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Inspection Summary


Overall summary & rating

Good

Updated 23 June 2021

About the service

Brookfield Care Home is a residential care home providing personal care to 22 older people some who may be living with dementia at the time of the inspection. The service can support up to 30 people.

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

Staff provided care and support to meet people’s individual needs as assessed. A range of quality assurance checks and audits were in place which were used to help maintain and improve standards and to keep everyone safe. We found these recent checks had helped to progress required improvements since our last inspection. The general manager continued to ensure the checks remained suitable and helped to ensure the required outcomes were achieved in a timely way.

People received their medicines as prescribed. Checks and audits had identified some short falls in medicine management and new processes were being embedded. This included specialist input to further improve this process.

We were assured that people were supported safely with good infection control practices followed. During the inspection we observed not all staff follow required guidance on the use of masks and this was immediately addressed by the registered manager. The home was clean and tidy and free from any lingering odours. Systems and processes were safely established to facilitate visits by loved ones. Relatives told us they were pleased with the support and communication they had received during the pandemic.

Systems and processes in place ensured people were safe from avoidable harm. Feedback and consultations were held to ensure people received support and care appropriate to their individual needs. Peoples cultural and diverse needs were identified and respected with support provided in a person-centred way.

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

Rating at last inspection

The last rating for this service was requires improvement (published 13 January 2021) 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.

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.

We carried out an unannounced comprehensive inspection of this service on 10 November 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve risk management and quality assurance checks and to prevent and control infection.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Safe and Well led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 23 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 23 June 2021

Caring

Good

Updated 23 June 2021

Responsive

Good

Updated 23 June 2021

Well-led

Good

Updated 23 June 2021

The service was well-led.

Details are in our well-led findings below.