CQC report explained · a nursing home
What the CQC found at Brockfield House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed, reviewed and managed, medicines were handled safely, staffing was adjusted to people's needs and infection controls were in place.
- Effective?
- Good
- This question was not rated in this inspection.
- Caring?
- Good
- This question was not rated in this inspection.
- Responsive?
- Good
- This question was not rated in this inspection.
- Well-led?
- Good
- Inspectors found open and supportive leadership, regular quality checks, good communication and partnership working with outside professionals.
What inspectors found, November 2022
Brockfield House was rated Good; inspectors found people were safe and the home was well managed, with some work still needed to improve relative meetings.
This was an unannounced inspection on 4 and 7 November 2022. One inspector reviewed care and medicine records, staff recruitment and training records, quality checks and meeting notes. They spoke with one person, four relatives and five staff, and received written feedback from three more staff.
The home was rated Good overall. Inspectors rated Safe and Well-led as Good. They found that risks were assessed and managed, medicines were handled safely, infection controls were in place and staffing levels were adjusted to people's needs.
The home had improved since the previous inspection, when it was rated Requires Improvement. The Safe and Well-led ratings both changed to Good. Inspectors found a supportive management team, regular audits and action taken when things went wrong.
The inspection mainly looked at Safe and Well-led. The report does not give ratings for Effective, Caring or Responsive, so this inspection does not provide new ratings for those areas.
Risks were managed
Care records included detailed risk assessments. These were updated quickly when people's needs changed, including when someone developed swallowing difficulties.
“People had detailed risk assessments in place which guided staff on how to keep people safe.” from the report
Safe medicines practice
Trained staff managed medicines safely. The home carried out stock checks, controlled drug checks and regular medicines audits.
“People received their prescribed medicines safely from trained staff.” from the report
Supportive leadership
People, relatives and staff were positive about the management. Staff said they felt supported, included and valued.
“The culture at the service was person centred, open and transparent.” from the report
Learning from incidents
The home reviewed accidents, incidents and falls each month. Inspectors saw that follow-up action was taken and lessons were used to reduce further risks.
“Lessons were learned when things went wrong or an area for improvement was identified.” from the report
Joined-up care
The home worked with outside professionals, including GPs, speech and language therapists and the local authority.
“The management and staff team worked in partnership with other professionals and agencies such as the GP, speech and language therapist and the local authority to ensure people received joined up care.” from the report
Relative meetings had not been attended
minorNo relatives had attended the planned relatives' meetings for the previous four months. The manager was considering how to improve this.
“The registered manager had tried to implement meetings for relatives but for the previous four months no one had attended.” from the report
- 01How are you making sure relatives can share their views if they cannot attend relatives' meetings?
- 02How do you review people's risk assessments when their health or needs change?
- 03How do you check that staffing levels continue to match people's care and nursing needs?
- 04What medicines audits are carried out, and how are any problems followed up?
- 05What improvements made since the previous Requires Improvement inspection are you monitoring now?
This was a focused inspection of Safe and Well-led to check improvements; Effective, Caring and Responsive were not rated in this report. This explanation was written from the published report of 18 November 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.
What inspectors found, January 2022
Brockfield House was inspected but not rated; inspectors were assured that infection prevention arrangements were keeping people safe.
This was an unannounced inspection on 20 January 2022. Inspectors focused on infection prevention and control, including how the home managed COVID-19 risks.
Inspectors found suitable arrangements for visitors, staff testing, personal protective equipment, cleaning, isolation and social distancing. They were also assured that people could be admitted safely and receive visits in line with current guidance.
The home was inspected but not rated. This means the report does not give an overall quality rating or a rated result for each of the five questions.
Visitor safety
Professionals visiting the home had to meet several COVID-19 safety requirements, including testing, vaccination or a COVID pass, hand sanitising and wearing PPE.
“Safe arrangements are in place for professionals visiting the service.” from the report
PPE supplies
Inspectors found plentiful PPE supplies, with stations placed around the home and near rooms where people needed to isolate.
“There are plentiful supplies of personal protective equipment (PPE) throughout the home” from the report
Testing and changing facilities
Staff took part in daily and weekly testing before work and had a designated place to change their clothes before and after shifts.
“Staff participate in a daily and weekly testing regime prior to commencing work.” from the report
Infection control systems
The home used regular cleaning records, isolation, zoning and cohorting. Its COVID-19 policies and risk assessments were up to date.
“Policies, procedures and risk assessments related to COVID-19 were up to date” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently check that staff and visiting professionals meet your COVID-19 safety requirements?
- 02How are staff trained and checked on the correct use of PPE, including putting it on and taking it off?
- 03How often are high-touch areas cleaned, and how are the cleaning records checked?
- 04How would you manage an infection outbreak, including isolation, zoning and cohorting?
- 05What arrangements are currently in place for visits and for admitting new residents safely?
This was an unannounced focused inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 29 January 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.
Every inspection of Brockfield House
6 rated inspections over 7 years: the service has improved, from Inadequate to Good.
- November 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- November 2021Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- September 2020Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- October 2017Goodstayed GoodSafe: GoodResponsive: Requires improvementWell-led: Good
- November 2015Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2015InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- January 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 4 November 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.
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