Cary Brook

Cary Brook is a residential home providing personal care and accommodation for up to 45 people. The service specialises in support for older people living with dementia. At the time of our assessment there were 38 people using the service.

At the previous assessment, published in July 2023, the provider was found to be in breach of regulation in relation to good governance. We also found the provider's systems for sharing learning, identifying environmental risks, and ensuring the safety of medicines were not always effective. This assessment found significant improvements had been made. The provider was no longer in breach of regulation.

Significant improvements had been made since the last inspection. The management team had worked hard to improve the service. Comprehensive quality assurance systems were effective and embedded. There was an established learning culture, and lessons from incidents were shared to improve practice.

Environmental risks were managed well. Medicines were stored and administered safely.

Staff were recruited safely; they received regular training and provided person-centred care.

Staffing levels were appropriate, and morale and teamwork were very good. Staff felt valued and well supported. Some staff raised concerns about the length of day shifts. The provider was reviewing this following staff feedback.

People were safe and well cared for. Relatives praised the kindness and attentiveness of staff. Staff interactions were warm and respectful, and people’s privacy and dignity were maintained. People enjoyed a range of activities and trips.

Care plans were personalised and updated. Consent was sought before care was given. Staff worked well with health professionals to ensure continuity of care, and end-of-life care was delivered with compassion.