Brendoncare Knightwood

There were enough staff on duty. There was a recruitment process in place. However, this was not always followed, we have made a recommendation to the provider about recruitment. Staff had the necessary skills to carry out their role effectively and regular training and updates kept their skills refreshed. Staff knew how to recognise the signs of abuse and who to report to, they told us they were confident the manager would take them seriously and follow them up.

Infection control procedures were robust, the home was clean, tidy and hygiene practices were good. Staff had received training in infection, prevention and control. Medicines were managed safely. The environment was designed so people could move around independently and safely. Staff told us they received enough training to do their job, the manager had plans to introduce workshops and refreshers which was welcomed by staff.

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 living at Brendoncare Knightwood were able to give their consent and had the capacity to make decisions. The manager was clear in their responsibilities of how to support people when there was a concern regarding capacity.

People told us staff were kind and caring. Staff spoke affectionately about people. Dignity and respect was obvious within observations and conversations between people and staff. People's needs regarding eating and drinking were assessed. We received overwhelmingly positive reviews about the food at Brendoncare Knightwood. People had access to healthcare as needed and referrals were made in a timely manner.

People had personalised care plans in place, they were reviewed regularly, promoting independence for people. Staff told us this was important to focus on the abilities of people. People were given the opportunity to discuss their end of life needs and wishes. The team at Brendoncare Knightwood had received praise on their end of life care for people.

People knew how to make a complaint, records showed concerns and complaints had been dealt with satisfactorily. There was a complaints policy in place, and it was being updated to reflect changes within the organisation. People's communication needs were recorded.

Brendoncare Knightwood was well led, we received positive feedback about the management of the home. Quality assurances systems operated effectively and enabled the home to drive continual improvement. The manager was supported by staff who understood their roles and responsibilities. The manager understood legal requirements to notify CQC of certain events which took place in the home. Relationships with external health and social care professionals were maintained and working well.