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CQC report explained · a residential care home

What the CQC found at Brooke House

Not yet rated

Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.

The latest report, explained

What inspectors found, October 2018

Rated Good; inspectors found safe, kind and personalised care, with some records and learning processes still being improved.

Inspectors visited the home without notice on 5 and 6 September 2018. They observed care, spoke with people, staff and relatives, and checked care plans, risk assessments, medicines records, recruitment files and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, supported to manage risks, and given safe medicines support. Staff were trained, kind and familiar with people's needs.

People were supported to build independence, take part in activities, work towards personal goals and make choices. The registered manager had left shortly before the inspection, but interim arrangements and support from the deputy manager and quality improvement lead were in place.

What inspectors praised
  • Safe, individual risk support

    Staff understood people's risks and supported them in the least restrictive way possible. People were helped to manage their own medicines where it was safe for them to do so.

    “People's risks were assessed and well understood by the staff involved in their care.” from the report
  • Kind and respectful care

    Staff knew people well and respected their privacy, choices, personal histories and individuality.

    “Staff took the time to get to know people's personal histories, likes and dislikes.” from the report
  • Building independence

    People were supported to learn life skills, prepare food, manage money, volunteer, work and plan for greater independence.

    “People's care and support plans aimed to develop skills and independence to help them meet their goals.” from the report
  • Personal communication

    The home adapted communication to people's needs, including easy-read plans, Makaton signs and support in a person's native language.

    “Staff used different methods to communicate with people and wrote care plans in ways people could understand.” from the report
  • Quality improvement

    Managers used audits and a single action plan to identify and track areas for development. Staff and people were involved in improving the service.

    “The provider had a good system of quality assurance and improvement in place.” from the report
What inspectors were concerned about
  • Staff employment records

    needs fixing

    There was not always clear documentation of staff employment history. The recruiting manager had taken steps to make sure suitable staff were employed.

    “There was a lack of clarity in documentation of employment history of staff” from the report
  • Learning from incidents

    minor

    The home was still improving how it recorded and shared learning from incidents. This could affect how clearly improvements are tracked.

    “The service was working to improve the way they shared learning from incidents and the way this was documented to better improve quality of care.” from the report
  • Management change

    minor

    The registered manager had left shortly before the inspection. One relative was unsure what communication and support they would receive, although the home agreed to create a communication plan.

    “They were unsure what communication and support they would receive” from the report
Questions to ask them, based on this report
  1. 01Who is currently responsible for managing the home, and how has the management arrangement changed since the registered manager left?
  2. 02How do you now record and check each staff member's full employment history?
  3. 03What changes have you made to share learning from incidents and record the actions taken?
  4. 04How will you keep relatives informed when a person sometimes consents to information being shared and sometimes does not?
  5. 05How will you support my relative's goals for independence, work, activities and managing their own medicines?

This was an unannounced inspection covering all five CQC questions; inspectors reviewed records for two people, two medicines records and two staff recruitment files. This explanation was written from the published report of 16 October 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 Brooke House

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

  1. October 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Brooke House →

  2. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 6 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.

Next steps

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