Background to this inspection
Updated
25 August 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection team consisted of two inspectors and a specialist nurse advisor on day one and two inspectors on the second day.
Service and service type
Brockington House Care Community is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Brockington House Care Community is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This first day of the inspection was unannounced. The second day was announced.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
We spoke to nine people and two relatives about their experience of the care provided. We also spoke to eleven members of staff including the registered manager, deputy manager, senior care assistant, nurse, care assistants, activity co-ordinator, domestic staff and chef.
We observed staff providing support to people in the communal areas of the service. We reviewed a range of records. This included eight people's care records and medicines administration records. Quality monitoring systems and a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to review records and sought clarification from the registered provider to validate evidence found.
Updated
25 August 2022
About the service
Brockington House Care Community is a residential care home providing personal care and nursing to up to 70 people, including people with dementia. At the time of our inspection there were 55 people using the service. Care and support is provided across two floors with lift access to the upper floor. People’s bedrooms were en suite and also had access to communal bathrooms, lounges, and dining rooms on each floor, and access to outdoor space.
People’s experience of using this service and what we found
People did not always have detailed care plans and risk assessments which meant staff may not have the information to support them safely. Improvements were needed to ensure people’s needs and risks were clearly identified.
Learning from individual incidents was shared with staff to prevent further occurrences. However, improvements in governance systems were needed to analyse accidents and incidents to identify trends and patterns to mitigate risks further. The registered manager started to look at implementing this during the inspection.
People said they felt safe living at Brockington House Care Community. One person told us, “Staff are out and about all the time when I wake up at night, I see them about, they make sure my window and doors are secured”.
Safe recruitment processes had been followed and induction and shadowing for all staff was implemented.
Staff received safeguarding training to help them recognise and report potential abuse or neglect. Staff knew who to contact if they had concerns about a person’s welfare and were confident these would be acted upon.
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 make choices about their care, for example what and where they wanted to eat.
Staff followed infection control procedures in line with national guidance for reducing the risk of infection from COVID-19. Staff wore personal protective equipment (PPE) correctly. Visitors to the home followed infection prevention measures to keep people and staff safe.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 25 July 2019 and this is the first inspection.
Why we inspected
This was the first comprehensive inspection of Brockington House Care Community since registration.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.