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Briarwood Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 December 2019

About the service

Briarwood Care Home is a residential nursing home providing personal and nursing care to older people and people living with a dementia. It accommodates up to 49 people across three units in one purpose-built building. There were 44 people using the service when we visited.

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

Medicines were not always managed safely. Risks to people were not always assessed or reviewed. Infection control processes were ineffective. Consent was not always obtained or recorded. Care records did not always reflect people’s needs and preferences. Governance systems were not always effective.

We have made a recommendation about staff training on activities for people living with a dementia.

Staffing levels were monitored to ensure people received safe support. Accidents and incidents were reviewed to see if lessons could be learned to keep people safe.

Staff received regular training, supervision and appraisal. 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.

People and relatives said staff were caring and kind. People were treated with dignity and respect. Advocates were arranged where this would assist people to make their voice heard.

We received positive feedback on the leadership provided by the registered manager. Staff worked closely in partnership with external professionals and agencies. Feedback was sought from people, relatives and staff.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 November 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations.

The last rating for this service was requires improvement. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to medicines management, risk assessment and management, infection control, consent and quality assurance processes. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will also meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 6 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 December 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 6 December 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 December 2019

The service was not always well-led.

Details are in our well-led findings below.