25 March 2022
During an inspection looking at part of the service
Brunswick Court Care Home is a residential care home providing personal and nursing care to up to 90 people. The service provides support to older people and people with dementia. At the time of our inspection there were 62 people using the service.
The building consisted of three floors and a basement. Each floor had living facilities which included people's individual bedrooms with en-suite, dining rooms and lounges.
People’s experience of using this service and what we found
People felt the support received by staff was inconsistent and at times felt isolated which affected their wellbeing. Peoples care plans did not always allow the opportunity to detail what was important to the person. The provider had acknowledged this and put new software in place to rectify this.
The provider and registered manager had a governance system in place, which included various audits and monitoring, improvement and actions were identified, however actions were not always completed.
The registered manager had implemented a lot of changes since the last inspection. Systems had started to be used and there were clear outcomes from the quality assurance systems in place. However, at the time of the inspection these changes had only recently been implemented. The registered manager understood the need to ensure the quality of care continued, and to ensure the systems and culture of the service is sustained.
People and their relatives felt staff provided care that was safe, and systems were in place to report concerns. The staff team had been safely recruited. Systems were in place to report and respond to accidents and incidents.
People felt safe with the care they received, and staff were knowledgeable about when to report concerns to safeguard people. Risk assessments highlighted people's individual needs, and professionals were referred to when staff needed input for people for example, a dietician. Where things went wrong, this was shared with staff and lessons were learnt and changes implemented.
Medicines were given to people when they needed them, where discrepancies were identified these were actioned appropriately. Infection prevention control measures were in place and staff were wearing appropriate personal protective equipment (PPE).
The registered manager had built positive relationships with professionals and was dedicated in making sure people got input from health professionals when needed. Professionals commented on the management teams support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 17 October 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection whilst we found improvements had been made and the provider was no longer in breach of regulations, further improvements were required.
Why we inspected
The inspection was prompted in part due to concerns received about medicine management. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.