CQC report explained · a residential care home, run by North East Autism Society

Brentwood

5 Thornholme Road, Sunderland, SR2 7QF

Goodpublished 7 March 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask

Safe?: Good; People were protected from abuse and avoidable harm. Risks were assessed, medicines were managed safely, infection control arrangements were in place and staffing levels were suitable.
Effective?: Good; This key question was not reviewed during this focused inspection. The previous rating was used in calculating the overall rating.
Caring?: Good; This key question was not reviewed during this focused inspection. The previous rating was used in calculating the overall rating.
Responsive?: Good; This key question was not reviewed during this focused inspection. The previous rating was used in calculating the overall rating.
Well-led?: Good; The manager had effective quality checks and action plans. People, relatives, staff and professionals were involved in giving feedback and improving the service.

The latest report, explained

What inspectors found, March 2024

Rated Good; inspectors found safe, kind care and strong management, but this inspection only reviewed Safe and Well-led.

The inspection was unannounced and took place on 15 December 2023 and 10 February 2024. One inspector spoke with the registered manager, two staff members and two relatives. They reviewed care records, medicines records, staff recruitment files and management records.

The home was rated Good for Safe and Well-led. Inspectors found that people were protected from abuse, risks were assessed, medicines were managed safely and there were enough trained staff. They also found effective audits, open management and positive relationships with people, relatives and other professionals.

This was a focused inspection because the previous rating was from 2018. Only Safe and Well-led were reviewed in detail. The other key question ratings were not reassessed and the previous ratings were used to calculate the overall Good rating.

What inspectors praised

Personalised risk planning
Care records were detailed and tailored to each person. They included risk assessments and guidance on using the least restrictive approach.
“Care files were extremely detailed and person-centred, they contained a range of personalised risk assessments, which reflected the care and support needs of each individual.” from the report
Safe medicines
The manager checked medicines regularly. Staff had training and regular competency assessments.
“The manager carried out regular checks on people's medicines to make sure they were being administered in line with national best practice, the provider's policy and prescribing instructions.” from the report
Staffing and recruitment
The home had enough staff and completed key pre-employment checks. The training record showed full compliance across the modules reviewed.
“The providers training matrix showed 100% compliance across modules including health and safety, equality and diversity and deprivation of liberty safeguarding.” from the report
Quality management
The manager used audits and action plans to monitor care and identify improvements. Significant events were reported to the CQC.
“Audits and action plans were used effectively as a tool for continuous improvement.” from the report

What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report

01What was the previous rating for Caring, Effective and Responsive, and what has changed since that inspection?
02How will you assess and update my relative's personalised risk assessments and positive behaviour support plan?
03How are staff trained and checked as competent to administer my relative's medicines?
04How do you make sure there are enough appropriately trained staff for my relative's support needs?
05How can my relative and our family give feedback and see what action has been taken?

This was a focused inspection of Safe and Well-led only; the other key question ratings from the previous inspection were used to calculate the overall rating. This explanation was written from the published report of 7 March 2024 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 Brentwood

3 rated inspections over 8 years: the service has held its Good rating throughout.

March 2024Goodcurrent ratingstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Brentwood →
March 2018Goodstayed Good
Safe: GoodWell-led: Good
We are reading this report · the original is on cqc.org.uk
February 2016Good
Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
Read this report on cqc.org.uk
September 2013
Report published without a new overall rating.
Read this report on cqc.org.uk
May 2013
Registered with the Care Quality Commission on 8 May 2013.

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.

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Sunderland, SR3

Good

Residential

Sunderland, SR2 · 0.3 km

Good

Residential

Rated 6 years agocare home

What inspectors found, March 2024

Personalised risk planning

Safe medicines

Staffing and recruitment

Quality management

Every inspection of Brentwood

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