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CQC report explained · a nursing home

What the CQC found at Briar Hill House

Outstandingpublished 22 March 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, effective safeguarding arrangements and safe medicines systems. Risks were assessed and reviewed, and lessons were learned from incidents such as falls.
Effective?
Good
Staff had ongoing training and supported people with nutrition, hydration and access to health professionals. Inspectors found that consent was sought and that mental capacity and best-interest decisions were considered.
Caring?
Outstanding
Staff were exceptionally kind and respectful. They understood people's histories, supported independence and involved families, advocates and people in decisions about care.
Responsive?
Outstanding
Care was highly personalised and regularly reviewed. Activities, communication support, religious support and end of life care were adapted to people's individual needs and wishes.
Well-led?
Good
The home had quality checks, clear staff responsibilities and regular feedback from people, relatives and staff. Inspectors found the manager approachable and the service consistently well managed.
The latest report, explained

What inspectors found, March 2019

Rated Outstanding; inspectors found exceptionally caring and personalised support, with Safe, Effective and Well-led rated Good.

Inspectors visited the home without warning on 24 January 2019. They spoke with seven people, three relatives, staff, volunteers and a health professional. They also observed care, checked five care plans, medicines records and the home's quality checks.

People told inspectors they felt safe and well cared for. There were enough staff, medicines were managed safely, the home was clean, and staff understood people's risks. Care plans were detailed and regularly reviewed. People were supported with food, drink, health appointments, communication and personal goals.

Inspectors rated Caring and Responsive Outstanding. They found staff treated people with exceptional kindness, protected their dignity and understood their individual histories, preferences and communication needs. Activities were varied and tailored to people. Safe, Effective and Well-led were rated Good, meaning the inspectors found these areas met the required standard.

The overall rating was Outstanding. The previous inspection on 28 April 2016 rated the home Good, so the overall rating improved.

What inspectors praised
  • Kind and respectful care

    Inspectors found a strong person-focused culture. Staff protected people's dignity, offered comfort and took time to provide individual support.

    “People were truly respected and valued as individuals; and empowered as partners in their care in an exceptional service” from the report
  • Personalised support

    Staff understood people's histories, preferences and communication needs. Care plans were detailed and regularly reviewed.

    “People received care which was extremely personalised and reflected their preferences.” from the report
  • Activities and community

    The home offered varied activities, including music therapy, crafts, religious services and pet visits. These were adapted for different interests and needs.

    “On the day of our inspection visit we saw a range of activities to meet differing individual needs” from the report
  • Safe staffing and medicines

    There were enough staff, including qualified nurses for people with complex medical needs. Medicines were administered safely and on time.

    “There were enough staff to ensure that people's needs were met safely.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative's particular health conditions, mobility needs or risks?
  2. 02How would you involve our family if my relative found it difficult to communicate or make decisions?
  3. 03Which activities would suit my relative's interests, abilities and communication needs?
  4. 04How are care plans, medicines and risks reviewed when a person's needs change?
  5. 05How would you discuss and record my relative's wishes about end of life care?

This was an unannounced scheduled inspection that looked at the home, care and all five CQC questions, using observations, discussions, records and quality checks. This explanation was written from the published report of 22 March 2019 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 Briar Hill House

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. March 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    Read what inspectors found at Briar Hill House →

  2. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2010

    Registered with the Care Quality Commission on 22 December 2010.

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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