Broxbourne House

Updated 7 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out 1 inspector.

Service and service type

Broxbourne House is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Broxbourne House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed the information we held about the service since our last inspection. This included accidents, incidents and safeguarding concerns.

During the inspection

We spoke with the registered manager and nominated individual during the inspection, as well as 4 staff which included care, activities and domestic staff. We spoke with 3 people to obtain their feedback about the care they received.

As part of the inspection we reviewed the care records for 6 people in varying depth, numerous medicines records, 3 staff recruitment files, governance systems and processes and other documentation relevant to the running of the service.

Following our visit, we received further information from the registered manager, which included training details and health and safety documents.

Updated 7 March 2023

About the service

Broxbourne House is a residential care home providing personal care for older people, some of whom were living with dementia. Broxbourne House is registered to accommodate 20 people, at the time of the inspection 19 people lived at the service.

People's experience of using this service and what we found

People were happy living at Broxbourne House. They told us staff were kind towards them and knew their needs well. People were encouraged to make their own choices and retain their independence and people's care plans were individualised and person centred.

People felt safe living at Broxbourne House and where risks to people had been identified there was guidance in place for staff. Staff were able to tell us how they kept people safe and had a good knowledge of how to identify and report a potential safeguarding concern.

People lived in an environment that was checked for its safety and suitable for their needs. The environment was spacious and well laid out and was kept clean and tidy by a team of housekeeping staff.

People were cared for by a sufficient number of staff who had been trained and demonstrated competence in their roles. Staff received the support they required through continual learning and development and regular supervision with their line manager.

The manager was involved in initiatives to help assist with the pre-assessment stage for people. Appropriately trained staff safely administered medicines and people received the medicines they required in line with their prescription.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and staff said the service was well led and they felt their opinions were sought and listened to. The registered manager worked alongside the staff and was very visible, they knew people well and focused on delivering person centred care.

The registered manager and staff worked in partnership with health and social care providers to plan and deliver an effective service. The provider took people, their relatives, and professionals and staffs views into account through surveys. There were effective systems in place to monitor the quality and safety of the service and any learning was identified and acted on. Staff enjoyed working at the home and said they received good support from the registered manager.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 24 February 2021).

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Why we inspected

This focused inspection was prompted by a review of the information we held about this service. We only inspected the key questions, safe, effective and well-led. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.