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Inspection Summary


Overall summary & rating

Good

Updated 23 December 2020

Brook Lodge is a care home providing accommodation and support for up to eight people with learning disabilities. At the time of the inspection there were eight people living at the service, four of whom were living with swallowing difficulties (dysphagia). Seven people lived in the main house and one person lived in the adjoining annexe.

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

The provider had a dysphagia management policy in place. This was developed in line with current national good practice guidance.

An assessment of each person's needs was carried out regularly, this included the support they needed with eating and drinking. When people were known to have difficulty with swallowing, a choking risk assessment was completed and kept under review.

People were referred to a speech and language therapist (SLT) if their needs had changed and following any choking incident.

Risks to people living with dysphagia were understood by the registered manager and staff team. Staff were careful in following people's eating and drinking support plans which included SLT guidance.

Staff were familiar with people's food preferences and people living with dysphagia were supported to have the choice of a balanced diet.

The provider and registered manager were committed to making improvements to the service in response to specific incidents. An investigation and staff de-brief had been carried out and additional training in dysphagia was provided for the whole staff team.

The service had appropriate infection control policies and procedures in place. These were developed in line with current government guidance. We were assured the service were following safe infection prevention and control procedures to keep people safe.

Rating at the last inspection

The last rating for this service was Good (published 27 June 2019).

Why we inspected

This targeted inspection was prompted by notifications of two specific incidents. While no serious injuries were sustained, the level of risk to people was significant. These incidents are being examined through our serious incident process. As a result, this inspection did not examine the circumstances of these incidents.

The information CQC received about the two incidents indicated concerns about the management of people's swallowing difficulties (dysphagia) and choking risks. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from this concern.

We also looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections, even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 23 December 2020

Details are in our safe findings below.

At our last inspection we rated this key question Good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Were assured people living with the risk of choking were supported to manage this risk safely.

We were assured the service were following safe infection prevention and control procedures.

Effective

Good

Updated 23 December 2020

Caring

Good

Updated 23 December 2020

Responsive

Good

Updated 23 December 2020

Well-led

Good

Updated 23 December 2020