- Care home
Brookland House
Report from 20 February 2024 assessment
Contents
On this page
- Overview
- Assessing needs
- Delivering evidence-based care and treatment
- How staff, teams and services work together
- Supporting people to live healthier lives
- Monitoring and improving outcomes
- Consent to care and treatment
Effective
There were effective processes in place to assess and review people’s care and nursing needs. We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
One relative told us, “I feel the staff know (persons name) really well”. Another said “(person’s name) will make their wishes known and the staff will do what (persons name) wants”.
Staff told us there were effective systems in place to assess and monitor peoples needs. There was a communication book, handover meetings between incoming and outgoing shifts, staff shifts overlapped and a member of staff from the previous day was also working the following day to ensure a consistent approach and understanding of people’s needs.
Where people had been assessed as needing to be supported by two members of staff throughout the day we saw this was in place and records confirmed this.
Delivering evidence-based care and treatment
We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.
How staff, teams and services work together
We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.
Supporting people to live healthier lives
We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.
Monitoring and improving outcomes
We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.
Consent to care and treatment
Staff had been provided with specific training in the Mental Capacity Act 2005.
People had their capacity, to make specific decisions, regularly assessed. People's views and experiences of living at Brookland House were sought.
The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty. Records showed the service considered the views of people and anyone else who was relevant, such as family, friends or an Independent Mental capacity Advocate (IMCA).