CQC report explained · a nursing home
What the CQC found at Bromley Park Dementia Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including visitors, admissions, PPE, testing, hygiene, social distancing and outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, April 2021
Bromley Park Dementia Nursing Home was inspected but not rated; inspectors found good COVID-19 infection prevention arrangements.
This was an announced, targeted inspection on 11 March 2021. It focused only on infection prevention and control during the COVID-19 pandemic.
Inspectors were assured that the home was managing visitors, admissions, testing, personal protective equipment, social distancing, hygiene and possible outbreaks safely.
The home supported relatives to keep in touch through screened visits, phone calls and video calls. The inspection did not give an overall quality rating, and the Safe question was recorded as inspected but not rated.
Safe family visits
The home had arrangements for relatives to visit safely, including screened visits and PPE for visitors.
“Arrangements were in place for relatives to visit the home safely in line with national guidance.” from the report
Keeping families connected
People could speak with their families by telephone or video call when face-to-face contact was limited.
“People were supported to speak to their families on the phone or via video call.” from the report
Infection control procedures
Inspectors were assured that the home used PPE safely, followed social distancing guidance and had arrangements for testing.
“Staff were adhering to PPE and social distancing guidance.” from the report
Managing COVID-19 risks
The home had protocols for people with COVID-19 and for people arriving from hospital or the community.
“The provider had clear protocols for people who were infected with COVID-19, and for people who had been admitted to the home from hospital or the community.” from the report
Inspectors raised no specific concerns in this report.
- 01How are relatives currently able to visit, and what PPE or screening is required?
- 02How are people and staff currently tested for COVID-19?
- 03What happens if someone arrives from hospital or the community with an infection risk?
- 04How would the home manage a COVID-19 outbreak, and when was its infection prevention policy last updated?
This was a targeted inspection of infection prevention and control, recorded under Safe; it did not provide ratings for the other questions or an overall quality rating. This explanation was written from the published report of 8 April 2021 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 2019
Rated Good; inspectors found kind, safe and personalised care, with some issues around food information and building safety being addressed.
This was an unannounced inspection on 6 November 2018, followed by an announced visit on 9 November 2018. Inspectors spoke with people living at the home, relatives, staff and health professionals. They also observed care and checked care records, staff records, medicines and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were managed, medicines were handled safely, staffing levels were suitable and people were treated with kindness and respect.
Inspectors found personalised care, activities, support for relationships and good involvement from relatives. They also found strong management systems and evidence that the home had improved since its previous Requires Improvement rating.
Some issues were identified during the inspection. These included different information about two people's dietary needs, no vegetarian options at first, one missing diabetic care plan and an unsatisfactory five-year electrical inspection. The report says these issues were raised, and some were corrected during the inspection or had action plans in place.
Risks and medicines
Inspectors found that risks were assessed and managed, and that medicines records showed no gaps or errors in the sample checked.
“Risks to people's health and well-being were identified, assessed, managed and reviewed on a regular basis to ensure people's safety.” from the report
Kind and respectful care
People were supported with patience and compassion. Staff protected privacy and dignity during personal care.
“Throughout our inspection we observed people were treated with kindness, patience and respect” from the report
Personalised support
Staff knew people's routines, preferences, communication needs and life histories. Care plans included individual information and were reviewed regularly.
“We observed that staff had a good understanding of people's needs and preferences.” from the report
Activities and relationships
The home offered regular activities, trips and entertainment, and supported people to stay connected with relatives and friends.
“Activities were provided both in the morning and afternoon, seven days a week by the provider's in-house activity coordinators.” from the report
Improved leadership
The report found effective management, clear communication and systems for checking and improving the quality of care.
“There were well-led and effective systems in place to monitor the quality of the service provided.” from the report
Dietary information did not always match
needs fixingInspectors found different information about the required diets of two people. This could create a risk if staff followed the wrong record, although the issue was raised with managers.
“information contained with the dietary notification folder differed for two people.” from the report
Food choices and quality
needs fixingPeople and relatives gave mixed views about the food. At the start of the inspection there were no vegetarian options on the displayed menus, but new menus with vegetarian options were seen on the second day.
“The quality of the food had deteriorated in recent months.” from the report
Missing diabetic care plan
needs fixingOne person did not have a diabetic care plan when inspectors checked. The manager said this would be completed after the inspection.
“one person did not have a diabetic care plan in place” from the report
Electrical safety action plan
needs fixingThe five-year electrical installation inspection in October 2018 was unsatisfactory. The home had an action plan to address the issues found.
“The five-year electrical installation inspection in October 2018 had been unsatisfactory” from the report
- 01How do you make sure each person's dietary records match the latest advice from health professionals?
- 02Has the missing diabetic care plan been completed, and how are blood sugar checks and diabetic support recorded now?
- 03What work was required after the unsatisfactory electrical inspection, and has the action plan been completed?
- 04How do you check that vegetarian and other individual food choices are available every day?
- 05Which activities and personalised communication support would be suitable for my relative's dementia needs?
This was a comprehensive inspection covering all five key questions, with observations, discussions and checks of care, staff and management records. This explanation was written from the published report of 5 January 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.
Every inspection of Bromley Park Dementia Nursing Home
5 rated inspections over 4 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Bromley Park Dementia Nursing Home →
- January 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Bromley Park Dementia Nursing Home →
- November 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2017Requires improvementup from InadequateSafe: InadequateWell-led: Requires improvement
- May 2017Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- December 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 January 2011.
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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