Brewster House

Brewster House provides residential care for up to 71 older people, including those living with dementia. This report summarises findings from a recent inspection, highlighting significant improvements made by the service. A new registered manager and deputy manager are in place, focusing on driving positive changes for both residents and staff. The inspection assessed key areas of the service's operation to ensure the well-being and quality of care provided.

On safety, the home has improved its risk assessment processes, though these do not always fully capture support needs or document actions taken. There's a commitment to staff training to refine these procedures. Recruitment checks are now completed, with efforts underway to ensure all documentation is thorough. Safeguarding procedures are in place, and staff feel comfortable reporting concerns. Medication administration is safe and follows prescribed plans, with staff appropriately trained. Infection control measures are robust, ensuring a safe environment.

In terms of how effective the care is, significant improvements have been made in monitoring fluid and dietary intake, and in repositioning records for those being cared for in bed. There's a greater focus on promoting residents' independence, with fewer people being cared for in bed and staff demonstrating improved understanding of this. The service operates within the principles of the Mental Capacity Act, ensuring people's autonomy and rights are protected.

Regarding how caring the service is, staff engage with residents kindly and responsively. There's a noticeable improvement in the overall culture, with staff feeling more supported and having more time to spend with residents. Residents appear more active and engaged. Relatives have provided positive feedback regarding the improved atmosphere and care quality.

In terms of responsiveness, the service has improved its approach to supporting residents' changing needs. Staff are working collaboratively with other healthcare professionals, making appropriate referrals when necessary. The service demonstrates commitment to learning from incidents, discussing lessons in staff meetings and sharing them across the organisation.

Finally, in terms of how well-led the service is, there are ongoing efforts to embed improvements in monitoring safety and quality. While oversight of risks has increased, processes for reviewing accidents and incidents are still developing to ensure effective identification and management of risks. The registered manager is committed to open and honest communication with individuals and authorities regarding any concerns. The culture has significantly improved, with staff feeling more comfortable raising issues and taking ownership. The home is actively gathering feedback from residents, relatives, and staff to identify areas for further enhancement.