Brookland House

Updated 14 September 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2014.

Inspection team

The inspection team consisted of one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

Inspection activity started on 17 August 2022 and ended 23 August 2022. We visited the locations office on 17 August 2022.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make

During the inspection

We spoke with one person who used the service, three relatives and viewed surveys about their experience of the care provided. We spoke with nine members of staff including the registered manager, care co-ordinators, trainers and three carers.

We reviewed a range of records, including 10 people's care records. We looked at six staff files in relation to recruitment and staff support and a range of records relating to how the service operated and was managed.

Updated 14 September 2022

About the service

Brookland House is a domiciliary care agency providing care to people in their own homes in Shropshire. At the time of our inspection 100 people were receiving the regulated activity of personal care from the service. Not everyone using the service received personal care. CQC only inspects where people receive personal care, which is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

People and their relatives told us they felt safe. Risks associated with people's care and home environments were identified, assessed and well managed. Staff knew how to keep people safe. People received their medicines safely and when needed, by staff trained in medicine management.

The prevention and control of infections were managed in line with government guidance and provider procedures.

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.

The registered manager had systems and processes in place to monitor and review the quality of the service provided, for example, audits of care plans. Staff felt supported by the management team, who worked in an open and transparent way.

Rating at last inspection

The last rating for the service was good, (published 25 September 2019).

Why we inspected

We received concerns in relation to missed calls and unsafe recruitment of staff. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brooklands House on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.