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Broomy Hill Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 6 July 2019

About the service

Broomy Hill Nursing Home is a residential care home providing personal and nursing care for up to 40 people in a large adapted building. It specialises in supporting people who are living with dementia or who have mental health needs. At the time of our inspection, there were 33 people living at the home.

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

Staff understood how to identify and report any abuse involving the people who lived at the home. The risks associated with people’s care needs had been assessed, and plans were in place to manage these. A more robust and accurate system was needed for recording and monitoring the administration of people’s topical medicines. The provider followed safe recruitment procedures. The provider had taken steps to protect people from the risk of infections.

People’s individual needs were assessed prior to them moving into the home. Staff received ongoing training and support to help them fulfil their duties. People had enough to eat and drink and any associated risks were managed. Staff and management worked with community health and social care professionals to achieve positive outcomes for people. Some steps had been taken to adapt the home’s environment to the needs of people living with dementia. 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. Formal mental capacity assessments and best-interests decision records were not always clearly recorded.

Staff adopted a caring approach towards their work, and provided prompt support to anyone in distress. People and their relatives were supported to express their views about the service. Staff treated people with dignity and respect, and protected their confidential information.

People’s care plans were individual to them. Procedures for reviewing and updating people’s care plans needed to be improved to make it easier to establish their current needs. People had support to participate in a range of social and recreational activities. People’s relatives knew how to raise any concerns or complaints about the service. People’s wishes and choices about their end of life care were assessed.

The registered manager promoted an open culture within the service. People’s relatives felt able to express their views to the management team. Staff felt supported in their roles and were clear what was expected of them at work. The provider had quality assurance systems and processes in place designed to enable them to monitor and improve the quality of people’s care. The management team sought to involve people, their relatives and staff in the service.

Rating at last inspection

The last rating for this service was Requires improvement (published 9 June 2018).

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.

Inspection areas

Safe

Good

Updated 6 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 6 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 6 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 6 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 6 July 2019

The service was well-led.

Details are in our well-led findings below.