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CQC report explained · a residential care home

What the CQC found at The Briars

Goodpublished 19 March 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing infections, using personal protective equipment safely, testing people and staff, and managing admissions and outbreaks.
Effective?
Good
This was not assessed in the targeted inspection.
Caring?
Good
This was not assessed in the targeted inspection.
Responsive?
Outstanding
This was not assessed in the targeted inspection.
Well-led?
Good
This was not assessed in the targeted inspection.
The latest report, explained

What inspectors found, April 2021

The Briars was inspected but not rated; inspectors found strong infection control during the targeted COVID-19 inspection.

This was an announced, targeted inspection on 30 March 2021. It focused only on infection prevention and control because of the coronavirus pandemic.

Inspectors found that visitors were screened and tested, staff and residents were regularly tested, and personal protective equipment was used safely. The home was clean, with detailed cleaning records and regular cleaning of frequently touched surfaces.

The home supported people to keep in touch with relatives through visits, phone and video calls. Staff also provided activities and one-to-one support to reduce social isolation.

The service was not given an overall quality rating. The Safe question was also recorded as inspected but not rated, so this report does not provide ratings for the other areas of care.

What inspectors praised
  • Visitor safety

    Visitors were screened, given tests before entry and provided with personal protective equipment and guidance on using it safely.

    “Staff undertook screening of all visitors, including temperature checks and a questionnaire to determine any risks posed by visitors.” from the report
  • Regular testing

    People living in the home and staff were regularly tested for COVID-19. The manager understood what action to take after a positive result.

    “People and staff were regularly tested for COVID-19.” from the report
  • Support with isolation

    The activities coordinator provided one-to-one support for people isolating in their rooms and arranged activities linked to people's interests.

    “The activities coordinator provided one to one support to people who were isolating in their rooms” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection control arrangements are in place now, and how are visitors screened and tested?
  2. 02How often are staff and residents tested now, and what happens if someone tests positive?
  3. 03How will visits with relatives be supported, including visits for people who find social distancing difficult?
  4. 04What activities and one-to-one support are available for people who need to isolate?
  5. 05Can we see the home's current ratings or evidence about care quality, staffing, medicines and safeguarding, as these areas were not assessed in this inspection?

This was an announced targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 15 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.

An earlier report, explained

What inspectors found, March 2020

Rated Good; inspectors found safe, kind and highly responsive care, with some best-interest decisions not fully recorded.

This was an unannounced inspection on 24 and 30 January 2020. Inspectors spoke with people, relatives, staff and health professionals. They reviewed care, medicines, recruitment and management records, and observed care.

The home was rated Good overall. Safe, Effective, Caring and Well-led were rated Good. Responsive was rated Outstanding because care was highly personalised, activities were varied and staff understood people's individual histories, communication and dementia needs.

People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, suitable medicines systems, detailed care plans and good links with health professionals. One shortfall was found because records did not always show when best-interest decisions had been made. The management team acted immediately.

The previous overall rating was Outstanding, published in July 2017. Caring changed from Outstanding to Good, while Responsive remained Outstanding and the other areas remained Good.

What inspectors praised
  • Personalised care

    Care plans contained detailed information about people's histories, preferences, communication and daily routines. Staff used this information to offer meaningful choices and individual support.

    “People received exceptionally person-centred care and support, which was specific to their individual needs and preferences.” from the report
  • Dementia support

    Staff showed a strong understanding of dementia and used creative approaches to reduce anxiety and help people live rewarding lives.

    “The service provided an exceptional standard of dementia care and staff demonstrated a passion and commitment to supporting people living with this condition.” from the report
  • Activities and relationships

    People could take part in varied activities and outings suited to their interests. Staff also helped people keep in touch with family, friends and the local community.

    “Staff were passionate about supporting people to access social activities and events which were innovative and followed best practice guidance.” from the report
  • Safety and staffing

    Inspectors found enough staff to meet people's needs, safe recruitment checks and appropriate systems for safeguarding, risk management and medicines.

    “There were enough staff available to support people safely.” from the report
  • Kind and respectful care

    Staff knew people well and supported their dignity, privacy, independence, choices and emotional needs.

    “People were treated with kindness and compassion. Staff we spoke with had a genuine affection for the people they cared for.” from the report
What inspectors were concerned about
  • Best-interest records

    needs fixing

    Records did not always show when best-interest decisions had been made for people who could not make particular decisions themselves. The management team took immediate action to improve the records.

    “However, records did not always demonstrate where best interest decisions had been made for people.” from the report
Questions to ask them, based on this report
  1. 01How do you now record and review best-interest decisions?
  2. 02Who is currently managing the home, and when do you expect a new registered manager to be in post?
  3. 03How will you tailor activities and outings to my relative's history, interests and communication needs?
  4. 04How do you involve relatives when care plans are reviewed or people's needs change?
  5. 05How do you make sure staffing levels and the staff skill mix remain suitable on every shift?

This was a planned, unannounced inspection covering all five CQC areas, including the premises and care provided; all five ratings were reviewed. This explanation was written from the published report of 19 March 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. The report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of The Briars

4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Briars →

  2. March 2020Gooddown from Outstanding
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at The Briars →

  3. July 2017Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. January 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: OutstandingResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 7 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.

Next steps

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