Brookfield Nursing Home

Updated 25 May 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 13 May 2021 and was announced.

Updated 25 May 2021

About the service

Brookfield Nursing Home is a nursing home that provides accommodation and personal and nursing care to 21 people. Accommodation is provided in one adapted building over three floors, with a passenger lift between floors. There are eight shared and five single bedrooms. At the time of our inspection everyone using the service received nursing care and some people had secondary needs relating to living with dementia.

People’s experience of using this service and what we found

People’s holistic care needs were assessed, and staff used best practice guidance to help them plan people’s care. Staff received a range of relevant training and the registered manager assessed their competence in key areas. Staff supported people to live healthy lives, including meeting their nutritional needs and involving other professionals as needed.

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.

There was a long-standing staff team who had built caring relationships with people. We observed staff interacting positively and in a patient, kind and caring way with people. Staff and relatives spoke about there being a ‘homely’ atmosphere at the service. Staff respected people’s privacy as far as possible, though shared rooms in some instances would limit the extent to which they could do this.

People were involved in planning and making decisions about their care. Staff collected information about people’s preferences that would help them provide care in a person-centred way. Since our last inspection (under the former provider), the activities provision had improved. The activity co-ordinator ensured anyone who wished to be, was given the opportunity for social interaction and involvement in activities. The service followed a recognised model of end of life care, and explored people’s wishes and preferences for care at this stage of their lives.

There were sufficient staff to meet people’s needs in a timely way. Staff assessed and acted to minimise potential risks to people’s health, safety and welfare. We found some required checks to provide assurances about the safety of the premises or equipment were overdue or had not been completed. The provider took action to arrange these checks during the inspection.

There was an experienced registered manager whom staff, people using the service and relatives spoke highly of. The registered manager carried out a range of checks and audits to help monitor and improve the quality and safety of the service. We saw evidence that the manager had listened to feedback they had received and had acted on this to make improvements to the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 20 August 2018 and this is the first inspection of the service under the current provider. The last rating for this service was good (published 23 November 2016). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the date of the services registration with the CQC.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.