The Care Quality Commission
  • Care Home
  • Care home

Brompton House Care Home

Overall: Requires improvement read more about inspection ratings

Station Road, Broadway, Worcestershire, WR12 7DE (01386) 853473

Provided and run by:
HC-One No.1 Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

We visited Brompton House Care Home on 28, 29 August and 3 September. Brompton House Care Home is a nursing home for up to 40 people, many of whom are living with dementia or physical disability. There were 28 people using the service at the time of our site visit. We carried out this assessment in response to concerns received about low staffing levels, medicines errors, infection prevention and control concerns, concerns about the management of care records and a culture of bullying. Overall we rated this service as requires improvement for the following reasons. Medicines were not always safely managed. Morale amongst staff was low and there were tensions amongst the staff team. Staff did not always feel listened to or treated equally and the management promoted a culture of blame. However, staff were very open and candid about the challenges they faced and shortfalls within the service. They were keen for improvements to be made and for people to receive better care. There were significant shortfalls in the governance and management oversight of Brompton House Care Home. The assessment was carried out by 2 inspectors, 1 specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. We spoke with 12 people and 5 relatives. We spoke with 6 members of staff including nursing and care staff, the relief area manager, the registered manager and the area manager. We found 5 breaches of regulation at the assessment of this service, in relation to person centred care, safe care and treatment, safeguarding, good governance and staffing.

4 October 2017

During a routine inspection

We carried out an unannounced comprehensive inspection of this service on 4 October 2017.

The home is registered to provide accommodation and personal care for adults, some of who may have a dementia related illness. A maximum of 40 people can live at the home. There were 32 people living at home on the day of the inspection.

There was a manager in post who was applying to be the registered manager of the home. 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.

People living in the home told us that they felt safe and staff supported with their safety. Staff understood how they were able to minimise the risk to people’s safety. Staff told us they would report any suspected risk of abuse to the management team who would take action. We saw staff helped people and supported them by offering guidance or care that reduced their overall risks of potential harm or injury. Staff were available for people and had their care needs met in a timely way. People told us their medicines were manged and administered by the nursing staff.

Staff knew the care and support needs of those they supported and people told us staff were knowledgeable about their care and support needs. Staff told us their training courses and guidance from senior care staff and managers helped them to maintain and develop their skill and knowledge. People told us staff acted on their wishes and people were able to make their own decisions.

People told us they had a choice of meals which they enjoyed. Where needed people were supported by staff to eat and drink enough to keep them healthy. People had access to other healthcare professionals that provided treatment, advice and guidance to support their health needs which was followed by staff.

People enjoyed spending time talking with staff and spent time relaxing with them. Relatives we spoke with told us staff were kind and friendly and took time to get to know the family and update them about their family member’s well being. People maintained their privacy and dignity and staff supported them to do this where needed. People’s daily preferences were know by staff and those choices and decisions were respected. Staff promoted people’s independence and people had involvement in their care and support.

People’s care needs had been planned around them and if requested their relatives were involved. Care plans included people’s life histories, preferences and their care and support needs. People told us staff offered encouragement to remain active and enjoyed taking part in many arranged activities in the home and trips out. People also told us they enjoyed reading, attending places of worship or socialising with others in the home.

People and relatives were aware of who they would make a complaint to if needed. People told us they would talk though things with staff or the manager if they were not happy with their care.

The manager provided leadership for the staff team and people felt their views and opinions were listened and acted on. The provider had a range of audits in place to monitor the quality and safety of people’s care and support. Action plans were developed to maintain the home and care of people.