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CQC report explained · a nursing home

What the CQC found at Brook View

Goodpublished 5 April 2019, 7 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 had effective infection prevention and control arrangements. These included safe visiting, testing, protective equipment, cleaning, social distancing and isolation.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors found strong infection-control measures during the targeted visit.

This was an announced, targeted inspection on 9 February 2021. It focused on infection prevention and control during the coronavirus pandemic.

Inspectors found robust arrangements for visits, including health checks, temperature checks and rapid Covid-19 tests. They also found the home clean and uncluttered, with enough protective equipment and staff using it correctly.

The home supported testing, vaccination, isolation after new admissions or hospital stays, social distancing and people's mental wellbeing. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Safe visiting

    Visits were booked in advance and overseen by trained staff. Visitors completed health checks, temperature checks and rapid Covid-19 tests.

    “Visitors completed a health questionnaire, had their temperature recorded and completed a rapid Covid-19 test” from the report
  • Clean environment

    The home was clean and uncluttered. Cleaning included frequently touched areas such as handrails, light switches and door handles.

    “The home was visibly clean, hygienic and uncluttered.” from the report
  • Protective equipment

    There was enough protective equipment, and staff were observed using it correctly. Staff had also been trained to put it on and take it off safely.

    “Staff had received training in how to put on and take off PPE.” from the report
  • Activities and wellbeing

    The home provided one-to-one activities, socially distanced group activities and activity packs. It also supported people who were self-isolating to join activities remotely.

    “Activities staff provided stimulation through one to one sessions with people.” 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. 01Are visits still pre-booked and overseen by trained staff, and what checks are visitors asked to complete?
  2. 02How are new admissions and people returning from hospital supported to isolate?
  3. 03How often are high-touch areas such as handrails, light switches and door handles cleaned and checked?
  4. 04How do you make sure staff continue to use protective equipment correctly?
  5. 05What activities and support are available for people who need to self-isolate?

This was a targeted inspection of infection prevention and control measures during the coronavirus pandemic, and the service was inspected but not rated. This explanation was written from the published report of 20 February 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, April 2019

Brook View was rated Good overall; inspectors found kind, safe care, but some care and fluid records were incomplete.

This was a planned inspection on 29 and 31 January 2019. Inspectors spoke with people, relatives, staff and a visiting health professional. They also checked care records, medicines, staff files, accidents, complaints, maintenance and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, clean and suitable premises, kind care, good activities and effective support from health professionals.

Some records did not contain all the information staff needed. Care plans varied in detail, and some fluid charts were incomplete. The management team had already identified these issues and had plans to improve them. The previous rating was also Good.

What inspectors praised
  • Kind and respectful staff

    Inspectors saw calm, respectful interactions. People said staff were caring and supportive, and that their privacy and dignity were upheld.

    “Interactions between people and staff were kind, respectful and unhurried.” from the report
  • Staffing and safety

    There were enough nurses and care staff on duty. Agency staff were used to cover rota gaps, and call bells were answered promptly.

    “There were always enough nurses and care staff on duty.” from the report
  • Activities and community links

    People could choose from group activities, one-to-one sessions and regular outings. Activities were based on people's ideas and interests.

    “There was a range of activities based on people's ideas and interests, including regular trips out.” from the report
  • End-of-life support

    The home worked with specialist health professionals and supported people and families before and after a death.

    “People were supported to have a comfortable and dignified death when the time came.” from the report
What inspectors were concerned about
  • Care plans lacked detail

    needs fixing

    Some care plans did not fully reflect people's needs or the support staff were providing. The management team had identified this and planned improvements.

    “Care plans varied in their completeness, consistency and level of detail.” from the report
  • Fluid records were incomplete

    needs fixing

    Where people's fluid intake was monitored, records were not always complete. Staff discussed concerns at handover, but this was not clearly documented.

    “However, where people's fluid intake was being recorded, this was not always complete.” from the report
  • Recent management changes

    minor

    The registered manager had left before the inspection. Staff said the changes had unsettled some colleagues, although they expressed confidence in the current manager.

    “There had been changes in the management of the service and the registered manager had left before the inspection.” from the report
Questions to ask them, based on this report
  1. 01How have you improved the completeness and detail of care plans since this inspection?
  2. 02How do you now check that fluid charts are complete and that concerns discussed at handover are recorded?
  3. 03Who is currently responsible for managing the home, and how has management continuity been maintained since the previous manager left?
  4. 04How would you support my relative to take part in activities or receive one-to-one time if they were unable to leave their room?
  5. 05How would you involve our family in care decisions if my relative could not make a particular decision themselves?

This was a planned inspection covering all five CQC questions, including both the premises and the care provided; the previous rating from 2016 was also Good. This explanation was written from the published report of 5 April 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 Brook View

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

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

    Read what inspectors found at Brook View →

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Brook View →

  3. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 23 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.

Next steps

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Care at home

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