We carried out a review of the data available to us about Brookview 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 Brookview, you can give feedback on this service.
Brookview is a residential care home registered to provide personal care to eight people who have a learning disability or autism. At the time of this inspection visit, eight people received support.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People's experience of using this service and what we found
People lived in well maintained and appropriate accommodation that enabled them to live a lifestyle of
their choosing. People had a choice about how they lived their life. There were facilities such as a sensory area and plenty of activities to be involved with. Some people attended local day services and others chose to attend activities in the local community with support of staff.
There were enough staff available to support people to live the life they wanted. Staff were well trained and supported. There were good communication systems in place that enabled them to know how people needed to be supported on that day. Staff knew how to support people with distressed behaviour and were given suitable training. Staff knew people well and had developed positive relationships with people.
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's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
There were good quality monitoring processes in place. The registered manager and provider of the service had good oversight of the care provided and had plans to further improve the quality of care people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published on 03 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Brookview on our website at www.cqc.org.uk.
Brookview is registered to provide personal care for up to eight people with learning disabilities and physical disabilities. At the time of our visit there were six people living at Brookview.
Since our last inspection of this service a new provider had taken over the management of Brookview. This change had occurred on1 March 2017. The previous staff team and the registered manager had been retained by the new provider. This was the first inspection of the service for the new provider.
Prior to the change in provider we were informed of a serious incident that had taken place which the new provider had been made aware of. During this inspection we found the provider had taken positive steps to ensure people were safe and robust safety measures were in place to reduce the risk of further incidents of a similar nature.
We found the provider was supportive to the registered manager and staff. Everyone we spoke with told us the new provider had kept them informed of any changes. They said there had been no impact on the quality of service people received during the transfer of ownership.
A requirement of the provider’s registration is that they have a registered manager. 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. At the time of our inspection there was a registered manager at the service.
Relatives told us they felt people were safe at Brookview. The registered manager and staff understood how to protect people they supported from abuse, and knew what procedures to follow to report any concerns. Staff had a good understanding of risks associated with people’s care needs and how to support them.
There were enough staff at Brookview to support people safely and at the times they preferred. Recruitment procedures made sure staff were of a suitable character to care for people at the home.
Medicines were stored and administered safely, and people received their medicines as prescribed. Regular audits were carried out of medicines to ensure they were managed in line with good practice guidelines.
People were supported to attend health care appointments to maintain their health and well-being and received support with a varied diet that took account of their preferences and dietary needs.
Staff were kind and supportive and ensured people’s privacy and dignity needs were met. People were encouraged to be independent and some assisted with tasks around the home and shopping if they wished to. Relatives told us staff respected their family member’s rights to privacy and told us how staff supported them to remain independent.
The management and staff team understood the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People were supported to make everyday decisions themselves, which helped them to maintain their independence. Where people were not able to make decisions, relatives and healthcare professionals were consulted for their advice and input.
People were supported to pursue their hobbies and interests both within and outside the home. Activities were arranged according to people’s individual preferences, needs and abilities and staff were keen to explore a variety of new activities for people. People who lived at Brookview were encouraged to maintain links with friends and family.
Relatives knew how to make a formal complaint and told us they felt comfortable raising any concerns they had with the staff. At the time of our inspection no complaints had been received, however, the provider had systems in place to monitor complaints across all of their services. This was so they could identify any areas where improvements could be made to benefit all people including those at Brookview.
Staff felt the management team were supportive and promoted an open culture within the home. Staff were able to discuss their own development and best practice during one to one supervision and team meetings. A programme of training and induction provided staff with the skills and knowledge they needed to meet people’s needs.
The registered manager felt well supported by the provider who visited the service regularly and encouraged them to discuss their views and ideas on how to improve the service.
The provider carried out audits to check the support and care people received to continually monitor and improve the quality of the service.