We carried out a review of the data available to us about Broadlands Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Broadlands Residential Care Home, you can give feedback on this service.
We found the following examples of good practice.
During the outbreak of COVID-19 there were restrictions on visiting the service which were in line with current government guidance. The provider had ensured that people were able to maintain contact with relatives using technology and window visits whilst visiting was restricted.
There was a system in place for visitors and appropriately placed signage to ensure they followed the current guidance on the use of personal protective equipment (PPE), testing and social distancing. We saw staff wearing PPE in line with the latest guidance.
The home looked clean and hygienic. Staff carried out regular cleaning with additional cleaning and disinfection of high touch points such as door handles or handrails.
The provider had processes in place that ensured the safe admission of new people to the home. The provider also assessed the impact of isolation on people’s wellbeing and completed risk assessments in line with current guidelines to reduce the risk, this included the admittance of essential care givers and visits for people receiving end of life care.
Broadlands Residential Care Home is a residential care home providing personal and nursing care to 16 people aged 65 and over at the time of the inspection. The service can support up to 16 people in one adapted building.
People’s experience of using this service and what we found
There were systems in place to keep people safe for the risk of abuse. People felt the service was safe. Staff understood how to recognise and report concerns or abuse. There were enough staff to keep people safe and meet their needs. People’s needs were assessed, and any risks associated with health conditions documented. Risks associated with the service environment were assessed and mitigated. People received their prescribed medicines safely. People were protected from the risk of acquiring infections and the service was clean. Accidents and incidents were reviewed and monitored to identify trends and to prevent reoccurrences.
People's care and support needs had been assessed and their cultural needs had been explored with them prior to moving into the service. The provider ensured staff had training and support to develop their personal care skills. People were supported to maintain a healthy balanced diet and to eat and drink well. People were supported by staff to access healthcare services when required. The provider had taken steps to ensure the environment was suitable for people's needs.
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 using the service experienced positive caring relationships with the staff team. Staff had information they needed to provide individualised care and support. People were encouraged to make decisions regarding their day to day routines and express their views about their personal preferences. People’s care was provided in ways which promoted their dignity and respected their independence.
People were regularly asked for their views about their care. People’s care plans were detailed, containing information about how they liked to be supported, their daily routines and preferences. People received information in accessible formats where they wanted this. People were supported to actively take part in interests and activities that were important to them. The provider had a system in place to respond to complaints and concerns. People and their relatives were encouraged to talk about their wishes regarding care towards the end of their lives.
The provider and manager undertook audits of all aspects of the service to review the quality of care. Staff were motivated and proud to work for the service. The provider and manager had systems in place to ensure compliance with duty of candour. The provider regularly sought the views of people, relatives and staff regarding the quality of the service. The manager and provider worked in partnership with outside agencies to improve people’s care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Requires Improvement (published 7 December 2018) and there was one breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Broadlands Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Broadlands Residential Care Home can accommodate 16 older people and people living with dementia. Accommodation is provided on two floors; a stair lift is available. At the time of our inspection 16 people were using the service.
There was a registered manager at the service who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. In addition, there was a new home manager who had day to day responsibility for the service. They were in the process of submitting their registered manager application.
The provider had failed to notify CQC of information they are legally required to do. Action was being taken by the management team to improve the service. This included working on an action plan to improve infection control practice. A refurbishment plan was in place, some improvements had been made to redecoration, flooring and furnishings with further work to be completed and this was on target as per the provider’s action plan.
The provider had also implemented a new recording and analysis process for accidents and incidents, to ensure action was taken to reduce the likelihood of further reoccurrence. Improved audits and checks were also being introduced to enable increased oversight of the service and to drive forward continued improvement to the service people received. Recent improvements had been made to the management of medicines and further time was required for this to be completed and fully embedded.
Improvements were being made to the staffing levels and deployment of staff, to ensure people were cared for by sufficient staff numbers. Safe staff recruitment practices were followed to ensure staff recruited were suitable.
People had their individual needs, preferences and what was important to them assessed. This included their diverse needs, including the protected characteristics under the Equality Act to ensure people did not experience any discrimination. Staff were provided with guidance of how people’s needs and people were involved in discussions and decisions about the care they received.
Staff received an induction and ongoing training relevant to people’s needs and support, to enable them to provide effective care. Staff were aware of how to protect people from abuse and avoidable harm.
People received a choice of meals and drinks and their nutritional needs were known and understood by staff. Independence was promoted with daily living tasks and where people required support from staff, this was provided sensitively and respectfully.
Staff worked effectively with external health care professionals to support people with their healthcare needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Staff were aware of the principles of the Mental Capacity Act 2005.
People’s diverse needs, routines, preferences and what was important to them had been assessed and care plans provided staff with detailed information of how to support people. People’s end of life wishes was due to be discussed with them, to ensure their personal preferences were known and understood.
People who used the service, relatives, staff and external professionals were positive about how the service met individual needs. People received opportunities to share their experience about the service they received. Advocacy information was made available should people require independent support. The complaints procedure had been made available for people and visitors. People received opportunities to participate in activities and the management team had plans to further improve social activities.
During this inspection we found one breach of the Care Quality Commission ((Registration) Regulations 2009. You can see what action we told the provider to take at the back of the full version of the report.