [person] eats as [person] has diabetes.” Another relative told us, “They regularly weigh [person] and check [person’s] health.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff had received training in the Mental Capacity Act 2005 (MCA), and understood what consent was. We observed staff consistently offering people choices and seeking consent before any care or support was given.