CQC report explained · a nursing home
What the CQC found at Brymore House Care Home with Nursing
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, PPE, testing, social distancing, admissions and the management of possible outbreaks.
- 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.
What inspectors found, April 2021
Inspected but not rated; inspectors found good infection control arrangements during a targeted COVID-19 inspection.
Inspectors visited the home on 19 March 2021. The visit was announced and focused only on infection prevention and control during the coronavirus pandemic.
They found that visitors were given information and instructions, staff followed PPE and social distancing guidance, and people were supported to keep in touch with their families.
The provider had arrangements for isolating people with COVID-19 or those arriving from hospital or the community. An independent infection control audit had been completed, and all its actions were finished by the inspection.
The home was inspected but not rated. This was not a full inspection of the service, so the report does not give an overall quality rating or ratings for most of the five areas.
Visitor infection controls
The home followed guidance to reduce the risk of visitors bringing in or spreading COVID-19. Visitors received information and instructions in person and in writing.
“The provider followed best practice guidance to ensure visitors to the home did not introduce and spread COVID-19.” from the report
PPE and distancing
Staff were following the required PPE and social distancing arrangements.
“Staff were adhering to personal protective and equipment (PPE) and social distancing guidance.” from the report
Isolation arrangements
The home had a policy covering isolation rooms for people with COVID-19 and people arriving from hospital or the community.
“The provider had an infection prevention and control policy that outlined the requirement for isolation rooms for people infected with COVID-19” from the report
Audit actions completed
An independent infection control nurse audited the premises, and the provider had completed all the identified actions by the inspection.
“The provider completed all identified actions by the time of inspection.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current overall CQC rating, given that this inspection was not rated?
- 02What infection prevention and control arrangements are now in place for visitors?
- 03How does the home manage isolation when someone has COVID-19 or arrives from hospital or the community?
- 04How are residents supported to see family members when in-person visits are not possible?
- 05What actions were identified in the independent infection control audit, and can you explain how they were completed?
This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; the other care areas were not assessed and no overall rating was given. This explanation was written from the published report of 29 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, February 2019
Brymore House Care Home with Nursing is rated Good; inspectors found safe, caring and well-organised care with no serious concerns.
This was an unannounced comprehensive inspection on 21 December 2018. Inspectors spoke with people living at the home, relatives, staff and health professionals. They reviewed care records, medicines records, staff files, complaints and quality checks.
The home supported 52 people across two units. Inspectors found enough staff, suitable recruitment checks, safe medicines systems and effective plans for risks such as falls, pressure sores, nutrition and emergencies.
People's care was planned around their needs and choices. Staff supported people's health, independence, communication, activities, relationships and end-of-life wishes. Inspectors also found kind and respectful care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. It had remained Good since the previous inspection in June 2016, with no evidence of serious risks or concerns.
Managing risks
The home assessed a range of risks and put plans and equipment in place to reduce harm. This included support for falls, pressure sores, nutrition and emergency evacuation.
“Management plans were then developed to address areas of identified risk.” from the report
Staffing and training
Inspectors found enough staff to meet people's needs. Staff had relevant training, supervision and checks before employment.
“The service sustained a safe staffing level.” from the report
Kind and respectful care
Staff understood people's emotional needs and respected their privacy, dignity, choices and communication needs.
“Staff remained caring and considerate in the way they cared for people.” from the report
Personalised support
Care plans covered people's health, social and emotional needs, preferences, strengths and goals. The rehabilitation unit focused on helping people regain independence.
“People's care and support continued to be personalised to their individual needs.” from the report
Leadership and quality checks
The service used audits, meetings and feedback to monitor care and address issues. Inspectors found staff were supported by accessible leadership.
“The quality of service delivered to people continued to be scrutinised to ensure it remained effective and met people's needs.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's risks around falls, pressure sores, eating, drinking and nutrition?
- 02How many registered nurses and care staff will be on duty for my relative's unit, and how do you increase staffing when needs change?
- 03What rehabilitation goals would you set for my relative, and how would you measure progress towards greater independence?
- 04How would you record and follow my relative's wishes about end-of-life care, including any DNACPR decision?
- 05How would you involve me in care reviews, complaints and decisions if my relative could not make a particular decision?
This was an unannounced comprehensive inspection covering the overall quality and safety of the service, with all five ratings assessed. This explanation was written from the published report of 16 February 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 Brymore House Care Home with Nursing
2 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Brymore House Care Home with Nursing →
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Brymore House Care Home with Nursing →
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- July 2013
Registered with the Care Quality Commission on 15 July 2013.
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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