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Brookfield Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 13 January 2021

About the service

Brookfield Care Home is a residential care home providing accommodation and personal care to older people and people living with dementia. It can support up to 30 people across a single, purpose-built site. There were 21 people using the service when we visited.

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

We found people were not always protected from the risk of harm. Infection control procedures needed to be improved. People were receiving medicines as prescribed but some medicines records were not accurate or up to date. We observed people being supported by a sufficient number of staff. People’s relatives were happy that their loved ones were safe. One relative told us, “I sleep better at home knowing she is safe in there.”

Staff did not feel well supported by the management team. Quality monitoring systems failed to identify areas where improvements needed to be made. When areas for improvement had been pointed out by external professionals immediate action was not taken to address these.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 13 March 2020).

Why we inspected

We undertook this targeted inspection as part of CQC’s response to care homes with outbreaks of coronavirus. 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 coronavirus and other infection outbreaks effectively.

We inspected and found there was a concern with infection prevention and control measures, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe and well-led.


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment and good governance at this inspection. In particular, infection control practices, assessing and managing risk, accurate record keeping and management oversight.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 13 January 2021

The service was not safe.

Details are in our safe findings below.



Updated 13 January 2021



Updated 13 January 2021



Updated 13 January 2021


Requires improvement

Updated 13 January 2021

The service was not always well-led.

Details are in our well-led findings below.