About the service
Brookholme Care home is a residential care home providing personal care and accommodate for up to 40 people. The service provides support to older people and people with physical needs or living with dementia. At the time of our inspection there were 36 people using the service.
People’s experience of using this service and what we found
The providers quality processes were not always in place or the required audits used to identify where changes may be needed. The home was not cleaned to a high standard and we saw some areas of the home required attention to detail to--in ensure it looked well cared for. Cleaning schedules and oversight of the home had not been completed to ensure the standards were being met.
Other audits had been used to reflect on people’s safety. For example, reviewing accidents and incidents. Measure were put in place to mitigate risks, or observe people post fall.
Medicines were managed safely by staff who had completed training and had their competencies completed.
There were sufficient staff to meet the needs of people, following a dependency tool being completed to access the levels of need. Staff were recruited safely and completed induction and training to support their roles.
Learning from incidents had promoted further training to ensure all staff had the required skills and knowledge when completing moving and handling techniques.
The provider worked with health and social care professionals. Referrals were completed and their advice detailed in the care plans and shared with staff.
People, relatives and staff views were considered and used to drive changes. All the relatives we spoke with complimented the staff on their kindness and attitude. They reflected on the range of activities available, communication and information around managing COVID 19.
Overall infection prevention and control was managed well. People’s safety was considered, and risk assessments were in place. Staff understood the importance of protecting people from harm, safeguards had been investigated and any learning shared.
All complaints were investigated, and duty of candour considered. Notifications to us were completed to enable us to monitor the service.
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 Good (published 27 July 2018).
Why we inspected
The inspection was prompted in part due to concerns received about safety and risks to people. A decision was made for us to inspect and examine those risks. We have found evidence that the provider needs to make improvements in relation to their auditing processes to drive improvements and maintain quality.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same, however we have rated the well led section as requires improvement.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brookholme Care Home on our website at www.cqc.org.uk.