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Inspection Summary


Overall summary & rating

Good

Updated 5 November 2019

About the service

Brookfield is a residential care home providing personal and nursing care to 64 older people at the time of the inspection. The service can support up to 66 people.

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

People had excellent opportunities and access to a variety of activities to prevent social isolation. Social activities met people's individual needs and followed best practice guidance, so people could live as full a life as possible. Activities were overseen by a committed, passionate and experienced team of coordinators. People told us they enjoyed the activities provided and they felt they were inclusive. For example, men had requested a ‘man cave’ to allow them to do things that mainly they enjoyed. The service has gone the extra mile to find out what people have done in the past, evaluated whether it could accommodate activities, and made that happen. The provider facilitated a ‘Seize the Day’ initiative. This was an opportunity for people to enjoy a former pastime or visit a location that held special memories for them. The service made every effort to encourage and support people to develop and maintain relationships with people that matter to them. The service took a key role in the local community and was actively involved in building further links with the local community. Contact with other community resources and support networks was encouraged and sustained. These included, local schools, choirs and a baby yoga group. People told us they enjoyed and benefitted from these links.

People living at Brookfield told us they received safe care from skilled and knowledgeable staff. Staff knew how to identify and report any concerns. The provider had safe recruitment and selection processes in place.

Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs and staff recruitment was on-going. Medicines were managed safely, and people received their medicines as prescribed.

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. People were supported to maintain good health and to meet their nutritional needs.

People told us staff were caring. This ethos consistency enabled people to receive good care from staff who knew them well. Staff did all they could to promote independency and we saw examples of such practices.

The home was well-led by a registered manager who was focusing on improving people’s care and developing staff skills. A lot of significant changes had been implemented to support effective team working and improve people’s outcomes. The service had a clear management and staffing structure in place and staff worked well as a team. The provider had quality assurance systems in place to monitor the quality and safety of the service.

Rating at last inspection and update

The last rating for this service was good (published 13 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 5 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 5 November 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 5 November 2019

The service was well-led.

Details are in our well-Led findings below