Background to this inspection
Updated
14 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and one 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.
Service and service type
Brookfield House Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We checked the Healthwatch website for information. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and four relatives about their experience of the care provided. We spoke with six members of staff, the registered manager, deputy manager and one visiting professional. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who visited the service.
Updated
14 March 2020
About the service
Brookfield House Care Home is a residential care home providing personal and nursing care to 28 people living with dementia time of the inspection. The service can support up to 51 people.
Brookfield House Care Home accommodates 51 people across five separate wings over two floors, each of which has adapted facilities. The home specialises in providing care to people living with dementia.
People’s experience of using this service and what we found
During this inspection we found improvements regarding medication however additional improvements were needed and so we have made recommendations in regard to medication. We also made additional recommendations regarding and risk management.
Care plans and risk assessments were in place that reflected the needs of the people, however we identified that some information held in care plans was basic and in need of review. The registered manager was aware of this and this was planned for as the provider was transitioning to an electronic care planning system.
Improvements were needed to be made in some areas of the environment. The registered manager informed us that they were already in discussion with the provider to make improvements.
We observed care being delivered in the home and saw that this was done in a caring and patient manner. We saw that people were comfortable in the presence of staff and positive and familiar relationships had developed between people receiving support, relatives and care staff. Visitors told us staff were kind and treated their relatives with dignity and respect.
Staff were recruited safely and received regular training, attended staff meetings and had regular practice checks. Staff we spoke to said that they felt well supported.
Complaints, accidents and incidents were managed appropriately, and referrals were made to other professionals in a timely manner when people living in the home were in need.
The provider employed an activities co-ordinator and people were able to choose and access meaningful activities that were person centred. The feedback received regarding the food being provided was all positive and peoples dietary needs were catered for.
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 14 February 2019) 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 we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.