Brewster House

We identified 2 breaches of the legal regulations. The provider had not always managed risks to people’s safety effectively or acted promptly to learn from safety incidents. People's medicines were not always managed safely. The provider's safeguarding processes were not always effective in protecting people from the risk of harm and abuse. There were enough staff available to provide people with support when required.

Staff were kind and caring; however, people’s dignity and privacy were not always respected. Staff supported people to maintain their independence; however, people’s individual preferences for their care had not always been considered when providing support.

People were supported to access relevant health services in line with their individual support needs. The provider’s processes promoted equity in people’s experiences and outcomes. However, the provider had not always communicated effectively with people’s relatives and other health professionals to discuss changes in people’s health needs and how to ensure these needs were met.

We identified 1 breach of the legal regulations. The provider’s governance processes were not effective in identifying and addressing concerns in the quality and safety of people’s care. The provider had not always ensured there was good communication and prompt information sharing with other health and social care professionals.