Nottingham Brain Injury Rehabilitation and Neurological Care Centre

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Date of assessment 5 June to 27 June 2024 Nottingham Neurodisability Service Hucknall is a ‘care home’ that provides nursing and personal care for up to 71 adults with an acquired brain injury and other complex neurological conditions. At the time of the inspection 51 people lived at the home. Whilst the service was registered for 71 adults not all of the bedrooms were in use. Nottingham Neurodisability Service Hucknall was last rated Good (published 20 July 2022). The report was published following the Care Quality Commission’s (CQC) old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. We assessed a total of 8 quality statements from the safe, effective, and well-led key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Based on our findings at this assessment our overall rating has changed from good to requires improvement. We have identified breaches in relation to safe care and treatment, and governance. The provider failed to ensure the safe management of medicines and risks. The provider failed to ensure robust infection prevention and control measures were in place. The provider failed to ensure governance system in place were used effectively. The provider failed to ensure records were held securely.

People's experience of this service

People gave us mixed feedback relating to the safety of the service. People told us staff knew their needs well and staff were kind. People told us there were enough staff to support with their physical needs, but staff didn’t have time to chat which made them feel lonely. Not all people knew how to raise safeguarding concerns outside of the service. People we spoke with said they did not always receive their prescribed medicines at the right time. People told us the environment was not always maintained well. People said the management team were approachable. People said staff knew their specialist needs well and they received support from the therapy team to maintain their independence. We observed people receiving physiotherapy to increase their mobility.