Brook Care Home

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question Good. At this assessment the rating has changed to requires improvement: This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.

The service was in breach of legal regulations relating to people’s safe care and treatment and staffing. The provider failed to do all that is reasonably practicable to mitigate any such risks around the proper and safe management of medicines. The provider failed to ensure staff received appropriate training, professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good.

At this assessment the rating has changed to requires Improvement: This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question good. At this assessment the rating has changed to requires Improvement: This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

The service was in breach of legal regulation in relation to governance at the service. The provider failed to ensure accurate, complete and contemporaneous medicine records. The providers auditing systems and processes used to assess, monitor and mitigate risks for people failed to effectively identify concerns we found on the day of our onsite assessment visit.