Archived: Brookfield Nursing Home

Updated 25 February 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 5 January 2016 and was unannounced. The inspection team consisted of an adult social care inspector, a specialist professional advisor (SPA), and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The SPA was a healthcare professional with experience in the nursing care of older people.

We spoke with seven people who were living at the home, three visitors, five members of staff, the acting manager, the responsible individual, and two company directors. We looked all around the premises and the expert by experience had lunch in the dining room with people who lived at the home.

Before the inspection we looked at information CQC had received about the service since our last inspection. We looked at staff rotas, recruitment records for three new members of staff and staff training records. We looked at health and safety records and care records for four people. We looked at how medicines were managed and recorded.

Updated 25 February 2016

The inspection took place on 5 January 2016 and was unannounced. The service is a care home providing accommodation and nursing care for up to 25 people. At the time of our visit, 22 people were living at the home and all were accommodated in single bedrooms.

The home is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the time of our visit the service did not have a registered manager, however arrangements had been put in place to ensure that the home was well led in the absence of a registered manager and we were informed that a new manager would be confirmed in the near future.

We last inspected Brookfield Nursing Home on 16 December 2014 and at that inspection we found the service overall required improvement.

People told us that they felt safe in the home and there were enough staff to meet people’s needs. Staff had received training about protecting vulnerable people from abuse. The premises were clean and well maintained and a programme of significant refurbishment was in progress. There were arrangements in place to deal with foreseeable emergencies. People’s medicines were well-managed.

The staff on duty knew the people they were supporting and encouraged them to maintain their independence. People were treated with kindness, compassion and respect. The staff in the home took time to speak with the people they were supporting. We saw many positive interactions and people enjoyed talking to the staff in the home. People were able to see their friends and families as they wanted. There were no restrictions on visiting.

People had a choice of meals, snacks and drinks.

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We did not see evidence that people who lived at the home and/or their families had been included in planning and agreeing to the care provided. The care plans we looked at were not written in a person-centred style and were not all up to date.

We saw evidence of suitable quality monitoring systems in place and of stakeholders being invited to give their views.