Brandon Park Residential and Nursing Home

Updated 26 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two Inspectors and an Expert by Experience who made phone calls to relatives off site. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Brandon Park Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Brandon Park Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on the 18 October 2022 and ended on the 25 October 2022.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from health and social care professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with eight people who used the service, 18 staff, including the registered manager, deputy manager and operations director. We also spoke with 13 family members of people receiving support.

We reviewed eight care records, medicines administration records (MAR) and three staff records. We also reviewed other records, including policies and procedures, and records relating to the quality and safety monitoring of the service.

Updated 26 November 2022

About the service

Brandon Park Residential and Nursing Home is a residential care home with nursing that provides accommodation and personal care for up to 65 older people, some of whom are living with dementia. At the time of our inspection there were 55 people using the service.

People’s experience of using this service and what we found

People were extremely positive about the quality of care provided. Feedback from relatives regarding the management of the service told us people continued to be outstanding with people at the heart of the service.

Staff were kind and respectful of people, recognising their strengths and skills. People were involved in decisions about their day to day lives and staff respected people's individuality and choices. People had their dignity and privacy respected and were supported to maintain their independence and live fulfilling lives.

Risks to people were assessed and staff understood actions needed to mitigate the risk of harm whilst respecting people's freedoms and choices. The service was clean, hygienic and a pleasant environment for people to live in. Infection, prevention and control practices kept people safe from preventable harm.

Staff understood how to recognise poor practice and abuse and knew what actions were needed if they had concerns. People told us they knew how to complain, and said any concerns were taken seriously and responded to appropriately. Complaints and compliments were shared with staff to address areas for improvement and to celebrate successes.

Staff understood the importance of gathering consent from people. People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were motivated and passionate about their roles. People were supported by staff including activities staff who had the skills to meet their needs. Recruitment practices ensured staff were suitable for their roles. People had their medicines administered safely by trained staff who had their competencies assessed and checked regularly.

Leadership was described by people, their families and staff as outstanding and described the culture of the service as inclusive and supportive. Governance and oversight of quality and safety continued to be well established. This included a variety of safety audits, surveys and staff performance checks. The management team led by example and put people at the heart of the service and in their planning for improvement.

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 outstanding (published 6 November 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brandon Park Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.