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CQC report explained · a residential care home

What the CQC found at Briardene

Goodpublished 18 July 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Staff understood safeguarding, people's risks and how to reduce those risks, and there were enough staff. Inspectors suggested adding more detail to some environmental risk assessments, including risks around people leaving without staff knowing and single-paned windows.
Effective?
Good
Staff had regular training, supervision and appraisals. People were supported with food, drink and healthcare, but records of mental capacity assessments and best-interest decisions needed to be improved.
Caring?
Good
Staff were described and observed as kind, gentle and respectful. They promoted privacy, dignity, choice and independence, and used accessible information to help people make decisions.
Responsive?
Good
Care plans contained information about people's needs, preferences, interests and histories. People were involved in reviewing their support and had access to activities, education, holidays and community opportunities.
Well-led?
Good
Inspectors found an open and inclusive culture, with staff and management working well together. Audits, surveys and an improvement plan were used to monitor quality and respond to feedback.
The latest report, explained

What inspectors found, July 2018

Rated Good; inspectors found safe, kind and person-centred care, with some records and building improvements still needed.

This was an unannounced inspection on 22 and 31 May 2018. One inspector spoke with people living there, a relative, staff and health and social care professionals. They also looked at care plans, risk assessments, medicines records, recruitment files, maintenance records and quality checks.

Inspectors found enough trained staff, safe medicines arrangements and good safeguarding practice. Staff knew people well, supported their choices and independence, and worked with health professionals. People had personalised care, meaningful activities and support to keep in touch with family.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors asked for better recording of some mental capacity decisions and suggested further checks and improvements to environmental risks, decoration and carpets.

What inspectors praised
  • Consistent, knowledgeable staff

    The staff team was experienced and stable. This helped staff understand people's individual needs and provide familiar, person-centred support.

    “The service had a very knowledgeable, experienced and consistent team of staff.” from the report
  • Kind and respectful care

    Staff were attentive and caring. They respected people's privacy, dignity, choices and personal space.

    “Staff were very kind, caring and attentive in the support they provided.” from the report
  • Activities and independence

    People were supported to pursue hobbies, take part in activities and build independence through education, community access and everyday tasks.

    “People had the opportunity to engage in a wide range of meaningful activities and to pursue their hobbies and interests.” from the report
  • Open leadership

    Inspectors found that management listened to people, families and staff and used feedback to make improvements.

    “There was an open, inclusive and very person-centred culture within the organisation.” from the report
What inspectors were concerned about
  • Mental capacity records

    needs fixing

    Some mental capacity and best-interest decisions had been made, but the paperwork did not record them effectively. The provider was recommended to review best-practice guidance on record keeping.

    “Mental capacity assessments and best interest records had been completed to support decisions around going on holiday and regarding having a flu jab, but the provider's paperwork did not support the effective recording of these decisions.” from the report
  • Tired areas of the building

    minor

    Some paintwork was chipped or flaking, and some carpets needed replacing. These issues had been identified and were included in the home's improvement plans.

    “Some areas of the service including paintwork and carpets were tired and in need of updating.” from the report
Questions to ask them, based on this report
  1. 01Have the mental capacity assessments and best-interest decisions been rewritten so the reasons and decisions are clearly recorded?
  2. 02What changes have been made to the environmental risk assessment for people leaving the building without staff knowing?
  3. 03What was decided about the single-paned windows on the first and second floors?
  4. 04Have the chipped paintwork and tired carpets been repaired or replaced?
  5. 05What has changed in the home since this May 2018 inspection?

This was an unannounced inspection covering all five questions and the overall rating; it was the first inspection since the provider took over management in December 2016. This explanation was written from the published report of 18 July 2018 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 Briardene

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. July 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Briardene →

  2. December 2016

    Registered with the Care Quality Commission on 15 December 2016.

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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