Archived: Brideoake Care Home

Brideoake Care Home is a residential care home registered to provide personal care and support with daily living tasks to 20 people aged 65 and over. At the time of inspection 20 people were receiving support across the two floors of the home.

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

People were kept safe from risk and harm and staff had a good understanding of safeguarding processes. Infection control practice was robust and staff wore PPE appropriately. Risks in relation to the provision of care, environment and wellbeing of people had been completed; however, we have made a recommendation for further detail to be added. Dependency assessments had been regularly carried out to ensure staffing levels were sufficient. Some staff had not completed important training and there were significant gaps in training records. The provider informed us following the inspection of their plan to bring staff up to date with their training by October 2021. We have made a recommendation that training is brought up to date in the stated time scale.

The provider had robust auditing systems in place; however, we have made a recommendation audits are developed to evidence ongoing improvement. People, relatives and staff reported feeling confident in raising concerns with the management team. Relatives told us they were involved in people’s care planning and were kept up to date with any changes. Staff reported they felt well supported by the management team and they received regular supervisions, with the flexibility to choose how often this occurred.

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 Good (published 25 May 2019).

Why we inspected

We received concerns in relation to infection control practice and good governance. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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.

The overall rating for the service has not changed and remains good. This is based on the findings at this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brideoake Care Home on our website at www.cqc.org.uk.

Follow up

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

Dennis Moore Care Ltd known to people as Brideoake Care Home is a residential care home which provides accommodation and personal care for up to 20 people. On the day of the inspection the home had full occupancy.

People’s experience of using this service:

• There a warm and friendly atmosphere when entering the home. There was lots of laughter and respectful conversations heard throughout the day.

• Some people had been at the home for a long time and they told us they were happy with the care they received. Relatives spoke highly of the care and commitment of the staff.

• Information about people’s care and support needs were detailed in a person-centred support plan. Care plan were regularly reviewed and updated to reflect any changes in people’s needs.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

• The registered manager and staff worked closely with other healthcare professionals so people’s health and wellbeing was maintained.

• At the time of the inspection the home was undergoing a large amount of building work. Environmental risk assessments had been completed to ensure the safety of people living, working and visiting the home.

• Health and safety certificates were up to date and valid.

• Systems were in place to help ensure the safety and protection of people who used the service. This included the safe management of medicines, effective recruitment and training.

• The home is a family run home with consistent management and oversight by the provider and the registered manager.

• Opportunities were provided for people who used the service, relatives and staff to feedback their views and opinions on the service provided. People spoken with told us they had no complaints about the service. However, they told us if they had any worries they felt the registered manager would address these immediately.

• People engaged with the registered manager and the provider throughout the inspection. People told us that the management team were very approachable and supportive.

Rating at last inspection:

Good and the last inspection report was published on 21 September 2016. For full details, please see the full report which is available on the CQC website at www.cqc.co.uk

At this inspection we found the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

Why we inspected:

This was a planned inspection based on previous rating for the home.

Follow up:

We will continue to monitor information and intelligence we receive about the home to ensure good quality care continues to be provided. We will reinspect the home in line with our timescales for Good services. However, if we receive any information of concern we may inspect sooner.

Brideoake Care Home provides personal care and support to older people with dementia care needs and is owned by Dennis Moore Care Ltd. The home accommodates up to 20 people and has 17 rooms, three of which are double rooms. The bedrooms are located on two floors and there are two lounges and a dining room downstairs. The home is situated in a residential area of Leigh within walking distance of the local shops and amenities. At the time of the inspection there were 20 people living at the home.

We last inspected Brideoake Care Home on 13 March 2015, when the home was rated as ‘Requires Improvement’ overall and in both the Safe and Well-led key questions. This inspection focussed on any improvements made since then.

People living at the home told us they felt safe living at Brideoake. The staff we spoke with had a good understanding of safeguarding, whistleblowing and how to report any concerns.

We found that medication was given to people safely, with staff receiving appropriate training. Management also undertook regular audits to ensure there were no shortfalls in practice.

Staff were recruited safely with references from previous employers being sought and DBS (Disclosure Barring Service) checks undertaken.

There were sufficient staff working at the home to meet people’s needs. Feedback from people living at the home, visitors and staff was that staffing levels were sufficient.

Staff received an induction when they started working at the home, as well as receiving appropriate training and supervision to support then in their role.

The home worked within the requirements of the MCA (Mental Capacity Act), with the manager completing appropriate assessments if there were concerns about a person’s capacity. The home also worked within the requirements of DoLS (Deprivation of Liberty Safeguards) and supported people to access outside space, whilst keeping them safe at the same time.

We saw people received enough to eat and drink, with people also making positive comments about the food provided at the home.

All of the people we spoke with during the inspection including people living at the home, visitors and health professionals made positive comments about the care provided.

People told us they felt staff treated them with dignity and respect and promoted their independence where possible.

We observed several caring interactions during the inspection between staff and people living at the home, such as when people became distressed and upset.

The staff at the home had facilities in place to enable people to communicate with their families such as an internet connection and the use of skype. This would be beneficial to people whose family did not live close by and wanted to maintain contact.

People felt the home was responsive to their needs and we saw examples of staff doing this during the inspection.

Each person living at the home had their own care plan, which was person centred and detailed people’s choices and personal preferences.

There was a complaints procedure in place which allowed people to voice their concerns if they were unhappy with the service they received. There were no active complaints at the time of the inspection.

All of the people we spoke with told us they felt the service was well-led and that they felt listened to and could approach management with concerns.

There were systems in place to monitor the quality of service such as audits, resident meetings, staff meetings and accident/incident monitoring.

Staff told us they enjoyed their work and liked working at Brideoake.

And: 'I absolutely love it here; I'm going to stay here.'

Relatives told us: 'All I can say about here is ultimate praise. Everyone is always pleasant, always smiling, I haven't ever seen anyone lose their patience and staff are gentle and tactile.' This relative also said: 'I'm relaxed and relieved that (my relative) is here.'

Another person said: 'You get a vibe about a place, it doesn't have to be beautiful, that's just cosmetic. They (the staff) treat everyone, residents and relatives, with respect and dignity. I've not had a problem here in two the years (my relative has lived here).'

We found systems in place to ensure people who used the service gave the appropriate consent to their care and treatment. People received care, treatment and support that promoted their safety and wellbeing by meeting health, social and emotional needs.

The food and nutrition provided was wholesome and enjoyed by people who used the service. We saw that the premises were safe and promoted people's independence and staff were employed in sufficient numbers to meet the needs of people who used the service.

We found that people were given choices about their care and all of the people we asked told us they felt safe at Brideoake Care Home. Staff told us that they felt supported and that they received appropriate training, such as NVQs (National Vocational Qualifications.)

We found that people were well cared for and there were detailed care plans that were updated on a regular basis. On the day of our visit everyone was clean and well dressed with matching clothing. People told us that there was a range of activities available. This included trips to local pubs, the cinema, baking and card making.

There was an effective system to regularly assess and monitor the quality of service that people received but some aspects of this required a few more details to be recorded so that it was clearer.