We carried out a review of the data available to us about Brookfield Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Brookfield Nursing Home, you can give feedback on this service.
We found the following examples of good practice.
The home was very clean and hygienic. The staff followed national and local guidance during the COVID-19 pandemic and rigorous systems were in place to ensure good levels of hygiene. There were cleaning schedules and other systems to ensure good infection prevention and control measures. Staff understood how to use and dispose of personal protective equipment.
Visitors were screened for COVID-19, tested and supported to perform hand hygiene and put on personal protective equipment (PPE) prior to staff escorting them directly to the visiting room via the home garden. It was designed to reduce the amount of footfall through the service.
Staff had access to supplies of PPE and had received training to ensure they used this correctly. All staff and people living at the service had regular testing for Covid-19, and all had received their vaccinations. Where people were unable to make their own decisions, capacity assessments had been carried out and decisions made in their best interests. Information about decisions, testing and vaccinations was clearly recorded to provide assurance and overview.
The registered manager was visible and supportive to staff. The registered manager sought support and advice from external agencies including the local health protection team and CQC and was open to all advice and guidance offered.
Further information is in the detailed findings below.
Brookfield Nursing Home is a nursing home that provides accommodation and personal and nursing care to 21 people. Accommodation is provided in one adapted building over three floors, with a passenger lift between floors. There are eight shared and five single bedrooms. At the time of our inspection everyone using the service received nursing care and some people had secondary needs relating to living with dementia.
People’s experience of using this service and what we found
People’s holistic care needs were assessed, and staff used best practice guidance to help them plan people’s care. Staff received a range of relevant training and the registered manager assessed their competence in key areas. Staff supported people to live healthy lives, including meeting their nutritional needs and involving other professionals as needed.
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.
There was a long-standing staff team who had built caring relationships with people. We observed staff interacting positively and in a patient, kind and caring way with people. Staff and relatives spoke about there being a ‘homely’ atmosphere at the service. Staff respected people’s privacy as far as possible, though shared rooms in some instances would limit the extent to which they could do this.
People were involved in planning and making decisions about their care. Staff collected information about people’s preferences that would help them provide care in a person-centred way. Since our last inspection (under the former provider), the activities provision had improved. The activity co-ordinator ensured anyone who wished to be, was given the opportunity for social interaction and involvement in activities. The service followed a recognised model of end of life care, and explored people’s wishes and preferences for care at this stage of their lives.
There were sufficient staff to meet people’s needs in a timely way. Staff assessed and acted to minimise potential risks to people’s health, safety and welfare. We found some required checks to provide assurances about the safety of the premises or equipment were overdue or had not been completed. The provider took action to arrange these checks during the inspection.
There was an experienced registered manager whom staff, people using the service and relatives spoke highly of. The registered manager carried out a range of checks and audits to help monitor and improve the quality and safety of the service. We saw evidence that the manager had listened to feedback they had received and had acted on this to make improvements to the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 20 August 2018 and this is the first inspection of the service under the current provider. The last rating for this service was good (published 23 November 2016). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the date of the services registration with the CQC.
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.