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Brymore House Care Home with Nursing Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 16 February 2019

Brymore House is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Brymore House is registered to accommodate up to 52 people. The service has two units, one with 27 beds which provides nursing care to older people and the other with 25 beds which provides intermediate care and rehabilitation. There were 52 people living at the home when we visited.

This unannounced inspection took place on 21 December 2018. At our last inspection in June 2016 the service was rated ‘Good’. At this inspection we found the service continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. We found the service remained Good.

The service had a registered manager when we visited. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were management plans in place which provided guidance to staff to reduce risks to people. Staff were trained on safeguarding adults from abuse and knew the procedures to follow to report abuse and to protect people. There were sufficient staff to meet people’s needs and recruitment checks were conducted before new staff were employed.

The health and safety of the environment was maintained. Staff were trained in infection control and followed procedures to reduce risks of infection. People’s medicines were managed in line with safe medicine administration and management guidelines. Records of incidents and accidents were maintained, and the registered manager reviewed them to ensure lessons were learned and to reduce the risk of repeat occurrence.

People’s needs were assessed, planned and delivered in a way that met their individual needs and requirements. People were supported to eat and drink enough to meet their nutritional needs. Staff received training, support and supervision to provide effective care to people and to carry out their duties effectively. People had access to healthcare services they needed to maintain good health. The provider had arrangements and systems in place to ensure people received well-coordinated care and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People gave consent to the care and support they received. The service complied with the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Relatives and healthcare professionals were involved in making decisions for people in their best interests where this was appropriate.

Staff understood people’s emotional needs and gave reassurance and comfort when needed. Staff provided people with reassurance and comfort when needed and treated them with respect and dignity. Staff supported people to maintain and gain independence with activities of daily living. Staff also communicated with people in a way they understood.

Staff were trained in end-of-life care. People’s end-of-life wishes were documented in their care plans, to ensure these were implemented appropriately. People were also encouraged to participate in activities they enjoyed. The service supported people’s needs with regards to their disabilities, culture and religion. Staff had received equality and diversity training.

The service obtained th

Inspection areas

Safe

Good

Updated 16 February 2019

The service remained safe.

Effective

Good

Updated 16 February 2019

The service remained effective.

Caring

Good

Updated 16 February 2019

The service remained caring.

Responsive

Good

Updated 16 February 2019

The service remained responsive.

Well-led

Good

Updated 16 February 2019

The service remained well-led.