Brewster House

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

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.

This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider was open in acknowledging improvements were needed in their governance processes. At the time of the assessment there had been recent changes in the management staff team and this had led to adjustments in roles and responsibilities. Staff told us they did not always know who to raise issues with. The management team had identified priorities to address and implemented an action plan. However, improvements were not embedded and we continued to identify concerns with oversight. The provider told us they had brought additional management support into the service and this support would remain in place until processes were operating more robustly.

The provider's governance processes were not robust. We identified concerns with the provider's oversight of safeguarding concerns, risk and medicines management. The provider was not able to demonstrate effective oversight of staff recruitment and supervision. Management audits were not up to date and did not reflect the information held on the provider's electronic care planning system. The audits provided were inaccurate, lacked detail and did not always identify any actions to drive improvements.

People received support from relevant health and social care professionals to meet their health and support needs. People's care plans contained contact details for the professionals involved in their care so staff knew who to approach when required. Local community groups and social events were promoted to ensure people felt connected with the community.

The provider told us they were engaging with the local authority and healthcare professionals to address concerns in the service and discuss improvement plans. During the assessment visit we observed staff communicating appropriately with visiting health professionals to address people's needs.

Health and social care professionals working with the service had identified concerns with staff’s understanding of people's individual health needs and how to support people experiencing distress. Concerns were also raised about how promptly the provider shared information about incidents and accidents and changes in people’s needs.

The provider had processes in place to liaise with other health professionals and work in partnership to improve people's care. However, these processes had not always worked effectively to ensure robust communication and prompt information sharing. At the time of the assessment, the provider was engaging with stakeholders to address these areas for improvement

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.