Brookview Neurological Centre-Inspire Neurocare (Worcester)

Medicines management had improved significantly. Records showed medicines were given as prescribed, with regular checks and audits.

“Since our last inspection there had been significant improvements in the management and processes of medicines.” from the report

The provider had improved nursing staff training and ensured clinical support was available for people with complex needs such as epilepsy and PEG care.

“Since our last inspection the provider had ensured nursing staff had attended the relevant training courses in order to meet the care needs of people living at the service.” from the report

People had more opportunities outside the home, vocational opportunities and activities linked to their interests.

“Activities, community access and community links had developed and people were experiencing more vocational opportunities and their wishes and hobbies were being explored.” from the report

The home was clean, spacious and accessible for people using wheelchairs. People had personalised their rooms.

“The environment was clean, spacious in design and accommodated people's needs.” from the report

Inspectors found that some care was not delivered as written. This included repositioning, specific seating guidance and overnight welfare checks, creating a risk of harm.

“Systems were not robust to monitor and mitigate risks to the health, safety and welfare of people using the service and lessons had not always been learnt.” from the report

One person's care plan required oral care four times a day, but records showed support was provided once a day. Inspectors said this put the person at risk of infection.

“A person did not receive oral health support in line with their oral health care plan which put them at risk of infections.” from the report

Audits were being completed but did not reliably identify care that was not being delivered as planned. Some problems found at earlier inspections had still not been resolved.

“Measures to monitor the quality of the care provided were not always effective, this meant the management team did not have a full oversight of issues at the service to always drive improvements.” from the report

Fluid charts had inconsistent entries, making it difficult to tell whether people had reached their daily fluid targets. The provider said it would review and improve the charts.

“Further improvements were required with monitoring people's fluids.” from the report