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CQC report explained · a residential care home

What the CQC found at Brook House Care Home

Goodpublished 21 March 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was using protective equipment safely, arranging testing, following social distancing rules and keeping its infection control policy up to date.
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.
The latest report, explained

What inspectors found, March 2021

Brook House Care Home was inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection on 23 February 2021. It looked at how the home was preventing and controlling infections, particularly COVID-19.

Inspectors found that staff had current infection control training, enough protective equipment and used it correctly. The home had testing, health checks, regular cleaning and an up-to-date infection control policy.

The home had arrangements for window and in-person visits, including visits for people receiving end-of-life care. It also provided video and telephone calls so people could keep in touch with family.

The service was inspected but not rated. This means the report gives evidence about infection control, but it is not an overall judgement about the quality of care.

What inspectors praised
  • Staff training and protective equipment

    Staff had current infection control training, enough protective equipment and used it correctly.

    “Staff had up-to-date training about infection prevention and control (IPC), they had enough personal protective equipment (PPE) and we saw they wore this correctly.” from the report
  • Testing and safety checks

    The home had regular COVID-19 testing and checks for symptoms before people entered or worked there.

    “Systems were in place that promoted people's and staff's safety such as regular tests for COVID-19, completing a health questionnaire and being symptom free.” from the report
  • Keeping in touch with family

    The home supported window visits, some in-person visits and contact by video, telephone and social media.

    “Various changes relating to COVID-19 and the way people kept in touch with family members had been implemented including facilities for video and telephone calls and the use of social media.” from the report
  • Cleaning and outbreak planning

    Inspectors saw regular cleaning of frequently touched surfaces. The home also had plans to separate areas and staff if an outbreak occurred.

    “There were plans and facilities in place to manage any future potential COVID-19 outbreaks.” 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 have your infection prevention and control arrangements changed since the inspection on 23 February 2021?
  2. 02What are the current rules for family visits, including visits for people receiving end-of-life care?
  3. 03How often are residents and staff tested, and what happens when someone has symptoms?
  4. 04How would you separate parts of the home and staff teams if there were an infection outbreak?
  5. 05How do you check that staff continue to use protective equipment correctly?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic, and it did not provide an overall rating. This explanation was written from the published report of 4 March 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.

An earlier report, explained

What inspectors found, March 2020

Rated Good; inspectors found kind, safe care, but infection control practices were not always followed.

This was an unannounced inspection on 24 February 2020. Inspectors spoke with people living at the home, relatives, staff and a health professional. They reviewed care records, medicines records, staff recruitment files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, personalised care and respectful support. People were involved in decisions and staff worked with health professionals.

There were some areas to improve. Staff did not always follow infection control training, including when handling waste. The home was also waiting for a new activities co-ordinator, and the manager identified that activity information in the dementia area should be easier to understand.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels were sufficient to meet people's needs in a timely way. Staffing was increased when people's needs became more complex.

    “We saw there were enough staff to meet people's needs in a timely manner.” from the report
  • Safe medicines

    Medicines were stored, given and disposed of safely. Staff training and yearly checks were used to assess competence.

    “Staff stored, administered and disposed of people's medicines safely.” from the report
  • Kind and respectful care

    Staff knew people well and supported them with kindness, privacy, dignity and independence. Relatives said they were involved in care discussions.

    “People and their relatives told us staff were caring.” from the report
  • Good health support

    Staff worked with GPs, dentists, therapists, nurses and other professionals to support people's health and wellbeing.

    “Staff supported people to have access to health professionals such as GP's, private dentists, speech and language therapists and community psychiatric nurses to promote their well-being.” from the report
  • Open management

    People, relatives and staff could give feedback. Audits and visits from the provider's quality team were used to identify and monitor improvements.

    “Processes to assess and check the quality and safety of the service were completed.” from the report
What inspectors were concerned about
  • Infection control practice

    needs fixing

    Staff had infection control training but did not always follow it. Inspectors saw waste being carried without gloves, as well as a broken pedal bin and personal toiletry items in a communal bathroom.

    “However, we saw in a communal bathroom some personal toiletry items including disposable razors and a pedal bin that was broken.” from the report
  • Activities arrangements

    minor

    The home was waiting for a new activities co-ordinator. Activities were taking place, but the manager said information about them in the dementia area needed to be clearer and more pictorial.

    “Brook House Care Home was currently awaiting their new activities co-ordinator to start work.” from the report
  • Food consistency

    minor

    Most people and relatives spoke positively about the food, but one person said its quality was inconsistent.

    “The food here is a bit hit and miss.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made since the inspection to ensure staff always follow infection control procedures?
  2. 02Is the activities co-ordinator now in post, and what activities are available for people living with dementia?
  3. 03How do you explain upcoming activities in a way that people with dementia can understand?
  4. 04How do you check that food is consistently good and meets people's choices and dietary needs?
  5. 05How are relatives involved in reviewing and changing a person's care plan?

This was an unannounced planned inspection covering all five CQC questions, and the report says all five ratings remained Good from the previous inspection. This explanation was written from the published report of 21 March 2020 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 Brook House Care Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Brook House Care Home →

  2. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Brook House Care Home →

  3. September 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 29 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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