• Care Home
  • Care home

Brooklands Nursing & Residential Home

Overall: Good read more about inspection ratings

Costessey Lane, Drayton, Norwich, Norfolk, NR8 6HB (01603) 262666

Provided and run by:
London & West Investments Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 7 December 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by three inspectors, two on site and one leading the inspection remotely, a medicines inspector, a specialist advisor and two Expert by Experiences, one on site and one making remote telephone calls to relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Brooklands Nursing and Residential Home 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. Brooklands Nursing and Residential Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. However, a manager was employed and had applied to CQC to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 17 November 2022 and ended on 24 November 2022. We visited the location’s service on 17 November 2022.

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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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

We spoke with eight people who used the service and 10 relatives. Feedback was also received from one health professional who worked regularly with the service. We spoke with nine staff including the manager, compliance manager, maintenance person, housekeeping staff, care and nursing staff.

We reviewed the care records for seven people who used the service and the medicines administration records for 17 people. We observed the care and support provided and the administration of medicines; the environment was also assessed for safety and suitability. Multiple governance records were reviewed including staff recruitment records, policies, quality assurance audits, action plans and maintenance records.

Overall inspection

Good

Updated 7 December 2022

About the service

Brooklands Nursing and Residential Home is a residential care home providing nursing and residential care to up to 70 people. The service provides support to older people who require residential, nursing and/or dementia care. At the time of our inspection there were 58 people using the service. Accommodation is over three floors, with adapted facilities, and the home has accessible gardens and multiple communal rooms.

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

People who used the service told us their lives had been enhanced by living at Brooklands Nursing and Residential Home. They described care that was person-centred, attentive and compassionate. People spoke of dedicated staff who delivered care and support with respect, patience and kindness; they told us their needs were met.

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 told us they were involved in making decisions around the care they received, and relatives told us they were included in these decisions where this was appropriate. People spoke particularly positively about how well the service communicated and engaged with them.

The quality assurance systems the provider had in place had not been completely effective at identifying some shortfalls. However, the provider took immediate action to rectify the concerns and we found a culture that was open, reflective and proactive at learning lessons and implementing improvements.

People told us they would recommend the service. They told us this was because of the high-quality, attentive care people received and the confidence they had in the staff and management to meet the needs of the people they loved. People gave us examples of the positive impact the service had had on their lives and what this meant to them.

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 (report published on 18 July 2022) and there were two 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 due to concerns received about risk management and end of life care. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and responsive 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.

Follow up

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