Brooklands Nursing Home is a residential care home providing the regulated activity of personal and nursing care for up to 45 people in a purpose built building. The service provides support to older people and people living with dementia. At the time of our inspection there were 39 people using the service.
People’s experience of using this service and what we found
Whilst some improvements were noted since our last inspection in June 2019, not all risks were robustly assessed or recorded in sufficient detail to mitigate the risk or potential harm for people using the service. Not all information relating to people’s fire evacuation arrangements in an emergency were accurate, up to date or easily accessible. Although the premises was odour free, not all areas of the home environment were clean. Governance arrangements at the service continued to require improvement to ensure improvements were sustained in the longer term. Following the inspection the registered manager forwarded an action plan detailing the steps being taken to make the required improvements.
People told us they were safe. Suitable arrangements were in place to protect people from abuse and avoidable harm. Staff demonstrated a basic understanding of safeguarding and how to raise concerns. Whilst comments from people and their relatives relating to staffing levels were variable, the deployment of staff was appropriate. Staff recruitment practices at Brooklands Nursing Home were safe. Medication practices ensured people received their prescribed medication.
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.
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 August 2019].
Why we inspected
We carried out an unannounced comprehensive inspection of this service between 10 and 18 June 2019. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection although improvements were still required, we found improvements had been made and the provider was no longer in breach of Regulations 12 [Safe care and treatment], Regulation 17 [Good governance] and Regulation 18 [Staffing].
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe and Well-led which contain those requirements.
We 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 COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained Requires Improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brooklands Nursing Home on our website at www.cqc.org.uk.
We will 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 continue to monitor information we receive about the service, which will help inform when we next inspect.