We carried out a review of the data available to us about Brookfield House Care Home 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 Brookfield House Care Home, you can give feedback on this service.
Brookfield House Care Home is a residential care home providing personal care to 41 people at the time of the inspection. The service can support up to 51 people.
People’s experience of using this service and what we found
People and their relatives were positive about the care and support provided at Brookfield House. People felt safe and appropriate systems were in place to protect people from avoidable harm and abuse. Staff took action to minimise risks and people were supported to have as much choice and control over their lives as possible. However, we noted on occasion that call bells were not in reach of people, the registered manager took action to address this.
There were enough staff to respond to people’s needs. Several new staff had been recruited which meant there was a permanent staff team, who had been safely recruited. Staff managed the safety of the environment and equipment through checks and actions to minimise risk. The provider was in the process of arranging refurbishment works including a new shower room, due to start within the next few weeks. The home was clean and infection prevention and control measures were in place.
Medicines were safely managed, and people were supported by staff who received appropriate training and supervision.
People's nutritional needs were met. However, we noted records in some cases had not been updated, this was addressed straight away. Staff were responsive to any changes in their health needs. 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. We noted that records could be more detailed in relation to some best interest decisions.
There was a homely and friendly atmosphere. Staff were caring, knew people well and had built effective relationships. People were treated as individuals and staff respected their preferred lifestyle choices. The management team promoted a culture which respected people’s privacy and dignity.
Staff had access to people’s electronic care plans, which contained person-centred information about their needs and overall were kept up to date. People were supported to take part in activities and were able to maintain relationships with those important to them. There was an activity coordinator, who was due to increase the time spent in that role to focus on activities. The service had received positive feedback about the support they had provided to people at the end of life.
People knew how to complain should they need to and felt managers would be responsive.
The service was well-led. Managers engaged well with people, visitors and staff. There was a focus on person-centred care and continuous improvements. The provider had effective governance systems in place to monitor the quality of the service. The service worked in partnership with others.
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 1 May 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 14 March 2020.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
¿ The home was clean and hygienic. There were schedules in place to ensure frequent cleaning took place.
¿ People living at the home and staff were supported to take part in regular testing and had access to the vaccination programme.
¿ People living at the home and staff were appropriately supported to self-isolate when necessary.
¿ Staff had enough personal protective equipment, such as masks, gloves and aprons. All staff had received sufficient training and support to prevent and control the spread of infection.
¿ Individual risk assessments had been carried out in relation to visiting. Safe arrangements were in place to enable people to have contact with their family. Government Guidance in relation to changes to visiting were being implemented.
¿ There were COVID-19 specific policies and assessment in place, which meant staff were guided to take appropriate actions to reduce the risk of transmission.
¿ The layout of communal areas in the home had been adjusted to support social distancing, such as the separation of armchairs.