Brookview Care Home

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found that the service remained good.

There had been a change in management since the last inspection. The new manager was not present during the inspection. However, we met with the regional director, regional support manager and regional quality manager who were supporting the service. People, visitors and staff spoke positively about the new manager and that improvements had been made since their arrival.

People felt safe, their needs were regularly assessed and they were protected from harm and abuse. Accidents and incidents were recorded and monitored to identify emerging trends and individual risks were assessed.

People's care and support needs were regularly assessed and linked to a dependency tool to determine staffing requirements. A review was being undertaken at the time of the inspection.

A medicines policy was in place to guide staff practice. Staff received training and their competency to do so was regularly checked. We raised an issue about a person refusing their medicines and the regional management team took immediate action.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Staff sought consent before carrying out care support and people told us they were happy with the care they received.

Staff were supported to develop their skills, knowledge and competencies by completing a wide range of developmental training.

There was an extensive refurbishment programme underway which was nearing final stages. The environment was clean, bright and airy and of a high standard. Specialist equipment was readily available.

Food served was nutritious and meal time experience calm and pleasant. Staff supported people who needed assistance in a kind and unobtrusive manner.

The inspection team observed interactions that were extremely kind, caring and patient. Staff clearly knew people's needs and preferences and warm and trusting relationships had been developed.

Care delivery was extremely person-centred and people were treated as individuals. Some records reviewed did not fully reflect the person-centred care being delivered. We were informed that this would be improved in a programme of transfer to new documentation.

Staff contacted health care professionals promptly when people were unwell and people were supported to access a wide range of services to maintain their health and well-being.

There was a programme of activities and a new activities co-ordinator was being recruited.

There were robust audits used to assess and monitor the quality of the service. We saw that these had identified where the service was not compliant with the provider's policies and procedures which resulted in action plans being implemented to improve the service.

The five questions we ask about services and what we found