Brookfield

Updated 26 March 2021

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 was meeting the legal requirements and regulations associated with The Health and Social Care Act 2008.

As part of The Care Quality Commission’s (CQC) response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection prevention and control measures the provider has in place.

This inspection took place on 17 March 2021 and was announced.

Updated 26 March 2021

The inspection took place on the 1 and 7 February 2018. It was unannounced on the first day and announced on the second.

Brookfield is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Brookfield accommodates up to 28 people in one adapted building. On the day of the inspection there were 24 people living at the home.

Brookfield is a three storey property with a range of communal areas and a large conservatory. It is located in the village of Lymm and is close to the local amenities.

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.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good. The service is rated Good as it met all the requirements of the fundamental standards.

Everyone we talked to without exception spoke positively about the staff and management team. They described feeling safe living at Brookfield and being supported by well trained and caring staff.

People living at the home had many opportunities to engage in activities of their choice and the management team had developed excellent relationships with organisations within the local community.

Brookfield was well maintained and all equipment was regularly serviced. All required health and safety checks and documentation were in place.

Safe recruitment practices were evidenced and sufficient numbers of staff were available to meet people's assessed needs. All staff had completed a comprehensive induction. Staff completed refresher training and were supported through regular supervision and an annual appraisal. Team meetings were held regularly.

Care plans and risk assessments were person centred and held sufficient information to give clear guidance to staff to support people safely. People's preferences were included and people told us they were offered choice and their independence was promoted. All documentation was reviewed regularly and updated following any changes to a person’s assessed needs.

People's needs that related to age, disability, religion or other protected characteristics were considered throughout the assessment and care planning process.

Staff had all received safeguarding training and were clear about the procedures they would need to follow if they had any concerns.

Medicines were managed safely in accordance with best practice guidelines. All staff that had received medication training and had their competency assessed.

Staff had developed good relationships with people who lived at the service and were very attentive to their individual needs. People told us their privacy and dignity was respected at all times. We observed many positive interactions between staff and people living at the service throughout the inspection.

The service operated in accordance with the principles of the Mental Capacity Act 2005 (MCA). It was clear from discussions with people and from their care records that their consent was always sought in relation to care and treatment.

The registered provider had a comprehensive range of policies and procedures available for staff to offer them guidance. These were regularly reviewed and updated.

Effective governance processes were in place that included a range of audits undertaken by the registered manager and registered provider. The audit information was analysed and used to further improve and develop the service.