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Broomfield Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 January 2020

About the service

Broomfield Lodge is a residential care home providing personal care to 20 older people who may be living with dementia, at the time of the inspection. The service can support up to 21 people in one large adapted building.

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

People told us they felt safe living at the service. However, medicines were not always managed safely, people had not always received their medicines as prescribed.

Checks and audits had been completed on all aspects of the service and action had been taken when shortfalls had been identified. However, the weekly medicines audits had not identified the shortfalls found at this inspection.

Potential risks to people’s health, welfare and safety had been assessed. There was guidance in place for staff to mitigate the risks. Accidents and incidents had been recorded, analysed and action taken to reduce the risk of them happening again.

Staff had been recruited safely and there were enough staff to meet people’s needs. Staff received appropriate training for their role and to support people effectively. People’s health was monitored, and staff referred people to healthcare professionals when people’s needs changed. Staff followed the guidance given to keep people as healthy as possible.

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 were encouraged to eat a balanced diet. People had access to activities they enjoyed and were supported to be as active as possible. People were treated with kindness and compassion, people’s privacy and dignity was respected.

Each person had a care plan. People had been involved, where possible, in developing their care plans. The care plans contained details people’s choices and preferences and people told us they were supported in the way they preferred. People met with the management team before they moved into the service. People were given information in a way they could understand. People and relatives told us they knew how to complain, and issues had been dealt with quickly.

The management team attended local forums to keep up to date with developments in adult social 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 Good (published 30 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to medicines management at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 28 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 28 January 2020

The service was not always well-led.

Details are in our well-Led findings below.