Brough Manor Care Home

Updated 25 May 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. The inspection took place on 23 April 2018 and was unannounced.

The inspection team consisted of one adult social care inspector.

Information was gathered and reviewed before the inspection. We requested feedback about the service from the local authority commissioning and safeguarding team. We reviewed information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with three people receiving a service and two visiting health professionals. We spoke with two care workers, the activities co-ordinator, the cook, a team leader, the nominated individual and the registered manager.

We reviewed a range of records which included care plans and daily records for four people and four staff files. We completed a Short Observational Framework for Inspection, which is a tool inspectors use to capture the experiences of people that are unable to express their views. We checked staff training and supervision records and observed the medication round. We looked at records involved with maintaining and improving the quality and safety of the service which included audits and other checks.

Updated 25 May 2018

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the 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.

Brough Manor is a residential care home that provides accommodation and support to a maximum of 26 people, some of whom may have a dementia related condition. The home is situated in the town of Brough in East Yorkshire.

People were protected from avoidable harm and abuse. Staff had good knowledge and systems were in place to record safeguarding concerns and action outcomes.

Assessments of risks associated with people’s care and support had been completed to ensure people received safe care and support without undue restrictions being in place.

The provider maintained safe staffing levels and recruitment included pre-employment checks to ensure people were of a suitable character to work in a care home environment.

Systems and processes ensured safe management of medicines and infection control.

People received person centred care and support to meet their individual needs. Staff were supported to access relevant training to build their skills and knowledge and regular supervisions had been completed.

Staff supported people in the least restrictive way to have maximum choice and control of their lives.

People told us they felt staff cared for them and maintained their privacy, dignity and independence.

Policies were in place to support staff in promoting equality and recognising people's diverse needs. Care and support reflected people’s wishes and preferences.

People’s support plans were person-centred. People had a choice of attending both group and one to one activities or events.

Systems were in place and easily accessible for people or their relatives to raise a complaint if they wished to do so.

The provider sought feedback to improve the service and experience for people living at the home. People and their relatives or representatives were involved in the planning and review of their care provision.

Quality assurance systems were in place to support the effectiveness of the service overall and to drive improvements.

Further information is in the detailed findings below.