Brookfields Private Nursing Home

This assessment was completed due to the length of time since the last ratings inspection, and in part, due to partner agencies finding that improvements were needed in areas such as medicines management, record keeping, care planning, governance and oversight.

We found 1 breach of the legal regulations in relation to governance systems.

Accidents and incidents were reported but not always reviewed in a timely manner and sometimes, not all expected steps had been taken in response. Some improvements to care plans and risk assessments were still needed and were being worked on by leaders at the service. Not all risks in the environment had been identified and mitigated, and improvements were needed as to where personal protective equipment (PPE) was stored. Some improvements had been made to medicines management; however, we found not all medicines had been stored safely.

Improvements were needed in some care records to show how people’s health conditions were being monitored. Improvements were needed to the governance systems in place at the service to help ensure any shortfalls could be identified, risks reduced and improvements made.

The provider completed checks on staffs’ suitability for the job role and supported their staff team well. Staff worked well together and communicated with each other effectively. They knew people’s care needs and were kind, caring and respectful. They provided personalised care and promoted people’s independence, choices and control.

Activities were planned to ensure they offered support to people’s well-being. This helped people stay connected to their local community and provided opportunities to link to local schools and local community facilities. Staff understood the value of people taking part in special events and worked hard to make participation in significant events possible. Activities helped to link people to seasonal events as well as cultural and religious festivals.

Staff were well supported by leaders in the service. Leaders understood how to help staff with changes to their work schedule when needed. Staff felt able to speak up about any concerns and were confident these would be dealt with appropriately be leaders.

Leaders worked to create a positive and inclusive work environment for staff. They worked to provide personalised care for people. Leaders were responsive and keen to make improvements in the service. They worked well in partnership with others to achieve good outcomes for people.

We have asked the provider for an action plan in response to the concerns found at this assessment.