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Reports


Inspection carried out on 30 December 2019

During a routine inspection

About the service

Brookholme Croft Ltd provides accommodation, nursing and personal care for up to 45 older people. This may include people living with dementia, physical disability or people who are receiving end of life care. At the time of our visit, there were 45 people accommodated at the home

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

People were happy living at the home and made many positive comments about the quality of the care provided. A person said, “It was the best thing I ever did coming here. It’s a lovely place to live.” Other people told us they felt safe and contented at the home.

The staff were well-trained, kind and caring. They were knowledgeable about the people they supported and took an interest in their lives. A care worker said, “We’re like an extended family here, we know all about the residents and they know all about us. We’re always talking to each other and the atmosphere is great.”

There were enough staff on duty to meet people’s needs. People said staff came quickly when they needed them. Staff were safely recruited to ensure they were suitable to work in a care setting. The focus of their training was on providing personalised care that ensured people had a say in how they were supported.

People made many positive comments about the meals. A person said, “The food is very good, I’ve never had a bad meal here.”

Staff worked closely with GPs, nurses and other healthcare professionals to ensure people’s healthcare needs were met. Some people’s health and mobility had improved since they came to the home.

The premises were purpose built, accessible and spacious with clear signage to help people find their way around. All areas were cleaned to a high standard. The home’s activity co-ordinator organised a programme of activities and trips out for people.

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.

The registered manager ran the home efficiently and got on well with people, relatives and staff. People told us she was kind and approachable. People, relatives and staff were involved in making decisions about the home and their views and suggestions were listened to and acted upon.

Rating at last inspection

The last rating for this service was Good (inspected 3 April 2017).

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.

Inspection carried out on 3 April 2017

During a routine inspection

This inspection was unannounced and took place on the 3 April 2017. It was the first inspection following our registration of this provider under the Health and Social Care Act in March 2017.

Brookholme Croft Ltd provides accommodation, nursing and personal care for up to 45 older adults. This may include car for people living with dementia, physical disability or people who are receiving end of life care. At the time of our visit, there were 44 people, including 24 people receiving nursing care at the service. There was a registered manager at this service. 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.

People were safety supported in a clean, safe and well maintained environment. Any equipment used for people’s care was routinely serviced and maintained up to date. Planning and contingency arrangements helped to ensure people’s safety in the event of a foreseeable emergency.

Arrangements for cleanliness, hygiene and infection prevention and control helped to prevent and reduce any risk to people from an acquired infection through cross contamination.

People’s medicines were safely managed. Known risks to people’s safety from their health condition or environment were assessed before they received care and regularly reviewed. This helped to consistently inform people’s care and related safety requirements, which staff followed.

The provider’s arrangements for staff recruitment and deployment helped to ensure people were protected from the risk of harm and abuse

People’s health and nutritional needs were being met. People were supported to improve and maintain their health and nutrition by staff who sought and followed advice from relevant external health professionals when required.

People’s care was provided in a way that met their assessed need by staff who were qualified, trained and supported to help ensure this.

People were provided with care in line with legislation and guidance in relation to consent. People’s consent or appropriate authorisation was obtained when required for people’s care.

People received care from staff who were kind and caring. Staff treated people with respect and ensured their dignity, comfort, rights and independence in their care.

Staff knew people well; what was important to them for their care and had established positive relationships with people and their relatives.

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People and relatives were mostly well informed and involved to understand and agree people’s care. Management assurance was provided to ensure people’s care plans consistently showed their involvement.

Staff were visible, observant and provided people’s care in timely and individualised way. Staff communicated well with people in a way they understood, which helped to ensure people’s choice and independence.

Staff understood and followed people’s known preferred daily living routines. People were informed and supported to maintain contacts with friend and family who were important to them.

Arrangements for people’s occupation, leisure and spiritual practice were driven by people’s known lifestyle preferences and interests. This was provided in a way that helped to promote people’s social inclusion and their physical and emotional health.

People, relatives and staff were informed and confident to raise any concerns about people’s care or make a complaint if they needed to.

People, relatives and staffs views were regularly sought and used to inform and make improvement to people’s care when required.

The service was well managed and run by a visible, approachable registered manager. People, relatives and staff were confident about this.

Staff understood their roles and responsibilities and they were informed and support