CQC report explained · a nursing home
What the CQC found at Brookview Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks and incidents were monitored, and staff had safeguarding training. Inspectors noted an issue involving refusal of medicines and recommended that procedures and learning from such cases be reviewed.
- Effective?
- Good
- Staff understood people's needs and preferences, worked with health professionals and supported consent. Some care records did not show signed evidence of consent, and one staff member said they had not had supervision for some time.
- Caring?
- Good
- Inspectors saw staff being kind, patient and respectful. People said their privacy, choices and independence were respected.
- Responsive?
- Good
- Care was described as person-centred and staff knew people's needs and preferences. Some records did not fully reflect this, and some people wanted more activities.
- Well-led?
- Good
- People, relatives and staff spoke positively about the new manager and reported improvements. Regional managers provided additional support, and audits identified issues and tracked actions.
What inspectors found, November 2018
Rated Good; inspectors found kind, person-centred care, with some records, medicines and activities needing attention.
This was an unannounced comprehensive inspection over 5 and 6 November 2018. Inspectors spoke with people living in the home, relatives, visitors and staff. They observed care and reviewed care records, staff files and other documents.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were happy with their care. Inspectors saw kind and patient staff, good support at mealtimes, a clean environment and prompt contact with health professionals.
There were some areas to improve. Some care records did not fully show the person-centred care being delivered. Inspectors also asked for medicines procedures to be reviewed after one person refused medicines. Some people wanted more activities, and there were concerns about staffing during busy periods on one suite.
The overall Good rating stayed the same as at the previous inspection. There had been a change in management, and people, relatives and staff spoke positively about improvements under the new manager. The manager was not present during this inspection.
Kind and patient staff
Inspectors observed consistently kind and patient interactions. Staff appeared to know people well and had built warm, trusting relationships.
“The inspection team observed interactions that were extremely kind, caring and patient.” from the report
People felt safe
People and relatives said they felt safe. The home assessed risks, monitored incidents and had safeguarding and recruitment checks in place.
“People were protected from the risk of harm.” from the report
Good food and mealtimes
Mealtimes were calm and pleasant. Staff supported people kindly, and the chef understood dietary needs, allergies and preferences.
“The food served was nutritious and of a high quality.” from the report
Clean and suitable environment
The home was undergoing refurbishment and was described as clean, bright and airy. Specialist equipment was available and maintained.
“The environment was clean, bright and airy and of a high standard.” from the report
Quality monitoring
Audits were used to identify problems and create action plans. The regional team provided extra oversight during the management change.
“There were robust audits used to assess and monitor the quality of the service.” from the report
Medicines refusal procedure
needs fixingInspectors raised an issue about one person refusing medicines. Management acted immediately, but inspectors recommended reviewing the procedure and identifying lessons learned.
“We raised an issue about a person refusing their medicines.” from the report
Some people wanted more activities
minorA programme of activities was available, but some people felt there was not enough to do. A new activities co-ordinator was being recruited.
“One visitor told us their relative would prefer activities such as poetry reading and another said, "There is not much going on".” from the report
Busy periods on one suite
needs fixingMost views about staffing were positive, but some people raised concerns about busy periods on one suite. A review of care needs and staffing was taking place.
“Most comments received about staffing levels were positive, however there was some concern expressed about busy periods, particularly on one suite.” from the report
- 01What changes have been made to care records so they fully reflect each person's care and preferences?
- 02What is the current procedure when someone refuses medicines, and how are staff checked against it?
- 03How are staffing levels reviewed during busy periods on the suite mentioned in the report?
- 04Who now coordinates activities, and what activities, trips and outings are currently available?
- 05What support and oversight is now in place under the new manager?
This was a comprehensive inspection covering all five key questions, with the overall Good rating unchanged from the previous inspection. This explanation was written from the published report of 24 November 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.
Every inspection of Brookview Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- October 2010
Registered with the Care Quality Commission on 1 October 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Cheshire East
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 88 can care for a couple. 10 years' experience on average.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.