Broadmead Rest Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider completed assessments of people’s needs before they were offered a place in the service, with a manager visiting people, where possible, to carry out the assessment. The manager also obtained a copy of assessments from health and social care professionals. Staff told us they received good information about people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People and relatives told us staff provided good support to meet their needs, including to meet their nutrition and hydration needs. One relative told us the service were “on it”during periods of hot weather to ensure people maintained suitable hydration and kept cool.

Staff knew people who were at risk of malnutrition and dehydration and those who needed a modified diet due to the risk of choking. This information was available in the kitchen, and the chef demonstrated a good understanding of people’s needs. We observed staff providing good support and encouragement for people to eat safely and maintain their nutritional intake. Staff used visual aids, such as pictures and show plates, to support people to make choices. These supported people living with dementia to make meaningful choices about their meals.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People and relatives told us staff worked well with other services, such as community nurses and GPs, meaning people received the care they needed. Health and social care professionals were positive about the way the service worked with them to meet people’s needs. Comments included, “Staff at the home have been responsive and cooperative when liaising with our service. Communication regarding residents' mental health needs has generally been timely, and staff have engaged appropriately with recommendations and interventions provided by our team.” Details of consultations with healthcare professionals were reflected in people’s care records, ensuring staff had up to date information.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to use health services, including the GP and community nurses. People told us they were able to see their GP when needed, with a twice weekly visit by the GP and opportunity for consultations outside these planned visits. Staff escalated changes to people’s health to healthcare professionals and made sure people’s health needs were reviewed if needed.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff maintained records of care they provided, for example, records of people’s food and fluid intake, and observations of people’s skin condition where needed. Records demonstrated changes were shared with healthcare professionals to ensure people received the treatment they needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

We observed staff gained people’s consent before providing care for them. Staff were trained in the Mental Capacity Act 2005 and demonstrated a good understanding of consent. Staff understood the need to follow the best interest decision making process where people were assessed to lack capacity to consent to a specific decision. Care records contained clear details of decisions made in people’s best interest and who was involved in making the decision.