10 October 2022
During a routine inspection
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.