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Inspection Summary


Overall summary & rating

Good

Updated 4 May 2019

About the service:

Broomgrove provides accommodation and personal or nursing care for up to 40 older people with a range of support needs, including some people living with dementia. The home is an adapted building over two floors. At the time of the inspection 39 people were using the service.

People’s experience of using this service:

People who used the service and their relatives were very positive about the care they received at Broomgrove Trust Nursing Home.

People were safe because there were effective risk assessments in place, and systems to keep them safe from abuse or avoidable harm.

People received their medicines in a safe way. We discussed and advised on some improvements that could be made surrounding medicines management with the registered manager. These improvements were implemented on the day of inspection.

Observations and discussions with staff indicated there were enough staff on duty to make sure people’s needs were met in a timely manner, further improvements in the deployment of staff, particularly at busy times, would further improve the availability of staff.

People received personalised support from staff who knew them well. People’s likes, dislikes and social histories were recorded in their care records. This helped staff care for them in a personalised way.

Staff were competent, knowledgeable and skilled. They received regular training, supervisions and appraisals which supported them to conduct their roles effectively.

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 supported this practice.

People were happy with the food provided at Broomgrove. The service catered for people's special dietary requirements and staff monitored food and fluid intake levels of people who were assessed to be at risk.

The registered manager, nurses and care staff recognised the importance of promoting equality and diversity. Staff maintained people’s privacy and dignity when providing personal care and support.

A range of activities were provided for people living at Broomgrove which considered people’s interests and wishes.

The service offered end of life care medicines required to help keep people comfortable along with the equipment needed to administer them.

The provider had an effective complaints procedure in place. Information about how to complain was displayed in the entrance to the home. People and their relatives knew how to complain if they needed to.

The provider and registered manager understood the regulatory requirements and monitored the quality and safety of the service on a regular basis.

Staff told us they enjoyed their jobs, felt supported by the registered manager and provider and told us the staff team worked very well together.

The home worked well with local authorities who commissioned the service and health care professionals to achieve the best outcomes for people.

Rating at last inspection:

At the last inspection the service was rated Good (report published 1 November 2016)

Why we inspected:

This was a planned comprehensive inspection based on the rating awarded at the last inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. We plan to complete a further inspection in line with our re-inspection schedule for those services rated good.

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

Inspection areas

Safe

Good

Updated 4 May 2019

The service remained safe

Details are in our Safe findings below.

Effective

Good

Updated 4 May 2019

The service remained effective

Details are in our Effective findings below.

Caring

Good

Updated 4 May 2019

The service remained caring

Details are in our Caring findings below.

Responsive

Good

Updated 4 May 2019

The service remained responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 4 May 2019

The service remained well-led

Details are in our Well-Led findings below.