CQC report explained · a residential care home
What the CQC found at Little Brocklesby House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control was safe. They found effective use of protective equipment, testing, cleaning and outbreak arrangements.
- 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, December 2020
Inspected but not rated; inspectors found good infection control during a COVID-19 outbreak.
The inspection took place on 18 November 2020. It was announced and targeted. Inspectors looked at infection prevention and control because the home had experienced a coronavirus outbreak.
Inspectors found updated infection control policies, enough personal protective equipment, regular cleaning and safe staff entry procedures. They were assured that the home was managing admissions, testing, visitors and the outbreak safely.
The home was inspected but not rated. This means the report gives no overall quality rating and does not rate the other areas of care.
Updated infection guidance
The home's infection control policies had been updated to reflect national guidance. Information was available for staff and people living there.
“Infection control policies had been updated to reflect current national guidance.” from the report
Protective equipment
There were enough supplies of protective equipment. Staff had access to it and inspectors saw it being used in line with guidance.
“There were sufficient PPE supplies in place to ensure safe infection prevention and control practices were undertaken.” from the report
Clean environment
Inspectors found the home clean, with regular cleaning of frequently touched surfaces and daily deep cleaning of shared areas.
“The service was clean with no offensive odours.” from the report
Outbreak management
Inspectors found that a recent COVID-19 outbreak had been managed safely. The home used zones, testing and plans to reduce the spread of infection.
“A recent outbreak of COVID-19 at the service had been managed well and the plans in place to support people had been utilised safely.” from the report
Further development suggested
minorThe CQC signposted the provider to resources to develop its infection prevention and control approach. The report does not explain what specific improvement was needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control changes have been made since the CQC signposted resources to develop the home's approach?
- 02How are visitors currently screened and supported to visit safely?
- 03How does the home currently test people living there and staff for COVID-19 or other infections?
- 04What arrangements are in place if another infection outbreak occurs?
- 05Is the screened visiting building in the grounds now available, and how is it being used?
This was a targeted inspection of infection prevention and control during a coronavirus outbreak; the other care quality areas were not assessed and the service was not rated. This explanation was written from the published report of 16 December 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.
What inspectors found, August 2019
Little Brocklesby House was rated Good overall; inspectors found kind, safe care, with minor recording issues fixed during the inspection.
Inspectors made an unannounced visit on 16 July 2019. One inspector spoke with three people using the home, two relatives and four staff. They also checked 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 recruitment, clean surroundings, good medicines management and care that respected people's choices, dignity and independence.
There were two minor shortfalls. Some guidance for medicines used when needed was incomplete, and end of life preferences were not always recorded. Both issues were addressed during the inspection.
The overall rating remained Good, as it was at the previous inspection. The Well-led rating improved from Requires Improvement to Good.
Kind and respectful staff
People had good relationships with staff, who respected privacy, dignity, choices and independence.
“The staff are all very kind and caring.” from the report
Safe care and medicines
Inspectors found appropriate risk assessments, enough staff and safe recruitment. People generally received medicines as prescribed.
“People received their medicines as prescribed. Risks to people's safety and wellbeing were assessed and minimised.” from the report
Personalised support
Staff knew people's routines, preferences and interests. Care plans gave staff information about how to support each person.
“Staff had developed relationships with people and talked to them about their interests.” from the report
Activities and relationships
People could take part in activities and maintain contact with relatives and the wider community.
“People were supported to access a range of social and leisure activities and follow their interests to avoid social isolation.” from the report
Improved leadership
The Well-led rating improved from Requires Improvement to Good. Inspectors found regular checks and a positive culture among staff and managers.
“At this inspection this key question has now improved to good.” from the report
Incomplete medicines guidance
needs fixingSome medicines prescribed for use when needed did not have enough guidance for staff. The home addressed this during the inspection.
“Some medicines prescribed for use 'as and when required' were missing guidance or required more detail to guide staff on when to use them.” from the report
- 01How do you now make sure medicines prescribed for use when needed have clear instructions for staff?
- 02How are each person's end of life wishes discussed, recorded and kept up to date?
- 03How will you make sure my relative's care plan reflects their routines, preferences, communication needs and interests?
- 04What activities and community links would be available for my relative?
- 05How would you involve my relative and our family in reviews of their care?
This was an unannounced inspection of all five CQC areas, including the premises and care provided; it followed the previous Good overall rating, while Well-led had previously been Requires Improvement. This explanation was written from the published report of 22 August 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 Little Brocklesby House
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2016Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- August 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 14 December 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
9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.