Brockshill Woodlands

Updated 11 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Brockshill Woodlands is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Brockshill Woodlands is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 3 people who lived at the home and 3 relatives about their experience of care. We observed care and support provided in communal areas. We spoke with a director, registered manager, deputy, senior carer, care assistant and a housekeeper. We reviewed documentation including 4 people's care plans and daily records, sampled medicine records and reviewed 2 staff recruitment files. We also reviewed a range of records relating to the day to day management of the service. After the inspection, we continued to seek validation from the provider regarding staff training and care planned and delivered.

Updated 11 November 2022

About the service

Brockshill Woodlands is a care home service, it provides personal care to older people, people with physical disability and people living with dementia. At the time of the inspection there were 23 people using the service. The service can support up to 30 people.

People’s experience of using this service and what we found

People felt safe because they had confidence in the staff and could speak with them if they had any concerns. Staff understood their responsibilities to keep people safe and to take action if abuse was suspected. Risks were assessed and management plans were in place to reduce the risk of avoidable harm.

There were enough staff to meet people’s needs. Staff were recruited in a safe way because checks were carried out before employment was offered. Staff had training about managing people’s medicines and did this in a safe way.

People had their needs assessed before moving in. Staff had the training and support they required to meet people’s needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had access to healthcare professionals such as GP’s and community nurses.

Staff had developed positive relationships with people and treated people with respect, kindness and compassion. People had autonomy about how they lived their lives.

Care and support was person centred, staff knew people well and understood their needs. People were able to follow their interests and hobbies and were supported to maintain relationships with their friends and family.

The culture of the service was open and inclusive. People and staff felt supported by the registered manager. Audits were carried out and the provider had oversight of the service through reporting systems and audits. Action was taken where shortfalls were identified, and improvements were made.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 November 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.