Brookvale - Prestwich

Updated 2 September 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes. This inspection took place on Tuesday 18 August 2020 and was announced.

Brookvale – Prestwich is a residential care home that provides accommodation and personal care for up to 80 people with learning disabilities. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 2 September 2020

Brookvale- Prestwich is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection. Brookvale is a purpose built home set in extensive well maintained grounds close to open countryside. There are also seven cottages within the grounds which can accommodate people who live semi independently. The home is registered to provide accommodation and personal care for up to 80 people with learning disabilities. On the day of our inspection there were 78 people using the service.

At our last inspection on 20 October 2015 we rated the service Good overall. At that inspection we found one breach of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulations 2014. This was because staff did not receive all the training and supervision they needed to carry out their roles effectively. Following the last inspection, we asked the provider to complete an action plan to tell us what they intended to do and by when to improve the key question; is the service effective to at least good. At this inspection, we found that required improvements had been made.

We found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good overall.

Why the service is rated good.

Staff received the training they needed to carry out their roles effectively and were well supported. Staff members had been safely recruited. There was sufficient numbers of staff to provide people with the support they needed.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. People were positive about the registered manager and the way the home was run.

Care records were detailed and person centred. They identified what was important to and for the person. People were safe because there were effective risk assessments in place, and systems to keep them safe from abuse or avoidable harm.

People’s nutritional and health needs were met and medicines were managed safely.

Health and safety checks had been carried out and there was a programme of regular maintenance to the building and any equipment used. Brookvale–Prestwich was beautifully decorated and furnished. The home was very clean and staff had been trained in infection prevention.

The requirements of the Mental Capacity Act 2005 were being met, and staff understood their roles and responsibilities to seek people's consent prior to care and support being provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People told us they liked the staff that worked at the home. Staff treated people with kindness, respect and compassion.

There was a wide range of activities available for people both in the home and in the community. There was a range of sporting facilities on site including: a gym, swimming pool, football and basketball pitch and put golf, tennis and a running track and cycling track. People were supported to maintain friendships outside of the home.

Quality assurance systems were in place to monitor and continually improve the quality of the service provided. Policies and procedures were in place and were kept under review.

Feedback was obtained from people who used the service, their families and representatives. There was a procedure to help people to complain if they wanted to. People told us they had no complaints.

The provider had notified CQC of significant events and displayed the rating from the last report.