Brackley Fields Country House Retirement Home

Not all risks were clearly identified and mitigated. Injuries had not always been recorded and follow up information was limited.

Medicine records required improvement. Although people received their medicines, records did not always evidence the reason why an 'as required' medicine had been given and staff did not always have the information required to understand when 'as required' medicines should be given.

Not all records were audited to identify when information had not been recorded. Systems and processes to ensure good oversight and improvements were put into place were not always effective.

People, staff and relatives raised some concerns with staffing levels. We were told that due to staffing levels some tasks were not completed, or people had to wait for support to be offered. We made a recommendation regarding reviewing staffing levels.

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; however, the policies and systems in the service did not always support this practice.

The environment was clean, and people had personalised rooms. However, areas of the service required updating.

Staff supported people to have their health needs met. Referrals were made to healthcare professionals as required. Nationally recognised best practice guidance to identify and monitor people who were at risk of developing skin pressure damage or malnutrition was used.

People were supported by kind caring staff who had been safety recruited and received training to understand people's needs. People and relatives told us staff were kind, caring and compassionate and treated people with dignity and respect.

People, relatives and staff knew how to complain. The registered manager understood their responsibility to

open and transparent when things went wrong. Lessons learnt were shared with staff and incidents and accidents were reviewed to identify and trends or patterns to reduce the risk of reoccurrence.

Staff wore appropriate personal protective equipment and the provider followed government guidance on testing for COVID-19.