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CQC report explained · a nursing home

What the CQC found at Nottingham Brain Injury Rehabilitation and Neurological Care Centre

Goodpublished 24 December 2024, 21 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, July 2022

Nottingham Brain Injury Rehabilitation and Neurological Care Centre was rated Good; inspectors found kind, safe and well-managed care, with some cleaning and refurbishment issues.

The inspection was unannounced and took place across visits in May 2022. Inspectors spoke with five people, 11 relatives and 13 staff. They observed care and reviewed care plans, medicines records, staff files, complaints and management records.

The home provided nursing and personal care for up to 71 adults with acquired brain injuries and other complex neurological conditions. At the inspection, 52 people lived there. Inspectors rated Safe, Effective, Caring, Responsive and Well-led as Good.

Inspectors found people were protected from abuse, risks were managed and medicines were given safely. Staff were trained and there were enough suitably qualified staff, although some areas needed deeper cleaning and parts of the home were under refurbishment. The manager acted immediately on the cleaning feedback.

What inspectors praised
  • Complex needs

    The home assessed and managed complex neurological, nutritional and specialist nursing needs. Staff sought specialist advice when needed.

    “People's complex nutritional needs were effectively managed and specialist advice and training had been sought when needed.” from the report
  • Kind and respectful care

    People were treated with dignity and respect. Staff supported people patiently, respected choices and helped people regain skills and independence.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised activities

    Activities reflected people's interests, with one-to-one support available for people who did not want or could not join group activities.

    “People were supported to choose and engage in a range of activities.” from the report
  • Open management

    The manager was described as honest and approachable. Incidents, complaints and audit findings were reviewed, with action taken to improve care.

    “Quality assurance and monitoring systems were in place to help drive improvements at the service.” from the report
What inspectors were concerned about
  • Refurbishment

    minor

    Part of the home was being refurbished, so not all areas were accessible to people using the service during the inspection.

    “part of the home was under refurbishment therefore not all areas of the home were accessible to people using the service.” from the report
  • Mixed views on staffing

    minor

    The inspection found enough suitably qualified staff, but feedback from people and staff was mixed and the home had vacancies covered by agency staff.

    “We received mixed feedback from people and staff regarding staffing.” from the report
Questions to ask them, based on this report
  1. 01What cleaning and de-cluttering checks are now in place, and how do you make sure the standard is maintained?
  2. 02What refurbishment work remains, and which areas are currently unavailable to residents?
  3. 03How many permanent staff vacancies are there now, and how often are agency staff used on each unit?
  4. 04How will you support my relative's specific communication, nutritional, rehabilitation and specialist nursing needs?
  5. 05How do you record incidents, share lessons with staff and check that improvements have been sustained?

This was an unannounced inspection that considered all five CQC questions; some areas were not accessible because part of the home was under refurbishment. This explanation was written from the published report of 20 July 2022 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 Nottingham Brain Injury Rehabilitation and Neurological Care Centre

4 rated inspections over 6 years: the service has held its Good rating throughout.

  1. July 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Nottingham Brain Injury Rehabilitation and Neurological Care Centre →

  2. February 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. December 2016Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. March 2021

    Registered with the Care Quality Commission on 5 March 2021.

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

Weigh the report against the rest

Care at home

75 live-in carers within about an hour of Nottinghamshire

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. 63 can care for a couple. 10 years' experience on average.

“Ernest is an amazing professional carer who delivers care from the heart.”
Melanie B., about Ernest C.
See live-in carers near NottinghamshireProfiles, rates and reviews are free to look at.

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.