# Brooks Care and Nursing Services Ltd

*Operated by Brooks Care and Nursing Services Limited.*

Brooks Care and Nursing Services Ltd is a CQC-regulated home-care agency in Rayleigh.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 07/10/2023

## Practical info

- Postcode: SS6 9ET
- Registered manager: Reade, Linda
- Local authority: Essex
- Region: East
- City: Rayleigh
- Last CQC check: 07/Oct/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Partnership working with external organisations including local authority, District Nurses, SALT and GPs.
  - Published: 2023-10-07
- Finding
  - Evidence: Strong infection control practices with adequate PPE supply confirmed by staff and people.
  - Published: 2023-10-07
- Finding
  - Evidence: Quality assurance processes including care plan audits, accident/incident trend analysis, and quarterly reporting.
  - Published: 2023-10-07
- Finding
  - Evidence: Positive staff and service user feedback about approachable, supportive management.
  - Published: 2023-10-07
- Finding
  - Evidence: Electronic call monitoring system enabling real-time oversight of all visits.
  - Published: 2023-10-07
- Finding
  - Evidence: Effective safeguarding policies; staff able to identify abuse types and knew reporting pathways.
  - Published: 2023-10-07
- Finding
  - Evidence: Formal lessons-learned process in place with evidence of changes implemented and shared with staff.
  - Published: 2023-10-07
- Finding
  - Evidence: Robust medicines management system with weekly, fortnightly and monthly audits carried out by dedicated medication officers.
  - Published: 2023-10-07
- **missed_or_late_visits** _(minor)_
  - Evidence: I have a window of time and the care workers do not always arrive between those times. On occasion it has been as late as 11.30.
  - Published: 2023-10-07
- **record_keeping** _(minor)_
  - Evidence: We found on 1 person's recruitment file a full employment history had not been obtained. The HR manager took immediate action and contacted the staff member.
  - Published: 2023-10-07
- Finding
  - Evidence: The provider worked in partnership with health and social care professionals including the local authority
  - Published: 2023-04-12
- Finding
  - Evidence: People's equality and diversity characteristics had been considered and integrated into their care plans
  - Published: 2023-04-12
- Finding
  - Evidence: Positive staff culture; staff felt supported by management and enjoyed their work
  - Published: 2023-04-12
- Finding
  - Evidence: Infection prevention and control training was provided and adequate PPE was available to staff
  - Published: 2023-04-12
- Finding
  - Evidence: Staff administering medication had received medication training and competency assessments were completed
  - Published: 2023-04-12
- Finding
  - Evidence: Risk assessments were completed, reviewed and kept up to date to meet people's needs
  - Published: 2023-04-12
- Finding
  - Evidence: Staff had received safeguarding training and knew how to raise concerns; no open safeguarding incidents at time of inspection
  - Published: 2023-04-12
- **communication_with_families** _(moderate)_
  - Evidence: 'I have never met her or spoken to [manager]. I have spoken to [office staff] but they get very defensive'
  - Published: 2023-04-12
- **incident_learning** _(minor)_
  - Evidence: lessons learnt contained limited information and lacked detail. Actions taken did not include any dates and details of who needed to complete the actions.
  - Published: 2023-04-12
- **governance** _(critical)_
  - Evidence: effective systems to monitor and improve the quality of the service were not in place. This was a breach of regulation 17
  - Published: 2023-04-12
- **missed_or_late_visits** _(moderate)_
  - Evidence: 56% of calls were less than half the planned duration. There were 608 pairs of calls where staff had logged in at 2 locations simultaneously
  - Published: 2023-04-12
- **missed_or_late_visits** _(moderate)_
  - Evidence: 'Timing is erratic. They should be here at 9:am and it has been as late as midday'
  - Published: 2023-04-12
- **medication_management** _(critical)_
  - Evidence: A mediation audit was completed however, this was not robust or completed regularly which meant the registered manager did not have clear oversight
  - Published: 2023-04-12
- **medication_management** _(critical)_
  - Evidence: gaps identified on the MAR chart. The registered manager was unable to clarify why there were gaps.
  - Published: 2023-04-12

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1938112100

HomeCare Compass is an independent guide and is not affiliated with the CQC.