- Care home
Brompton House Care Home
Report from 12 August 2024 assessment
Contents
Ratings
Our view of the service
We visited Brompton House Care Home on 28, 29 August and 3 September. Brompton House Care Home is a nursing home for up to 40 people, many of whom are living with dementia or physical disability. There were 28 people using the service at the time of our site visit. We carried out this assessment in response to concerns received about low staffing levels, medicines errors, infection prevention and control concerns, concerns about the management of care records and a culture of bullying. Overall we rated this service as requires improvement for the following reasons. Medicines were not always safely managed. Morale amongst staff was low and there were tensions amongst the staff team. Staff did not always feel listened to or treated equally and the management promoted a culture of blame. However, staff were very open and candid about the challenges they faced and shortfalls within the service. They were keen for improvements to be made and for people to receive better care. There were significant shortfalls in the governance and management oversight of Brompton House Care Home. The assessment was carried out by 2 inspectors, 1 specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. We spoke with 12 people and 5 relatives. We spoke with 6 members of staff including nursing and care staff, the relief area manager, the registered manager and the area manager. We found 5 breaches of regulation at the assessment of this service, in relation to person centred care, safe care and treatment, safeguarding, good governance and staffing.
People's experience of this service
Whilst some people expressed they were happy with their care, our assessment found care did not meet the expected standards. We received mixed feedback from people using the service, with both positive and negative comments. We observed institutionalised practice on site, as whilst staff were kind and well-meaning, they lacked the staffing numbers, training, support and guidance to deliver consistent support. People told us they felt care could be rushed and sometimes they had to wait a long time for staff to assist them in the morning. People told us that routines of the care home were not always of their own choice, and that activities were not always meaningful to them. There were limited ways for people to spend their time in alignment with their own needs and preferences, and care was largely task-orientated and not personalised to individuals.