Skip to content
CQC ExplainedEvery inspection report, in plain English

CQC report explained · a residential care home, run by Nexxus Trading Services

Bracken House

Bracken House Residential Home, Bracken Close, Burntwood, WS7 9BD

Requires improvementpublished 14 December 2023, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Staff were trained in safeguarding, risks were recorded, staffing was considered sufficient, and medicines were generally administered safely, although some topical creams did not have use-by dates recorded.
Effective?
Requires improvement
This question was not inspected during this focused inspection.
Caring?
Good
This question was not inspected during this focused inspection.
Responsive?
Good
This question was not inspected during this focused inspection.
Well-led?
Requires improvement
Management systems and audits did not always identify or resolve environmental risks, and some decision-specific mental capacity assessments were not recorded. The provider was no longer in breach of the earlier governance regulation, but further improvement was needed.
The latest report, explained

What inspectors found, December 2023

Bracken House is rated Requires Improvement; inspectors found people were generally safe, but checks and records did not always identify or address risks.

This was an unannounced focused inspection after concerns about falls, medicines and how the home was managed. Inspectors visited on 17 and 23 October 2023, spoke with people, relatives and staff, and reviewed care, medicines, staff and management records.

The safe rating improved from Requires Improvement to Good. People said they felt safe, staffing was considered sufficient, medicines were generally given safely, and risks such as falls and moving and handling were managed. The home was generally clean, although some carpets were stained and one caused an odour.

The well-led rating remained Requires Improvement. Management had made improvements and was no longer in breach of Regulation 17, but checks had not always identified environmental risks or missing mental capacity records. The overall rating remains Requires Improvement and has been at this level for the last two inspections.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe. Staff knew how to recognise and report abuse, and risk assessments guided staff in areas such as moving and handling.

    People were supported by competent staff who made them feel safe.from the report
  • Safe staffing and recruitment

    People and relatives said there were enough staff to meet needs. Staff had checks and references before starting work.

    People were supported by staff who were safely recruited.from the report
  • Learning from incidents

    The provider analysed accidents and incidents to look for patterns. Changes were made after falls and medicines errors to reduce the chance of problems happening again.

    The provider completed a high level analysis of accidents and incidents that identified patterns and trends.from the report
  • Positive interactions

    Inspectors saw staff engaging with people in a person-centred way. People and relatives described the home as a positive place to live.

    We observed a positive culture at the home. Staff engaged with people in a person-centred way and people seemed empowered by their interactions with staff.from the report
What inspectors were concerned about
  • Environmental risks were not followed up quickly enough

    needs fixing

    Three bedrooms had stained carpets and one had an odour. The broken carpet cleaner was not repaired until inspectors raised the issue, and there was no sign warning visitors that only emergency lift lighting was working.

    Quality checks failed to identify where sufficient action had not been taken to address environmental risks in the home.from the report
  • Some mental capacity decisions were not recorded

    needs fixing

    The home had discussed bed sensors and assessed capacity, but the decisions were not documented. Management said computer system limitations had contributed and later said this would be addressed.

    where the provider had discussed the use of bed sensors with people and had assessed their capacity, this had not been documented.from the report
  • Some medicines records were incomplete

    minor

    Some topical creams did not have use-by dates recorded. The manager said this would be addressed immediately.

    Some topical creams did not always have use by dates recorded on them.from the report
Questions to ask them, based on this report
  1. 01What has been done to replace the three stained bedroom carpets, including the carpet that caused an odour?
  2. 02How do you now make sure environmental risks, such as broken equipment or lift lighting, are identified and dealt with promptly?
  3. 03How are decision-specific mental capacity assessments and best-interest decisions recorded, including decisions about bed sensors?
  4. 04How do you check that topical creams have use-by dates and that all medicines records remain complete?
  5. 05What progress has been made since this inspection to move the overall rating above Requires Improvement?

This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 14 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Bracken House

4 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. December 2023Requires improvementcurrent ratingstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Bracken House

  2. December 2022Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. March 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
  4. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. July 2021

    Registered with the Care Quality Commission on 8 July 2021.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

Another option

Or stay at home with a private carer

Many people who look at care homes end up staying at home with a carer who comes in for a few hours a day, or lives in. PrimeCarers introduces you to self-employed carers you choose yourself: interviewed, ID and DBS checked, from about £20 an hour or £1,120 a week live-in.

Same provider

Other services run by Nexxus Trading Services Limited

3 other services on the CQC register. A pattern across a group tells you more than one report.

Meadowyrthe

Tamworth, B79
Good
ResidentialDementia
Rated 13 months agocare home
Nearby

Other care homes near Burntwood

The Birches

Burntwood, WS7 · 1.4 km
Good
Residential
Rated 6 years agocare home

Chasewater Mews

Burntwood, WS7 · 1.8 km
Good
NursingDementia
Rated 12 months agocare home