- Care home
Brook Lodge Care Home
This care home is run by two companies: Care UK Care Services Limited and Danforth Care No. 1 Limited. These two companies have a dual registration and are jointly responsible for the services at the home.
Assessment report published 15 June 2026
Contents
Ratings
Our view of the service
Brook Lodge Care Home is a care home providing accommodation and personal care for up to 66 people. At the time of our assessment, 49 people were living at the service. The service provides care and support for older people. The assessment was carried out from 20 April to 18 May 2026.
The location is dual registered with 2 providers: Care UK Care Services Ltd and Danforth Care No1 Ltd. The service was previously inspected under Danforth Care No1 Ltd, where it was rated good. At the time of this inspection, there was no current rating in place for the location under Care UK Care Services Ltd.
This inspection was carried out in response to risks identified in relation to staffing and risk management. During the inspection, we identified 2 breaches of regulation relating to people’s safe care and treatment and governance arrangements.
Medicines were not always managed safely. This included the administration of ‘as required’ (PRN) medicines prescribed to support people during periods of distress. Systems used to document incidents where people experienced distressed reactions were disorganised, with both paper-based and electronic records in use, which did not always align. As a result, we were not assured this information could be used effectively to understand what people living with dementia may have been trying to communicate, or to identify patterns and implement proactive strategies to reduce and prevent distress.
The provider had recently taken action to ensure gaps in the rota were consistently covered; however, feedback regarding staffing levels remained mixed. Observations carried out during the inspection did not identify concerns about staffing levels. However, staff told us there were occasions when a high number of temporary staff were used, which impacted continuity of care, as these staff did not always know people well.
Risks to people’s care and support had been assessed; however, further work was required to ensure that when people’s needs changed, all sections of their care plans were reviewed and updated accordingly. People at high risk of poor skin integrity were not always repositioned in line with their risk assessments, which increased the risk of further skin deterioration.
Governance processes were not robust, and audits and monitoring systems had not identified all the issues we found during the assessment.
Staff feedback about their roles was also mixed; some staff told us they enjoyed their work, while others expressed concerns about their roles and the frequency and consistency of supervision and support.
Further work was needed to ensure staff had a good understanding of the Mental Capacity Act. Systems and checks were in place to support safe recruitment. People’s needs were assessed prior to admission.
Staff were observed to treat people with kindness and compassion during our visits.
The service was receiving support from the local authority and healthcare partners to improve people’s quality of life and safety.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
We received mixed feedback from people and their relatives about the service. People and their relatives did not always feel communication at the service was effective.
We also received mixed feedback about staffing levels. Staff turnover was reported to be high. A relative told us, “A lot of good carers have gone, and we don’t always know the new carers, and they don’t know my relative.” Another relative said, “There are enough staff with the [temporary] staff, and they try to use the same temporary staff,so they know people.”
Others were concerned that staff were often rushed and did not have sufficient time to spend with people.Comments included,“There have been a few changes of carers which is unsettling for the residents.”
People and their relatives also told us there was limited access to activities and events, and that there was not always enough for people to do.
While most people and relatives told us staff were kind and said, “The carers are very caring and loving to my relative” and "Overall we are happy with the care.”