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Inspection Summary


Overall summary & rating

Good

Updated 20 December 2018

Broadmead Rest home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Broadmead provides accommodation with personal care for up to 38 people. At the time of our inspection 28 people were living in the home.

At the last inspection, in March 2016, the service was rated overall as good, and in the key questions: is the service effective, caring, responsive and well-led. The key question for: is the service safe was rated requires improvement. This was because safe recruitment procedures had not always been followed and where people were prescribed variable doses of medicines, the amounts given were not always recorded. Actions were taken before the end of the inspection process to address the shortfalls we had identified.

We carried out a comprehensive inspection on 7 November 2018. At this inspection, we found the improvements that had been made following the last inspection had been embedded and sustained.

At this inspection, we found shortfalls in the recording of medicines that required additional security.

The service overall, remains Good.

There was a registered manager in post. 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.

Sufficient numbers of staff were deployed at the time of our visit. Staff performance was monitored. Staff received supervision and training to ensure they could meet people’s needs.

Most medicines management shortfalls were promptly acted upon and actions taken to make improvements. However, there were shortfalls in the recording and checking of some medicines.

Staff demonstrated a good understanding of safeguarding and whistle-blowing and knew how to report concerns.

People were helped to exercise support and control over their lives. People were supported to consent to care and make decisions. The principles of the Mental Capacity Act (MCA) 2005 had been followed.

Risk assessments and risk management plans were in place. Personal and nursing care was delivered in line with assessed needs and accurate monitoring records were maintained.

Incidents and accidents were recorded and showed that actions were taken to minimise the risk of recurrence.

People’s dietary requirements and preferences were recorded and people were provided with choices at mealtimes.

Staff were kind and caring. People were being treated with dignity and respect and people’s privacy was maintained.

Care was personalised, highly responsive and sensitive to individual needs.

A wide range of activities were offered and provided people with entertainment and engagement in communal areas, in their rooms and outside of the home.

Systems were in place for monitoring quality and safety. Where shortfalls were identified these were acted upon.

Inspection areas

Safe

Good

Updated 20 December 2018

The service has improved to Good.

Where shortfalls in medicines management were identified the provider took prompt action.

People were protected from abuse because staff had received training and knew how to identify and act on concerns.

Risk assessments were completed and risk management plans were in place to minimise identified risks.

Staff were safely recruited. Recruitment procedures were in place and appropriate checks were completed before staff started in post.

Staffing levels and deployment of staff were sufficient to meet the needs of people living in the home.

Accidents and incidents were reported and actions taken to reduce recurrences.

Effective

Good

Updated 20 December 2018

The service remains Good.

Caring

Good

Updated 20 December 2018

The service remains Good.

Responsive

Good

Updated 20 December 2018

The service remains Good.

Well-led

Good

Updated 20 December 2018

The service remains Good.