Browfield Residential Home

This report summarises an inspection of Browfield Residential Home, which provides care for up to 14 individuals with enduring mental health needs. The inspection focused on key areas to assess the quality of care. It highlights improvements made since the previous inspection, with a particular emphasis on the ongoing refurbishment of the home and enhancements to staff training and support systems. The findings indicate a positive shift in the service's overall quality and management.

On safety, the home has made significant improvements, with medication management now robust and staff receiving necessary training. While most areas were secure, a temporary issue with a rear door was promptly addressed. Staffing levels are adequate, recruitment processes are thorough, and safeguarding procedures are well-established, with staff well-trained in identifying and reporting concerns. Infection control measures are effective, ensuring the safety of residents, staff, and visitors.

In terms of how effective the care is, residents' support plans are regularly reviewed and reflect their changing needs. Staff are skilled and knowledgeable, with improved training provision and a structured induction and supervision program. The home's environment is undergoing positive refurbishment, making it more comfortable and personalised for residents, although a minor issue with a dining chair was noted and subsequently resolved. Residents are supported to make their own decisions, and staff understand and apply principles of the Mental Capacity Act.

Regarding caring practices, the report notes positive feedback from residents and staff, indicating that people feel safe and settled. There is a dedicated staff member focusing on activities to enhance residents' daily living skills and community engagement. Residents are supported to have maximum choice and control over their lives, with staff acting in their best interests and promoting independence.

The service demonstrates responsiveness to residents' needs, with support plans adapting to individual circumstances, such as mobility changes. Residents are encouraged to develop their strengths and promote independence, with staff assisting in their personal goals, such as moving back home. There is a clear commitment to working in partnership with residents, their families, and external health professionals, leading to consistent and timely care.

Finally, on how well-led the service is, there has been a substantial improvement in governance and management oversight. The registered manager is well-supported by a consistent team, and roles and responsibilities are clearly defined. Quality assurance systems are more thorough, leading to overall improvements that residents and staff have noticed. The management team actively engages with residents and staff, fostering a positive and person-centred culture, and has established strong working relationships with external agencies.