This inspection was unannounced and took place on the 25 February 2016. The service was previously inspected in January 2014 when it was found to be meeting all the regulatory requirements which were inspected at that time.
Brookview Nursing and Residential Centre provides personal care and accommodation for up to 67 people with nursing, residential and respite needs, and also offers dementia, convalescence and palliative care. Fifty eight people were being accommodated at the time of the inspection.
Brookview Nursing and Residential Centre is a purpose built three-storey building, with a pleasant and spacious interior. The ground floor (Alderley suite) has facilities for residents living with dementia. The first floor (Mottram suite) and second floor (Chelford suite) are for older people who require nursing care. The bedroom accommodation consists of a majority of single bedrooms and some double bedrooms all having en-suite facilities. There are three lounges, three dining areas, laundry and a hairdressing salon. There is a garden at the rear of the building and several smaller sitting out areas around the building. People had access to a secure garden.
At the time of the inspection there was a registered manager at Brookview Nursing and Residential Centre. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The manager was present during our inspection and engaged positively in the inspection process. The manager was observed to be friendly and approachable and operated an open door policy to people using the service, staff and visitors. During the inspection we found Brookview Nursing and Residential Centre to have a warm and relaxed atmosphere and overall people living in the home appeared happy and content.
Feedback received from people using the service spoken with was generally complimentary about the standard of care provided. People living at Brookview Nursing and Residential Centre told us the registered manager was approachable and supportive.
Staffing levels were structured to meet the needs of the people who used the service. There were sufficient numbers of staff on duty to meet people's needs.
Staff recruitment systems were in place and information about staff had been obtained to make sure staff did not pose a risk to people using the service.
Staff were supported through induction, regular on-going training, supervision and appraisal. A training plan was in place to support staff learning. Staff told us they were well supported in their roles and responsibilities.
A process was in place for managing complaints and the home's complaints procedure was displayed so that people had access to this information. People and relatives told us they would raise any concerns with the manager.
There was a quality monitoring system in place which involved seeking feedback from stakeholders and people who used the service and their relatives about the service provided periodically. This consisted of surveys and a range of audits that were undertaken throughout the year.
The registered provider had policies and systems in place to manage risks and safeguard people from abuse. Staff were aware of the whistle blowing policy and they told us they would use it if required. Staff told us they were able to speak with the manager if they had a concern.
We observed the lunchtime meals and saw staff supported people appropriately and in an unhurried way. Staff were very attentive, friendly and quick to respond whenever a person needed assistance. People had a choice of meals and drinks at lunchtime, breakfast and supper. The chef ensured special dietary needs were met, such as soft and pureed meals for people with swallowing difficulties.
Medicines were ordered, stored, administered and disposed of safely.
People using the service had access to a range of individualised and group activities and a choice of wholesome and nutritious meals. Records showed that people also had access to GPs, chiropodists and other health care professionals (subject to individual need).
Corporate policies were in place relating to the MCA (Mental Capacity Act (2005) and DoLS (Deprivation of Liberty Safeguards). We found staff were aware of the people using the service who were subject to a DoLS.