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CQC report explained · a nursing home

What the CQC found at Brentwood Arches Care Home

Goodpublished 28 May 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, suitable risk assessments, safe equipment and good systems for medicines and infection control. Some plans for medicines taken when needed lacked detail, although staff were knowledgeable and the issue was already being addressed.
Effective?
Good
People had detailed assessments and received support from trained staff. Food, drink, health appointments and legal decision-making were managed well. Inspectors noted that some strongly patterned carpets could cause disorientation or falls, with changes planned.
Caring?
Good
Staff were kind and respectful. They promoted privacy, dignity, independence and choice. Some cultural and personal preferences were not fully recorded in care plans, although inspectors found no impact on people at the time.
Responsive?
Good
Care was personalised and adapted when people's needs changed. Activities, communication support, family contact and complaints systems worked well. End-of-life care was provided, but plans did not always record people's future care needs and preferences in enough detail.
Well-led?
Good
Managers had good oversight, staff worked well together and audits led to improvements. The culture was described as open and person-centred, although communication between some senior and care staff could be improved.
The latest report, explained

What inspectors found, May 2022

Brentwood Arches Care Home: the supplied report is for another home, which was rated Good overall, with end-of-life planning needing improvement.

The supplied report is headed Signature at The Beeches, not Brentwood Arches Care Home. It describes a planned inspection of a newly registered care home, carried out over 30 March, 31 March and 5 April 2022. Inspectors spoke with people, relatives, staff and health and social care professionals, observed care and checked records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines support, good infection control, personalised care, kind interactions and a positive management culture.

There were some areas to improve. End-of-life care plans did not always contain enough detail. Some personal preferences were not fully recorded, some medicines plans lacked detail and patterned carpets could cause problems for people with dementia or perception difficulties. The inspectors made a recommendation about end-of-life care planning.

What inspectors praised
  • Enough staff

    Inspectors saw enough staff to provide safe and personalised support. Staffing was organised flexibly when needs changed.

    “We observed throughout our inspection that there were enough staff to provide safe, good quality support.” from the report
  • Kind and respectful care

    People were treated with kindness, dignity and respect. Staff supported people to make choices and remain as independent as possible.

    “We observed caring interactions between staff and people. Staff spent quality time with people.” from the report
  • Personalised support

    Care plans reflected people's needs and preferences, and staff adapted care when people's needs changed.

    “People received care that was personalised.” from the report
  • Activities and relationships

    People had regular opportunities for activities and were supported to maintain interests, pets and contact with family and friends.

    “People were supported to participate in their chosen social and leisure interests on a regular basis.” from the report
  • Good management oversight

    Managers used meetings, audits and feedback to monitor the service and make improvements.

    “Quality checks and audits made a positive difference.” from the report
What inspectors were concerned about
  • End-of-life plans

    needs fixing

    Some people did not have sufficiently detailed plans about the care they might need at the end of life. Inspectors recommended reviewing the planning process.

    “Not all the people living at the service had sufficiently detailed care plans around the support they might need at the end of life.” from the report
  • Personal preferences not always recorded

    minor

    Some cultural and other personal preferences were not fully written into care plans. Inspectors discussed this with the manager so staff would have clear information if someone could no longer explain their wishes.

    “Some people's individual preferences, such as cultural requirements, were not fully recorded in care plans.” from the report
  • Some medicines plans lacked detail

    needs fixing

    A few plans for medicines taken when needed were not detailed enough. Senior staff had already identified the gaps and planned actions to address them.

    “Although some of these plans lacked detail, we found staff were knowledgeable in this area.” from the report
  • Patterned carpets

    needs fixing

    Some carpets had strong patterns that could disorientate people or increase falls risk for people with perception problems. A new plain carpet had been fitted in the dementia unit, with further changes planned.

    “The carpets in some of the service had very strong patterns.” from the report
Questions to ask them, based on this report
  1. 01The report names Signature at The Beeches rather than Brentwood Arches Care Home. Can you confirm which service this report applies to?
  2. 02How do you now record people's wishes and preferences for end-of-life care?
  3. 03Have all residents who may need palliative or end-of-life care had their plans reviewed and completed?
  4. 04Have the medicines plans that lacked detail been updated?
  5. 05Have the remaining strongly patterned carpets been replaced, particularly in areas used by people living with dementia?

This was a full planned inspection of the home named in the report, covering all five key questions and infection prevention and control, but the supplied service name does not match the report name. This explanation was written from the published report of 28 May 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Brentwood Arches Care Home

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. May 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Brentwood Arches Care Home →

  2. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. September 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. August 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  5. March 2021

    Registered with the Care Quality Commission on 30 March 2021.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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