About the service Brook Court is a care home providing personal and nursing care to up to 67 people. The service provides support to younger and older people who may live with physical disability, dementia, mental health needs or learning disabilities or autistic spectrum disorder. At the time of our inspection there were 49 people using the service. Brook Court accommodates people in one adapted building.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support:
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.
The provider gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. Where people wanted support, staff enabled people to access specialist health and social care support in the community. Staff supported people with their medicines.
Right Care:
People received kind and compassionate care. Staff understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. There had been changes to the leadership at the home. People told us they now received support from staff who knew them well and understood how to keep them safe. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing
Right Culture:
People received good care because of the ethos, values, attitudes and behaviours of the management and staff. Staff knew and understood people well and were responsive, placing people’s wishes, needs and rights at the heart of everything they did. People and those important to them were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
The registered manager planned to further develop their systems to ensure people’s care needs continued to be met. The manager had re-introduced checks on the quality and safety of the care provided and staff competency, so they could be assured people received safe care which met their needs. People’s, relatives’ and staff’s views on the care provided were sought and opportunities for learning were identified. Systems had recommenced to ensure improvements driven through in people’s care.
Why we inspected
We received concerns in relation to the management of the home and staffing. As a result, we undertook a focused inspection to review the key questions of safe, caring and well-led only.
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.
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.
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 good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brook Court on our website at www.cqc.org.uk.
Rating at last inspection and update
The last rating for this service was good (published 22 January 2020).
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.